IN THE SUPERIOR COURT FOR THE STATE OF ALASKA

                            FOURTH JUDICIAL DISTRICT


   IN THE MATTER OF THE ESTATE        )
               OF                     )
                                      )
                                      )
  ________________________________    )
            Deceased                  )
                                      )
  ___________________________________ )

  NO. ___________________________P


                                 CLAIM AGAINST ESTATE

                 __________________________________, creditor of the 

   estate of _______________________________________, deceased, hereby 

   states that said estate is indebted to said creditor in the amount 

   of $_________________ for ________________________________________
                                   (set forth basis of claim;

  ___________________________________________________________________
    state date claim due if not yet due;  if contingent or unliqui-

  ___________________________________________________________________
        dated, state the nature of uncertainty; if secured;

  ___________________________________________________________________
     describe security)

  ___________________________________________________________________.

                   Dated this __________ day of _____________________,
  20_____.


					_________________________________
   					      Signature of Claimant

					_________________________________

					_________________________________

					_________________________________
   					             Address




Valerie M. Therrien
Attorney-at-Law, P.C.
779 8th Avenue
Fairbanks, AK 99701-4401