Fill and Sign the Notice Disallowance Form

 District Court  Denver Probate Court _________________________________________ County, Colorado Court Address: IN THE MATTER OF THE ESTATE OF: Deceased: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom NOTICE OF DISALLOWANCE OF CLAIM TO: _________________________________________________________, Claimant: Name The undersigned, as Personal Representative of this estate, disallows  all of your claim  $ ______________________of your claim for $ ______________________ presented on ______________________. Date Failure to protest any disallowance by filing a Petition for Allowance or commencing a proceeding within sixty days after the mailing of this Notice shall result in your claim or the disallowed portion being forever barred. _______________________________________________ ___________________________________________ Type or Print name of Attorney for Personal Representative Signature of Personal Representative or Attorney Date ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Type or Print name, address & tele. # of Personal Representative CERTIFICATE OF MAILING I certify that I mailed a true copy of the above Notice of Disallowance of Claim to ____________________________________, Name Claimant, on _________________________ by depositing it in the United States Mail, postage prepaid, addressed as follows: Date _______________________________________________ _______________________________________________ _______________________________________________ ___________________________________________ Signature of Person Certifying Service CPC 23 R7/00 NOTICE OF DISALLOWANCE OF CLAIM 1 This form conforms in substance to CPC 23