Fill and Sign the Application of Creditor for Refusal of Letters Missouri Courts Form

OSCA (10-98) PR23 1of 2 473.090.1 (2) RSMo IN THE CIRCUIT COURT OF COUNTY, MISSOURI Probate Division Case Number: In the Estate of , Deceased. (Date File Stamp) Application of Creditor for Refusal of Letters The applicant states that the decedent died on residing at , leaving no surviving spouse or unmarried minor children; that afte r giving credit for all payments a nd offsets to which the estate is entitled there is now due and owing applicant, as a creditor of decedent, the sum of $ , for (state nature of debt): . The entire estate of decedent does not exceed th e value of $15,000.00 and consists solely of personal property described and of a value as follows: Description of Property Value See Appendix A. Total $ Applicant further states that if this application is granted, applicant will pay the debts of decedent so far as the assets thereof will permit, in the order of preference established by law, and will distribute the balance of said estate, if any, to th e persons entitled thereto under the law. Wherefore, applicant prays the court order no letters be grante d on said estate unless on the application of creditors or other pa rties interested the existence of other or further property is shown. The applicant swears that the matters set forth above are true and correct to the best knowledge and belief of the applicant, subject to the penalties of making a false affidavit or declaration. Date: Signature of Attorney for Applicant Signature of Applicant (Name/Bar Number/Address/Telephone) (Name/Address/Telephone) OSCA (10-98) PR23 2of 2 473.090.1 (2) RSMo Appendix A Decedent: Case Number: Description of Property Value Personal Property TOTAL: