HomeMy WebLinkAbout07-18-05
COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
ORPHANS' COURT DIVISION
NOTICE OF CLAIM
In Re: The Estate of:
DONALD SCHWARTZ
Deceased
Court File No: 212005402
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. g3532(b)(2).
DISCOVER FINANCIAL SERVICES, INC.
Claimant's name:
C/O BALOGH BECKER LTD, 4150 OLSON MEMORIAL ~~o
Claimant's address: HWY #200 ~~i
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MINNEAPOLIS, MN 55422 - ,-
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877-768-4498 ;~
Creditor listed below is the owner and holder of a claim in the amount(;JC-"~
$ 2307.02 j3
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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.
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5) Decedent's address: 25 SUSSEX RD CAMP HILL, PA 17011
6)
Date of Death:
03/11/05
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 best of my knowledge, information and belief.
Dated: U k'-?/{ 5'
7 ~ Chelsea Whitley/Angela 0 BollnskefThersla Le Atty-In-Fact
Written notice of claim was given to Personal Representative and/or his/her counsel
as stated below:
JUDY WOOD
Name
305 GEORGETOWN RD
Address
MECHANICSBURG, PA 17055
City/StatejZiPj, _
'21 (3 b5
Date not(ce mailed
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IN RE ESTATE OF: DONALD SCHWARTZ
AFFIDAVIT OF ACCOUNT
The undersigned, being first duly sworn deposes and states the follows:
1. 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 $ 2307.02
account number 6011002950624999
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.
By: ---e.<
Attorneys-in-Fact: ~ ./
Chelsea A. Whitley _ Angela M. Horn ~
Thersia O. Lee Chad J. Bolinske
4150 Olson Memorial Highway, Suite 200
Minneapolis, MN 55422-4811
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Subscribed and sworn before me
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This \ L day of 6 M...L.. , 2005.
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AH D SCHENKENBE
OTAAY PUBliC- MINNESOT
MY COMM. EXP. 1-31-08
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