HomeMy WebLinkAbout05-21-12'~ `` ` ~_ '` ~E Q~
y;~~
`J r ji ~ ~' V
NOTICE OF CLAIM
ESTATE OF THOMAS ZACH
CI)~(~~~~'I ~ JC~~ ~0 . °A
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
No. 21-12-27
To the Clerk of the Orphans' Court Division:
Enter the claim of Phillips & Cohen Associates, Ltd. on behalf of Elan Financial
DECEASED
in the
(Claimant)
amount of $ 15,649.85 ,against the above entitled Estate.
The Decedent, who resided at NEWVILLE PA 17241-1322
died on 12/12/2011
(Street Address)
Written notice of
(Date of Death)
said claim was given to Steven R. Snyder, Esq. & Debra A Zach
(Personal Representative or his/her counsel)
at 155 S.Hanover St Carlisle PA 17013 / 63 Vine St Newville PA 17241
on 05/10/2012 (Address)
(Date)
(Claimant)
1002 Justison Street
(Street Address)
Wilmington, DE 19801
(City, Stare, Zip)
(Claimant's Counsel)
(Address)
(Telephone)
Form OC-07 rev. 10.13.06
(Filed Pursuant to 20 Pa.C.S. § 3532)
(Supreme Court I.D. No.)
~~ ~
STATE OF PA STATEMENT AND PROOF OF FILE NO:
PROBATE COURT CLAIM 21-12-27
CUMBERLAND COUNTY
ESTATE OF THOMAS ZACH
Cumberland County Register Of Wills
One Courthouse Sguare, Room 102
Carlisle. PA 1701:3
Phillips & Cohen Associates, Ltd., located at 1002 Justison Street, Wilmington, Delaware 19801
on behalf of Flan :Financial submit the following claim against the estate for the :gum set forth.
DESCRIPTION VALUE
Account #: XXXX.XXXXXXXX6624
Amount Due: $15,649.85
File #: 18535573
There is now due on the claim, including applicable legal set-offs, the $15,649.85
sum of
Notice to interested parties: This is a claim for services rendered and/or goods provided. This
claim will be allo~~ved 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.
.../~~~-
Authorized Signature
Chakeya Homer, 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 $l0 Special form
PROOF OF SERVICE OF CLAIM
I served upon the Estate of THOMAS ZACH, a copy of this claim on 05/10/2012 via United
States Postal Service to:
Steven R. Snyder, Esq.
155 S.Hanover St
Carlisle, PA 17013
Debra A Zach
63 Vine St
Newville, PA 17241
I served upon the Estate of THOMAS ZACH, a copy of this claim on 05/10/2012 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. a~1d that its contents are true to the best of our information, knowledge, and
belief. ~~
,.
05/10/2012 ~ i
Date Signature
Chakeya Homer, 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: XXXXXXXXXXXX6624
2. NAME IN WHICH CARD ISSUED: THOMAS ZACH
3. PRIMARY CARD HOLDER(S): THOMAS ZACH
4. OPEN DATE: 08/01/2004
5. REGARDING: Elan Financial Savings
6. FINAL BALANCE: $15,649.85
7. PRIMARY LJSE OF CARD: Purchases for goods and/or services