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HomeMy WebLinkAbout07-11-11--- __ __. STATE OF PA STATEMENT AND PROOF OF FILE NO: PROBATE COURT CLAIM 21-11-0070 CUMBERLAND COUNTY ESTATE OF YVONNE WALLACE Cumberland County Register of Wills One Courthouse Square, Room 102 Carlisle, PA 17013 Phillips & Cohen Associates, Ltd., located at 1002 Justison Street, Wilmington, Delaware 19801 on behalf of Citibank (South Dakota) NA submit the following claim against the estate for the sum set forth. DESCRIPTION VALL' Account #: XXXXXXXXXXXX3948 Amount Due: $4 PCA File #: 17707170 _._- __ There is now due on the claim, including applicable legal set-offs, the cnm of • $q --- -E _ l - --{ ,727_.6.3 -_ __1 __ J _ ~ I - -~ ___ _~ ~,727.63~ _ _ -- - ~ Notice to interested parties: This is a claim for services rendered and/or goods provided. This claim will be allowed unless notice of an objection by an interested person is delivered or mailed to the court, personal representative and creditor at below address. I declare that this claim has been examined by a representative of Phillips & Cohen Associates, Ltd. and that its contents are true to the best of my information, knowledge and belief. -~--. Aut rized Signature EI' beth Hansen n ~~~ ~' ~, Phillips & Cohen Associates, Ltd. O a ~ ~~n ~ ~ =~ ~ z- The Creditor's Rights & Bankruptcy Group ~' '~ - ~ ' ` A Division of Phillips & Cohen Associates, Ltd. ~' cn ~ - --: ` 1002 Justison Street ~`~`~ ~' is^~ - ~ Wilmington, Delaware 19801 Telephone: (866) 342-4270 ~- PROOF OF SERVICE OF CLAIM I served upon the Estate of YVONNE WALLACE, a copy of this claim on 06/28/2011 via United States Postal Service to: John Zonarich, Esq. 17 S. Second Street 6Th Floor, Harrisburg, PA 17101 William Wallace 143 Salem Church Rd. Mechanicsburg, PA 17050 I served upon the Estate of YVONNE WALLACE, a copy of this claim on 06/28/2011 via United States Postal Service to: Cumberland County Register of Wills One Courthouse Square, Room 102 Carlisle, PA 17013 It is declared that this claim has been examined by a representative of Phillips & Cohen Associates, Ltd. and that its contents are true to th/e~ best of our information, knowledge, and belief. / ,0 06/28/2011 Date Si !c' beth Hansen ACCEPTANCE OF SERVICE Service of the attached claim is accepted. Date Signature The following account summary is provided: SUMMARY OF ACCOUNT I . ACCOUNT NUMBER: XXXXXXXXXXXX3948 2. NAME IN WHICH CARD ISSUED: YVONNE WALLACE 3. PRIMARY CARD HOLDER(S): YVONNE WALLACE 4. OPEN DATE: N/A 5. CREDIT LIMIT: $ N/A 6. FINAL BALANCE: $4,727.63 7. PRIMARY USE OF CARD: Purchases NOTICE OF CLAIM (Filed Pursuant to 20 Pa.C.S. § 3532) COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF W~-LACE YVONNE ,DECEASED No. 21-11-0070 To the Clerk of the Orphans' Court Division: Enter the claim of Phillips & Cohen Associates, Ltd. on behalf of Citibank (South Dakota) NA in the (claimant) amount of $ 4,727.63 ,against the above entitled Estate. The Decedent, who resided at MECHANICSBURG, PA 17050 (Street Address) . died on 01/02/2011 .Written notice of (Date ojDeath) said claim was given to John Zonarich, Esq. /William Wallace (Personal Representative or his/her counsel) at 17 S Second Street 6Th Floor Harrisburg PA 17101 / 143 Salem Church Rd. Mechanicsburg PA 17050 (Address) on ~~ ~ J `!/ (~+~) ~. . (c>oi 100 Justison Street (Street Address) Wilmington, DE 19802 (crry, scare. zip) (Claimant's Counsel) (Supreme Court I.D. No.J (Address) (Telephone) Form OC-07 rev. 10.!3.06