Fill and Sign the Notice to Creditors by Publication Pursuant to 15 12 Form

JDF 943 SC R6/19 NOTICE TO CREDITORS BY PUBLICATION Page 1 of 2 ❑ District Court ❑ Denver Probate Court __________________ County, Colorado Court Address: In the Matter of the Estate of Deceased COURT USE ONLY Attorney or Party W ithout Attorney (Name and Address): Phone Number: E -mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom NOTICE TO CREDITORS BY PUBLICATION PURSUANT TO § 15 -12 -801, C.R.S. NOTICE TO CREDITORS Estate of , Deceased Case Number All persons having claims against the above named estate are required to present them to the personal representative or to ❑ District Court of , County, Colorado or ❑ Denver Probate Court of the City and County of Denver, Colorado on or before (date) *, or the claims may be forever barred. _____________________________ _____ __________ Type or Print name of Person Giving Notice _____________________________________________ Address _____________________________________________ Publish only this portion of form. City, State, Zip Code *Insert date not earlier than four months from the date of firs t publication or the date one year from date of Decedent’s death, whichever occurs first. Name of Newspaper : __________________________________ ___________________________ Instructions to Newspaper: Publish the above Notice once a week for 3 consecutive calendar weeks. __________________________________ ___________________________ ______ _______________ __________________________________________________________________________________ ______________________________________________________________________ ____________ JDF 943 SC R6/19 NOTICE TO CREDITORS BY PUBLICATION Page 2 of 2 VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of ___________, _________, (date) (month) (year) at ______________________________________ (city or other location, and state OR country) _______________________________ (printed name) _______________________________ (Signature of Person Giving Notice or Attorney for Person Giving Notice ) Note : • Unless one year or more has elapsed since the death of the decedent, a personal representative must cause a notice to creditors to be published in some daily or weekly newspaper published in the county in which the estate is being administered . • If there i s no such newspaper, then in some newspaper of general circulation in an adjoining county. • A copy of this form and the Proof of Publication should be filed with the clerk of the court.