PR-1842, 10/10 Notice to Creditors for Summary Assignment (Formal Administration) 247867.02, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE ESTATE OF Name Amended Notice to Creditors for Summary Assignment (Formal Administration) Case No. PLEASE TAKE NOTICE: 1. A Petition for Summary Assignment was filed. 2. The decedent, with date of birth and date of death , was domiciled in County, State of , with a mailing address of . 3. The right of a creditor to bring an action terminates three months after the date of publication of this order. Creditors may bring an action by A. filing a claim in the County Circuit Court before the property is assigned. B. bringing a suit against the assignee(s) after the property is assigned. 4. The property may be assigned to the creditors and interested persons after 30 days have elapsed following the publication of this notice. Form completed by: (Name) Address Telephone Number Bar Number DO NOT PRINT this text when publishing notice. Notice to Newspaper and Petitioner: Notice must be given by publication of this notice one time in the following newspaper: . Publish this notice only once. American LegalNet, Inc. www.FormsWorkFlow.com