HomeMy WebLinkAbout06-06-05
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COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
ORPHANS' COURT DIVISION
NOTICE OF CLAIM
In Re: The Estate of:
Court File No: 21200576
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BRUCE R ANDREWS
Deceased
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TO: THE CLERK OF THE ORPHANS' COURT DIVISION:
Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate,
Estates, and Fiduciaries Code, 20 PA.C.S.A. !i3532(b)(2).
CITICORP CREDIT SERVICES INC.
1) Claimant's name:
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C/O BALOGH BECKER LTD, 4150 OLSON MEMORIAL
2) Claimant's address: HWY #200
MINNEAPOLIS, MN 55422
866-234-0513
3) Creditor listed below is the owner and holder of a claim in the amount of
$ 507.35
4) The facts upon which this claim is based:
This claim is based on an account for credit evidenced by the attached
Affidavit of Account Stated.
5) Decedent's address: 252 S COLLEGE ST CARLISLE, PA 17013
6)
Date of Death:
01/08/05
7) That the claim arose prior to the death of the decedent on or about
8) That the claim is secured by
On behalf of the claimant, I do solemnly declare and affirm under the penalties of
perjury that they Information and representations made herein are true and correct
to the bes of my knowledge, information and belief.
Dated:
counsel
itley/Angela Horn/Mary Ellen Weeman a BolinskelThersia
Written n tice of claim was given to Personal Representative and/or his/
as stated below:
MARGERY D ANDREWS
Name
252 S COLLEGE ST
Address
CARLISLE, PA 17013
City /5tate/Zi PI /
~7/ /?y
Date notice ailed
..
IN RE ESTATE OF: BRUCE R ANDREWS
AFFIDAVIT OF ACCOUNT
The undersigned, being first duly sworn deposes and states the follows:
I. Your Affiant is authorized by the Claimant as its Attorney-In-Fact to make this Affidavit.
2. Your Affiant has reviewed the account records of the Claimant with respect to the
decedent. Your Affiant is familiar with these records and accounts and reviews them as a
regular part of his/her duties.
3.
The Decedent purchased merchandise in the amount of $ 507.35
account number 5424180055960626
evidenced by
4. The unpaid balance does not include any post-death late payment charges, accrued
interest, collection costs or attorney's fees.
Further your affiant sayeth not
BALOGH BECKER, LTD.
~~~~eys~ . ------~
Chelsea A. Whitley _ Angela M. Horn ~
Mary Ellen Weeman _ Thersia O. Lee
Chad J. Bolinske Kamille R. Dean
4150 Olson Memorial Highway, Suite 200
Minneapolis, MN 55422-4811
Subscribed and sworn before me
This -U- day Of~' 2005.
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..-..-.~~:;:,-of,,~.Ji<'
_oi'. JOEL M. \r\JOL.f
~D\\ NOTARY PUBLiC -. MIN~ESOTA
\~i HENNEPIN COUNrV
"'~l~_~~.p Wi,! Comrr,issloll f.xPI[f.l5 Jan. 31, 2009
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