Form 3-806A Notice of Disallowance of Claim
| Legal Form Number | Form 3-806A |
| Date | 01 January 2012 |
| Section | Chapter 29A-3, Part 8 Creditor's Claims (Form 3-801A to Form 3-806C) |
State of South Dakota In Circuit Court
County of
Estate of
<DECEDENT>
Deceased
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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