Estate Claim

Estate Claim.doc

Request For Information Regarding Deceased Debtor

Estate Claim

OMB: 0730-0015

Document [doc]
Download: doc | pdf



AFFIDAVIT OF CLAIM AGAINST ESTATE



I, NAME, Debt Collection Branch, Defense Finance and Accounting Service - Indianapolis Center, Indianapolis, Indiana 46249‑3300, do solemnly swear that this attached claim against the estate of Name, SSN, deceased, is correct, that nothing has been paid or delivered toward the satisfaction thereof except what is credit thereon, that there are no offsets to the same, to the knowledge of this affidavit, except as hereon stated, and that the sum of $DEBT AMOUNT is now justly due.





POC

Debt Collection Branch

Directorate of Debt and Claims

Management





Subscribed and sworn to before me this ______ day of _________, 2016.





______________________________

Notary Public

My commission expires

DFAS-IN/Debt and Claims

Indianapolis, IN 46249-3300

m15 3/18/96 cs

File Typeapplication/msword
File TitleAFFIDAVIT OF CLAIM AGAINST ESTATE
AuthorMike Galusha
Last Modified BySYSTEM
File Modified2018-02-02
File Created2018-02-02

© 2024 OMB.report | Privacy Policy