HomeMy WebLinkAbout05-27-10STATE OF PA
PROBATE COURT
Cumberland
COUNTY
FILE NO: 21-1U-
STATEMENT AND PROOF 0373
OF CLAIM
Estate of Anthony L. Clifford Sr.; Date of Death: 2/23/2010
Register of Wills
1 Courthouse Square
Carlisle, PA 17013
Phillips & Cohen Associates, LTD, on behalf of Bank of America located at Estate Unit,
DS-014-02-03, 1000 Samoset Drive Wilmington, Delaware 19884, submit the following
claim against the estate for the sum set forth.
DESCRIPTION VALUE
Bank of America - 4888936178121624 $8,167.72
File#: MD8347495
There is now due on the claim, above all legal set-offs, the sum of : $8,167.72
Notice to interested persons: This is a claim by a personal representative. This claim
will be allowed unless notice of an objection by an interested person is delivered or
mailed to the personal representative not later than
I declare that this claim has been examined by me and that its contents are true to the best
of my information, knowledge, and belief.
~~
d signature
Elizabeth A. Hansen
Name
Phillips & Cohen Associates, Ltd.
c/o Bank of America
DES-014-02-03
Estate Department
1000 Samoset Drive
Wilmington, DE 19884
Telephone: 888-221-4299
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$10_Us~ Special Claim Form
PROOF OF SERVICE OF CLAIM
1 served upon Suzanne Jones, fiduciary, a copy of this claim by mail to:
619 Good Hope Road
Mechanicsburg, PA 17050
I served upon , Attorney, a copy of this claim by mail to:
I served upon Register of Wills, a copy of this claim by mail to:
I Courthouse Square
Carlisle, PA 17013
I declare that this proof of service has been examined by me and that its contents are true
to the best of my information, knowledge, and belief. I believe that this claim is just and
all legal offsets, payment, and credits known to the affiant have been allowed.
5/5/2010
Date
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S' nature
i
ACCEPTANCE OF SERVICE
Service of the attached claim is accepted.
Date
Signature
SUMMARY OF ACCOUNT
1. ACCOUNT NUMBER: 4888936178121624
2. NAME IN WHICH CARD ISSUED: Anthony L. Clifford Sr.
3. PRIMARY CARD HOLDER(S): Anthony L. Clifford Sr.
4. FINAL BALANCE: $8,167.72
5. PRIMARY USE OF CARD: Purchases
NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF ANTHONY L. CLIFFORD SR.
No. 21-10-0373
To the Clerk of the Orphans' Court Division:
DECEASED
Enter the claim of Bank of America c/o Phillips & Cohen Associates in the
(Claimant)
amount of $ 8,167.72 ,against the above entitled Estate.
The Decedent, who resided at 619 GOOD HOPE RD MECHANICSBURG, PA 17050
(Street Address)
died on 02/23/2010 .Written notice of
(Date of Death)
said claim was given to SUZANNE JONES
(Personal Representative or his/her counsel)
at 619 GOOD HOPE RD, MECHANCISBURG, PA 17050
(Address)
on 05/17/2010
(Date)
Ci .~_~
( mot)
02 Justison Street
(Street Address)
Wilmington, DE 19801
(City, S:ate. zip!
(Claimant's Counsel) (Supreme CotertLD. No.)
(Address)
(Telephone)
Form OC-07 rev. !0.13.06