On admission of a will to probate, the executor may, in accordance with section 633.410, provide by ordinary mail to the entity designated by the department of human services, a notice of admission of the will to probate and of the appointment of the executor, which shall include a notice to file claims with the clerk within the later to occur of fifteen months from the second publication of the notice or two months from the date of mailing of this notice, or thereafter be forever barred.
The notice shall be in substantially the following form:
NOTICE OF PROBATE OF WILL, OF APPOINTMENT OF EXECUTOR, AND NOTICE TO CREDITORS
In the District Court of Iowa In and for . . . . County. In the Estate of . . . . . . , Deceased Probate No. . . .
To the Department of 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 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.5, subsection 2, paragraph "a", subparagraph (1), and is now collectible from this estate pursuant to section 249A.5, subsection 2, paragraph "b".
Notice is hereby given that if the department of 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, and unless so filed by the later to occur of fifteen months from the second publication of this notice or two months from the date of mailing of this notice, unless otherwise allowed or paid, the claim is thereafter forever barred.
Dated this . . . day of . . . . (month), . . . (year)
. . . . . . . . . . . Executor of estate . . . . . . . . . . . Address . . . . . . . . . . Attorney for executor . . . . . . . . . . Address Date of second publication . . . day of . . . . (month), . . . (year) (Date to be inserted by publisher)
2001 Acts, ch 109, §2
Referred to in § 633.410
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