HomeMy WebLinkAbout06-01-15 NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF CHARLES J. MITCHELL , DECEASED
No. 21-2015-0179
To the Clerk of the Orphans' Court Division:
Enter the claim of AscensionPoint Recovery Services,LLC on behalf of Citibank,N.A. -CITI MASTERCARD
XXXXXXXXXXXX5224
(Claimant)
in the amount of$ $504.77 ,against the above entitled Estate.
The Decedent,who resided at 335 4TH STREET NEW CUMBERLAND PA
(Street Address)
17070-2120,died on 02/07/2015. Written notice of said claim was given to
(Date of Death)
CHERYL D MITCHELL.
(Personal Representative or his/her counsel)
at 454 BRANDT AVE NEW CUMBERLAND PA 17070
(Address)
on 5/27/2015.
(Date)
APRS Representative
(Claimant)
200 Coon Ra Blvd. Suite 200
(Street Address)
Coon Rapids, MN 55433-5876
(City,State,Zip)
Robin LeDonne—IL Bar#6294763
(Claimant's Counsel) c�
�
200 Coon Rapids Blvd. Suite 200 3� � � a�
r ro
(Address) _il c� `- c C17
Coon Rapids, MN 55433-5876 ''s
(888)806-9074 - c�
(Telephone) ` ' "7 `t -moi
ry r— rn
N
CLMFRM PA_v1.2_20150123
AFFIDAVIT OF SERVICE
STATE OF: PA COUNTY OF: CUMBERLAND
ESTATE OF: CHARLES J. MITCHELL CASE NUMBER: 21-2015-0179
being duly sworn, upon oath, state that on May 27, 2015, 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
CHERYL D MITCHELL 454 BRANDT AVE NEW CUMBERLAND, PA 17070
CHRISTINE N SHULTZ 521 HILLTOP RD. MILLERSTOWN, PA 17062
GERALD J SHEKLETSKI PO BOX E NEW CUMBERLAND, PA 17070
Affiant Signature
Printed Name: CA7 --AJa-771
Address: 200 COON RAPI S LVD, STE 200
COON RAPIDS, MN 55433
1-888-420-2510
Subscribed and sworn to before me this
Signature of Affi nt
MAY dy of 27, 20
Notary Public
NAKIA A AND E� Rgp
Notary Public
.•`� State of Minnesota
My Commission Expires
January 3 T, 2020
Affidavit of service
V 07212014
AscensionPoint
RECOVERY SERVICES, LLC
200 Coon Rapids Blvd.,Suite 200
Coon Rapids, MN 55433-5876
Phone: (888)806-9074
Fax: 763-235-4055
5/27/2015
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 Citibank, N.A. -CITI MASTERCARD.
Please see our claim form (enclosed)for details.
Decedent Information:
n C-T, M.
CD rn
Case Number: 21-2015-0179 ' ) C)�
Balance:$504.77 " �� �, ;.? r'T;
Date of Death: 02/07/2015 `? '
Name: CHARLES J. MITCHELL
ry r- r n
If you have any questions please feel free to contact our office at your convenience. fN co -n
Respectfully,
AscensionPoint Recovery Services, LLC
---------------------------------------------------------detach coupon-----------------------------------------------------
Reference No: 1968422
Phone Number: (888)806-9074
PLEASE SEND PAYMENTS&CORRESPONDENCE TO:
Cumberland County Register of Wills
1 Courthouse Square 1st FI ASCENSIONPOINT RECOVERY SERVICES, LLC
Carlisle, PA 17013 200 COON RAPIDS BLVD.SUITE 200
COON RAPIDS, MN 55433-5876
CVRLTR v1.3 20131101
I
C)
o ;, o
-- cu
..- 0't4
NO
O 0
Yl C M.
Q" Q.
Z Cl)
Ul 0
Q
Y i
' {I9
\ OD
4
rti ;
LO o .
c> m cl
C.p
:77-
m
m
►-` tj
� L
v L E
f N it ,
i
8 �
f ..J
C:)
DON UNTr4b
�r""`",RR.�77
m `�'ro saw► �9�,
p cn
O J
m CO
N ..
v
QDQ9 (�1
0
M N .rQi i
Ln
Ul N 0
to
g
en
w cn O w