Ohio Probate Form - Insolvency Schedule Of Claims
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1PROBATE COURT OF
COUNTY, OHIO
_, JUDGE
ESTATE OF
, DECEASED
CASE NO.
INSOLVENCY SCHEDULE OF CLAIMS
[R.C. 2117.15, 2117.17, 2117.25]
The fiduciary states that this Schedule of Claims lists all claims which are presented or secured. The
claims are listed by classes and in the order of priority of payment pursuant to Section 2117.25 of the
Ohio Revised Code. (Use extra sheets if necessary)
_
Fiduciary
Page
_ of
Pages
[Note: Include a subtotal following each payment class and a grand total for all payment classes.]
Name and Address
Payment
Amount
Estimated
Claim
of Claimant
Class
Claimed
Payment
Rejected: Y/N
1.
(1)
Comments (Refer to Claim Number)
Print Form
FORM 24.4 - SCHEDULE OF CLAIMS
Effective Date: January 1, 2012
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