HomeMy WebLinkAbout08-20-07
NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. ~ 3532)
Cumberland
COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF Daniel Kahley
, DECEASED
No. 21-07-147
To the Clerk of the Orphans' Court Division:
Enter the claim of GE Money Bank/W almart
in the
amount of $ 1,306.33
(Claimant)
, against the above entitled Estate.
The Decedent, who resided at 7073 Carlisle Pike Trlr 7
Carlisle, PA 17015-9760
(Street Address)
, died on 02/12/2007
. Written notice of
said claim was given to Daniel Kahley
(Date of Death)
(Personal Representative or his/her counsel)
at 727 Woodbrook Lane Pkvmouth, PA 19462
on
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(Address)
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aimant) J 0
P. O. Bocx 6700
(Street Address)
Norcross, GA 30091-6700
(City, State, Zip)
(Claimant's Counsel)
(Supreme Court [D. No.)
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Form OC-O? rev. 10.13.06
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IN THE STATE OF Pennsylvania
COUNTY OF Cumberland
IN RE: The Estate of
Daniel Kahley, Deceased
PROBATE FILE NO. 21-07-147
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The undersigned, being duly sworn, deposes and states, that:~\~~ ~
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1. TSYS Total Debt Management, Inc., whose address is Post Offiq~g6x 6~0,
Norcross, Georgia 30091.-6700, is the attorney-in-fact for Wal ~art (h~reinafteL~laiman}:~,
whose Account Number IS 6032203132202721, and as attorney-m-fact IS autho~d to sub.mt
this Statement of Claim on its behalf.
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STATEMENT OF CLAIM
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2. Claimant is the holder of a claim against the Estate of Daniel Kahley, deceased,
the basis of which is the unpaid balance of charges incurred or authorized by the deceased or on
behalf of the deceased in the total amount of $1.306.33, as of the date of the death of the
deceased.
3. The said sum is now justly due this Claimant; and the claim is not contingent or
unliquidated.
4. No payment has been made thereon, and there are no offsets against the same, and
the same is not secured by judgment or mortgage upon or expressly charged on the real estate of
the deceased or any part thereof.
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day of
A0~U~+
, "-----,,,,'
, 2007
This
TSYS Total Debt Management, Inc.
As attorney-in-fact for Claimant
~^"" f"'\, cOLBERT
NotarY Put' . <3.lb COWItY. GeoIgIa2Q09
My Commission CAplres No\I8IIil8l' 16.
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Copy mailed to attorney for Representative or to
Representative, if not represented by attorney
this day of
TSYS Probate Representative
,2007