On November 14, 2022 a
Creditor's Claim - JPMorgan Chase Bank
was filed
involving a dispute between
Phillips, Chelsea Marie Kuehne,
and
for Decedent's Estate
in the District Court of Butte County.
Preview
9; m 6m w DE-172
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): TELEPHONE AND FAX NOS.:
JPMorgan Chase Bank N.A. FOR COURT USE ONLY
PO BOX 858
MINNEAPOLIS MN 55440-9810
PHONE (833) 459-1791 FAX (877) 326-8784 F Superior Court of California F
SUPERIOR COURT OF CALIFORNIA, COUNTY OF: BUTTE County of Butte I
1775 CONCORD AVE I
STREET ADDRESS:
MAILING ADDRESS: 1775 CONCORD AVE L 06 2023
L
MAR
CITY AND ZIP CODE: CHICO CA 95928
E E
BRANCH NAME:
D g D
ESTATE OF (NAME): MARK KUEHNE B afifgalaz, CterKUty
CASE NUMBER
CREDITOR'S CLAIM 22PR00612
You must file this claim with the court clerk at the court address above before the LATER of (a) four months after the date
letters (authority to act for the estate) were first issued to the personal representative, or (b) thirty days after the date Notice of
Administration was given to the creditor, if notice was given as provided in Probate Code section 9051. Mail or deliver a copy of
this claim to the personal representative. A proof of service is on the reverse.
WARNING: Your claim will in most instances be invalid if you do not properly complete this form, file it on time with the court,
and mail or deliver a copy to the personal representative and his or her attorney.
1. Total amount of the claim is: $484.30
2. Claimant (name): JPMorgan Chase Bank N.A.
a. D an individual.
b. D an individual or entity doing business under the fictitious name of (specify):
c. D a partnership.The person signing has authority to sign on behalf of the partnership.
d.. D a corporation.The person signing has authority to sign on behalf of the corporation.
e_ I other (spec/W): JPMOrgan Chase Bank N..A
3. Address of claimant (specify):
JPMorgan Chase Bank N.A.
PO BOX 858
MINNEAPOLIS MN 554409810
4. Claimant is D
the creditor
Authorized Representative for
I
a person acting on behalf of creditor (state reason):
JPMorgan Chase Bank N.A.
5 Claimant is E] the personal representative D
the attorney for the personal representative.
(Claims against the estate by the personal representative and the attorney for the personal representative must be filed
within the claim period allowed in Probate Code section 9100. See the notice box above.)
6. am authorized to make this claim which is justly due or may become due. All payments on or offsets to the claim have been
I
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credited. Facts supporting the claim are D
on reverse attached.
|declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date: MARCH 03, 2023
Tahalya S Johnson
Authorized Representative
(TYPE OR PRINT NAME AND TITLE)
i '
(SIGNATURE OF C
INSTRUCTIONS T0
\j
IMANT) Authorized Representative
LAIMANT
A On the reverse, itemize the claim and show the date the service was rendered or the debt incurred. Describe the item or service in
detail, and indicate the amount claimed for each item. Do not include debts incurred after the date of death, except funeral claims.
B. If the claim is not due or contingent, or the amount is not yet ascertainable, state the facts supporting the claim.
C. If the claim is secured by a note or other written instrument, the original or a copy must be attached (state why original is
unavailable). If secured by mortgage, deed of trust, or other lien on property that is of record, it is sufficient to describe the security
and refer to the date or volume and page, and county where recorded. (See Probate Code section 9152.)
QTF'P
Mail or take this original claim to the court clerk's office for filing. If mailed, use certified mail, with return receipt requested.
Mail or deliver a copy to the personal representative. Complete the Proof of Mailing or Personal Delivery on the reverse.
The personal representative will notify you when your claim is allowed or rejected.
Claims against the estate by the personal representative and the attorney for the personal representative must be filed within the
claim period allowed in the Probate Code section 9100. See the notice box above.
(Continued on reverse)
Form approved by the Probate Code §§ 9000 et seq. 9153
Judicial Council of California CREDITOR'S CLAIM C AincltutlliR 20220207
DE-172 [Revision January 1, 1998]
(Probate)
ESTATE OF (NAME): CASE NUMBER:
MARK KUEHNE 22PR00612
FACTS SUPPORTING THE CREDITOR'S CLAIM
Date of item
l See attachment (if space is insufficient)
Item and Supporting Facts Amount claimed
See attached claim detail for basis of claim.
TOTAL S 484.30
PROOF OF I
MAILING D PERSONAL DELIVERY TO PERSONAL REPRESENTATIVE
(Be sure to mail or take the original to the court clerk's office for filing)
am the creditor or a person acting on behalf of the creditor. At the time of mailing or delivery was at least 18 years of age.
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2. My residence or business address is (specify):
JPMorgan Chase Bank N.A.
PO BOX 858
MINNEAPOLIS MN 55440-9810
3. l mailed or delivered a copy of this Creditor's Claim to the personal representative as follows (check either a orb
ai Mail. l am a resident of or employed in the county where the mailing occurred,
(1) l enclosed a copy in an envelope AND
below):
(a) D deposited the sealed envelope with the United States Postal Service with the postage fully prepaid.
(b) I placed the envelope for collection and mailing on the date and at the place shown in items below following our
ordinary business practices. am readily familiar with the business' practice for collecting and processing
I
correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is
deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with
postage fully prepaid.
(2) The envelope was addressed and mailed first-class as follows:
(a) Name of personal representative served: CHELSEA MARlE KUEHNE PHILLIPS
(b) Address on envelope: C/O: SVETLANA OSOKINA
1555 RIVER PARK DRIVE STE 108
SACRAMENTO CA 95815
(c) Date of mailing: MAR fl 3 2023
(d) Place of mailing (city and state): BLOOMINGTON, MN 55425
b. DPersonal delivery. personally delivered a copy of the claim to the personal representative as follows:
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(1) Name of personal representative served:
(2) Address where delivered:
(3) Date delivered:
(4) Time delivered:
| declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date: MAR 0 3 2023
JPMorgan Chase Bank N.A.
Alison M. Vahl
(TYPE OR PRINT NAME OF CLAIMANT)
'
fl;
(SIGNATURE OF CLAIMANT) Authorized RePresentalive
DE-1721Rev. January 1, 1998] CREDITOR'S CLAIM Page two
(Probate) t'.\_Dcfuulijlzuzlnlu'l
CLAIM DETAIL
Case Number: 22PR00612
PF Reference No: CL1825547
CL1825547
IN RE ESTATE OF: MARK KUEHNE
Claim detail is as follows:
Account Number: ************0517
Claimant: JPMorgan Chase Bank, N.A.
Claim Amount:$484.30
Claim Status: Unsecured
THE DECEDENT PURCHASED GOODS AND/OR SERVICES IN THE AMOUNT OF $484.30,
EVlDENCED BY ACCOUNT NUMBER ************0517.
ClulnL Dennis
Document Filed Date
March 06, 2023
Case Filing Date
November 14, 2022
Category
Decedent's Estate
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