Withdrawal Or Satisfaction Of Claim And Release

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District 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: __________________
____________________________________________
____________________________________________
Division ______ Courtroom ________
Phone Number:__________________E-mail: ___________________
FAX Number:___________________ Atty. Reg. #: _______________
WITHDRAWAL OR SATISFACTION OF CLAIM AND RELEASE
I, _____________________________________ (name of claimant), hereby grant a full and final release to the
estate and to the fiduciary and any successor for any liability in connection to the claim(s) described below and
withdraw the claim.
acknowledge that the claim has been satisfied.
Date(s) Obligation
Type of Claim
Amount
Incurred
Total
$
Date: _____________________________
____________________________________________
Signature of Claimant
JDF 727
9/08
WITHDRAWAL OR SATISFACTION OF CLAIM AND RELEASE

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