HomeMy WebLinkAbout06-29-11NOTICE OF CLAIM
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF DAVID HORN, DECEASED
No. 21-11-483
To the Clerk of the Orphans' Court Division:
Kindly enter the claim of Living Branches in the amount of $ $26,824.83 against the
above-captioned Estate. The Decedent, who resided at 7000 Wertzville Road, Mechanicsburg,
Pennsylvania 17050, died on February 5, 2011. Written notice of said claim was given to Keith
Brenneman, Esq., counsel for the estate of David Horn, Snelbaker & Brenneman, PC, 44 West
Main Street, Mechanicsburg, PA 17055 on June 28, 2011.
Claimant: Claremont Nursing and Rehabilitation Center
1000 Claremont Rd.
Carlisle, PA 17013
Respectfully Submitted,
Date: ~' ~ ~ - a ~ ~
Latsha Davis Yohe & McKenna, P.C.
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Steven M. Montresor
Attorney No. 74244
1700 Bent Creek Boulevard, Suite 140
Mechanicsburg, PA 17050
Phone: (717) 620-2424
Fax: (717) 620-2444 ~ _
smontresor@ldylaw.com ~ ~
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Horn, David #4920
Account Summary as of 04/12/2011
Promissory Note 12/08/2009 $ 32,024.83
Payments
1/10/2010 Ck #5070 $ 650.00
2/15/2010 Ck #5073 $ 650.00
3/15/2010 Ck #500708 $ 650.00
4/13/2010 Ck #5090 $ 650.00
5/18/2010 Ck #5254 $ 650.00
6/14/2010 Ck #668 $ 650.00
6/14/2010 Ck #668 -insufficient funds $ (650.00)
7/6/2010 Ck #5259 $ 650.00
7/6/2010 Ck #5259 -insufficient funds $ (650.00)
7/9/2010 Ck #27416760 $ 150.00
7/9/2010 Ck #27416759 $ 500.00
8/5/2010 Ck #5804118880 $ 150.00
8/5/2010 Ck #5804118879 $ 500.00
8/7/2010 Ck #5260 $ 650.00
8/7/2010 Ck #5260 -insufficient funds $ (650.00)
11/3/2010 Ck #8243425777 $ 650.00
Total Payments $ 5,200.00
Current Balance Due $ 26,824.83
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF DAVID HORN, DECEASED
No. 21-11-483
CERTIFICATE OF SERVICE
The undersigned hereby certifies that on this date a true and correct copy of the foregoing
Notice of Claim was served via Certified Mail, Return Receipt Requested and First-Class United
States mail, postage prepaid, upon the following:
Keith Brenneman, Esq.
Snelbaker & Brenneman, PC
44 West Main Street
Mechanicsburg, PA 17055
Dated: ~' ~ ~ • a~ ~~
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Steven M. Montresor
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