HomeMy WebLinkAbout01-05-10 (2)AscensionPoint
RECOVERY SERVICES, LLC
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?014 JAN -5 AM I I ~ 2 t
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ORPHA(V'S COURT
CUMP~'~L,"~~lD CQ. PA
WITHDRAWAL OR SATISFACTION OF CLAIM AND RELEASE
STATE OF Pennsylvania IN THE PROBATE COURT
COUNTY OF: Cumberland STATEMENT OF CREDITOR'S CLAIM
IN RE: ESTATE OF Mary Miller
CASE NUMBER: 212009-00560
Decedent's Date of Death: ~/20p9
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 5722.30
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
~ Withdraw the claim.
Acknowledge that the claim has been satisfied.
Signature:
Titl Member
Date:
Notary Signature: - ,~
Date: /'•t ~ /a Do ~
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well
(Notary Seal)