HomeMy WebLinkAbout06-24-11 (3)STATE OF PA
COUNTY OF CUMBERLAND
In Re: Estate of
RONALD T MICHALSKI
Court File No. 21-10-1158
WRITTEN STATEMENT OF CLAIM
TO THE PERSONAL REPRESENTATIVE OF THE ABOVE NAMED ESTATE:
Claimant Wells Fazgo Bank, N.A.
states;
1. Claimant's Address: Attn: Specialty 1 HOME CAMPUS, MAC# X2303-023, Des Moines, IA
50328;
2. Claimant claims that the estate is indebted or will become indebted in the amount of $29,376.68
plus any interest accrued after the date of this claim and any fees and/or costs accrued after
the date of this claim that are required to secure the recovery of the original claim
amount).;
3. That the nature of the claim is Home Equity Installment Loan Account Number
6806801797530XXXX;
4. That the claim azose prior- to the death of the decedent on or about 01/26/2006, or the claim arose
at o: after the death of the decedent, on ar about 10/13/2010:
5. 'I7-.at claim is secured by: 309 Forge Rd Boiling Springs PA 17007;
6. That claim will be due and payable per terms of contract;
7. That if the claim is contingent or un-liquidated, the nature if the uncertainty is as follows:
Dated Sa 8, 2011 ~ ~.
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Claimant Tylee A Collins ~~;,~ rv
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Des Moi es, IA 0328-0 O1
MAC #
t, • 866-~40~~-737 , . _
Note:-Claim maybe presented to Personal Representative or filed with Court Administrator.
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