HomeMy WebLinkAbout08-02-12FORM 93-0. C. DIVISION
IN THE COURT OF COMMON PLEAS ..,
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CUMBERLAND COUNTY, PENNSYLVA
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ORPHANS' COURT DIVISION °~ ~ ~~~
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IN RE: ESTATE ~`'
OF Estate No. 21-12-702
ALVINA FORTHNER
(Deceased)
CLAIM
To the Clerk of Orphans' Court Division:
Index and make proper entry in your official records of the claim of WEST
ASSET MANAGEMENT, INC. for USAA, (Claimant) account
#374355013762345, in the amount of $3,572.84, against the above named
decedent.
This claim is filed under Section 732 (b) (2} of the Fiduciaries Act of 1949 as
amended.
The said decedent, who resided at 523 N 2ND ST, WORMLEYSBURG.
PA 1 7043-1 01 1, died on 03-29-2012.
Written notice of this claim was given to DESARAY F RTHER. at 23 N. 2ND
ST, WORMLEYSBURG, PA 17043 on 07-27-2012.
(Personal representative, if any, or counsel). /~
(Claimant)
West Asset Management, Inc.
7171 Mercy Road, PO Box 6183
Omaha, Nebraska 68106-0183
1-800-878-3317
(Claimant's Address)
IN RE: ESTATE OF
___ALVINA FORTHNER _
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Deceased
No 21-12-702
WEST ASSET MANAGEMENT, INC
FOR USAA
Fee $
Filed
Attorney
Form 93
wrest • West
•Asset
'.:Management
717;:Mer~ytRgatt` Pp"Bvx6t83 dmaha,:NEB$~t06-Q183 1'-8~-87€3-331
07-27-2012
Reference: Enclosed claim by West Asset Management, Inc. for
Client Name USAA
Client Account Number 374355013762345
Balance Owing $3,572.84
Re_ ardinq:
Decedent's Name ALVINA FORTHNER
Estate /Docket Number 21-12-702
Date of Death 03-29-2012
Social Security Number 157685151
West Asset Management, Inc.
PO BOX fi183
Omaha NE 68106-0183
i assa-~ s
CUMBERLAND CNTY REGISTER OF WILLS
1 COURT HOUSE SQ
CARLISLE, PA 17013-3323
CUT ALONG LINE AND PLACE SLIP IN RETURN ENVELOPE WINDOW
West Asset Management, Inc.
PO BOX 956842
ST. LOUIS, MO 63195-6842
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01 ODDD00000215584868 1 D0000357284 122122000000 9