On March 14, 2024 a
Party Discovery
was filed
involving a dispute between
and
for Probate Document
in the District Court of Kanabec County.
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33-24-6
Filed in District Court
State of Minnesota
3/14/2024 2:39 PM
STATE OF MINNESOTA DISTRICT COURT
TENTH JUDICIAL DISTRICT
COUNTY OF KANABEC PROBATE DIVISION
Court File No. 33-PR-
Case Type: Probate
In the Matter of the Estate of:
Emma Mittelstadt, WRITTEN STATEMENT OF CLAIM
Decedent.
1. My name is Lisa Goranson, and I am the Collections Officer for Kanabec County
Family Services, Claimant, who has a valid claim against this estate.
2. Claimant's address and telephone number are:
905 Forest Ave E. Suite 150
Mora, MN 55051
320.679.6382.
PE"
The estate is indebted to Claimant in the amount of $26,853.02.
The nature of the claim is: Federally paid Medical Assistance (MA) for the
period from 11/01/2020- 11/23/2023. This claim is pursuant to M.S. 256B.15,
524.3-805(a)(4) and other applicable statutes.
5 The claim arose prior to the death of the decedent on or about 01/13/2024.
6 The claim is unsecured.
7 The claim is not based on a contract which makes a provision for interest.
8 The claim was or will be due and payable on: not applicable.
9 If the claim is contingent or unliquidated, the nature of the uncertainty is as
follows: not applicable.
10 Under penalties for perjury, I declare or affirrn that I have read this document and
I know or believe its representations are true and complete.
fiwiy
Dated: March 14'", 2024
Lisa Goranson, Collections Officer
Kanabec County Family Services
Attorney for Claimant:
Barbara McFadden
Kanabec County Attorney
Kanabec County Attorney's Office
317 Maple Avenue East Suite 202
Mora, MN 55051
320.679.6425
1
Document Filed Date
March 14, 2024
Case Filing Date
March 14, 2024
Category
Probate Document
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33-24-6 Filed in District Court State of Minnesota 3/14/2024 2:39 PM STATE OF MINNESOTA DISTRICT COURT TENTH JUDICIAL DISTRICT COUNTY OF KANABEC PROBATE DIVISION Court File No. 33-PR- Case Type: Probate In the Matter of the Estate of: Emma Mittelstadt, WRITTEN STATEMENT OF CLAIM Decedent. 1. My name is Lisa Goranson, and I am the Collections Officer for Kanabec County Family Services, Claimant, who has a valid claim against this estate. 2. Claimant's address and telephone number are: 905 Forest Ave E. Suite 150 Mora, MN 55051 320.679.6382. PE" The estate is indebted to Claimant in the amount of $26,853.02. The nature of the claim is: Federally paid Medical Assistance (MA) for the period from 11/01/2020- 11/23/2023. This claim is pursuant to M.S. 256B.15, 524.3-805(a)(4) and other applicable statutes. 5 The claim arose prior to the death of the decedent on or about 01/13/2024. 6 The claim is unsecured. 7 The claim is not based on a contract which makes a provision for interest. 8 The claim was or will be due and payable on: not applicable. 9 If the claim is contingent or unliquidated, the nature of the uncertainty is as follows: not applicable. 10 Under penalties for perjury, I declare or affirrn that I have read this document and I know or believe its representations are true and complete. fiwiy Dated: March 14'", 2024 Lisa Goranson, Collections Officer Kanabec County Family Services Attorney for Claimant: Barbara McFadden Kanabec County Attorney Kanabec County Attorney's Office 317 Maple Avenue East Suite 202 Mora, MN 55051 320.679.6425 1