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SUBROGATION RECEIPT
IlECEIVEDOFTIIE ,/J-it'~4I~~,dq~(}.
lh. .wn ol_...iL-rL~~.f:5ti-.' - .
INSURANCE CO"
.0011... (sJ;.JflJ:5tJ)
I. lull ..111.01..101.11 cl..IOl. ..d d.m..d. ollh. o.d....ig..d ror 101l..d d.m.g. by. ,;t-ltL _.__..___
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OCCurrlDg O. lb. /tIJ rt d.y,,1 uP A. o. 199-6. to lh. prop.rty dllcrib.d in
Policy ~o ~ (1J/I.r'.f!1#,t; illu.d throogh tb. _~~L ~'dl ___ Ag.ncy 01 ..Id Company.
I. co..ld...llo. ol..d to tb. exl.nl 01 ..hl p.ym.nl Ih. ond.r.lg.ed h.r.by subrog.t.. ..id I..oro.c. Com-
p.ny. to .11 oltb. rlgbt.. cl.im. ond inl.r..t which tho u.d...i@TI.d m.y have .guln.t .ny per.on or corpor.tlo.
li.Ll. lor the lOll m..tio..d .~ov., and .othori... th. ..Id In.or.nc. Comp.ny to .0" comproml.. or ..ul. in the
und.f.igDed's Dame or otberwile oil such r.luima untl to execute IlntJ sign roleu.les IInd acquittances and endorse
chock. or dr.lt. glv.o I. nul.m.nt 01 euch c1.Im. io the nl101' or th. 'lndereign.d. with the "01' lorc. ..d .1I.ct
.. il tb. u.d...lgo.d ex.cuted or .ndor..d th.m,
IV......t.d .0 ..ttl.m.nt bu b..n mad. by tb. o.d.rolgn.d with ony peroon or corpor.tloo .g.I.ot whom. cl.lm
m.y Ii.. a.d.o rei.... haa b..a giv.. to .oyon. r..pon.lble lor th. lo..,.nd th.t no ouch .'lll.m..t will b. mad.
.or r.l.... giv.. by tb. uDd...igo.d witboot th. writteo cooa.nt 01 th. oaid I..ura.c. ~~ 40d tb. u.der-
.lg..d cov.n..t. ..d .gr... to coop..at. rully with ..Id In.uruoc. Comp.ny i. th. pr.;acc"It,iI)li~l.och claim..
a.d to pro cur. a.d lur.iob all pup.... and docoment. n.cessary in ouch proc...lingo l\Ild to au..a C'ourt BOd tlltily
If tb. I.aun.c. Compa.y deem. oucb to be .ecuoary bot It io u.derotoud th. u.dero~'.\J io to,MUav.d harml...
Irom coata i. .ucb proc..dinga, - ..
In Witness Whereof __ha~h...to o.t~_h..d__a.d ..al_tbi..nlq 'H<
day of -.lD.l\\"t,^ 19'"1 t.
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(Notarizalion to b. compl.t.d on lo.oea wb.re local law requirea it,)
I'OR INDIVIDUALS
I'OR COR "ORATIONS
OTATI ol'1>el'\i\S~\U()~ 0.. I",
COUNTY 01' (u.y>\'oeA 0. "A f
ON THE ,jo. ( , lt~.
."'0". "I. CAMI 0( ~a1.
TO MI KNOWN TO II THI I OIVIDUAL Ol:sd~'.l[o IN.
ANe WHO ExeCUTID, THI 'O'...OOINO INST"'UMINT, AND
STATIO'
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CO\,lNTV 0'
ON THE ___OAY 0'
81.'01"1 MI CAME
TO MI KNOWN, WHO, 811NO
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IY MI OUL Y SWOIIJN, 010
DI~OSl AND SAV TH.' HI AnlDIS IN _,__;
THAT HI IS THI .__0'
_~___ _THI cO....OIUTION
DESCflUll!O IN, AND WHICH EXIECUnO, THI 'O"IOOINQ
INST"IJMINT; THAT HI KNOWS THI SIAL. 0' SAID COfll.
"O'UTION; THATTHI!: SIAL ...''')CID TO SAID INSTIltUMINT
IS SUCH co,,"e'UTI SIAL; THAT IT WAS SO A"IUO IV
O"'OI!" 0' THI 10ANO 0' "IPlECTO"S 0" SAID COIltIllO"A.
