HomeMy WebLinkAbout01-20-15 NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF MARGARET LANSHE , DECEASED
No. 21-14-1059
To the Clerk of the Orphans' Court Division:
Enter the claim of Phillips & Cohen Associates, Ltd. on behalf of Citibank,N.A. in the
(Claimant)
amount of$ 2�638.50 , against the above entitled Estate.
The Decedent, who resided at 421 CHEROKEE DR MECHANICSBURG,PA 17050-2510
(Street Address)
, died on 10/13/2014 . Written notice of
(Date of Death)
said claim was given to Garv L James Esq. & Gary L James
(Personal Representative or his/her counsel)
at P.O. Box 650 Hershey PA 17033 & 134 Sipe Ave Hummelstown PA 17036
(Address)
an O1/06/2015
(Dare)
��c�+-`1 I?��`�
(Claiman y
1004 Justison Street
(Street Address)
Wilmington, DE 19801
(Ciry,State,Zip)
(Claimnnt's Counsel) (Supreme CourtLD.No.)
(Address) '�
G'7 � �7 �
C q C'rt �
.'.-r��. � � i+7 �
� —p � ".,,,.� ��
� � t'? ....g f:'�s
;r;7 „ 1^—' N C����a
(Telephone) r-- �," 's� � �-y
..� � . , .. .... ��3
:; � ..,.
._�'7 i� "'+'1
L_.> � -,;1
. a ..,�.„ _
, � _ __,
,;':.. � �.. C7
Form OC-07 rev. l0.13.06 ""'� f"� �
,. _d N °_� \
.� � <!) �
r 0 ��
STATE OF PA STATEMENT AND PROOF OF I FILE NO:
PROBATE COURT CLAIM 21-14-1059
CUMBERLAND COUNTY I
ESTATE OF MARGARET LANSHE
Cumberland County Register of Wills
One Courthouse S�c uare Room 102
Carlisle, PA 17013
Phillips & Cohen Associates, Ltd., located at 1004 Justison Street,Wilmington, Delaware 19801
on behalf of Citibank,N.A. submit the following clairn against the estate for tl�e sum set forth.
DESCRIPTION VALUE �
Account#: XXXX��XXX��XX��3504
Amount Due: $2,638.50
PCA File#: 20154204
--�
I-- _ —� -�
There is now due on the claim, including applicable legal set-offs, the � $2,638.5�
sum of:
Notice to interested parties: This is a claim for services rendered and/or goods provided. This
claim will be allowed unless notice of an objection by an interested person is delivered or mailed
to the court, personal representative and creditor at below address.
I declare that this claim has been examined by a representative of Phillips & Cohen Associates,
Ltd., and that its contents are true to the best of my information, knowledge and belief.
;'��
i �..��(� �..�-----
Authori�ed Signature
Amanda Benton
r-a
Phillips & Cohen Associates,Ltd. c'> � '' �
r� �-a
The Creditor's Rights & Bankruptcy Group � � c-- ��� �
A Division of Phillips & Cohen Associates, Ltd. � � � � �' �;��
1004 Justison Street ''' ��" `� �' ` " ����
i•_ ;� e�� p •, �..�
Wilmington, Delaware 19801 � - r�'
Telephone: (866) 342-4270 �`' ' -f
r � ��
, r�� Fee$-10
� . c'.�
,::) (�) �' f'inl
_.{ �� C?
. Cfl `�� —r�y
.. C�
PROOF OF SERVICE OF CLAIM
I served upon the Estate of MARGARET LANSHE, a copy of this claim on O1/06/2015 via
United States Postal Service to:
Gary L James Esq.
P.O. Box 650
Hershey, PA 17033
Gary L James
134 Sipe Ave
Hummelstown, PA 17036
I served upon the Estate of MARGARET LANSHE, a copy of this claim on O1/06/2015 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 the best of our information,knowledge, and
belie£ �
O1/06/2015
� ��� �-
Date Signatu e
Amanda Benton
ACCEPTANCE OF SERVICE
Service of the attached claim is accepted.
Date Signature
The following account summary is provided:
SUMMARY OF ACCOUNT
1. ACCOUNT NUMBER: XX���XX��XXXXX3504
2. NAME IN WHICH CARD ISSUED: MARGARET LANSHE
3. OPEN DATE: 06/29/2009
4. REGARDING: CITI AADVANTAGE WORLD MASTERCARD
5. FINAL BALANCE: $2,638.50
6. PRIMARY USE OF CARD: Purchases for goods and/or services