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STATE OF Pennsylvania
IN RE: ESTATE OF IN THE REG[STER OF WILLS
MICHAEL C MCLAUGHLIN
CUMBERLAND COUNTY
CASE#: 2010-00635
STATEMENT OF CLAIM
l , Bank ofAmerica hereby presents for filing against the above
estate this statement of claim in the amount of $ $1,599.44
2. The basis for the claim is account nu~Ylber 488893602441797 which was open on
10/2/2003
3. The tax identification number of the claimant is (if available) 510331454
4. The name and address of the claimant is BANK OF AMERICA FIA CARD SERVICES NA
DES-014-02-03, Estate Department, 1000 Samoset Drive, WILMINGTON, DI: 19884
5. This claim IS NOT contingent
6. This claim IS NOT secured
7. The last payment made on the account was $ $102.00 on 5/31/2010
8. Please send payments to Bank of America
DE5-014-02-03. Estate Department. 1000 Samoset Drive.
WILMINGTON, DE 19884
Please write the above account number on your check.
Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the
best of my knowledge and belief.
Executed this 23 day of July 2010
BANK OF AMERICA FIA CARD SERVICES NA
Claimant Name: Craig Smith
Claimant Signature:
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State of Oklahoma ,County of Oklahoma
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IN WITNESS WHEREOF, I have set my hand and notarial seal this _
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23 day of July 2010 t~-~
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CASE #:2010-00635
IN RE ESTATE OF: MICHAEL C MCLAUGHLIN
AFFIDAVIT OF ACCOUNT
The undersigned, being first duly sworn deposes and states the follows:
1. Your Affiant is authorized by the Claimant as its Authorized Representative to
make this Affidavit.
2. Your Affiant has reviewed the account records of the Claimant with respect to
the decedent. Your Affiant is familiar with these records and accounts and
reviews them as a regular part of his/her duties.
3. The Decedent purchased merchandise in the amount of $ $1,599.44
evidenced by account number 4888936024412797
Further your affiant sayeth not
Bank of America
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sy:
One of its Au arized Represe es:
Printed Name: Craig Smith
BANK OF AMERICA FIA CARD SERVICES NA
DE5-014-02-03, Estate Department, 1000 Samoset Drive,
WILMINGTON, DE 19884
1-877-767-9383
Subscribed and sworn before me
This 23 day of July _ 2010
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