HomeMy WebLinkAbout01-28-11IN RE: ESTATE OF
STATE OF Pennsylvania
IN THE REGISTER OF WILLS
FRANCES HERSHEY
CUMBERLAND COUNTY
CASE#: 21-11-0058
STATEMENT OF CLAIM
1 American Infosource as agent for Bank of America hereby presents for filing against the above
estate this statement of claim in the amount of $ $4,117.00
2. The basis for the claim is account number 4264296801963700 which was open on
8/19/2004
3. The tax identification number of the claimant is (if available) 510331454
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 $ $126.00 on 12/1/2010
8. Please send payments to American Infosource as agent for Bank of America
P.O. Box 248852.
Oklahoma Citv, 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 25 day of January 2011
American Infosource as agent for Bank of America
Claimant Name: Crai Smith
Claimant Signature:
State of Oklahoma ,County of Oklahoma
IN WITNESS WHEREOF, I have set my hand and notarial seal this
25 day of January 2011
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