IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF File No. Division Deceased. COUNTY, PROBATE DIVISION PETITION FOR ORDER STRIKING UNTIMELY FILED CLAIM Petitioner, and alleges: 1. 2. 3. Notice to Creditors was duly published for this estate, the first publication being on , The claim of , , that date being after the time for filing claims in this estate expired. , and the time for filing claims expired on , . was filed on , as personal representative of this estate, files this petition for an order striking the claim of The claimant may have been a creditor of the decedent and was not known to or reasonably [or] ascertainable by petitioner prior to the expiration of the time for filing claims in this estate. 3. Petitioner served on the claimant a copy of the Notice to Creditors and claimant failed to file a [delete inapplicable paragraph] 4. Pursuant to the provisions of Section 733.702, the referenced claim is barred. Petitioner requests that an order be entered striking said claim. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on this day of , . ____________________________________________ Attorney for Petitioner Email Addresses: Petitioner claim within the time required by Florida Statutes Section 733.702. Florida Bar No. Telephone: (address) [Print or Type Names Under All Signature Lines] Bar Form No. P-3.1041 - 1 of 2 © Florida Lawyers Support Services, Inc. January 1, 201 American LegalNet, Inc. www.FormsWorkFlow.com I CERTIFY that a copy hereof has been furnished to: by , on , . Attorney [Print or Type Names Under All Signature Lines] Bar Form No. P-3.1041 - 2 of 2 © Florida Lawyers Support Services, Inc. January 1, 201 American LegalNet, Inc. www.FormsWorkFlow.com