TION; .1.1'40 THAT HI!: 51GNI0 lot NAMI! THI"CTO IV
L.II<~ 011I01".
ACKNOWL.EOGEDTHAT
EXICUTEO THr. SA"E
tII)T~ALs::.OJ.
U~roi '. T.\"'_C~. r::~,'~ W..uc
~m:::~UF.G. CC,'.~!':::jJ: iO CCl.':rrY. PA
IIY CC:ollSS:CN EXPIIIES SUTtWlEA 21, 1981
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'IU %8 " UUDENTUL Lr.MI. IT IS " LllGALLY 'ZIIDINO
COII'I'IACT 'InaZ1f 'fa LAUDLClaD AMI) I:lCI TOUT. DCI tlDII" .IIOULD
UAD '1.x1 LlM. ClU.IJVLLY.
'III U81DIKTIAL LIAIE CONTAINS WAIVER' or youa aIGHTI A8 A
TINUT. lACK TIHAII'1' .IOUU) HOT IIQW THII LEAaI UHUL lACK TI)lAlfT
VImIUTUDI AIoL 0' HI ACiUIXBMT. IX TKII LEAla.
1. DKI' 0' LAlfl)LOaD AHD un>>;: /)
Nallle ot the lancUord: , '\ luoo 13. (U1t'JJlf1..1l1t..)
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Nallle(s) ~1, ihe ~n"nt~8f.Jf-. / (IX./. C; ,0:/1
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2 . LlABID IUKU..
The lea.lc1 praises 1a the place that landlor4 agrees to lease
to teDA~t. 'l'hJ 1.1..&..e4 pnl1lise..-i,s t L, 'TV1 ~"
cJ / / ti 6..: ~ Yfj .."5-1 ;- ~t{ ~ ~.:) rf,tLol 3 tEl 7.J ~-t
, . 8TUTIHQ AHJ) IHDIKO DATES or LEU. AGlUEKEIIT
This lease .tarts on \-r:11.u /11, IClQ5
This leaae .nds on ~ 1 iZ, .'~( I :@~~
4 . UtIT
The amount of rant is: $ J-/.J,.5" M each month.
:enfDt aqrees to pay the monthly rent in advance on or betore
the day ef each month. ~an4lor4 dOls not have to ask (KAKI
DEMAN UPON) tenant to pay the rent. Tenant aqrees to pay rent by
tirst class mail postage prepai4 or in person to lan410rd at the
place specHied. by landlord. '" crD
TenaDt aqre.. to pay a LATE CKAJ\CiE of $ .6, per day it
teD.nt cloes not pay the rent on time. If hnant'lIIalls the rent to
l&Ddlord, the date ot paym.nt will be the c1ata the letter 18
postmarked. .
.. BECUalTY DEIC'Z~
TenaDt agrees to pay a security deposit ot $
~'Dant agre.. to pay the security deposit to lan410rd betore
the luse starts and before lanc11or4 91.vu possession ot the leased
premises to tenant.
~andlor4 can taXe money from the security deposit to pay tor
any damagu caused by tenant, tenant'lI tamily and tenant'. guest..
Landlord molY take the sl3curity cl~posit to pay tor any unpai4 rent.
After taking out tor damages and unpaid rent, landlord agr.es
to send to tenant any security deposit mon.y lett oVlr. Landlord
will send the remaining security deposit money to tenaDt no later
than 30 days after the lea.e ende and tenant l.aves. Landlord allo
aqre.. to .end to teDant a written list of damage. and amounts of
money taken from the security deposit.
Tenant aqree. to give landlord a written forwardinq addre..
when tenant leave. and the lease ends.
Tenant lIIay not use the security <iepodt a. pa:flllent of the
la.t month'. rent.
41 . LAII1lLOIID '. DllTY AT TBB STAR': 0' TBI LlUE
Land10rd agree. to give t.nant posse..ion ot the le..ed.
premises on the starting date of the lease. The lease will start
ev.n if landlord cannot. qive tenant possession ot the leased
premises becaulI the prior tenant il still in the lea led. premis.a
or the leased. premise. is damaqed. IP LANDLORD CANNOT GIVE TENANT
I'QSSESSION, TENANT DOES NOT HAVE TO PAY RENT UNTIL TH! DAY LANDLORD
GIVES POSSESSION or THE LEASED PREKISES TO TENANT,
1. rwcAaE '1'0 LEASED 'lUlXUZ8
Tenant aqrees to notify landlord immGdiately it the lea38d
premi.e. is damaged by fire or any other cause. Tenant agrees to
notify landlord if there is any condition in the leasec1 premises
that couleS c1,maqe the hued premises or harm tenant or others. It
tenut cannQt live in the whole leased premi.5es because it is
damaged or c1eatroyed, tenant may:
1) live in the undamaged part of the leased prelllbu anc1
pay less rent until the leased premises is repaired.
