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If a creditor is seeking appointment as personal representative, the. For your convenience, you may print this creditor's Statement of Claim form, shown below, and mail to our office for filing.Known as a Statement of Creditor's Claim, the form contains pertinent details about the debts the decedent owed to the creditor. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. You must file a special petition before the court if you want to file a creditor's claim after the deadline and should consider retaining a lawyer to help you. Deceased. STATEMENT OF CLAIM BY______________________. Considered a creditor and you may file a claim. The probate code also establishes the mechanism for presenting claims. This information is not a complete statement of the law. A statement of account is not complete if it begins with an amount brought forward.