HomeMy WebLinkAbout05-01-14 (2) NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF JACK E BERTOLETTE , DECEASED
No. 2114-0228
To the Clerk of the Orphans' Court Division:
Enter the claim of Phillips & Cohen Associates, Ltd. on behalf of Merrick Bank Corporation in the
(C[aimant)
amount of$ 2,474.69 , against the above entitled Estate.
The Decedent, who resided at 1600 HEMLOCK LN, DAUPHIN, PA 17018-9391
(Street Address)
, died on 03/03/2014 . Written notice of
(Date of Death)
said claim was given to Michael L. Ban�s Esq. & Jack I. Bertolette
(Personal Representative or his/her counsel)
at 429 S 18th St Camp Hill PA 17011 & 1600 Hemlock Lane Dauphin PA 17018
(Address)
on 04/25/2014
(Date)
Claimant)
1002 Justison Street
(Street Address)
Wilmington, DE 19801
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Form OC-07 rev. 10.13.06
STATE OF PA ;STATEMENT AND PROOF OF FILE NO:
PROBATE COURT CLAIM � 2114-0228
CUMBERLAND COUNTY
FST�TF nF J�rK E BERTOLETTE
Cumberland Countv Re�,ister 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 Merrick Bank Corporation submit the following claim against the estate for the sum
set forth.
I DESCRIPTION VALUE
�Account#: 7641
Amount Due: $2,474.69;
�PCA File#: 19791317 ;
� ;
�
There is now due on the claim, including applicable legal set-offs, the $2,474.69
sum of:
� i
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 it ntents are true to the best of my information, knowledge and belief.
Authorized Signature
Chakeya Smith, Manager
Phillips & Cohen Associates, Ltd.
The Creditor's Rights & Bankniptcy Group
A Division of Phillips & Cohen Associates, Ltd.
1002 Justison Street
Wilmington, Delaware 19801
Telephone: (866) 342-4270
Fee�10
PROOF OF SERVICE OF CLAItVI
I served upon the Estate of JACK E BERTOLETTE, a copy of this claim on 04/25/2014 via
United States Postal Service to:
Michael L. Bangs Esq.
429 S 18th St
Camp Hill, PA 17011
Jack I. Bertolette
1600 Hemlock Lane
Dauphin, PA 17018
I served upon the Estate of JACK E BERTOLETTE, a copy of this claim on 04/25/2014 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 t be our information, knowledge, and
belief.
04/25/2014
Date Signature
Chakeya Smith, 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: 7641
2. NAME 1N WHICH CARD ISSUED: JACK E BERTOLETTE
3. OPEN DATE: 10/26/2007
4. REGAR.DING: MERRICK BANK CORPORATION
5. FINAL BALANCE: $2,474.69
6. PRIMARY USE OF CARD: Purchases for goods and/ar services