SCCA 401PC (01-2019) STATE OF SOUTH CAROLINA ) ) COUNTY OF: ) ) IN THE MATTER OF: ) ) Decedent Alleged Incapacitated Individual ) PROBATE COURT USE O NLY ) ) IN THE PROBATE COURT ) ) CASE NUMBER - - - Petitioner(s), ) vs. ) SUMMONS ) Respondent(s).* ) *For Guardianship/Conservatorship matters, you must include the alleged incapacitated individual as a Respondent. TO THE RESPONDENT(S) LISTED ABOVE: YOU ARE HEREBY SUMMONED and required to Answer the Petition in this action, a copy of which is herewith served upon you, and to serve a copy of your Answer upon the Petitioner(s) listed above at the following address(es): Please Type or Print. (Name of Petitioner/Attorney for Petitioner) (Street Address or Mailing Address) (City, State, and Zip Code) Your Answer must be served on the Petitioner at the above address within thirty (30) days after the service of this Summons and Petition upon you, exclusive of the day of such service; and if you fail to answer the Petition within that time, judgment by default will be rendered against you for the relief demanded in the Petition. Signature of Petitioner(s)/Attorney for Petitioner(s) Date: American LegalNet, Inc. www.FormsWorkFlow.com FORM #558GC (01/2019) Page 2 of 2 62-5-426 STATE OF SOUTH CAROLINA ) COUNTY OF ) ) IN THE MATTER OF: ) , ) a protected person. ) PROBATE COURT USE ONLY ) ) IN THE PROBATE COURT , ) CASE NUMBER - GC - - Petitioner(s), ) vs. ) PETITION FOR ALLOWANCE OF CLAIM , ) Respondent(s). ) The undersigned petitions the Court to allow the following claims against the conservatorship in the amounts set forth below: Creditor Name and Address Amount of Claim In support of this Petition, Petitioner incorporates the claim(s) referenced above as presented to the Conservator and alleges that each claim is valid and any claim not yet presented is attached to this Petition and made a part hereof and is being presented within the requisite statute of limitations. (Other:) Executed this day of , 20 . Signature: Print Name: Address: Preferre d Telephone: Secondary Telephone: Email: Relationship to the proceeding: Attorney Signature: Print Name: Firm Name: Bar Number: Address: Telephone: Email: Attorney for: *NOTE: THIS IS A FORMAL PROCEEDING. IN ADDITION TO FILING A SUMMONS AND PETITION, YOU MUST PAY THE STATUTORY FILING FEE OF $150.00. A HEARING IN THE PROBATE COURT ON THE PETITION MAY BE REQUIRED. American LegalNet, Inc. www.FormsWorkFlow.com