DE-174
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
COURT
FOR COURT USE ONLY
COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : :
TELEPHONE NO.: ATTORNEY FOR (Name): FAX NO.:
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
Plaintiff(s)
: : : :
JUDICIAL SUBPOENA
-against-
ESTATE OF (Name):
DECEDENT Defendant(s) : ......................................................
ALLOWANCE OR REJECTION OF CREDITOR'S CLAIM
CASE NUMBER:
NOTE: Attach a copy of the creditor's claim. If allowance or rejection by the court is not required, do not include any THE PEOPLE OF the creditor claim NEW YORK THE STATE OF form. pages attached to
TO
PERSONAL REPRESENTATIVE'S ALLOWANCE OR REJECTION
1. Name of creditor (specify): 2. The claim was filed on (date): GREETINGS: 3. Date of first issuance of letters: 4. Date of Notice of Administration: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before 5. Date of decedent's death: 6. Estimated value of estate: $ , the Honorable at the Court 7. Total amount ofof claim: $ located at County the 8. Claim is allowed for: , on the $ (The court must approve certain claims before they are paid.) any recessed in room day of , 20 , at o'clock in the noon, and at Claim is rejected for: to testify and give evidence as a witness in this action to act on a rejected claim. See box below.) $ (A creditor has three months on the part of the 9. or adjourned date, 10. Notice of allowance or rejection given on (date): 11. The personal representative is authorized to administer the estate under the Independent Administration of Estates Act.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result . . . . . . to . . . . . . . . . . . . .of your.failure . .comply. . . . . . . . .
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF PERSONAL REPRESENTATIVE)
REJECTED CLAIMS:
Witness, Honorable , one of the Justices of the From the date notice of rejection is given, the creditor must act on the rejected claim (e.g., file a lawsuit) Court in County, day of , 20 as follows:
a. Claim due: within three months after the notice of rejection. b. Claim not due: within three months after the claim becomes due.
(Attorney must sign above and type name below)
COURT'S APPROVAL OR REJECTION
12. 13. Approved for: $ Rejected for: $
Attorney(s) for
Date: 14. Number of pages attached: _____
Office and P.O. Address
SIGNATURE OF JUDGE COMMISSIONER SIGNATURE FOLLOWS LAST ATTACHMENT
Form Adopted for Mandatory Use Judicial Council of California DE-174 [Rev. January 1, 2000]
Telephone No.: Facsimile No.: (Proof of Service on reverse) E-Mail Address: ALLOWANCE OR REJECTION OF CREDITOR'S CLAIM Mobile Tel. No.:
(Probate)
Probate Code, § 9000 et seq., 9250–9256, 9353
American LegalNet, Inc. www.USCourtForms.com
ESTATE OF (Name): DECEDENT
CASE NUMBER:
PROOF OF
MAILING
PERSONAL DELIVERY
TO CREDITOR
1. At the time of mailing or personal delivery I was at least 18 years of age and not a party to this proceeding. 2. My residence or business address is (specify):
3. I mailed or personally delivered a copy of the Allowance or Rejection of Creditor's Claim as follows (complete either a or b): a. Mail. I am a resident of or employed in the county where the mailing occurred. (1) I enclosed a copy in an envelope AND (a) deposited the sealed envelope with the United States Postal Service with the postage fully prepaid. placed the envelope for collection and mailing on the date and at the place shown in items below following (b) our ordinary business practices. I am readily familiar with this business's practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid. (2) The envelope was addressed and mailed first-class as follows: (a) Name of creditor served: (b) Address on envelope:
(c) Date of mailing: (d) Place of mailing (city and state): b. Personal delivery. I personally delivered a copy to the creditor as follows: (1) Name of creditor served: (2) Address where delivered:
(3) Date delivered: (4) Time delivered:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT)
Print This Form
DE-174 [Rev. January 1, 2000]
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ALLOWANCE OR REJECTION OF CREDITOR'S CLAIM
(Probate)
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