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HomeMy WebLinkAbout02-5229PENNSYLVANIA STATE EMPLOYEES CREDIT UNION, Plaintiff DEBRA J. BESHORE and DAVID S. BESHORE, Defendants IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ACTION FOR DECLARATORY JUDGMENT NO. JURY TRIAL DEMANDED NOTICE TO: DAVID S. BESHORE 537 Brandt Avenue, Apt. A New Cumberland, PA 17070 DEBRA J. BESHORE 70 Maple Drive Etters, PA 17319 YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plainti~.. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER A T ONCE. I F YOU D O NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVENUE CARLISLE, PA 17013 (717) 249-3166 Document #: 232466.1 PENNSYLVANIA STATE EMPLOYEES CREDIT UNION, Plaintiff DEBRA J. BESHORE and DAVID S. BESHORE, Defendants 1N THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ACTION FOR DECLARATORY JUDGMENT NO. JURY TRIAL DEMANDED NOTICE USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las demandas que se presentan mas adelante en las siquientes paginas, debe tomar accion dentro de los proximos veinte (20) dias despues de la notificacion de esta Demanda y Aviso radicando personalmente o por medio de un abogado una comparecencia escrita y radicando en la Corte por escrito sus defensas de, y objecciones a, las demandas presentadas aqui en contra suya. Se le advierte de que si usted falla de tomar accion como se describe anteriormente, el caso puede proceder sin usted y tm fallo por cualquier suma de dinero reclamada en la demanda o cualquier otra reclamacion or remedio solicitado por el demandante puede ser dictado en contra suya por la Corte sin mas aviso adicional. Usted puede perder dinero o propiedad u otros derechos importantes para usted. USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE UN ABOGADO O NO PUEDE PAGARLE A UNO, LLAME O VAYA A LA SIGUIENTE OFICINA PARA AVERIGUAR DONDE PUEDE ENCONTRAR ASISTENCIA LEGAL. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVENUE CARLISLE, PA 17013 (717) 249-3166 Document ii.- 232466.1 PENNSYLVANIA STATE EMPLOYEES CREDIT UNION, Plaintiff DEBRA J. BESHORE and DAVID S. BESHORE, Defendants IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ACTIONFOR DECLARATORY JUDGMENT NO. 0~- ,5'2~-q ~ "7'-~- JURY TRIAL DEMANDED COMPLAINT FOR DECLARATORY JUDGMENT 1. This is an action for declaratory judgment pursuant to 42 Pa.C.S.A. § 1531, et seq., for the purpose of determining a question of actual controversy between the parties as hereinafter more fully set forth. 2. Jurisdiction is conferred upon this Court pursuant to the provisions of the Declaratory Judgment Act, 42 Pa.C.S.A. §7532. 3. The Plaintiff, Pennsylvania State Employees Credit Union (hereinafter referred to as "Plaintiff'), is a financial institution authorized to conduct business in the Commonwealth of Pennsylvania with its principal place of business situated at 1 Credit Union Place, Harrisburg, Dauphin County, Pennsylvania. 4. The Defendant, David S. Beshom (hereinafter referred to as "Defendant"), is adult individual with a last known address of 537 Brandt Avenue, Apartment A, New Cumberland, Cumberland County, Pennsylvania 17070. 