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HomeMy WebLinkAbout04-07-11IN RE: ESTATE OF LEE J FORRY SR _ STATE OF Pennsylvania IN THE REGISTER OF WILLS CUMBERLAND COUNTY CASE#: 2011-00266 STATEMENT OF CLAIM Bank of America 1. hereby presents for filing against the above estate this statement of claim in the amount of $ $1,339.06 2. The basis for the claim is account number 5466320921438857 which was open on 2/18/1995 . 3. The tax identification number of the claimant is (if available) 510337454 4. The name and address Of the claimant 1S BANK OF AMERICA FIA CARD SERVICES NA PO BOX 982238 EI Paso TX 79998-2238 5. This claim IS NOT contingent 6. This claim IS NOT secured 7. The last payment made on the account was $ $46.46 on 12/20/2010 8. Please send payments to Bank of America PO BOX 982238 EI Paso TX 79998-2238 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 1 day of April 2011 BANK OF AMERICA FIA CARD SERVICES NA Claimant Name: Craig Smith Claimant Signature: ., State of Oklahoma County of Oklahoma ~~% - ': , IN WITNESS WHEREOF, I have set my hand and notarial seal this ~ -~t ~? ~~ `?' 1 day of Ap ril 2011 ~ . }: ~ , ~,~ Notary Public v '-- ~ ~ _:3 ~ ~1= -- ``~ ~ __ _ - J. _,y. ,., j ~> .:M.- My Commission Expires: = ,~~•. -~ : ~~~i'Ht ~ • ,141-~ Irttlr~e ~, .. w ~ ~~ ~~ ~rf , ~ r, r ^~ ~~ LLt ~ _ r Q. ~ C~ ~ ~ ' ' g ~ ~ ~ ~ ~ ~ ~ ' _ ~ G~ '~' "~ J ~ ~ 1 ,c, ~ o ~ f~ ~ a ~ _..... .-~:: © ~- ~ r ~ r Q_ <s~ ~ CC ~ r~~ '~C~~ ~ h ~rC l -.... ... . ~,:j • r • t~ .....,, ....... 7 1 Y ««..w ...,.,,, ii~ A~11. ~~. RR~~ ~. N O ....... : ~ -. : ~"' j ~ ....Y ^~-» ~OC,M j 1'~ ~ U'i o ~ ~ w ~7~~.-' ~~Oa ' ~- w J ~ J ~ O ~ a/ Q m~~~ ~lt ~~ Z it~3 ~ g ,~; .r w Q m ,,, a~ ~ U ~~ ~' r+ ~ M '~- N T ~ ~"' ~ ~p~0^l O ~ ~ ~ N ~ ua x O ~ m a cn O ~ ~ waw .ro U