STATE OF SOUTH CAROLINA COUNTY OF _____________________________ IN THE MATTER OF: ________________________________________ (Decedent) ) ) ) ) ) ) ) IN THE PROBATE COURT ORDER FOR PETITION FOR ALLOWANCE OF CREDITOR CLAIM CASE NUMBER: _____________________________________ On the basis of the Petition for Allowance of Creditor Claim and after hearing, the Court finds the aforesaid claim(s) is/are: THEREFORE, IT IS HEREBY ORDERED that the following be ______________________ in the amounts set forth below: Creditor Name and Address Amount of Claim Executed this ______ day of_____________________________, 20_________. _____________________________________________ , Probate Court Judge FORM #373ES O (04/2017) 62-3-806 American LegalNet, Inc. www.FormsWorkFlow.com