District Court Denver Probate Court _________________________________________ County, Colorado Court Address: IN THE MATTER OF THE ESTATE OF: Deceased: Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg.#: Courtroom NOTICE OF DISALLOWANCE OF CLAIM TO: _________________________________________________________, Claimant: Name The undersigned, as Personal Representative of this estate, disallows all of your claim $ ______________________of your claim for $ ______________________ presented on ______________________. Date Failure to protest any disallowance by filing a Petition for Allowance or commencing a proceeding within sixty days after the mailing of this Notice shall result in your claim or the disallowed portion being forever barred. _______________________________________________ ___________________________________________ Type or Print name of Attorney for Personal Representative Signature of Personal Representative or Attorney Date ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Type or Print name, address & tele. # of Personal Representative CERTIFICATE OF MAILING I certify that I mailed a true copy of the above Notice of Disallowance of Claim to ____________________________________, Name Claimant, on _________________________ by depositing it in the United States Mail, postage prepaid, addressed as follows: Date _______________________________________________ _______________________________________________ _______________________________________________ ___________________________________________ Signature of Person Certifying Service CPC 23 R7/00 NOTICE OF DISALLOWANCE OF CLAIM 1 2001 © American LegalNet, Inc.