HomeMy WebLinkAbout06-02-08STATE OF PENNSYLVANIA STATEMENT AND PROOF OF CLAIM FILE N0: 2108 199
PROBATE COURT
CUMBERLAND COUNTY
Estate of RANDOLPH G. REESE
I, NATIONAL CITY CORPORATION of ONE NATIONAL CITY PARKWAY, KALAMAZOO MI 49009 submit the following claim against the estate
for the sum set forth.
DESCRIPTION OF CLAIM AMOUNT
Type of Account: CREDIT CARD
Account Number: 4436 0130 0910 7490 S 14,803.46 ~i
Date Opened: 1011411992
There is now due on the claim, above all legal set-offs, the sum of: S 14 803 46
1 Notice to interested persons: This is a claim by a personal representative for an obligation that arose before the death of the decedent. A hearing will be
held to determine whether to allow the claim. You may object to the claim before or at the hearing.
I declare under penalties of perjury that this statement and proof of claim has been examined by me and that its contents are true to the best of my
information, knowledge, and belief.
Date ~/_ (~`,d~/
Attorney Signature
I
Name (type or print) Claimant Signature, Jan non Probate Coordinator 989 894 1236
PO BOX 500
Address Address
PORTAGE MI 49081
City, State, Zip City, State, Zip j
--°°••°~ ••~•~•° ~~ ~~~•~~~ ~~ ~<<~~~~ ~~~«~~~~~~~..,<<a~~~ ~~NV ~~ ~r~e~N~ ur uuier eviuence or payment it suomitteo by assignee.
2. Claims must be presented either personally or by mail to the fiduciary on or before the last day for presentment of claims. This claim may
also be filed with the probate court (see reverse side for proof of servicel.
PLEASE SEE OTHER SIDE
Do not write below this line -For court use only
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PROOF OF SERVICE OF CLAIM
I served upon DEBR~E, fiduciary, a copy of this statement and proof of claim on
MOON-_ GA_ LE DR. , CARLISEL PA 17013. 411 812 0 0 8 , by ORDINARY US MAIL to 50
I declare under the penalties of perjury that this proof of service has been examined by me and that its contents are true to the best of m inform
knowledge, and belief.
Y anon,
DATE: y~l~~ ~~
ANDERSON, Probate Coordinator
ACKNOWLEDGMENT OF SERVICE
Service of the attached statement and proof of claim is acknowledged.
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