Claim Colorado Court Forms
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1District Court
Denver Probate Court
_________________________________ County, Colorado
Court Address:
_________________________________
In the Interests of:
In the Matter of the Estate of:
COURT USE ONLY
__________________________________________________
Attorney or Party Without Attorney (Name and Address):
Case Number:__________________
________________________________________
________________________________________
Phone Number:________________E-mail: ______________
Division________Courtroom_______
FAX Number:__________________Atty. Reg. #:_______________
CLAIM
Name of Claimant: ________________________________ Telephone Number: __________________________
Address: ___________________________________________________________________________________
Claim is made against this estate, itemized as follows:
Date(s) Obligation
Type of Service or Basis of Claim
Amount
Incurred
Total
$
_____________________________________________
Signature of Claimant
Date
Decedent Estate Action:
For information on claims not due and contingent or unliquidated claims, see §15-12-810, C.R.S. All claims
defined pursuant to §15-10-201(8), C.R.S. must be filed with the Court or presented to the Personal
Representative of the estate.
If presented to the Personal Representative, either this form or a written statement complying with §15-12-
804, C.R.S. can be used. If filed with the Court, Rule 6 of the Colorado Rules of Probate Procedure requires
that this form be used.
If this form is presented to the Personal Representative, it is recommended that the below Receipt be
completed.
Protective Proceeding Estate Action:
This form can be used for the presentation and allowance of claims filed with the Court pursuant to §15-14-
429, C.R.S.
RECEIPT
I received a copy of this claim on ______________________ (date).
_____________________________________________
Signature of
Personal Representative
Conservator
JDF 726 9/08
CLAIM
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