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HomeMy WebLinkAbout04-26-10r Cumblerland ORPHANS' COURT DIVISION ESTATE OF DEVEREAUX, TODD DECEASED No. 21-09-1147 To the Clerk of the Orphans' Court Division: Enter the claim of Phillips & Cohen Associates, LTD on behalf of Chase in the 5,107.47 (Clalmanr) amount of $ ,against the above entitled Estate. The Decedent, who resided at CAMP HILL, PA 17011 (Street Address) died on 12/03/2009 (Date ojDeath) said claim was given to RICHARD C SNELBAKER (Persona! Representative or his/her counsel) at 44 W MAIN ST MECHANICSBURG PA 17055 .Written notice of on April 19 2010 (Address) (Date) C / J~,. 1 (Claim ) 1002 Justison Street (Street Address) Wilmington, DE 19802 (City, State, Zip) (Claimant's Course/) (Supreme Court LD. No.) C'7 wN ~ o ~, (Address) ~ ~ 3S .,~ ~ ~ ; 1'._~ ;_.~ ~ r-- l ~ J U x ~ n C7~ _: `. t (Telephone) ~ ~ O `~' C xa .Z C"' c7 ,~ ,1 ~ a '- ~ `= m cn w ~ •~:~, Form OC-07 rev. /0.13.06 NOTICE OF CLAIM (Filed Pursuant to 20 Pa.C.S. § 3532) COURT OF COMMON PLEAS OF COUNTY, PENNSYLVANIA ~~ ,. STATE., OF PA I STATEMENT AND PROOF OF FILE NO: PROBATE COURT CLAIM 21-09-1147 Estate of DEVEREAUX, TODD Cumberland Countv Register of Wills One Courthouse Square Carlisle. PA 1.7013 Phillips & ColFen Associates, LLC, on behalf of Chase located at P.O. Box 94014, Palatine, IL 6©094 submit the following claim against the estate for the sum set forth. DESCRIPTION VALUE ccount #: ~XXXX~~XXX9376 Amount Due: $5107.47 File #: 16816367 There is now dine on the claim, above all legal set-offs, the sum of : $5107.4 It is declared that this claim has been examined by one of Phillips & Cohen Associates, Ltd. representatives and that its contents are true to the best of our information, knowledge, and belief. .:~ Au orized ~gna ire ~~ Phillips & Cohen Associates, Ltd. ~ ~c-~ The Creditor's Rights & Bankruptcy Group C A Division of Phillips & Cohen Associates, Ltd. a "' ~` 1002 Justison Street ~~~ oc~ Wilmington, Delaware 19801 ~ Telephone: (86¢) 907-6832 0 ~, ~.r~ a rn %7 ~ c• x~ f'r"i r'$1 a ~~ _ ;.. ,:~ -- =: „c„~ -. F cn `'' 4 w ' specialform .r PROOF OF SERVICE OF CLAIM I served upon the Estate of DEVEREAUX, TODD to RICHARD C SNELBAKER at 44 W MAIN ST, IvIECHANICSBURG PA 17055, a copy of this claim on 4/19/2010 via United States Postal Service. It is declared that this claim has been examined by one of Phillips & Cohen Associates, Ltd. representatives and that its contents are true to the best of our information, knowledge, and belief. 4/19/2010 Date Signature ~~~~- ACCEPTANCE OF SERVICE Service of the attached claim is accepted. Date Signature L ~ To whom it may concern: Due to the voluminous nature of the documentation supporting this claim, the following account summary is provided: SUMMARY OF ACCOUNT 1. ACCOUNT NUMBER: XXXXXXXXXXXX9376 2. NAME IN WHICH CARD ISSUED: DEVEREAUX, TODD 3. PRIMARY CARD HOLDER(S): DEVEREAUX, TODD 4. OPEN DATE: N/A 5. CREDIT LIMIT: $ N/A 6. FINAL BALANCE: $ 5107.47 7. PRIMAR`~ USE OF CARD: Purchases