HomeMy WebLinkAbout07-09-12NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF LOUISEJACOBS, DECEASED
No. 21-12-581
To the Clerk of the Orphans' Court Division:
Enter the claim of Phillips & Cohen Associates Ltd on behalf of GE Capital Retail
Bank in the amount of $ 2 738.45, against the above entitled Estate.
(Claimant)
The Decedent, who resided at 253 WALNUT ST, CARLISLE. PA
(Street Address)
died on April 30, 2012 .Written notice of
(Date of Death)
said claim was given to David Baric Esq. and Kirk Jacobs
(Persona! Representative or his/her counsel)
at 19 W South St, Carlisle, PA 17013 and 300 Creek Rd Newville PA 17241
(Address)
On .07/02/2012 '
(Date) ~;~ ~ ~~_
(Clai~ ant)
Phi ins & Cohen Associates. Ltd
1002 Justison Street
(Street Address)
Wilmin ton DE 19801
(City, State, Zip)
"larmant's Counsel)
(Address)
(Telephone)_
(Supreme Court 1. U. PJo.f
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STATE OF PA STATEMENT AND PROOF OF
PROBATE COURT CLAIM
CUMBERLAND COUNTY
FILE NO:
21-12-581
ESTATE OF LOUISE JACOBS
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 GE Capital Retail Bank submit the following claim against the estate for the surn set
forth.
DESCRIPTION VALUE
_
Account #: XXXXXXXXXXXX5694
_
Amount Due: ___
$2,738.45
PCA File #: 18653015
There is now due on the claim, including applicable legal set-offs, the
sum of $2,738.45
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.
G~'
A orized
re
beth Hansen, 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 USE SPECI aL PORM, (Write Check To REGISTER OF W1LLS
PROOF OF SERVICE OF CLAIM
I served upon the Estate of LOUISE JACOBS, a copy of this claim on 07/02/2012 via United
States Postal Service to:
David Baric Esq.
19 W South St
Carlisle, PA 17013
Kirk Jacobs
300 Creek Rd
Newville, PA 17241-9417
I served upon the Estate of LOUISE JACOBS, a copy of this claim on 07/02/2012 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 best of our information, knowledge, and
belief. ~ 1~
r
07/02/2012 ~~~
Date Si ature
E zabeth Hansen, Manager
ACCEPTANCE OF SERVICE
Service of the attached c1a~~~ is accepted.
Date
Signature
The following account summary is provided:
SUMMARY OF ACCOUNT
1. ACCOUNT NUMBER XXXXXXXXXXXX5694
2. NAME IN WHICH CARD ISSUED: LOUISE JACOBS
3. PRIMARY CARD HOLDER(S): LOUISE JACOBS
4. OPEN DATE: 09/01/1975
REGARDING: Wal-Mart
6. FINAL BALANCE: $2,738.45
7. PRIMARY USE OF CARD: Purchases for goods and/or services