5. The Defendant, Debra J. Beshore (hereinafter referred to as "Defendant"), is adult individual with a last known address of 70 Maple Drive, Etters, York County, Pennsylvania 17319. Document It.. 217490.1 6. Defendants are, and at all relevant times material hereto were, the primary applicants for an automobile loan with Plaintiff. 7. On or about January 8, 1997, Defendants entered into a Loanliner Security Agreement with Pennsylvania State Employees Credit Union for the purchase of a 1991 Dodge Caravan, VIN #2B4GK2533MR323233 (hereinafter referred to as "Vehicle"). A true and correct copy of the Loanliner Security Agreement is attached hereto, incorporated herein and marked as Exhibit "A". Pursuant to the loan application marked as Exhibit "A", Defendants agreed to the terms and conditions of the extension of credit as set forth in the Loanliner Credit and Security Agreement (hereinafter referred to as "Contract"). A true and correct copy of the Loanliner Credit a nd Security Agreement i s attached hereto, incorporated herein and marked as Exhibit 9. Defendants pumhased the Vehicle from a private third party. 10. Defendants granted in favor of Plaintiff a security interest in the Vehicle until the monies owed pursuant to the loan documents were paid in full. 11. Pursuant to the loan documents executed by Defendants, Plaintiff is the lienholder on the loan for the Vehicle. 12. Pursuant to Paragraph 24 of Exhibit "B", Defendants agreed to have Plaintiff's security interest as a lienholder reflected on the title to the Vehicle. Document #: 217490.1 13. Defendants' documents. 14. On or about May 24, 2001, Plaintiff repossessed the Vehicle as a result of failure to make timely and regular payments pursuant to the executed loan On M ay 3, 2001, Plaintiff mailed to Defendants a Notice of Repossession and Sale relative to the Vehicle. A true and correct copy of the May 3, 2001 letter is attached hereto, incorporated herein and marked as Exhibit "C". 15. Defendants did not cure the default as provided within the time frame as set forth in Exhibit "C". 16. Plaintiff is unable to sell the repossessed Vehicle because it never received the title to the Vehicle. 17. Plaintiff believes that the title to the Vehicle is in the possession of Defendants. 18. As of the date of this Complaint, Defendants have not provided to Plaintiff the title to the Vehicle, despite it's repeated and reasonable requests. 19. Plaintiff believes and therefore avers that they are entitled to the title to the Vehicle as a lienholder pursaunt to the documents executed by Defendants. 20. There does exist an actual controversy between Plaintiff and Defendants within the jurisdiction of this Court and involving the rights and liabilities under the Loanliner Security Agreement, which controversy may be determined by judgment of this Court without other suits. 21. Plaintiff requests that this Honorable Court declare the rights of Plaintiff as lienholder under the Loanliner Security Agreement. Document (4:217490.1 WHEREFORE, Plaintiff requests relief in the following particulars: (a) That this Court determine and adjudicate the rights and liabilities of the parties herein with respect to the Loanliner Security Agreement. (b) Enter a declaratory judgment that Defendants failed to record Plaintiff as lienholder of the 1991 Dodge Caravan, VIN #2B4GK2533MR323233. (c) Enter a declaratory