HomeMy WebLinkAbout01-05-10AscensionPoint
RECOVERY SERVICES, LLC
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70-Q JAN -S AM I I ~ 2 f
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((yyORPFi;MCS COURT
WITHDRAWAL OR SATISFACTION OF CLAIM AND'It~C~A~~ ''~~`IJ ~~•~ PA
STATE OF Pennsylvania
IN THE PROBATE COURT
COUNTY OF: Cumberland
IN RE: ESTATE OF Mary Miller
STATEMENT OF CREDITOR'S CLAIM
CASE NUMBER: 212009-00560
Decedent's Date of Death: 6 8 2009
Creditor: AscensionPoint Recove Services LLC on behalf of Alliance Data
Address: 200 Coon Raoids Blvd Suite 200
Coon Raoids MN 55433
Telephone: 763-235-4050
Amount of claim S1.307.44
I, AscensionPoint Recovery Services LLC (name of claimant), hereby grant a full and final release to the
estate and to the fiduciary and any successor for any liability in connection to the claim(s) described
below and
x Withdraw the claim.
Acknowledge that the claim has been satisfied.
Signature:
Title:
Date:
Notary Signature:
Date:
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(Notary Seal)