HomeMy WebLinkAbout01-13-11STATE OF Pennsylvania
IN RE: ESTATE OF IN THE REGISTER OF WIL~,S
ROBERT VARRICCHIO CUMBER~.AND COUNTY
CASE#: 10-50~
STATEMENT OF CLAIM
I American Infosource as agent for Asset Acceptance
hereby presents for filing against the above
estate this statement of claim in the amount of $ $6.092.81
2. The basis for the claim is account number 2212008 which was open on
4/17/1988
3. The tax identification number of the claimant is (if available)
4. The name and address of the claimant is American Infosource as agent' for Asset Acceptance
P.O. Box 248894, 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 $ $0.00 on UNiK
8. Please send payments to American Infosource as agent for Asset Acceptance
P.O. Box 248894.
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 7 day of January 2011
American Infosource as agent for Asset Acceptance
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 ~~ r~ . ',, = 7
7 day of January 2011 ,~:-; ~ --~- ~ y'
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Notary Public `,,.. '~,i..l ~ ,~; ~~r
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My Commission Ex Tres. _ ' ~ "JOOE?:~'`
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10-508
IN RE ESTATE OF: ROBERT VARRICCHIO
AFFIDAVIT OF ACCOUNT
The undersigned, being duly sworn, deposes and states the following:
1).The Affiant is authorized by the Claimant as its Authorized Representative to make this Affidavit.
2).The Affiant has reviewed the account records of the Claimant with respect to the decedent. The
Affiant is familiar with these records and reviews them as a regular part of his/her duties.
3).The Decedent had a debt in the amount of $ $6,092.81 _ i evidenced by account
number 4128002328547315
AAC/CITIBANK-FOURSCORE 6/01
4).The debt was originally held by and assigned in
the normal course of business by the original creditor or their lawful assignee. The affiant states that to the
best of his/her knowledge, information and belief there are no uncredited payments, counter-claims or offsets
against said debt. Said account has been assigned, transferred and sold to Asset Acceptance, LLC with full
power and authority to do and perform all acts necessary for the collection, settlement, adjustment,
compromise or satisfaction of said claim. Further, the undersigned acknowledges that in making the
assignment, Asset Acceptance, LLC is now the owner of this account, and has complete authority to enforce
the rights of the original creditor with the debtor, and that the assignor or original creditor has not further
interest in said debt for any purpose.
5). Date of last transaction 10/17/1988
6).
Further your affiant sayeth not.
By:
One of its Authorized Representatives:
Craig Smith
Printed Name:
American Infosource as agent for Asset Acceptance
P.O. Box 248894,
Subscribed and sworn before me
Oklahoma City, OK 73124
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Debt purchased on 6/19/2001
This ~ day of .ra~uary , 2oi i
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