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Claim Form. This is a Pennsylvania form and can be use in Allegheny Local County.
Tags: Claim, Pennsylvania Local County, Allegheny
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FORM 93 – O.C. DIVISION
IN THE COURT OF COMMON PLEAS
OF
ALLEGHENY COUNTY, PENNSYLVANIA
ORPHANS’ COURT DIVISION
IN RE: ESTATE
OF
No. ___________________of ______________________
_______________________________________
(Deceased)
CLAIM
To the Department of Court Records, Wills/Orphans' Court Division:
Index and make proper entry in your official records of the claim of ______________________
___________________________________________________________________________________
(Claimant)
in the amount of $ ____________________________against the estate of the above named decedent.
This claim is filed under Section 3532 (b) (2) of the Probate, Estates and Fiduciaries Code.
The said decedent, who resided at __________________________________________, died on
(Address)
________________________.
Written notice of this claim was given to ____________________________________________
________________________________________________________________________________ on
(Personal representative, if any, or counsel)
_____________________________________ , ________________________.
_____________________________
(Claimant)
_____________________________
(Claimant's Address)
[Claims]
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Page 2 of 2
IN RE: ESTATE OF
_____________________________________________________
Deceased
No. __________________________of _____________________
Claim ________________________________________________
Fee $ _____________________________________
Filed_________________________________________________
______________________________________________________
Attorney
[Claims]
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