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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: 212006103
KATHERINE P HORGAN
Deceased
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. ~3532(b)(2).
1) Claimant's name: MBNA AMERICA
P.O. BOX 15137
2) Claimant's address:
WilMINGTON, DE 19850-5137
877 -767 -9383
3) Creditor listed below is the owner and holder of a claim in the amount of
$ 6971.00
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: 915 MARKET ST NEW CUMBERLND, PA 17070
6)
Date of Death:
12/24/05
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: \ 'L -J!t- '-Pt'u,
. Leah Schenkenberg/Jessica Lerbs -
Written notice of claim was given to Personal Re resentative and/or his/her counsel
as stated below:
MISTERY HORGAN
Name
5 E GLOUCESTER ST
Address
HARRISBURG. PA 17109
City/State/Zip 7 /
- \~- O~
Date notice mailed
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IN RE ESTATE OF:KA THERINE P HORGAN
AFFIDAVIT OF ACCOUNT
The undersigned, being first duly sworn deposes and states the follows:
1. Your Affiant is authorized by the Claimant as its Authorized Representative-
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 hislher duties.
3. The Decedent purchased merchandise in the amount of$ 6971.00
evidenced by account number 5329037999760601
Further your affiant sayeth not
MBNA AMERICA
By:
One of its
of} - ~
/O~
Printed Name:
JeSSica lerbs
MBNA AMERICA
P.o. BOX 15137
WILMINGTON, DE 19850--5137
Subscribed and sworn before me
This 10< daYOf~,202b
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STEPHANIE A. JOHNSON
NOTARY PUBUC - MINNESOTA
MY COMMISSION EXPf~ES 1.31-08
8875
6/29/2006
1593313