ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

FOR COURT USE ONLY

DE-174

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

TELEPHONE NO.:

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

ESTATE OF 

(Name):

ALLOWANCE OR REJECTION OF CREDITOR’S CLAIM

DECEDENT

CASE NUMBER:

NOTE TO PERSONAL REPRESENTATIVE  
Attach a copy of the creditor’s claim to this form.  If approval or rejection by the court is not required, do not 
include any pages attached to the creditor's claim.

PERSONAL REPRESENTATIVE’S ALLOWANCE OR REJECTION

Name of creditor (specify): 
The claim was filed on (date): 
Date of first issuance of letters:
Date of Notice of Administration: 

Date of decedent’s death: 
Estimated value of estate: $ 
Total amount of the claim: $
Claim is allowed for: $ 
Claim is rejected for: $

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

Date:

* 

12.

13.

Date:

Notice of allowance or rejection given on (date):

The personal representative is authorized to administer the estate under the Independent Administration of Estates Act.

(The court must approve certain claims before they are paid.) 
(A creditor has 90 days to act on a rejected claim.* See box below.)

(TYPE OR PRINT NAME OF PERSONAL REPRESENTATIVE)

(SIGNATURE OF PERSONAL REPRESENTATIVE)

From the date that notice of rejection is given, you must act on the rejected claim (e.g., file a lawsuit) as follows:
1.
2.

Claim due: within 90 days* after the notice of rejection. 
Claim not due: within 90 days* after the claim becomes due.

NOTICE TO CREDITOR ON REJECTED CLAIM

The 90-day period mentioned above may not apply to your claim because some claims are not treated as creditors' claims 
or are subject to special statutes of limitations, or for other legal reasons. You should consult with an attorney if you have 
any questions about or are unsure of your rights and obligations concerning your claim.   

COURT’S APPROVAL OR REJECTION

Approved for: $

Rejected for:  $

14.

Number of pages attached:

SIGNATURE OF JUDICIAL OFFICER

SIGNATURE FOLLOWS LAST ATTACHMENT

Form Adopted for Mandatory Use 
Judicial Council of California 
DE-174 [Rev. January 1, 2009]

ALLOWANCE OR REJECTION OF CREDITOR’S CLAIM 
(Probate—Decedents’ Estates)

(Proof of Mailing or Personal Delivery on reverse)

Page 1 of 2

Probate Code § 9000 et seq.,
9250–9256, 9353
www.courtinfo.ca.gov

CASE NUMBER:

DE-174

DECEDENT

PROOF OF

MAILING

PERSONAL DELIVERY     TO CREDITOR

At the time of mailing or personal delivery I was at least 18 years of age and not a party to this proceeding.

My residence or business address is (specify):

ESTATE OF 
(Name):

1.

2.

3.

I mailed or personally delivered a copy of the Allowance or Rejection of Creditor's Claim as follows (complete either a or b):

a.

Mail.  I am a resident of or employed in the county where the mailing occurred.  
(1) 

I enclosed a copy in an envelope AND
(a)
(b)

deposited the sealed envelope with the United States Postal Service with the postage fully prepaid. 
placed the envelope for collection and mailing on the date and at the place shown in items below 
following our ordinary business practices. I am readily familiar with this business’s practice for collecting 
and processing correspondence for mailing. On the same day that correspondence is placed for 
collection and mailing, it is deposited in the ordinary course of business with the United States Postal 
Service in a sealed envelope with postage fully prepaid.

(2) 

The envelope was addressed and mailed first-class as follows:

b.

Personal delivery.  I personally delivered a copy to the creditor as follows: 

(a)
(b)

(c)
(d)

Name of creditor served:

Address on envelope:

Date of mailing:
Place of mailing (city and state):

(1) 

Name of creditor served: 

(2) 

Address where delivered:

(3) 

(4) 

Date delivered: 
Time delivered:

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME OF DECLARANT)

(SIGNATURE OF DECLARANT)

DE-174 [Rev. January 1, 2009]

Page 2 of 2

ALLOWANCE OR REJECTION OF CREDITOR’S CLAIM 
(Probate—Decedents’ Estates)