HomeMy WebLinkAbout04-09-12NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF ELIZABETH PROUGH
No. 21-12-0216
To the Clerk of the Orphans' Court Division:
(Street Address)
Enter the claim of Phillips & Cohen Associates, Ltd. on behalf of Elan Financial in the
(Claimant)
amount of $ 3,928.71 ,against the above entitled Estate.
The Decedent, who resided at CAMP HILL, PA 17011
died on 02/09/2012
DECEASED
. Written notice of
(Date of Death)
said claim was given to James D Bogar, Esq. and Tara Stroup
(Personal Representative or his/her counsel)
at 1 W Main St Shiremanstown PA 17011 / 524 Fishing Creek_R_ d_L_ewis>~erry PA 17339
(Address) ,~
on Apri12, 2012
(Dare)
1002 Justison Street
(Street Address)
Wilmington, DE 19801
(City, State, Zip)
(Claimant's Counsel)
(Supreme Court L D. No.f
(Address)
(Telephone)
Form i~C-07 rev. 10.13.06
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STATE OF PA ~ STATEMENT AND PROOF OF
PROBATE COURT CLAIM
CUMBERLAND COUNTY
ESTATE OF ELIZABETH PROUGH
Cumberland Count~Register of Wills
One Courthouse Square, Room 102
Carlisle, PA 17013
FILE NO:
21-12-0216
Phillips & Cohen Associates, Ltd., located at 1002 Justison Street, Wilmington, Delaware 19801
on behalf of Elan Financial submit the following claim against the estate for the sum set forth.
DESCRIPTION
'~ VALU~
__
Account #: XXXXXXXXXXXX7374
Amount Due: $3,928.71
~iPCA File #: 18460945
i-
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There is now due on the claim, including applicable legal set-offs, the
sum of
$3,928.71
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 ghat its contents are true to the best of my information, knowledge and belief.
i ,
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Authorize Signature
Chakeya Homer, Assistant Manager
Phillips & Cohen Associates, Ltd.
The Creditor's Rights & Bankruptcy Group
A Division of Phillips & Cohen Associates, Ltd.
1002 Justison Street
Wilmington, Delaware 19801
Telephone: (866) 342-4270
Fee $10 special form
PROOF OF SERVICE OF CLAIM
I served upon the Estate of ELIZABETH PROUGH, a copy of this claim on 04/02/2012 via
United States Postal Service to:
James D Bogar, Esq.
1 W Main St
Shiremanstown, PA 17011
Tara Stroup
524 Fishing Creek Rci
Lewisberry, PA 17339
I served upon the Estate of ELIZABETH PROUGH, a copy of this claim on 04/02/2012 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 the bes f ou/r information, knowledge, and
belief. ~'
04/02/2012 ~ ~ ~~,v '~
Date Signature
Chakeya Homer, Assistant 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: XXXXXXXXXXXX7374
2. NAME IN WHICH CARD ISSUED: ELIZABETH PROUGH
3. PRIMARY CARD HOLDER(S): ELIZABETH PROUGH
4. OPEN DATE: 07/01/2011
5. REGARDING: Elan Financial Savings
6. FINAL BALANCE: $3,928.71
7. PRIMARY USE OF CARD: Purchases for goods and/or services