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Notice Of Claim Form. This is a Pennsylvania form and can be use in Orphans Court Statewide.
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Tags: Notice Of Claim, OC-07, Pennsylvania Statewide, Orphans Court
NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
ORPHANS’ COURT DIVISION
, DECEASED
ESTATE OF
No.
To the Clerk of the Orphans’ Court Division:
Enter the claim of
in the
(Claimant)
amount of $
, against the above entitled Estate.
The Decedent, who resided at
(Street Address)
, died on
. Written notice of
(Date of Death)
said claim was given to
(Personal Representative or his/her counsel)
at
(Address)
on
.
(Date)
(Claimant)
(Street Address)
(City, State, Zip)
(Claimant's Counsel)
(Supreme Court I.D. No.)
(Address)
(Telephone)
Form OC-07 rev. 10.13.06
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