I

DE-,1t2
ATIOR|{EY OR FARTY WTHOUT ATIORI{EY arvarm,IJJ#arlntsa et d Etl4e|f,r: TEIEFHoHE AHDFnlt til FOBCOgAtlr3!OilLy
RICHARD
_ROPERS SBN70430
L. CHARNLEY (2131312-2000
MAJESKIKOHN& BENTLEY (213)312-2AA1

ArraRNeyFoRrflomq:
FILED
ro8A1ItrEI.ESTUFEruONCOURT I
Craditor. Arnold W. Kleln, M.D-
SUPERIORCOUHTOF CALIFONMA,COUHTYOF LOS I NGELES I

FrFriEr^porEgs'l'll t. E .L1 St. ocT2?200s I

HArLlNg a0DREFBt
cfTYAt{DzlPcoor; LOE Angeleg, GA 900fz mrilr 5y\a|( qEmllilrl of acrerclERK
SFAH€UilAtsE;
E$TATEoF (Nama):
MICHAEL JACKSON
fitrf,i*#'',..oErurY
OECEDENT
CA$ENUIIOPR:
GREOITOR'SGLAIM
8P117321
You must file lhie claim with the court clerk al lhe courl adr css abdvebeforelhe TATERof (e) bur monlhsEflerlhs dale lellers
(authorltylo act lor the €Etsle) were firsl lseued l0 the p rsonel represenlEtive,or (b) sirly days afler the dals the Alolrceof
Administralionwas given lo the creditor.lf notlce was givl n ae providedin Frqbate Gqde rection 9051. You rnust *l$o mail or
.dHlivera copy of tl'rl8clditnts the petson8lrep|.eEenlf,liveE d hie or her attomey,A pmof Ofserviceie on lhe reverse,
WARNING:Your ctaimw[[ In mqEllnElencesDs iovalidlf yl u dd nol properlycornpletethi8 forfn,lile il on Urnewilh lhe court,and
mail qr delivera copy to tho pereonalropreggnlatlveand hlr or h€r atlomey.
Tolalamountof lha daim: $ 48.522.89
2. Cfslmant[nante):Amold W. Klein, M.D.
a. E an individual
b, E an hdlvldral or entitydqlng busineseundertha fic u6nam6ot (specffy):
ArnoldW Kfein,M.D.,a Medical
Gorporation
c, D a partnerehlp] Thepereonrigninghaeauthodty to r pnbehalfol thepf,ilnership,
d. El a oorporation.Thepertonsigninghar authority
to t onbshqt{olthecorporation.
e, E ofier (spediF/:
Addr;s$of clelmant(spasify):43S
N, FloXburyDrive,Sl 204 BeverlyHills,CA gO2lO

Ctaimsnt
is Elth€ creditor I a porconaclingonbr f of credilorfstaloreasonJ;

- fJ cbhant ls I tnepersonel repreuentatlveH t r anorneyrl6fiHFqrnionatFBpresentetine.