judgment that Plaintiff is entitled to receive the title as lienholder to the 1991 Dodge Caravan, VIN #2B4GK2533MR323233. (d) Emer a declaratory judgment that Plaintiff is the lienholder o fthe 1991 Dodge Caravan, VIN #2B4GK2533MR323233. (e) Grant such other and further relief as may be proper. Date: Octobe~ 2002 GODFREY & COURTNEY, P.C. By: 2215 Forest Hills Drive, Suite 36 P.O. Box 6280 Harrisburg, PA 17112 (717) 540-3900 Attorneys for Plaintiff Document #: 217490.1 VE__~_RIFICATION I, Bonnie L. Berkoski. hereby certify that the following is correct: The facts set forth in the foregoing Complaint we based upon information which I have furnished to counsel, as ,.veil as upon information wkich has been gauSered by counsel and/or others acting on my beha.lfin tiffs matter. Thc language of the Compl~dnt is that of counsel and not my own. I have read the Complaint, and to the extent that it is based upon information which I have given to counsel, it is true and correct to the best of my knowledge, information, and belief. To the extent that the content of the Complaint is that of counsel, I have relied upon such counsel in making this Verification. ! hereby ac 'knowlcdge that the facts set forth in the aforesaid Complaint are made subject to the penaJfies of 18 Pa. C.S.A. ~4904 relating to unswom falsification to authorities. Bonnie L. Berko'ski " Exhibit A ADVA~NCE PROCEEDS CHECK AND ~ECURITY AGREEMENT 0'% '" ,. !qHPLE HILL DR ~TT~R% PA'i7319-g&20 CHECK NU~,'!B~R '--' ~ -- 774'19 ~ OLD ACCOUNT/LOAN NUMBER] (A} PA¥©~'~ f¢RI_NC. ,~ !NT "_-OL~ ACCOUNT/L~ B~ PAyOCF ~PF NC - IMT CASHIER'S CHECK FENNSYLVA~JA STATE EMpI~OY,~$ C_R£D T L~Ox BOX 57013 .... - - · "~ -= .... -] ' '., fq~'L~ H[ LL OF'- ' VDiD ~E~ 90 DAYS No. 77419 NON-NEGOTIABLE N ED Exhibit B Loan Disclosures Ce~it Unis~ tmflsh~ Its Itghts u~der the plafl. This is a muftf.state ~rdferent types of c~edit (called-su~is-) available under ~he ~ ~s. If a c~edit limit is set for a suba~t. ......... train subec, oount, your pe~ymem will be detemdned at the time a~ eac~ advenoe. Paymems must ~dude any ameum pest due -- ........... ~' ~*~aYme~t pe~ialty. Even ~ you prepay. ~ w,! ~ be required to make the moth,4v scbedt~ed responsible for paying all overdraft advances ob~T~d by a J°~t h°lder °f the sham draft acco~J~t. Paymeflts will be applied iff ihe Older lhe wfthd~al is from a sba. re draft account, your liability is governed by ~e Regu~tfon have beea made fo adaitio~ fo ~..,~_ .._~:m'ac~ea.. and any addak~'m lo Ifle belance ""'-' ' "~"~ called 'New Car Advances- means the secudty will be a new car. A subaccount called ,Other Secured will not secure afl a..~_~ _)~_ ~ _°wel~'flg as secu~itY fo~' a loan with us. that dwea~ due under r i~sumnce *~,r~, ~. ........ --., refund o~ beneffi~ r~ ~) ~ ~ ~ ~ a~ to ~ ~ ~ ~ ag~~ ~a~ ~ ~ ~(1) ~ ~__. ~(2)~~~~ 8. N~CE~~ ~.~.,__ ~er~ ~ ~ q~ ~ ~ ~ ~ ~ a~e ~ ~ a~ ~ ~ Pr~ ~ to ~r ~n ~ a~ ~ ~u ~~m~.~rr~~to~ - -- '~ *"*~'~ to e,~g belano~. ' "' meam ~x~ agm~ ~he ~,~ ...... ~'~ ~ ~~ o~-. ~y~~ ~at~.