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HomeMy WebLinkAbout01-06-11STATE OF IN RE: ESTATE OF JEAN M KAYSER Pennsylvania IN THE REGISTER OF WILLS CUMBERLAND COUNT CASE#: 21-10-1182 STATEMENT OF CLAIM l . American Infosource as agent for Bank of America hereby presents for filing against the above estate this statement of claim in the amount of $ $7,052.00 2. The basis for the claim is account number 4888930028111513 which was open on 1.1/20!2002 . 3. The tax identification number of the claimant is (if available) 5 7 033 7 454 4. The name and address of the claimant is American Infosource as agent for Bank of America P.O. Box 248852, Oklahoma City, OK 73124 5. This claim IS NOT contingent 6. This claim IS NOT secured 7. The last payment made on the account was $ $200.00 on 10/27/2010 8. Please send payments to American Infosource as agent for Bank of America P.o. Box 248852. Oklahoma City, OK 73124 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 3 day of January 2011 American Infosource as agent for Bank of America Claimant Name: Craig Smith Claimant Signature: State of Oklahoma ,County of IN WITNESS WHEREOF, I have set my hand and notarial seal this Janua 2011 3 day of r ~ © ._, _ ~ ^~.., ~ ~? -~l^ V ~ ... .. ~ r 7 r , ```~ ~\t111111r////t,r/ ,~~~,~Pwa o. ~~ Notary Public t-~ 3 .~ r ~ _ ~ > ~~? ~... , r r-..,~ . ' ~ F ~. ~. , ,, ''NOT ~^/ ~ , , .,. ~ ~ My Commission Expires: _~~,~p~oo,5 = ~ `~ r~ __ ,.' .T,s 9/11, t•-:.... 1~Y'~ ~rrinn,~i„~r ASE #:21-10-1182 IN RE ESTATE OF: JEAN M KAYSER 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 Further your affiant sayeth not X7,052.00 American Infosource as agent for Bank of America By: One o Authorized Re ese tatives: Printed Name: Subscribed and sworn before me This 3 day of January 2011 ````"p1NlNrruppr a. KrN~'%, ~Q. Q~ p,t~ y.. Notary Public _ #p1po1~~~~~: ~" ~~ ~ -gyp oil ~G:= S . The Decedent purchased merchandise in the amount of $ evidenced by account number 4888930028111513 Craig Smith American infosource as agent for Bank of America P.O. Box 248852, Oklahoma City, OK 73124 1-877-767-9383 ~~ ;_~µY, ..~ i.,~ ~") ~7 i ~ ~I ~ ~,~ , , t l+t'~1. ~..~ / t ~, ~4 i ~~ , ~,P~ , k, I Mi ~« raM i ~„ n i . ~ ~ ~~~~~ jw, InM~ ., {{ ti F ':~ ~. ... .I~.t.j.~ {{ S i i: 1 t_ 1 ,~ . t~.~ c°° i ..~ : 1 n ~` ~ i... ~ . Ot 1~ ! iia~~ 4 l~ LJV ~.is I ~ ~ I: wl~ ,.~ ~ ,.. ~ * ;, ,~,I,: y ;, ~rrH ~' ~ A ifriM~~ T~ liln.~ .r1!L. ~(1~ ~~ N O _J ~ LL V" ~ ~ O ch w z ~ ,--r o =~ c7 ~~Oa `. = LLi h- Zj~cn ~ ~~ ~ w~*-~~ ~z V ~ .W Q m a~ U w Q N m ''~ 0 `"' n. O N ~ ~ ~ ~ V Q N Q ~ ~ ~ o m •_ Y Q ~ ~Y m a. O M Q1 _o E .~ U t t -•. -"r,',. ~w~ +rn '~ ~: `;'r ~i. 'ww r .: ,... +,.. +..' .y: ~,~ ~•~ #'~' ~~