HomeMy WebLinkAbout01-20-09i
Date: 12-30-08
In the estate o£
JUDY A. MEANS
Estate No: 21-08-0915
Date of Death: g / 16 / I~8
CLAIM AGAINST DECEDENT'S ESTATE
The Claimant certifies that there is due and owing by the _ JUDY A. MEANS
in accordance with the attached statement of account the sum of $ 99F~. 23
together with interest at the rate of
until paid.
from
On behalf of the claimant I do solemnly declare and affirm under the penalties
of perjury that: the information and representations made herein are tnze and correct
of the best of my knowledge, information and belief.
Mark E. Bennett, Agent
CHASE BANK USA, N.A. Re: Kohl's Dept. 'Store
Name of Claimant
Address of Claimant
Phone Number
FILED:
Signature of Claimant or person
authorized to make verification
on behalf of creditor c~
L ~ .~ _ -
ar _~
9441 LBJ Freeway : r ' ~
~,
Lock Box 30 ~ ° ~ -~
_~
Dallas, TX 75243 - , -~
~.-
Address -~:~ T'
~. •-
-
aa
972-644-6360
Phone Number
THIS FORM MAY BE FILED WITH THE ORPHANS COURT UPON PAYMENT OF A
FILING FEE C>F $10.00. A COPY MUST ALSO BE SENT TO THE PERSONAL
REPRESENTATIVE.
deceased,
~~
L~
PROBATE COURT
Cumberland County, State of Pennsylvania
Judy A. Means, Deceased
Case #21-08-0915
Proof of Mailincr
I mailed the creditors claim. to the fiduciary (and attorney, if applicable) as
follows:
I deposited a copyjcopies of the claim with the United States Postal Service in
a sealed e=_nvelope with the postage fully pre-paid. I used first-class mail. I
am employed in the county where the mailing occurred. Th.=_ envelope(s) was/were
addressed and mailed as follows:
Ms. Joan Garcia-Cruz
c/o Lindsay Dare Baird, Esq.
37 South Hanover St.
Carlisle, PA 17013
Date of Mailing: ~/9
County of Mailing: Dallas, Texas
I declare under penalty of perjury that the foregoing is true and correct.
Date : _ ~~ f O~
~~~~~ ~
Mark E. Bennett, Agent for
Kohl's/Chase-Bank USA,N.A.
P.O. Box 741026
Dallas, TX 75374
09/16/2008 KOHL'S ACCOUNT STATUS DISPLAY 09,/17/2008 07:59
SC8820/1 ID: JAL2
,
Acc~0332433333 52 Cycle: 6 Bi: 09/06/202~
D~2
d8 09/15/2
0/ 008 Ins: N
St/Lc: 90 601 CBS - DECEASED O
Close
001
ll:
P
Ho
Namel: JUDY A MEANS u
me: 717 245 - 9033
AScr:
- 190 09/08
Name2: Busl:
Srce: 100000001 Emp: NScr: 715 12/01
Addr 922 BURR AVE N C/S Rstr: 4 03/02
R
PA 170131788 AdChg: 03/26/2003
: CARLISLE
Instr: PRMENT rcvd do dod 8/16/08
00000000000000
1
H
000000000
ACTEAS: N Pymnt H: LL .
:
_ Dun
MKC: N Last Stmnt Curr Stmnt Auths Last Reage.:
77
1
Prv Bal: 955.79 998.23
.
Avl Credit::
Disputes
Pur/Adv: Last Pymnt:: 28.00 08/03/2008
Returns:
Cr Lmt E 1000 10~
03/11 2007
Fee/Int: 42.44
Limit Ext
Cr/Dr MVC Pur 95.93 Dbt Cde: N
Pymnts
23 998.23
998
998.23 Issued Cards Cnt Sts
Issueid
Q
.
Cls Bal: nn