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FIA CARD SERVICES NA
ESTATE UNIT DE5-014-02-03
1000 SAMOSET DRIVE
WILMINGTON, DE 19884
June 11,2007
CUMBERLAND - REGISTER OF WILLS-PROBATE COURT
1 COURTHOUSE SQUARE, #102
CARLISLE PA 17013
Re: In the Estate of
Probate Case No.
Social Security No:
Last known residence:
Claimant:
Account Number:
Amount of Debt:
LILLIAN OBRIEN
21-07-0101
182227360
240 MCALLISTER CHURCH RD , CARLISLE P A 17015
FIA CARD SERVICES NA
4800115992677666
$1,455.88
Dear Sir or Madam:
Enclosed please find a Creditor's claim to be filed in the record with the above-referenced Estate.
Please return a file stamped copy of the 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 1-877-767-9383.
Cordially,
Bank of America
Enclosures
A check for $10.00 for the filing fee
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COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
ORPHANS' COURT DIVISION
NOTICE OF CLAIM
In Re: The Estate of:
Court File No: 21-07-0101
LILLIAN OBRIEN
Deceased
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. g3532(b)(2).
1) Claimant's name: FIA CARD SERVICES NA
2) Claimant's address: ESTATE UNIT DE5-014-02-03 1000 SAMOSET DRIVE,
WILMINGTON DE 19884
3) Creditor listed below is the owner and holder of a claim in the amount of
$1,455.88.
4) The facts upon which this claim is based is an account for credit evidenced by
the attached Affidavit of Account Stated.
5) Decedent's address: 240 MCALLISTER CHURCH RD , CARLISLE PA 17015
6) Date of Death:
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:
tD-H-O':\
Joshua T. Patrick
Authorized Representative
Claimant
Written notice of claim was given to Personal Representative and/or his/her counsel
as stated below:
STEPHEN HOAG
Name
19 S HANOVER ST STE 101
Address
CARLISLE PA 17013
City/State/Zip
(,. <;;),. J7
Date notice mailed
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IN RE ESTATE OF: LILLIAN OBRIEN
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 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
hislher duties.
3. The Decedent purchased merchandise in the amount of$1,455.88 evidenced by account number
4800115992677666
Further your affiant sayeth not
FIA CARD SERVICES NA
By:
~
One 0
Authorized Representatives:
Printed Name:
Joshua 1: Patrick
Authorized Representative
FIA CARD SERVICES NA
ESTATE UNIT DE5-014-02-03 1000 SAMOSET DRIVE
WILMINGTON DE 19884
Subscribed and sworn before me
This l.L- day Of~. 2007
Notary Public
V{)
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DIANA KIRCHNER
NOTARY PUBLIC. MINNESOTA
MY COMM. EXP. 01/31/2011