FORM #557GC (01/2019) 62-5-426 STATE OF SOUTH CAROLINA ) ) COUNTY OF ) ) ) IN THE MATTER OF: ) PROBATE COURT USE ONLY , ) ) IN THE PROBATE COURT a protected person. ) ) CASE NUMBER - GC - - ) NOTICE OF ALLOWANCE/DISALLOWANCE ) OF CLAIM TO: Creditor: Address: Telephone: Email: Original Creditor: Address (if different from above) : Filed Date of Claim: Claim Amount: Account Number: Other Reference Number: Allowance of a claim is evidence the conservator accepts tconservatorship estate. Allowance of a claim may not be construed to imply the conservatorship estate will have sufficient assets with which to pay the claim. The claim is allowed as a valid debt and: will be paid in full upon authorization by the Court. will be paid in full from funds outside the conservatorship estate. will not be paid as there are insufficient funds available to satisfy the debt. Explanation (required): The claim is partially allowed as a valid debt in the amount of $; the remaining balance is disallowed. Explanation (required): The claim is disallowed in full. Explanation (required): The disallowed claim or the disallowed portion of your claim will be forever barred unless you commence a legal proceeding requiring a Summons, a Petition and a filing fee of $150.00 for allowance of the claim in accordance with S.C. Code Ann. 247 62-5-426(3), within thirty (30) days after the mailing or other service of this Notice of Allowance/Disallowance of Claim. Signature: Attorney Signature Print Name: Print Name: Address: Firm Name: Bar Number: Preferred Telephone : Address: Secondary Telephone: Email : Telephone: Email: Attorney for: American LegalNet, Inc. www.FormsWorkFlow.com