HomeMy WebLinkAbout12-19-12NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
F.STA"fE OF
COURT OF COMMON PLEAS OF
Cuw~ie/lavi1~ COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
~= i ~ d ~ ~ ~ . `rl b n ~ t, ~-~-~
Nom. al- id-lab
`fo the Clerk of the Orphans' Court Division:
Enter the claim of 'r"~aKG ~ C° re C°-`",y ~ ' ~
(Clarmanq
amount of $ ~ , ~~~,. ~-° ,against the above entitled EstateR
"The Decedent, who resided at 523 l S~-ca'~hvKOrE' '~2lve {~e~hUVll(,S
(Street Address)
,died on Nov 3~ Z~ ~ ~-
(Uale of Ueath)
said claim was given to ~~~ es~-cc~e
(Persona! Representarire or his/her counsel)
at 5231 S~-ca~-~'n~uCrr? ~2~~. V`'tcc_l~a~cirs~aut-rr ~'~
on ~ l Zv ~Z
"~~~ (Dare/
DECEASED
in the
Written notice of
l~c;Z
~"1GvlG ~'~4/~ ~`-taP 1'~~ Ij - ~IL~vI [ ~~ U'~~
(ClalmantJ
l~Oe~ 3-1a/Ile-~- S~-r2+e+
(Street Address)
~Gw --j--t I~ ~?~ 1"lu I f
(City, .State, .IpJ
(Cluueant's Counsel) (Supreme Court LD. No.)
(Addres:cJ
('l~elephone~
horns OC-07 re~~. 10. 13.OG
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