OR
2) end the lease anci leave the leasec1 prenises.
Tenant a9rees that if the leaseJ premises is clamageel or
destroyed anel tenant enels the lease, landlord. has no further
responsibility to tenant.
.. IM8l1UKCI
Landlord a9rees to have insurance on the building where the
leasec1 premises is locatec1. Tenant's own property i. not 1nsurec1
by landlor4~s insurance. Tenant is responsible tor tenaDt'l own
property that 1_ located in the leased premise..
,. ASSIQlIHENT8 Oil 8linEA8ES BY TENAN'1'
ASSIGNXENT (OR }.SSICNI is the legal term for a transfer of the
lease from the t.nant to another person. This other person t.hen
becomes the laneS1Qrci's new t.nant and tak.. over the lease.
Tenant agrees not to transfer (assiqnlthis lease to anyone
else without the written permission ot landlord.
A sublease is a aeparate leas8 betw.en tha tenant anel another
person who leases all or a part of the leased premises trom the
tenant.
T.llaDt agre.s not to leas. (sUblea.e) all or any part ot the
lea.. premiae. to anyone e18e without the writt.n consent ot
laDdlord. TellaDt aqrees that H tellallt transfers this lease
(a.1I19nl) or lease. all or a part ot the leased premiae6 to another
(sublease), teDallt has violated this lease.
~O. ~IPOH8IBILITY rOR DAMAGE TO PRO'iRTY OR IHJUay TO '.OPL.
Lan410rd is responsible for all damage to property or injury
to people caused by laDdlord (or l&JllSlord'. representatives)
intentional or negligent acts at the le~sed premises. T.D&Jlt is
re.ponsible for all damage to the leased premises and injury to
people caused by t'DaDt, t.lI&Jlt'~ family or quests.
Tellallt aqree!! that lalldlord ill not responsible to teD&Jlt,
teD&Jlt's family or quests for damage or injury caused by water,
snow or ice that comes on the leased premis.. unless lall4lor4 was
neq11gent..
11. USE 01 LEASED 'REXIa~S
TlllaDt agrees to use the leased premises only as a residenoe.
TeDaDt Agrees to obey all federal, state and local laws and
regulations when using the l.ased premises. T.Dant Ac;rees not to
.tor. any tlallUl\able, hazard.ous, or toxic chemicals or substance. in
or around the leased. premise;.
TODalll: ac;rees not to do any activities in or around the leased
premises which could harm anyone or damage any property. ~.
TeDallt aqrees that teDaDt will not allow more than ~
people to occupy the leased premises without the ....ritten permission
of landlord.
12 . RULES AND IUlGOLATIONB
TeDaDt agrees to obey all rules and regulations tor the leased
premises. It tlnant violates any rules or regulations for the
leased premises, tenaDt violates this lease.
13. LANDLOJU)'8 aIGHT '1'0 HOR'1'GAGIl THIS LEA8~D PR2.M%81l8
( SUBORDINATION)
Subordinate and subordination are legal terms that mean that
this lease does not have any effect upon the ric;hts of the
landlord's mortqage company. In other words, tlnaDt'. riqhts under
this leas. are sUbord.inate to 1&n410r4's mortqac;e company. It
landlor4 doe. not maka the mortgage payments, the mortgage company
may have the ric;ht to end. the lalldlor4'8 ownership ot the leased
premises. It the mortgaqe company s.lls the leased premises at I
mortqage toreclosure sale, the lease may end..
TIDant agrees that lan410rd has the ric;ht to mortqage thl
leased premise.. If landlor4 has a mortqaqe on the leased premises
now, or it landlor4 gets a mortqaqe in the future, tenant agrees
that this lease is Bubordinate to the landlord'. mortgaqc.
