HomeMy WebLinkAbout04-25-11STATE OF_ Pennsylvania
IN RE: ESTATE OF IN THE REGISTER OF Wll.i,~
VIVIAN E TAYLOR
CUMBERLAND
CASE#: 21110172
COUNTY
STATEMENT OF CLAIM
American Infosource as agent for Bank of America
1 • hereby presents for filing against the above
estate this statement of claim in the amount of $ $4,624.00
2. The basis for the claim is account number 4888930082727691 which was open on
9/20/2006
3. The tax identification number of the claimant is (if available) 510337454 .
4. The name and address Of the Clalmant is American Infosource as agent for Bank of America
P.O. Box 248852, Oklahoma City, OK 73124
5.
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8.
This claim IS NOT contingent
This claim IS NOT secured
The last payment made on the account was $ $73.00 on 1/6/2011
Please Send payments t0 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 19 day of _ April 2011
American Infosource as agent for Bank of America
Claimant Name: Craig Smith
Claimant Signature: `~~
State of Oklahoma ,County of _ Oklahoma
IN WITNESS WHEREOF, I have set my hand and notarial seal this -
19 day of Aril 2011 c
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