PR-1804, 10/10 Notice to Creditors (Informal Administration) 247247859.01, 859.07, 879.03 and 879.05, 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 (Informal Administration) Case No. PLEASE TAKE NOTICE: 1. An application for informal administration 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. All interested persons waived notice. 4. [Date] . 5. A claim may be filed at the County Courthouse, , Wisconsin, Room . Form completed by: (Name) Address Telephone Bar Number (If any) DO NOT PRINT the following text when publishing this notice. Notice to Newspaper and Personal Representative: Notice must be given by publication of this notice in the following newspaper: once a week for three consecutive weeks; the first publication date must be within 15 days from the date of this notice. The personal representative is responsible for to all known or reasonably ascertainable creditors. American LegalNet, Inc. www.FormsWorkFlow.com