14. CAR! 0' LEASED PREMISES
WEll lITHER LAHDI..OIUl OR TENAN'r DOl!lS NOT DO ,OKETUIHG '11IllT TRIlY
Dn ~GUID TO DO, n' X8 A VIOLATION or TXI' E.IABI. II' TIlN~
vrOLATI. TIXI loBA", TENANT KAY LOBS TENAIIT' & IECURITY DEPOSIT. Ir
TENlUfT VIOLATE' '1'811 E.IlUB, l.ANDLOIUl ALSO CAN aUE TEIIANT I'OR OTHER
IX.BNSE8 AIID KAY SOl TO EVICT TENANT.
BACH TENANT 81100%.D HOT SIClN THIS tEASE UNE.E81 EACH TEl/ANT IlA8
UAD AND cuur.y OIlDIUTAHJ)& THI :UIJ'ORHATIOIl nr THIS IECUOIl UOO"
LBAaI VIOLAT~OH',
X THIS 18 A JOINT AND SEVERAL LEASE
THI8 18 NOT A JOINT AND SEVERAL LEASE
II' THIS II W A JOINT AND SEV&RAL X.EABII, THEN THE l.ANDLOIUl
Ca.x ONLY lOB ONE 'l'EIIAX'l' FOR THAT TENAltT'S VIOLATION or TilE LEABB.
IF THIS IS A JOINT MD SEVERAL LEASE IT kEANS TllAT ALl. THB
TENANTS AS 11 GROOP JJfD !lACK or THE TENAIITS AI JJf IlfPIVIDU1IL AU
U'I'ONIIILZ '1'0 UlmI..OIlD FOR MoL OF THE 1IGREE.KI:NTS or THIS LEASE.
rOR IlUMPL!, 11' TU8 RENT IS NOT PAID, LANDLORD CAll SUE ALL OJ' THE
TENAlrTB (JOINTLY) rOR ).Ny UNPAID RENT. OR, LANDLORD CAN BRIHG A
IUIT AGAIIIST ANY OHi TENANT BE~ARATELY (SEVERALLY) Foa ALL OF TKB
1Df1IAID UII'1'.
TENANT V1:0IATE5 THIS LEASE IF TENANT:
:I.) fAILS '1'0 PAY RENT OR OTHER CHARGES TO LANDLORD ON TIXll
OR,
2) LEAVES (AJlANDONS) THE LEASED i'RI:KIBES WITHOUT THI!I
LANDLOIUl'B l'ERKISSIOIf BEFORE THE END OF THE LEASE 011,
3) DOES NOT LEAVE THE l.E1ISED PR.&KISEll 'AT THB END 01' THE LEAS.
OR,
..) DOES NOT DO ALL OF THE THINGS TRAT TENloNT AGREED TO DO III
THIS LEASI.
II' TENANT VIOLATES THE LEAse , EACH TENloNT AGUES '1'0 WAIVE
NOTICE TO QUIT. THIS HEANS THAT THE UNotOllD KAY FILE A COHl'LAINT
IN COURT ASKING lOR AN ORDER EVICTING EACH TENANT FROK THE LEASED
tUNISE8 WI'1'KOTJ'T GIVING EACH TENANT HO'l'ICE TO QUIT lIRST. LANDI..ORD
DOES NOT HAVE THE RIGHT TO THROW TENANT OUT OF THE LEASED PIlEMYSES
(SELF-HELP EVICTION). THE LANDLORD CAN ONLY EVICT TENANT BY COURT
ACTION.
THE LANDLORD DOES NOT HAVE THE RIGH'l' SUE IN COURT FOR EVICTION
UNLESS A TENANT HAS VIOLATED THE AGREEMENTS IN THIS LEASE. EVEN
THOUGH EACH TENANT IS WAIVING NO'rICE '1'0 QUI'r, EACH TENAN'1' WILL KAVIl
A CKANCl1 IN COCIlT TO CHALLENGE THE LANPtORl:>' 8 CLAIK rOR EVICTION.
'rellalll: il responsible tor, anc1 will tllke 900d care ot / the
lea..d premiaes and all of the property in and around the leased
premiae.. T.nalll: agrees to pay for any dama.e caused by tellant,
teaallt'. family and t.nalit'. 9uests. TeDalit ac;rees to turn over
po.....ion ot the leased premiae. to landlord wh..n the lease end..
