In the District Court of Iowa in and for .................... County.
Probate No................. | |
In the Estate of | NOTICE OF PROBATE OF WILL, |
...................., Deceased | OF APPOINTMENT OF |
EXECUTOR, AND | |
NOTICE TO CREDITORS |
To the Department of Health and Human Services, Who May Be Interested in the Estate of ...................., Deceased, who died on or about ........................ (date):
You are hereby notified that on the ........ day of ............(month),............(year), the last will and testament of ........................, deceased, bearing date of the ........ day of ............ (month), ............ (year) was admitted to probate in the above-named court and that ........................ was appointed executor of the estate.
You are further notified that the birthdate of the deceased is ............ and the deceased's social security number is...-...- The name of the spouse is ........................ The birthdate of the spouse is............ and the spouse's social security number is...-...-...., and that the spouse of the deceased is alive as of the date of this notice, or deceased as of .................... (date).
You are further notified that the deceased was/was not a disabled or a blind child of the medical assistance recipient by the name of ........................, who had a birthdate of ................ and a social security number of...-...-...., and the medical assistance debt of that medical assistance recipient was waived pursuant to section 249A.53, subsection 2, paragraph "a", subparagraph (1), and is now collectible from this estate pursuant to section 249A.53, subsection 2, paragraph "b".
Notice is hereby given that if the department of health and human services has a claim against the estate for the deceased person or persons named in this notice, the claim shall be filed with the clerk of the above-named district court, as provided by law, duly authenticated, for allowance within six months from the date of sending this notice and, unless otherwise allowed or paid, the claim is thereafter forever barred. If the department does not have a claim, the department shall return the notice to the executor with notification that the department does not have a claim within six months from the date of sending this notice.
Dated this ........ day of ............ (month), ............ (year)
....................
Executor of estate
....................
Address
....................
Attorney for executor
....................
Address
Iowa Code § 633.304A
2001 Acts, ch 109, §2; 2002 Acts, ch 1119, §99; 2007 Acts, ch 134, §13; 2010 Acts, ch 1137, §5; 2016 Acts, ch 1073, § 174; 2023 Acts, ch 19, § 1276
Referred to in §633.410, 635.13
Section amended