HomeMy WebLinkAbout10-11-06
IN THE STATE OF ~(~~* Pc:A/YS''1LVAIA.
COUNTY OF Cumberlj\fJ.D
IN RE: The Estate of
Cabot Resuta, Deceased
PROBATE FILE NO. 200501078
STATEMENT OF CLAIM
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The undersigned, being duly sworn, deposes and states that:
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1. TSYS Total Debt management, Inc., whose address is Post Office BQ~ 15700, ,f:'"
Norcross, Georgia 30091-6700, is the attorney-in-fact for ./J)d !vf}V(.r (J\
(hereinafter "Claimant"), whose Account Number is 6018596099381893 , and as attorney-
in- fact is authorized to submit this Statement of Claim on its behal f.
2. Claimant is the holder of a claim against the Estate of Cabot Resuta
deceased, the basis of which is the unpaid balance of charges incurred or authorized by the
deceased or on behalf of the deceased in the total amount of $573.49 , as of the date of
the death of the deceased.
3. The said sum is now justly due this Claimant; and the claim is not contingent or
unliquidated.
4. No payment has been made thereon, and there are no offsets against the same,
and the same is not secured by judgment or mortgage upon or expressly charged on the real
estate of the deceased or any part thereof.
This ~ I 6}
day of
MARY D. COLBERT ..,
Notary ~U~ljc. DeKalb County, Gso ia
My Commission Expires November 16~2009
Sworn to and subscribed before me this
6?1j# dayoC~b6e( ,2006
1J.~~.~P/~
S e.{)-te~ ~--P ^- ,2006
TSYS Total Debt Management, Inc.
As attorney-in-fact for Claimant
By: A ~ f).... tJb)
NYlaJ~
TSYS Probate Representative
Copy mailed to attorney for Representative or to
Representative, if not represented by attorney.
this day of
TSYS Probate Representative
, 2006
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Date:
&bof lLe.5u)t0
2st'...Lle No.:;<()OS/J 107,?
Ode of Dea+J:: /0/ /J? J~
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In t.~e 2stG9 of:
CLAlM AG~A iNST DFCf-:DENT'S tSTATE
The Oairnant certifies that there is due end owing by the r r5fp,Je OJ:
(},afJo-f ;l.e.s~ deceased.
In accordance wiLh Lhe attached statement or C:CCULl.1.J.t, t.~e sum. of s:; 573. '19
together wit.'L interest at the rate or
until paid.
from
On behalf of L.~e cloi:nant, I do solernrJv declm8 and crffirm under the oenclties
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or perjury that the Lrliormation end representations made herein me true and correct
of L1.8 best:)f my l:ilo'Yvledge, iniormc:tio::1 c:nd belief.
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IN THE STATE OF-Nev, ':vlk Pta/vSYLVAIJ/A
COUNTY OF Cumberland
IN RE: The Estate of
Cabot Resuta, Deceased
PROBATE FILE NO. 200501078
STATEMENT OF CLAIM
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The undersigned, being duly sworn, deposes and states that:
1. TSYS Total Debt management, Inc., whose address is Post Office Box '~7aO, 5:
Norcross, Georgia 30091-6700, is the attorney-in-fact for LINENS N THINGS .)::>~:
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(hereinafter "Claimant"), whose Account Number is 6036321026925490 , and as attorney- en
in-fact is authorized to submit this Statement of Claim on its behalf.
2. Claimant is the holder of a claim against the Estate of Cabot Resuta
deceased, the basis of which is the unpaid balance of charges incurred or authorized by the
deceased or on behalf of the deceased in the total amount of $329.11 , as of the date of
the death of the deceased.
3. The said sum is now justly due this Claimant; and the claim is not contingent or
unliquidated.
4. No payment has been made thereon, and there are no offsets against the same,
and the same is not secured by judgment or mortgage upon or expressly charged on the real
estate of the deceased or any part thereof.
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This ~ r ,
day of SF> p+e~L. 6l.A
TSYS Total Debt Management, Inc.
As attorney-in-fact for Claimant
,2006
.,
~ MARY D. COLBERT .
Notary PubliC. DeKalb County, GGorgla
My Commission Expires November 16. 2009
By:
Nyla Jacob
TSYS Prob Representati
Copy mailed to attorney for Representative or to
Representative, if not represented by attorney.
Sworn to and subscribed before me this
~ day oc5e,lmbe/ , 2006
~:t~ ~P}/J
this day of
TSYS Probate Representative
,2006
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Date:
&-60.f k0JCL
t:st'...i.L6 No.: ~{J(J5tJJO??
Dde cf Dect.t: ID /lflJ~1JS
In t.~e :::st~e of:
CLATM AGPTNST DPCPDENT'S .eSTATE
The Claimant certifies that there is due GIld owina by the );6/tU<- t>;;
0dDf' ~h-i~ ~
dececsed.
In accordance wiLt,. lhe attached statement or C:CCOLl.i.lt, L.~e Sll...TTI of S ~ 1, I J
together wi.t..~ interest at the rate of
from
until paid.
On behalf of L.~e c lc:rtncnt, I do solernrJy declOTe and affirm under the penclties
of perjury LI-Iat the Lrliormation end representations made herein are true cmd correct
of L'1e best of DY L""1owledge, infO!"TI1crtiO:1 end belief.
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