11. UIIElLOa:l' BRIGHT ':0 linn LUBED I'IUIKIS&8
'l'eDallt aqnes that landlord and landlord'. repnlentativell
have the riqht to ent.r the leased premises at reasonable tim...
Landlord and lalidlorcl', representatives have the riqht to inspect,
to make repairs / to do maintenance, and to show the leased premises
to other..
11. U':ILITY SERVIces
Landlord and tenDt agree to pay for the charges for utilities
and .ervic.. supplied to the lea..d premises as followSI
Cbarao or service:
Television Cable
Electric to Premises
Water s.rvice
Natural Gas
aefuse Collection
tawn Maintenance
Snow and Leaf Removal
Wlter Softener charqes
Sewer Charqllll
Condominium F.e
Komeowner's Association Fee
parking Fee
Pest Cop~r~lLCharges
Other: I-{.-"'-"
other;
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LaDdlorcl has the ri;ht to turn off temporarily any utllity or
otber .ervice to the leased premises in or4er to make repairs or del
maintenance.
17 . GOVEJUlKEN'1')'%' POWEA or IlJUIlEIlT Io)OKAIN.
Eminent domain is the leqal name for the right of a CJovernlllent
auch as the state or county or city to take private property for
public use. The government must pay tail' co~pensation to anyone
who has any right in the property that is taken by the qovernment.
It all or any part of the leased premises (or the l:luJ.1din9
within which the leasec:l premises is located) is taken by eminent
domain, this leasl will end automatically. Lalldlor4 and teaant
agree to release each other from any responsibility because leased
premises is tak.en by eminent 40ma1n and the lease has enc:!ed.
18. VIOLATIONS or THIS LEASB
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/II ","Opt>>l?NAL CORroPW'IQN
WILLIAM F. MMn<lN
DANIIL t~. DIMtlOll"
1l<OMAS ,. WILLIAM)
lva V. onO. m
~n'H.'" L.8LO"'"
CIOllGI 8. FALLII... '"
WI LUAM D. POWI LL
'1l<OMAS C. COLLIN)
^rrO"N~Y$ AND COUN)~U.O"$ AT LAW
TEN EA)T HIGH 5TlUH
CA"LULf, PENNSYLVANIA 17013
TlLl~O"1
t71712~3'3341
FAOIMM
t717J 243-11150
June 24. 1996
Mr and Mrs. David C. Roland
211 E. King Street, Apt. A
Shippensburg, P A 17257
RE: Donegal Mutuailnsurance Co. as Subrogee of Sherry Carbaugh. d/b/a The Victorian
Comer v. David Chrispian Roland and Lee Elizabeth Christine Roland, oIk1a Lee.
Elizabeth Christine Perkins
No 1996-02413 - Cumberland County CC.P.
Our File No. 3050.113
Dear Mr. and Mrs. Roland:
Enclosed please find a Notice of Intention to File Praecipe for Entry of Default Judgment,
as required by Pa.R.C.P. 237.1. A judgment may be entered against you unless action is laken
within ten (10) days oftne date of this leller. .
Very truly yours.
Thomas J. Williams
TJW/tdw
Enclosure
I
cc: Donegal Mutual Insurance Company
AUention. Mr. Craig M Marshall (OSD 002 32 S 1 (0 I) M)
K1DW&O
Il'lt'...IoUllll"'NlVIlt.A1Jllk,l,, '
TUN F.AlT Hll,'l SUUT
c:."'UI~U, r.NN~'~\'^NI^ 170J ,}
.............-......
DONEGAL MUTUAL INSlIRANCE CO.
us Subrogee of SHERR Y CARBAUGH.
d/b/u TIlE VICTORIAN CORNER,
Pluintiff
IN TIlE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 1996-02413
DA VID CHRISPIAN ROLAND und
LEE-ELIZABETH CHRISTINE ROLAND, :
uiklu LEE.ELlZABETH CHRISTINE
PERKINS,
JURY TRIAL DEMANDED
Defendants
PRA.:CJPF.
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
Please mark the judgment in the ahove captioned euse salisfied and issue a certificate
rel1ecting the same.
MARTSON DEARDORFF WILLIAMS & OTTO
. By_I L;}.y"'L~' . V\; JJL t~"_
Thomas J. Will'a! s, Esquire
1.0. Number I 2
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
AIIOl1lCYS for Plaintiff
Date: December 5, 2002
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