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RECpVERY SERVlCES, LLC
WITHDRAWAL OR SATISFACTION OF CLAIM AND RELEASE
STATE OF: PA IN THE PROBATE COURT
COUNTY: CUMBERLAND STATEMENT OF CREDITOR'S CLAIM
IN RE: ESTATE OF 10SEPHINE SZOLLOSY
CASE NUMBER: 21-2014-0132
Decedent's Date of Death: 02/01/2014
Creditor: AscensionPoint Recovery Services, LLC on behalf of Citibank, N.A. # XXXXXXXXXXXX7049
Address: 200 Coon Rapids Blvd.Suite 200 �_� ;_�;
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Coon Rapids, MN 55433 - ' ' �`�
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Telephone: (888)806-9074 � '
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Amount of claim: 166.80
I,AscensionPoint Recoverv Services LLC(name of claimant), hereby grant a full and final releas�3e to the _ ;'
estate and to the fiduciary and any successor for any liability in connection to the claim(s) desrv�ihed T "�
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below and E--� -��
[] Withdraw the claim
� Acknowledge that the claim has been satisfied
I certify that a copy of the claim was maile ULLAUGHAAttorn�ey)at PO BOX 1166rHARRISBURGTO N CT
LEMOYNE,PA 17043 and to ELIZABETH P M �
17108 on 0 /18/2015
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Signature: �
Title: APRS Representative _ -��
Date: 2/18/2015 p?,`�=�{.� NAKIA A ANDERSON
�5,���°� Notary Public
` ,� ��ro State of Minnesota
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Notary Signatur : (Notary Sea
Date:
CLMSATl 20140916