700 - 0000 3 Notice of Disallowance (03/2017) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In r e ESTATE of: NOTICE OF DISALLOWANCE To: Name of Creditor Your Written Statement of Claim dated is hereby disallowed for the following reason(s): Under 14 V.S.A Section 1206, your claim will be barred unless you file a Petition for Allowance with the Probate Division, or commence a proceeding again the Fiduciary in the Civil Division, no later than 60 days after the mailing of this notice of Disallowance. Date Signature of Fiduciary Printed Name Mailing Address Telephone/Email Certification I certify that I mailed a copy of this Notice of Disallowance to the Claimant on . Date Signature of Fiduciary American LegalNet, Inc. www.FormsWorkFlow.com