Form 3-806A Notice of  Disallowance of Claim

Legal Form NumberForm 3-806A
Date01 January 2012
SectionChapter 29A-3, Part 8 Creditor's Claims (Form 3-801A to Form 3-806C)

State of South Dakota In Circuit Court

County of Judicial Circuit


Estate of
<DECEDENT>
Deceased


Notice of Disallowance of Claim

Notice is given that the personal representative of this estate disallows your claim in the amount of $__________ and that your failure to file a petition for allowance of the claim or to commence a proceeding against the personal representative within 60 days after the mailing of this notice will forever bar your claim.

Dated ________________.

___________________________...

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