HomeMy WebLinkAbout1-22-09STATE OF PENNSYLVANIA
IN THE MATTER OF IN THE PROBATE COURT
ESTATE OF: OF CUMBERLAND COUNTY
MARY E BURKHOLDER ESTATE#: 21-2009-0850
DATE OF DEATH: 9/5/2009
STATEMENT OF CLAIM
1. The creditor, HSBC Card & Retail Services, certifies that there is due and owing by MARY E BURKHOLDER,
deceased, the sum of FOUR THOUSAND FOUR HUNDRED NINETEEN DOLLARS AND FIFTEEN CENTS ($
4,419.15).
2. The nature of the claim is a Bonton -Elder Beerman Card, account number 2116141000104322, .
3. The name and address of the claimant is: HSBC Card & Retail Services, 1111 Town Center Drive, Las Vegas, NV
89144.
4. The name and address of the claimant's agent is: Gigi Belcastro, Estate Recoveries, Inc., P. O. Box 15380, Baltimore,
Maryland 21220.
5. This claim is not contingent and is not secured by any liens or judgments.
6. This claim is not based on any one instrument. Said balance has accrued since the account was established.
On behalf of HSBC Card & Retail Services, creditor, I do solemnly declare and affirm under the penalties of perjury
that the information in the foregoing claim is true and correct to the best of my knowledge, information and belief. I have
made diligent inquiry and examination, and I believe the claim is just and all legal offsets, payments, and credits made
known to the affiant have been allowed.
GIGI L ASTRO
Estate Recoveries, Inc
January 19, 2010
Date
P.O. Box 15380 t-.~ _~
Baltimore, Maryland 212 °
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(443) 615-7400 ~ ~ ' F ~ ~` ~~
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