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Other Names: Creditor’s Claim Estate Claim Form Statement of Claim Form Probate Statement of Claim Claim Against Estate Form Statement of Claim Against Trust Notice of Claim Against an Estate Notice of Claim Against a Trust Creditor’s Claim Against an Estate Notice of Claim Against Decedent's Estate
Statement of Claim Against Estate document preview

What is a Statement of Claim Against Estate?

The Statement of Claim Against Estate is filed by a creditor or person who is owed money by a deceased person. During the probate process, Statements of Claim Against Estate can be filed with the court where the deceased was a resident and with the personal representative or administrator of the estate.

The personal representative (or administrator) is responsible for reviewing all Statement of Claims filed against an estate prior to distributing any of the deceased's assets to the heirs. Simply filing a Statement of Claim Against Estate does not guarantee reimbursement or payment. Rather, it ensures that if there is enough money to pay all creditors, the creditor will also receive payment.

Make your own Statement of Claim Against Estate now. With Rocket Lawyer, it can be as simple as answering a few questions. 

When to use a Statement of Claim Against Estate:

  • You have a claim against a deceased person's estate.

Sample Statement of Claim Against Estate

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In the matter of the estate of


Case Number:




1. The undersigned states that the Claimant is a creditor of the estate of .


2. The Claimant hereby states that said estate is indebted to said creditor in the amount of for:


3. The following documents are attached hereto and incorporated herein by this reference as Exhibits shows proof of this claim:



4. The Claimant holds security for said Claim as follows: .


5. Affiant states that Affiant is Claimant and that Claimant has given credit to said estate for payments and offsets to which it is entitled and that the balance claimed as above stated is justly due.


6. The undersigned swears that the matter set forth in the foregoing pleading are true and correct according to the best knowledge and belief of the undersigned, and subject to penalty for making a false affidavit or declaration.




_________________________________________ ________________________




Statement of Claim Against Estate document preview

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