HomeMy WebLinkAbout10-20-14 (2) c i. ... ,J
RECOVERY SERVICES, LLC
200 Coon Rapids Blvd., Suite 200
Coon Rapids, MN 55433-5876
Phone: (888)806-9073
Fax: 763-235-4055
10/16/2014
To Whom It May Concern:
We are presenting a claim against the Estate of the individual referenced below.
AscensionPoint Recovery Services, LLC is filing this claim on behalf of Synchrony Bank-Old Navy Card.
Please see our claim form (enclosed)for details.
Decedent Information:
Case Number: 21-2014-0762
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Balance:$136.33 crnCD
Date of Death: 07/05/2014
Name:CORI ELIZABETH SISTI �
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If you have any questions please feel free to contact our office at your convenience;' '
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Respectfully,
AscensionPoint Recovery Services, LLC -
--------------------------------------------------------detach coupon-----------------------------------------------------
Reference No: 1788553
Phone Number:(888)806-9073
PLEASE SEND PAYMENTS&CORRESPONDENCE TO:
Cumberland County Register of Wills
1 Courthouse Square.1st FI ASCENSION POINT RECOVERY SERVICES, LLC
Carlisle, PA 17013 200 COON RAPIDS BLVD.SUITE 200
COON RAPIDS, MN 55433-5876
CVRLTR_v1.3_20131101
NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF CORI ELIZABETH SISTI , DECEASED
No. 21-2014-0762
To the Clerk of the Orphans' Court Division:
Enter the claim of AscensionPoint Recovery Services,LLC on behalf of Synchrony Bank-Old Navy Card
XXXXXXXXXXXX5414
(Claimant)
in the amount of$ $136.33 ,against the above entitled Estate.
The Decedent,who resided at 5 FALCON CT,MECHANICSBURG,PA
(Street Address)
17055-4315,died on 07/05/2014. Written notice of said claim was given to
(Date of Death)
HOLLY A SISTI.
(Personal Representative or his/her counsel)
at 21 SANTA MARIA AVE,CAMP HILL PA 17011,
(Address)
on 10/16/2014. n
(Date)
CAPRS Representative
(Claimant)
200 Coon Rapids Blvd. Suite 200
(Street Address)
Coon Rapids, MN 55433-5876
(City,State,Zip)
Robin LeDonne–IL Bar#6294763
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(Claimant's Counsel)
200 Coon Rapids Blvd. Suite 200 C> c:3
Coon Rapids, MN 55433-5876 co
(Address) S _ r r O
(888)806-9073 y Co =$ , ,
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CLMFRMPA v1.1 20121120
AFFIDAVIT OF SERVICE
STATE OF: PA COUNTY OF: CUMBERLAND
ESTATE OF: CORI ELIZABETH SISTI CASE NUMBER: 21-2014-0762
1, otnl5t C. , being duly sworn, upon oath, state that on October 16, 2014, a statement of claim , was
mailed by placing the documents in an envelope with sufficient postage in the United States mail at the Post Office
located in the City of Coon Rapids,State of Minnesota, at the following person's last known address:
NAME ADDRESS
HOLLY A SISTI 21 SANTA MARIA AVE CAMP HILL, PA 17011
RONALD D SISTI 21 SANTA MARIA AVE CAMP HILL, PA 17011
CHARLES E SCHMIDT JR 209 STATE ST. HARRISBURG, PA 17101
Affiant Signature D C &D
Printed Name: �jt C &,pg
Address: COON RAPIDS BLVD STE 200
COON RAPIDS, MN 55433
1-888-420-2510
Subscribed and sworn to before me this
Signature of Affiant
OCTOBER day of 16, 2014.
a kk&&
Notary Public
{A NDER'SON
r Notary Public
inne
State of Minnesota
M ommission Expires
5
January 31 . 20
Affidavit of service
V 07212014
NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF CORI ELIZABETH SISTI , DECEASED
No. 21-2014-0762
To the Clerk of the Orphans' Court Division:
Enter the claim of AscensionPoint Recovery Services,LLC on behalf of Synchrony Bank-Old Navy Card
Y-XXXXXXXXXXX5414
(Claimant)
in the amount of$ $136.33 against the above entitled Estate.
The Decedent,who resided at 5 FALCON CT,MECHANICSBURG,PA
(Street Address)
17055-4315 died on 07/05/2014. Written notice of said claim was given to
(Date of Death)
HOLLY A SISTI,
(Personal Representative.or his/her counsel)
at 21 SANTA MARIA AVE,CAMP HILL PA 17011,
(Address)
on 10/16/2014.
(Date) 2 D�j5f C &I�
�tD APRS Representative
(Claimant)
200 Coon Rapids Blvd. Suite 200
(Street Address)
Coon Rapids, MN 55433-5876
(City,State,Zip)
Robin LeDonne-I L Bar#6294763
(Claimant's Counsel)
200 Coon Rapids Blvd. Suite 200
(Address) C=
Coon Rapids, MN 55433-5876
(888)806-9073
(Telephone) J r-j ry
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CLM FRM PA_vl.l_20121120
AFFIDAVIT OF SERVICE
STATE OF: PA COUNTY OF: CUMBERLAND
ESTATE OF: CORI ELIZABETH SISTI CASE NUMBER: 21-2014-0762
I, Dqj (`, pjp�y , being duly sworn, upon oath, state that on October 16, 2014, a statement of claim , was
mailed by placing the documents in an envelope with sufficient postage in the United States mail at the Post Office
located in the City of Coon Rapids, State of Minnesota, at the following person's last known address:
NAME ADDRESS
HOLLY A SISTI 21 SANTA MARIA AVE CAMP HILL, PA 17011
RONALD D SISTI 21 SANTA MARIA AVE CAMP HILL, PA 17011
CHARLES E SCHMIDT JR 209 STATE ST. HARRISBURG, PA 17101
Affiant Signature DW &0
Printed Name: DtnnISQ 0 &e5
Address: COON RAPIiJS BLVD STE 200
COON RAPIDS, MN 55433
1-888-420-2510
Subscribed and sworn to before me this ,
Signature of Affiant
OCTOBER day of 16, 2014.
Notary Public
NAKIA ANDERSON
Notary Public
cfs; -
r-zrf State of Mnnesoi on Expires
)Conl
onuary 31 , 2015
Affidavit of service
V 07212014
RECEIPT FOR PAYMENT
-------------------
-------------------
LISA M. GRAYSON, ESQ. Receipt Date : 10/20/2014
Cumberland County - Register Of Wills Receipt Time : 12 :26 : 02
One Courthouse Square Receipt No. : 1079466
Carlisle, PA 17613
SISTI CORI ELIZABETH
Estate File No. : 2014-00762
Paid By Remarks : ASCENSIONPOINT RECOVERY SERV
DB1
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
CLAIM AGAINST EST 10 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Check# 3214 $10 . 00
Total Received. . . . . . . . . $10 . 00
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