Tio. Cnty. Pa. 17CR9756 app I

As amended through January 12, 2018
Appendix I - Sample Form Of Notice

IN THE MATTER OF

: IN THE COURT OF COMMON PLEAS

THE ESTATE

: OF TIOGA COUNTY, PENNSYLVANIA

OF

: ORPHANS' COURT DIVISION

DECEASED.

: NO 20 _____

NOTICE

TO (name and address of specific claimant or creditor) :

OR (all creditors, claimants or parties interested, including those with arguable interests, in the estate of the above-named decedent):

Notice is hereby given that the account of ___________________ (name) Executor (Administrator) of the estate of the above-named decedent, was filed in the Office of the Register of Wills of Tioga County, (or Orphans' Court Division of the Court of Common Pleas) on _______________ (date), 20 _____ , and that the same will be called for audit before Robert E. Dalton, Jr., Judge of the Orphans' Court Division of the Court of Common Pleas of Tioga County, in the Courtroom, Tioga County Courthouse, Wellsboro, Pennsylvania, at _______________ o'clock, on _______________ (Day of week) ____________________ , 20 ___, at which place and time you may appear, either in person or by counsel.

Your claim in the amount of $ ___________ (or other interest, if not in a specific, liquidated amount, is (not) admitted, and it will be so represented to the court at the audit. (If not admitted: You will be expected to appear at the place and time indicated, and prove your claim, and in default of such appearance and proof, your claim may be dismissed by the Court for lack of prosecution).

A copy of the Account and Statement of Proposed Distribution is (enclosed), (may be inspected in the office of ____________ , counsel for the Accountant, at any time prior to the audit), or (may be instead in the Office of the (register of Wills) (Clerk of the Orphans' Court) or (Judge of the Orphans' Court Division of the Court of Common Pleas before whom said account will be called for audit) at any time prior to the audit thereof).

For your further information, the said Account shows a balance for distribution of $ _________ , which , if claim is admitted or proved at the audit, will (not) be sufficient to pay same in full.

_____________________________

Counsel for the Accountant (Executor or Administrator)

DATE: __________________ , 20___.

NOTE: In addition to the general information set forth in the foregoing NOTICE, the Accountant should set forth in his notice to heirs, legatees or other parties interested, including persons with arguable interest in final distribution of decedent's estate, the following:

1. His interpretation or any dispute of fairly disputable question known to him or reasonable ascertainable by him;

2. A true and correct copy of the instrument forming the basis of the dispute, or of the material parts thereof containing the disputed provisions; and

3. A statement that if the person notified does not agree with the accountant's interpretation, he must appear at the audit, in person or by counsel, to present his contention, under penalty for failure to appear that the Court may assume that he agrees with the accountant's interpretation.

4. A warning that if the person fails to appear, the Court may proceed to determine said issues without him, without further notice, and that he may lose property, money or other rights important to him.

Tio. Cnty. Pa. 17CR9756 app I