Loading...
HomeMy WebLinkAbout03-18-11IN RE: ESTATE OF TYLER B NICKEY CUMBERLAND COUNTY CASE#: 21-11-254 STATEMENT OF CLAIM 1 American Infosource as agent for RJM Acquisitions hereby presents for filing against the above estate this statement of claim in the amount of $ $115.72 2. The basis for the claim is account number 1020727288 which was open on 5/3/2007 . 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 RJM Acquisitions PO Box 269094, Oklahoma City, OK 73126 5. This claim IS NOT contingent 6. This claim IS NOT secured 7. The last payment made on the account was $ $0.00 on UNK g. Please Send payments t0 American Infosource as agent for RJM Acquisitions PO Box 269094, Oklahoma City, OK 73126 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 15 day of March 2011 American Infosource as agent for RJM Acquisitions Claimant Name: Craig Smith Claimant Signature: State of Oklahoma ,County of Oklahoma IN WITNESS WHEREOF, I have set my hand and notarial seal this 15 day of March 2011 Notary Public My Commission Expires: STATE OF Pennsylvania IN THE REGISTER OF WILLS / ~.```~`~pSAY ~N ~~ ~~' o~i~'~~a c~~~'i.~~tc. ~` ~` -.Q,. ....•~;.. ~~iO~~~Fp'Q1K~ ~ , c7 _. _z~ :~ rte, rJ- , t ... ~ , ..7 ,,;,.,~ ~_ CASE #: 21-11-254 TYLER B NICKEY IN RE ESTATE OF: AFFIDAVIT OF ACCOUNT The undersigned, being first duly sworn deposes and states the follows: 3. 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. $115.72 The Decedent purchased merchandise in the amount of $ number 042100000853126 WASHINGTON MUTUAL CHECKING ACCT-OVERDRAWN 4. The debt was originally held by and assigned to the corporation in the normal course of business by the original creditor or their lawful assignee. The affiant states that to the best of his 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 RJM Acquisitions 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, RJM Acquisitions 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 Unk. 5. Date of last transaction 6. Debt purchased on 9/26/2008 Further your affiant sayeth not sy: One of its Authorized Representati Printed Name: CRAIG SMITH American Infosource American Infosource as agent for RJM Acquisitions PO Box 269094, Subscribed and sworn before me Thls 15 day of March ~p~ ~ Notary Public Oklahoma City, OK 73126 ~ ,, 1-800-890-0102 .' # 1D0~,25 ' XP ~ ~ ~ • 0£1/04/ ~ ~qF AGf3LtG..='~tt; .. ~F;~' .,~~~''pFit~K~P ` evidenced by account.