. I arTraulhoriredto rhakethi$clalmwhichis Justanddue n mayrrfecomeOu\. nn paymentson or oflsst8to the clalrnhsve been
credited.Factssupporlirtgtheclalmare ! on revere ([ attached.|
decleEundefpenallyof periuryund€rthelawsof theStateo CatitO ---
and dotreel,
fate:
Date:October
October?6,
?6,2009
2[
R-ighald
1..- r"a_Eley_
Charnley > // $
[c.Iq4!l-c_ (TYPEoRPRIHTN^^F^Non''E) - II lo$rrn?unEoF cLArMANrl
rN$T*ucrl )NS TO CLTRMANT
. Qn ths revetss,itemrzeths clalmsnd showthe datethe ser 'icewas rendEredOrlhe debtingrned,De$Cfibelhe ilem or $efviCein
detall.and indicalsths arnountclaimedfor each ilem.Do r ol includedebts lnflrred an€r ln€ dateo{ qeetn,exceptluneralclsims.
B,, lf the d8irn is not due or conlingent,or the amountls not y t dss€rtainable,slatethe factsrupportlngthe clalm.
c.,. lf the Claimis seo\}rcdby a noteer glherWrittFn lnEtrurnent,hc originalor a copy must be altachd (+talewhy ortgnaliv unavailable.)
lf securedb!, morlgags,dssd of trusl, or Otherlien Onpro6 il1ylhat ls of reeord,it is sufrrcisntto doscribelhe rocurity afid referlo
the $te or volums Endpagg,and eountywhe/6 recor@d,/SeeFrob. Cado,g 91 52.J
D.,. Mail [r take thls originalclaiil te the coufi elefl<'gofilce tor iling. tf rneilsd, uge Aenifiedrriail,with retum receiptrequesled.
E.. Mail dr dellvera copy to the p€rsohalrepreuerrtatlve and h t Orhel atlorn€y.Completelhe Prcofof Mallhg arPersottalDsliystyw
the rdyeree.
F, The frr*onql rspre5onlaliveor hle or her attorneywllf nsiil you when your daim is allowedor rejected,
G. ClAifrlFagalnstlhe estateby the per$onalrepresontalivaa d lhe attomeyfor fie personalrepresenlalivomust be fted wlthlnhe
ctstnfusriod
.t sllovred lfi Prsbste Cods section 910O.$ee ti t noticebox abore.
on E.vsr$E)
Fqm AFpEvrd by tha
&didd Cqrtel o?CEllEfile cLAlill 'tobl|!
Eode- 6tr 5lm d s. gt$t
Of-l72 lFsv. Jrarrry r, Igstl toP!fN!|. lna.
MoIdsrory ft.rn (1,1f?0001
.I
 oF (Nane):MICHAEL
ESTATE
BP117321

FACT$ TTIECREDITOR'S CLAtiJI

fif see (if spaaeIE lnaufilcicnt)

48,522,89

PROOF
OF E mnlUnc PERSONAL RY TOPER$ONALREFRESENTATIVE
(Be eurc lo mell or talo lho to the court clsr*''E orffit+ fot ffllng)
1 . I Em lhg Crsdilor or a per3on eding on behaf of the thc limo of mailirrgor dellveryI wa+ at lc€6116 yearsof age.
2. My esfdence or budne$Badd]Essl+ (apecify):515S. Sl., Suite 1100, LogAngeles, SA 9007r

I mailodor petsonallydrlivereda copy of thls Credrlp/s to fhe perspnalrepreeintatlveae bllowe @hackeithera ofu hefow):
a. D$ Meil. I sm a reridentol or employedirrthe u wherelhe maillngoccurred-
(1) | enclosede copy in an anvelopeAND
(a) E depo*lted lhe sEatsdenvalopewi the UnitedS|sles Po3talServicewiih lh,epootegefullyprepeid.
F) EI placed the envelopefor cottection meiling on lhe dalg snd el the pface ehoWn in ltemC D6lcw follqwjng
our ordinarybuslnesspnacllces. am readily tamiliar with thie bueiness,pracrics frrr collecting and
prgc€ssing correapondence frr On tto mme day that gonegpondBnce b placedfor collectionand
meiling,it is depoeitedin the oouffiesf businese$rith th€ Uniled StatBeFoslel Servicein a sealsd
envelopewlth pustagofully
(2) The env€lopswqo sddrcssedand mailed aefollows;
(e) Name of personalrepresenlativeservpd: attached$ervice List
(b) Addrueoon envelope:

(c)Dateof mailing:
(d)Placeof mailingfc,tyEndsfobr:
b. E P€rGonatdellvery.I per+onelly
deliveredE
copy lhe claimto the personaltepresentativegs lollons:
(1)Nam€of porronalreFresentntiveserved:
(2)AddreeEwheredellvered:

(3) Dete delivered:

(4)Timedelivered:
underpenaltyo{ perjuryunderthelaweof thaStateof that the foregoingis trrreand coffecl.
26,2009

M.Ames > Seea{'tqah{J

ITYFE QR PRIHT HAME OF qtAF'AItT) OFCr.ArMAr{h
lsrGNATuRE
DE'172IRcl, Jrnurry t, tEolt

'I
., Lo!*ltlcl. tnE.

