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STATE OF PENNSYLVANIA
IN THE MATTER OF
ESTATE OF:
RALPH L SMITH
IN THE ORPHANS COURT
OF CUMBERLAND COUNTY
ESTATE#: 21200639
DATE OF DEATH: 12/20/2005
STATEMENT OF CLAIM
1. The creditor, Citifinancia1, certifies that there is due and owing by RALPH L SMITH, deceased, the sum of TEN
THOUSAND TWENTY TWO DOLLARS AND FIFTY ONE CENTS ($ 10,022.51).
2. The nature of the claim is a LOAN, account number 09070329186, .
3. The name and address of the claimant is: Citifinancia1, Investment Recovery, 11436 Cranhill Dr., Suite H, Owings
Mills, MD 21117.
.,
4. The name and address of the claimant's agent is: Jennifer Steinacker, Estate Recoveries, Inc., P. O. Box24566,
Baltimore, Maryland 21214.
5. This claim is not contingent and is not secured by any liens or judgments.
6. This claim is not based on anyone instrument. Said balance has accrued since the account was established.
On behalf of Citifinancial, creditor, I do solemnly declare and affirm under the penalties of perjury that the information
in the foregoing claim is true and correct to the best of my knowledge, information and belief. I have made diligent inquiry
and examination, and I believe the claim is just and all legal offsets, payments, and credits made known to the affiant have
been allowed.
,-} Ac'~ii" ~'L^j1i c!Y,-
- ENNTF R STEINACKER
Estate Recoveries, Inc.
P.O. Box 24566
Baltimore, Maryland 21214
(410) 444-8022
Baltimore County, Maryland:
IN WITNESS WHEREOF, I hereunto set my hand and Notarial Seal thO
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L. RIMBACK, Notary Pub~~~t\::~~J~~~
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My Commission Expires: December 6, 2008.
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