IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF File No. Deceased. Division COUNTY, PROBATE DIVISION OBJECTION TO PERSONAL REPRESENTATIVE'S PROOF OF CLAIM (Item Listed as "To Be Paid") The undersigned, , being of the above estate, hereby objects to the following item(s) listed as "to be paid" in the Personal Representative's Proof of Claim heretofore filed in this proceeding: The claimant is limited to a period of thirty (30) days from the date of service of this objection within which to bring an action on the claim, as provided by Florida Probate Rule 5.496 and Florida Statutes Section 733.705 unless an extension of the time is agreed to by the personal representative in writing before the time to file this action expires. IF THE CLAIMANT FAILS TO BRING SUCH AN ACTION WITHIN THE TIME STATED, NO ACTION OR PROCEEDING ON THE CLAIM MAY BE BROUGHT AGAINST THE PERSONAL REPRESENTATIVE, AND THE CLAIM IS THEREAFTER FOREVER BARRED WITHOUT ANY COURT ORDER. Signed on this _______ day of __________________________, ________. Objector Attorney Email Addresses: _______________________________________ _______________________________________ Florida Bar No. [Print or Type Names Under All Signature Lines] (address) Telephone: Bar Form No. P-3.1021 - 1 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com I CERTIFY that on Representative's Proof of Claim was furnished by to , , a copy of this Objection to Personal , Attorney for Objector [Print or Type Names Under All Signature Lines] Bar Form No. P-3.1021 - 2 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com