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HomeMy WebLinkAbout03-19-07 COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION NOTICE OF CLAIM In Re: The Estate of: Court File No: 21'()7-0004 SAMUEL EMMONS MCNAIR SR Deceased AKA SAMUEL E MCNAIR SR TO: THE CLERK OF THE ORPHANS' COURT DIVISION: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.S.A. ~3532(b)(2). 1) Claimant's name: FIA CARD SERVICES NA P.O. BOX 15137 2) Claimant's address: WILMINGTON, DE 19850--5137 an-767-9383 3) Creditor listed below is the owner and holder of a claim in the amount of $ 1485.78 4) The facts upon which this claim is based: This claim is based on an account for credit evidenced by the attached Affidavit of Account Stated. 5) Decedent's address: 23 PINE HILL AVE MECHANICSBURG, PA 17050 6) Date of Death: 12/28106 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by On behalf of the claimant, I do solemnly declare and affirm under the penalties of perjury that they Information and representations made herein are true and correct to the best of my knowledge, information and belief. Dated: '3 -lo - '2DOL Written notice of claim was given to Personal Representative and/or his/her counsel r-:> = = -' ;:1l: ,"""",'1!'10 ;;0 as stated below: JAMES M BACH Name 352 S SPORTING HILL RD Address MECHANICSBURG. PA 17055 City/State/Zip ~.'R.u7 Date notice mailed o C;;o <":::0 ')-0 IO ;:i5~~ (/)7-:: (-)() b~1 C :::0 ~.g C-j \.D -0 :;:.: C)C) "~ 3J C-) (,1 0) IN RE ESTATE OF:SAMUEL EMMONS MCNAIR SR AKA SAMUEL E MCNAIR SR AFFIDAVIT OF ACCOUNT The undersigned, being first duly sworn deposes and states the follows: 1. Your Affiant is authorized by the Claimant as its Authorized Representative- In- Fact to make this AffidaVit. 2. Your Affiant has reviewed the account records of the Claimant with respect to the decedent. Your Affiant is familiar with these records and accounts and reviews them as a regular part of bis/her duties. 3. The Decedent purchased merchandise in the amount of$ 1485.78 evidenced by account number 4888931061492158 Further your affiant sayeth not PIA CARD SERVICES NA By:a~ One of its Authorized Representatives: Printed Name: Kate Qualick PIA CARD SERVICES NA P.O. BOX 15137 WILMINGTON, DE 19850--5137 Subscribed and sworn before me This 1L- day of 11AY'ct? ,2c12.7 o So '_:~~o ,.'~r -: :2; 93 0- en ::^: C)O go'n :0 __-I u :t> V{3 ..., Notary Public DIANA KIRCHNER NOTARY PUBLIC STATE OF MINNESOTA MY COMMo EXP. 01-31-11 10751 2fT f1JX17 '" = = ...... :x :~ :;;0 U) -0 :i: - .. ',~-' ,,' co 1781956 Bank of America 4161 PIedmont PartMay NC+105-03-S6 Greensboro, He 27410 (877) 767-9383 02127/07 PROBATE REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE. #102 CARLISLE.PA 17013 o So ':-J ;:.g IO '""r-:>r- S'fTl ., -= :::0 (J);:;" ~--=)O 0-TI C :0 --I ~ Re: In the Estate of SAMUEL EMMONS MCNAIR SR AKA SAMUEL E MCNAIR SR 21-00-0004 209289853 23 PINE Hll..L A VB MECHANICSBURG. PA 17050 FIA CARD SERVICES NA 4888931061492158 $ 1485.78 Probate Case No. Social Security No: Last known residence: Oaimant: AccOlmt Number: Amount of Debt: Dear Sir or Madam Enclosed please find a Creditor's claim to be filed in the rerord withthe.above~refeRmGOd &tate. l'.:l <::::) c:> ~ :Jt :l:'>o :;;0 \D -0 :Jl:: co Please retwn a file stamped copy of1he claim in the enclosed self-addressed, stamped envelope. Thank you for your assistance. If you have any questions or if this is a duplicate claim, please call our :firm toll free at 1-888-702-1161. Cordially, Bank of America Enclosures A check for $10.00 for the filing fee. This letter is an attempt to collect a debt and any infonnation obtained will be used for that purpose. This letter is from a debt collector. 10751 '1nf2007 1781956 ~