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  • ZEPEDA, JOSUE - DECEDENT Decedent's Estate (General Jurisdiction) document preview
  • ZEPEDA, JOSUE - DECEDENT Decedent's Estate (General Jurisdiction) document preview
						
                                

Preview

DE-1 72 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, stab bar number, and address): TELEPHONE AND FAX N08,: FOR COURT USE ONLY — Party without attorney: AscensionPoint Recovery Services, LLC (888) 806-9074 200 Coon Rapids Blvd., Suite 200, Coon Rapids, MN 55433 763-235-4055 on behalf of TD Bank USA, N.A. ATTORNEY FOR (Name): None Flmgfi SUPERIOR COURT OF CALIFORNIA, COUNTY 0F LOS ANGELES mu“ WW‘W‘WB Sli [1W1- STREEr ADDRESS: Stanley Mosk Courthouse Cmmm "r M Anne m ‘ MAILING ADDRESS: 111 N Hill St Room 426 , ‘ , 1 cm ANozwcoDE: Los Angeles, CA 90012 FEB 1 7 202‘ BRANCH NAME: fficerlClerk of Court Caner, Execuuve ESTATE 0F (Name): , Deputy JOSUE ZEPEDA Joseph Chavarin DECEDENT CASE NUMBER: CREDITOR'S CLAIM 2OSTPB05380 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) sixty days after the date the Notice of Administration was given to the creditor, if notice was given as provided in Probate Code section 9051. You must also mail or deliver a copy ofthis claim to the personal representative and his or her attorney. 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. Totalamountofthe claim: $ $517.76 2. Claimant (name): AscensionPoint Recovery Services, LLC, on behalf of TD Bank USA, N.A. a. an individual b. an individual or entity doing business underthe fictitious name of (specify): c. E E a partnership. The person signing has authority to sign on behalf ofthe partnership. 3. d. e. m a corporation. The person signing has authorityto sign on behalf ofthe corporation. other (specify). Address of claimant A collection agency (specify): The person signing has 200 Coon Rapids Blvd. Suite 200 authority to sign on behalf ofthe agency. MN 55433— 5876 4. Claimant is E the creditor Coon m Rapids, a person acting on behalf of creditor (state reason). AscensionPoint Recovery Services, LLC ls a collection agency acting on behalf of TD Bank USA, N.A. 5. E] am Claimant is D the personal representative E the attorney forthe personal representative. 6. | authorized to make credited. Facts supporting the claim are this claim which is E just and due or may become due. on reverse attached. A|| payments on or offsets to the claim have been 1W l declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. LLC TD Bank USA, N.A. ‘ Date: 02/08/202] AscensionPoint Recovery Services, o/b/g Christina Kr_en|k (rYPE APRS, LLC 0R PRINT NAME AND TITLE) Representative INSTRUCTIONS TO CLAIMANT ’ pm V ' (SIGNATURE or: CLAIMANn A. On show the date the service was rendered orthe debt incurred. Describe the item or service in the reverse, itemize the claim and Zdetail, and amount claimed for each item. Do not include debts incurred after the date of death, except funeral claims. indicate the B‘ If the claim Is not due or contingent, orthe amount Is not yet ascertainable, state the facts supporting the claim. C [fthe claim Is secured by a note or other written instrument the original or a copy must be attached (state why original Is unavailable. ) Ifsecured by mortgage, deed of trust or other lien on property that Is of record, Is sufficient to describe the security and refer to it the date or volume and page, and county where recorded. (See Prob. Code § 9152. ) D Mail or take this original claim to the court clerk's office forI filing. If mailed use certified mail with return receipt requested. E." Mail or deliver a copy to the personal representative and his or her attorney. Complete the Proof of Mailing or Personal Delivery on . the reverse. Gm FThe {ljfjjsclaimperiod personal representative or his or her attorney against the estate by the Showed in WM“ ' will notify you when your claim is allowed or rejected. erspnal representative and the attorney for the personal representative must be filed within the section 91 00. See the notice box above. ‘ ‘ (Continued on reverse) Form Approved by the gl-dudicial Council of California CREDITOR s CLAIM ' Pr o bate C o d e, §§ 9000 et seq} 9153 . DE-172 [Rev. January 1, 1998] (Probate) Ameriwn LegalNeL Inc. CLMFRMCA 20160815 www.USCourtForms.oom