HomeMy WebLinkAbout11-03-11NOTICE OF CLAIM
(Filed Pursuant to ~ Pa.C.S. ~ 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF ~~ TAYLOR
DECEASED
No. 21-11-0172
To the Clerk of the Orphans' Court Division:
Enter the claim of Phillips & Cohen Associates, Ltd. on behalf of Citibank, N.A. in the
(cM~wmu)
amount of ~ 2,797.64 against the above entitled Estate.
The Decedent, who resided at CAMP HII,L, PA 17011
(sa,eeraddes.)
. died on 01/07/2011 .Written notice of
(Darr elDedn)
said claim was given to Jeffery A Ernico, Esq. and Deborah E Sarignoli
(pReprraenrasfre ar7da/her caraawel)
at 3401 N Fromm Street Harrisburg PA 171 10 / 640 Erford St e~t amphill PA 17011
on October 27, 2011 (Adel
(~1
Justison Street
(Clalrrau's Cor-xl) (Srprems Corvr LD. Na)
Wilmington, DE 19802
(cry, . ~nl
(Aa4iess) ~ _>
n ..w
~ ~
~ ~
C. -~ c`~
. "?
'~Fl ~ ['~ G -'' Z~:
r~ m
(lrkphar~e)~-
n ~
'
~
w i
~~rs
' ' '--~
c
~
]
Q~ ~ T
_
i-t
~ -
~ n `~ ~
Fans OC-07 rev. 10.!3.06 c
G:> ,
~`~
STATE OF PA
PROBATE COURT
CUMBERLAND COUNTY
STATEMENT AND PROOF OF
CLAIM
FILE NO:
21-11-0172
ESTATE OF VIVIAN TAYLOR
Resister of Wills
One Courthouse Square, Room 102
Carlisle, PA 17013
Phillips & Cohen Associates, Ltd., located at 1004 Justison Street, Wilmington, Delaware 19801
on behalf of Citibank, N.A. submit the following claim against the estate for the sum set forth.
DESCRIPTION VALUE
Account #: XXXXXXXXXXXX8244
--- _
___
Amount Due:
----------- - __ __
$2
,797.64
- ----
----------- ---
-- -
PCA rile #: 18139333
There is now due on the claim, including applicable legal set-offs, the
sum of $2,797.64
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.
declare that this claim has been examined by a representative of Phillips & Cohen Associates,
d., and that its contents are true to the best of my information, knowledge and belief.
ol'ize`d Signature
Ja 'e Adams, Manager
Phillips & Cohen Associates, Ltd.
The Creditor's Rights & Bankruptcy Group
A Division of Phillips & Cohen Associates, Ltd.
1004 Justison Street
Wilmington, Delaware 19801
Telephone: (866) 342-4270
Fee $10 special claim form
PROOF OF SERVICE OF CLAIM
I served upon the Estate of VIVIAN TAYLOR, a copy of this claim on 10/27/2011 via United
States Postal Service to:
Jeffery A Ernico, Esq.
3401 N Front Street,
Harrisburg, PA 17110
Deborah E Sarignoli
640 Erford Street
Camphill, PA 17011
I served upon the Estate of VIVIAN TAYLOR, a copy of this claim on 10/27/2011 via United
States Postal Service to:
Register of Wills
One Courthouse Square, Room 102
Carlisle, PA 17013
It is declared that this claim has been ex.
Associates, Ltd. and that its contents are
belief.
10/27/2011
Date
by a representative of Phillips & Cohen
the best of our information, knowledge, and
Adams, Manager
ACCEPTANCE OF SERVICE
Service of the attached claim is accepted.
Date
Signature
^
,~
The following account summary is provided:
SUMMARY OF ACCOUNT
1. ACCOUNT NUMBER: XXXXXXXXXXXX8244
2. NAME IN WHICH CARD ISSUED: VIVIAN TAYLOR
3. PRIMARY CARD HOLDER(S): VIVIAN TAYLOR
4. OPEN DATE: 08/09/2006
5. REGARDING: CITI MASTERCARD
6. FINAL BALANCE: $2,797.64
7. PRIMARY USE OF CARD: Purchases for goods and/or services