700-00003 Notice of Disallowance (03/2017) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
PROBATE DIVISION
Unit
Docket No.
NOTICE OF DISALLOWANCE
To: __________________________________________
Name of Creditor
Your Written Statement of Claim dated _________________ is hereby disallowed for the following reason(s):
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Under 14 V.S.A Section 1206, your claim will be barred unless you file a Petition for Allowance with the
Probate Division, or commence a proceeding again the Fiduciary in the Civil Division, no later than 60 days
after the mailing of this notice of Disallowance.
_______________________________ ______________________________________________
Date Signature of Fiduciary
______________________________________________
Printed Name
______________________________________ ______________________________________________
Mailing Address Telephone/Email
Certification
I certify that I mailed a copy of this Notice of Disallowance to the Claimant on _________________.
_______________________________ ______________________________________________
Date Signature of Fiduciary