JDF 94 6 SC R9/18 PETITION FOR ALLOWANCE OF CLAIMS District Court Denver Probate Court County, Colorado Court Address: I n the Matter of the Estate of Deceased COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom PETITION FOR ALLOWANCE OF CLAIM ( S ) PURSUANT TO 247 1 5 - 12 - 806, C.R.S. The p etitioner makes the following statements to allow the claim(s) in the amount(s) set forth in this p etition: 1. Information about the p etitioner : Claimant Personal Representative Name: Street Address : City: State: Zip Code: Mailing Address, if different: City: State: Zip Code: Primary Pho ne: Alternate Phone: Email Address: 2. Each claim listed below is valid, was presented within the time for presenting claims as provided by law, and has not been paid. Claim Amount 3. A copy of each written c laim is attached to this p etition. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. Date: Signature of Pe titioner VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , (date) (month) (year) American LegalNet, Inc. www.FormsWorkFlow.com JDF 94 6 SC R9/18 PETITION FOR ALLOWANCE OF CLAIMS at (city or other location, and state OR country) (printed name) (signature) CERTIFICATE OF SERVICE I certify that on (date), a copy of this (name of document) was served as follows on each of the following: Name and Address Relationship to Decedent, Ward, or Protected Person Manner of Service* * Insert one of the following: hand delivery, first - class mail, certified mail, e - service, or fax. Signature American LegalNet, Inc. www.FormsWorkFlow.com