STATE OF SOUTH CAROLINA COUNTY OF: ____________________________ IN THE MATTER OF: ________________________________________ (Decedent) ) ) ) ) ) ) ) IN THE PROBATE COURT WRITTEN NOTICE TO CREDITORS CASE NUMBER: ____________________________ All persons having claims against the above estate must file a written statement of their claim on FORM #371ES, with the Probate Court for _____________________ County located at ______________________________________ ____________________________________________________________________________________________, within one (1) year of the Decedent's death or within sixty (60) days from the mailing or other delivery of this written notice, whichever is earlier (unless barred by operation of SCPC 62-3-803) or be forever barred as to their claims. All claims are required to be presented in written statements on the prescribed form (FORM #371ES), indicating the name and address of the claimant, the basis of the claim, the amount claimed, the date when the claim will become due, the nature of any uncertainty as to the claim, and a description of any security as to the claim. Personal Representative Signature: Print Name: Address: Telephone (Work): (Home): (Cell): Email: Attorney: Address: Telephone: Email: Co-Personal Representative Signature: Print Name: Address: Telephone (Work): (Home): (Cell): Email: SEE SOUTH CAROLINA CODE OF LAWS, AS AMENDED, TITLE 62, ARTICLE 3, PART 8 (SECTIONS 62-3-801 ET SEQ.) FORM #376ES (1/2016) 62-3-801, 62-3-803 American LegalNet, Inc. www.FormsWorkFlow.com