HomeMy WebLinkAbout09-29-05
COUNTY OF CUMBERLAND IN THE STATE OF PENNSYLVANIA
IN RE: ESTATE OF:
i
PROBA TE DIVISIO~
FILE NUMBEt. :
2105204
DORIS D BASKIN
Deceased / Incapacitated
/
STATEMENT OF CLAIM
'-."1
The undersigned herby presents for filing against the above estate this statcinenf3>
of claim and alleges:
1. The basis for the claim is MARSHALL FIELDS ACCT#
30034912831210
"'
:1
2. The name and address of the claimant is ASSET ACCEPTANCE \
LLC. P.O. BOX 2036 WARREN MI 48090 \
3. The amount of the claim is $ 2712.29 which amount is now due and
owing or, if not due, will become due on
200_.
4. The claim (is) (is not) contingent or unliquidated. If contingent or
unliquidated, the nature of the uncertainty is
5. The claim (is) (is not) secured. If secured, the security consists of
Under penalties of peIjury, I declare that I have read the foregoing, and the facts
alleged are true, to the best of my knowledge and belief.
Date this
22TH day of September, 2005.
d!Mj1-- iJ!Cfft
Claiman~
V'
~.-"':>i.>
," ....
~;
(~ )
: ":!1
~-;~J
" (. .,,,\
:'j
AFFIDAVIT OF ACCOUNT
STATE OF MICHIGAN
COUNTY OF MACOMB
Debtors Name:
Account Number:
Original Creditor:
DORIS D BASKIN
3571052
/ MARSHALL FIELDS
P.L Conaton, being sworn, deposes and says that she is the Manager of Probate at ASSET ACCEPTANCE LLC, (cr~ditor).
The corporation is a Michigan corporation located at P.O. BOX 2036 WARREN, MI 48090. The affiant is authoriz~d to
make the statements herin pursuant to authority granted by the corporation. The corporations' business record+ show
that there is due and payable on account 30034912831210 the amount of $2712.29
date on a debt originally held by / MARSHALL FIELDS and assigned to the corporation in the normal
course of business by the original creditor or their lawful assignee. The affiant states that to the best of h~s knowledge,
information and belief there are no uncredited payments, counter-claims or offsets against said debt. Said
has
been assigned, transferred and sold to ASSET ACCEPTANCE LLC with full power and authority to do and perform al acts
necessary for the collection, settlement, adjustment, compromise or satisfaction of said claim. Further, the ndersigned
acknowledges that in making the assignment, ASSET ACCEPTANCE LLC is now the owner of this account, and has
I
complete authority to enforce the rights of the original creditor with the debtor, and that the assignor or original
creditor has no further interest in said debt for any purpose.
Dated 22nd day of Feptember 2005.
ASSET ACCEPT~CE LLC
By:
~. I
Y,,,-.
c '
~)
P.L, Conaton
P.O. BOX 2036 WARRENf MI 48090
Subscribed and sworn to before me this 22nd day f ~eptember 2005.
Notaty Public
Kelly otson
My Commission Expires: octlber 11, 2006
County of Macomb, State of Michigan
I
,
09/~22/05
9:12 AM MOX
ASSET ACCEPTANCE LLC
SELECTED
II
I
PAGE 1
i
I
~:~~~~--------------~~:~~~:~-~~~:~-~------------------------~:~~~~:~::~~:---~:~--:~:---------------------------1--------------
Adr1:312 Lamp Post Ln POE:U-E Lg1:1 POE ph: I
City:Camp Hill Cty: Cane: Born:
St: PA Zip:170111460 St: Zip: COF: Sa1:
C1nt:990456 AAC/MARSHALL FIELDS 7101, ,30034912831210
List:08/01/01 srv:07/12/97 Ltrs:17 Time:44 Cal1s:18 Con:4
Aty:O
Bal:
Int:
DEBTOR'S ATTORNEY
Name:BANGS,MICHAEL
Adr1:429 S 18TH STREET
Cty:CAMP HILL
St: PA Zip:17011
Ph:717-730-7310
Firm:
PAYMENTS
RM# Aeet
Refno
Date
Amount/Split
Typ
1 3571052*
08/08/05
2559.13
CK
CK 101
PROBATE ORGNL CREDITOR :990456
FIDUCIARY :FRED BASKIN
COUNTY : CUMBERLAND
CASE NBR :2105204
BALANCE :2712.29
DATE :09/20/2005
DATE OF DEATH :01/02/2005
CLAIM DATE :09/22/2005
STATUS OF CLAIM : OPEN
PUT A ONE HERE :1
CANCEL CODE
AF6000
W801 DEC LAST : BASKIN
W801 DEC FIRST : DORIS
W801 DEC DATE :01/02/05
W801 DEC MATCH :SN
TU LAST NAME
TU FIRST NAME
Org: 3522.42
2712.29
695.12
Client
990456
R
FIDUCIARY ADD1 :312 LAMP POST LANE
FIDUCIARY ADD2
FIDUCIARY CITY :CAMP HILL
FID STATE & ZIP :PA 17011
FIDUCIARY PH NO
COURT NAME
COURT ADD1
COURT ADD2
COURT CITY
COURT ST ZIP
COURT PHONE NO
ENTER COURT ID
COURT
CRT ADD
CRT ADD2
CITYSTZIP
CRT PHONE
TU DTE OF DEATH
TU LAST STATE
TU PAY LOCATION
PREV COLL :REK
** END OF REPORT **
:REGISTER OF WILLS I
I
: CUMBERLAND CNTY CT fSE
:1 COURT HOUSE SOUAR'
: CARLISLE
:PA 17013
:717 240 6345
:CUMB-PA
:717.240.6345