:I
rl
 :I CASE NAME:
ACT|ON NO.:
Estateof Michael
BF lr732l
Jackson

OF SERVICE

1[ METHOI} OF SERVICE
EI FirstClassMail
DeliverY
E Overnight
DeliverY
l/Electrorric
Service
fl Msssenger
f] uandServed

t. At thetime of sewicpI wasoverI S of agcandnot a Partyto this sction'

CA 90071'
Strect,SuiteI100, LosArrgeles,
is 515$outh
addross
?. My business
the
served
27,2009,1
3 . OnOctober documents:
h
E '$ CLAIM
c(u r0 I
below(alongwith their fax rrumbers
ca
c rt II 4. I servedthe documentson the Perl
if servicewas
at theaddress(es)
or email):
L U8 and/oremailaddresses

9g-s "l
l!

AttomeysforAdministralorsof the Estats

Lt}
_ t rg u FlowardWeitzman,Esq'
F}
13 l KinsellsWeitzmanIserlKumP &
.-
808 WilshireBlvd.,3tcFlr.
e\
fqJ
gq l4
.JE& - SantaMonica,CA 90401
t:4
t5 (310)566-e8ll
z{ (3lo) 566-9871
h*ei rzlnil@hvfl klaJqv. com
t4

(u l6
a
o 17
r8 I sewed the documents bY the
fl sqaledenvelope or package
l9 fl, tr By UnitedStatesmail: I enclosodthe documentsin
addressed to thc Pe'rsons at the *lpilin"oj'lE4_n{_pt?'^.1:*,n',t1:-}o3l,,lo,'*,,n,r,
20 Jottectionarrdm-ailing, following our b";ir.il;i""iices, t amreadilyfamiliarwiththis
Utrs-ineit's practiccfor collectingand d.ttsp'onaence for mgiting.On.thesumedaY
'e
;ti;;;f;;iiin[, itis d*posited,in tf,eordinarycourse,or -
zl itraiionospondenceis Placedfor postage lully prepfllo'
businesswittr the Unitcd StatesP Sewice, in a sealedenvelopewith
22 documentsin an envelopeor package.
b. tr BY ovemightdelivery I enclosed'the personsatal the addresses
({rs ucrartt;; In ltom,4'
23 providedby an ovunight delivety ca rer
er and
and addressed
addregsec to thepersans
to tne
deliverv at an office or a regularly
i ulacedthe envelopesr packageror iiltiil;;o"*tight
24 uiitizeddrop box of the ovemight de very caffrer.

,L 25 c, O BY messenger; I thedocuments by placingthemin anenvelopeor package

r1
:slistedin item 4 rindprovidingthemto a mcssengcr lor
addressed to thc Personsat.tnet
I 26
.F
rl 2 7 d. tr BY fax transmission: on an aqreementbetween the partiesand in
attbe
1othe.p.ersons
iiirtisvli fi.*d thedocumcnti
I conformance with Rule2'303,and/r
I 28 fax numberslistedin item 4'
Rcr/54
| l75s.l/AA2
PROOTOFST.RVtcE
:l
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 rsmission:Basedon an agreement between.the.parties
I e. tr BY emailor electronic liste0ln ltem 4' "I
at the emailaddressps
; to the Derson$
and/or u cout{"sy,I sentthe docun orother
messagc
anyeleotronic
7 "t
[id ;;Gt*ive, wiiliin a reasonable ;ffit5ffittii*=ion,
indioationthetthe transmissionwas
3,
- BY
D rtanOServed n memberof RopersMajeskiKohn & Bentley'
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PROOFOFSERVICE
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