HomeMy WebLinkAbout08-28-14 �,..��.�,�.:� �s�� ...
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
PROBATE COURT RELEASE,RECEIPT AND SATISFACTION
ESTATE OF DANIEL J. TAYLOR, deceased
PROBATE COURT CASE NUMBER: 21-13-1288
The undersigned creditor, has been paid in full for its Claim dated January 24, 2014, attached
hereto as Exhibit "A" against the above estate. This Release, Receipt and Satisfaction is
executed to acknowledge discharge of this claim and to release the estate and Lori Taylor,the
Administratrix and the personal representative of the Estate and her heirs and successors from all
further liability with respect thereto.
Creditor Name: CUNNINGHAM & CHERNICOFF, P.C.
2320 North Second Street
Harrisburg, PA 17110
Telephone: (717) 238-6570
By:
y: ruce J. Warshawsky, Esquire
Its: Authorized Representative
Date: CJ�� C �
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EXHIBIT `A'
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IN RE: : IN THE COURT OF COMMON PLEAS
ESTATE OF DANIEL J. TAYLOR, . CUMBERLAND COUNTY,
deceased . PENNSYLVANIA
LORI TAYLOR, Administratrix . ORPHANS' COURT DIVISION
. N0: 21-13-1288
STATEMENT OF CLAIM
IN RE: Estate of Daniel J. Taylor, deceased, Lori Taylor, Administratrix
The undersigned hereby presents for filing against the above-referenced Estate this
Statement of Claim and alleges:
1. The basis of this claim is the failure of the Administratrix, Lori Taylor, to pay
attorneys fees incurred in connection with the administration of the Estate, and which remain due
and owing.
2. The name and address of the claimant is Cunningham& Chernicoff, P.C., 2320 North
Second Street, Harrisburg, Pennsylvania 17106.
3. The amount of the claim is $1,329.76 (which is now due and owing).
4. The claims are not contingent.
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5. The claims are not secured. � =- �' m
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Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true
and correct to the best of my knowledge, information and belief.
Executed o is �'day f J u , 14
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B J. sh sky, Esquir
Cunningham& Chernicoff, .C.
2320 North Second Street
Harrisburg, PA 17110
COMMONWEALTH OF PENNSYLVANIA .
. SS.
COUNTY OF DAUPHIN .
On this, the ��� day of��u���-�( , 2014, before me, a Notary Public,the
undersigned officer, personally appeared Bruce J. Warshawsky, Esquire, known to me (or
satisfactorily proven)to be the person described in the within instrument, and acknowledged that
he executed the same in the capacity therein stated and for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
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o ary Public
COMMONWEALTH OF PENNSYLVANIA
F:U-Iome�BJ CS\TAYLOR.DANIEL\Statement o£Claim.wpd NOTARIAL SEAL
JULIEANNE AME7RAN0,Notary Public
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CERTIFICATE OF SERVICE
I, Julieanne Ametrano, Legal Assistant with the law firm of Cunningham& Chernicoff,
P.C., certify that a true ahd correct copy of the STATEMENT OF CLAIM will be served by
hand delivery on the following parties indicated:
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Harold S. Irwin, III
64 South Pitt Street
Carlisle, PA 17013
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Julieanne Ametrano
2320 North Second Street
Harrisburg, PA 17110
Date: January��, 2014
F:�Home�BJW�DOCS\TAYLOR.DANIEL\Statement of Claim.wpd