HomeMy WebLinkAbout03-02-10 (2);~ ';'~i~ ~ ~~~, ,.~- ',~ ~~ ~~ IN THE CIRCUIT COURT FORC~h'-~ev(a~ COUNTY, FLORIDA
INIR~M~~~~~ OF Ke nne~, w~fs~ PROBATE DIVISION
zoo ~a~
File Number ~ ~ ~-' ~ Q ' ~~ a~-
K ~ ased. Division P~o~~~.
~~
~~~~
(;U~~~~~ '' .. STATEMENT OF CLAIM BY TROPICAT. FINANCIAT. CREDIT UNION
The undersigned hereby presents for filing against the above estate this statement of claim
and alleges:
1. The basis for the claim is PeYS~/Y1G~,1 Sl Gr1A ~Yt LOG n
L~l ~- to ~ 5 ~~U - a~
2.
The social security or tax identification number of the claimant is 590637653
the name and address of the claimant are TROPICAT. FINANCIAL: CRIDIT IJI~TION
3050 CORPORATE WAY, MIR.AMAR, FI: 33025
3. The amount of the claim is $ ~rJ ~ ~ • (
which amount is now d_u~, or if not due, will become due on
4. The claim (is (is not) contingent or unliquidated. If contingent or unliquidated,
the nature of the uncertainty is rtVt7IV 1 i'1C, ~ l rl~ Q~~ CV~d ~
fi J oit-b~ rw ~
~~a~d
5. The claim .~ (is not) secured. If secured, the security consists of
Under penalty of perjury, I declare that I have read the foregoing, and the facts alleged are
true, to the best of my knowledge and belief.
Signed on ~ • o~~ • ~ ~ •~
.l/ ~~~ for Claimant
;Teruzifer I.fo
Florida Bar No.
3050 Corporate Way, Miramar, F1 33025
(address)
Tropical Financial Credit tTnion
Claimant
Copy mailed to attorney for the Personal
Representative on
CLERK OF THE CIRCUIT COURT
Telephone: 305-261-8328 ext 7586 By:
888-261-8328 ext 7586
MUST BE FILED IN DUPLICATE
[Print or Type Names Under All Signature Lines]
S~