~ ~°~ 21'~ ~ ~ gf~ ~ ~ ~ ~ an ~ u~ ~ P~n. ~ ~y ~ ~ ~ all ~ 19. O~y IN ~R~ ~ ~D ~G~ 2~ NORTH DAKOI:A NOTICE TO BORROWERS PURCflASJNG A MOTOR VEHICLe_THE MOTOR VEHIOJ. E IN TH/$ TRANSACTION MAy BESUBJECTTO REPOSSESSION. IF IT IS REPOSSESSED AND SOLD TO SOMEONE E~SE, AND AU. AMOUNTS DUE TO THE SECURED PARTY ARE NOT RECEIVED IN THAT ~ACE, YOU MAy HAVE TO PAY THE DIrr~ENC~ 27. VERMONT NOTICE TO cOSIGNER -- ' YOUR SIGNATURE ON THIS NOTE MEANS THAT YOU ARE EQUALLY UABLE FOR REPAYMENT OFTHIS LOAN. IFTHE SORROWER DOES NOT PAY, THE LENDER HAS A LEGAL RIGHTTO COLLEC"F FROM YOU. 1. RESPoNSIBIUTY __ I/we Issue you a ~ You -- ---t~, macle by ----- gme can:Land ~__~_.. charges made by · ~'tis ..o-.~-. oonti anyaem else ,~, ...~m you I~er~actk)ns ~ Y~u s° request an~ return all card~.Your obligatio~ to pay ~e account balance continues even rix)ugh an a~'eement, a'n~rce de~ee or ot~er court Judgment to which we are not a k~ ......... ly I tIM C, mdit Un,on at rT~.n ,~ ..... been km or s~olen, '"~" ~ t~,~ 55~-5678. "" · ~ or (800) 237-7328. After orloan us. v, Nch must Cm~t The~e ren~m~x~ ~° na~ ~Iy I~ we own oe apemte ~e merchent, tON (yin, our and u~) Is~Jlng to you a MONEY ACCESS ~ ~ ~ a~t(s) ~ ~ a~ R~ular S~r~), ~ C~ ~ (1)~w :~ ~E~ C~D U~ ~ ~1 ~ Nu~ ~ ~ MO~ ~ ~ ~ a ~ ~ ~R ~a PLUS MONEy ~CF--~ t~& Dn ~-- ~- · . -'~'.~ ~< ~ ~ ~,~n ~r ............ ~)~ ~ ~r PIN PIN b ~ at a Me~ ~1. ~ ~ a~te ~ ~l~te ~e dir~ns ~ ~ ~ ~ur ~l ~m ~1 a~te a~ ~te ~r d[r~o~ g~n to ~. y~ a~ ~t ~r PIN ~ an ~n~ ~ ~t ~ ~ ~ ~ ~ ~t ~ ~ ~ ~ P(N ~ ~REE ~ T~E A~ R~S~ p ~s). NO ONE E~E ~ ~R PiN R~ONS ~T 3. ~1~ f~ U~~ ~ ~ ~ PIN ~ ~n ~ ~- ~-, c[ ~ C~D(s) a~s). y~ ~ aa~ ~*. ~.~ ~ ~ ~ ~ ~r '~" ~ ~ ~ ~S) ~ PIN ~ 4. ~ ~:~ a~ ~ ~~.__ ~__.~ which the or you Ihe lir~ clean'y ~oe can why you belleve # ~. ........ nd, (c) 'l~e dollar e.'nourd of ~e suspected error.Y~X~ need ~e Infoana~ If you t~ PSECU oralty, you must mmcl yc~ . , -SERVICE TELEP = ...... YSTEM. TRANSACTIONS. or 20 days for MONEY ACCESS CENTER ~'s~ne~ ¢~s ~t~er the Inve~"~? ~-. ~ ¢amp~me~ You n~y ,m~c for c~a,~; ~ ~he Notice To ~ Usl~ A~'s ~t ~ ~ m (~) ~.~. For those mem~m who pumhase a vehicle under the DRIV Program, pl~se review the foll~ing ~C Notice: ANY HOLDER OF THIS ~NSUMER CRED~ CO~ IS SUBJECT TO ALL C~MS AND DE~NS~ ~IC~ ~vODS OR SER~CES OBT~NED W~ ~E PROCEEDS HEREOF. RE~ HEREUND~ BY~E DEBAR S~LL N~ ~CEED AMOU~ PAID BY~E DEBAR HEREUNDER. Exhibit C PSEC the financial link,. May 3, 2001 ¢0163540639 Debra and David Beshore 70 Maple Hill Drive Etters. PA 17319 NOTICE OF REPOSSESSION AND SALE The 1991 Dodge Cara~ran, V[N #2B4GK2533MR323233, which ~ve are financing for you has been repossessed. The vehicle is being Stored by: Whitcomb Recovery, PO Box 10135. Harrisburg. PA 17105 (717) 657-77.14. A,,,'rlcm. ' .... ' 1100 S York Street ......... 1narrlst~urg pkuto AucdOll Mechanicsburg, PA 17105 Date: May. 24, 2001 Time: 0"o0am (717) 697-2222 The vehicle will remain in StOrage until May 18, 2001. You have the legal right to redeem this motor ~ehicle within fifteen (I 5) days after the rn;iting of this NOTICE OF REPOSSESSION AND SALE by payment of the AMOUNT NECESSARY TO REDEEM VEHICLE. Amount of Unpaid Balance (L 10) $ 650.46 Amount of Interest 33.75 Plus Expenses: Repossession EXpense 275.00 Storage Expense ,~ $12/day (05/03-05-18) 180.00 Cost of Suit Late Fee 34.21 Other Less Credit for Unearned Charges: Finance Charge Other AMOUNT NECESSARY %0 REIDEEM VEHICLE(Cash or Certified Check): $ 1.173 42 You are hereb5 notified that the holder, intends to offer the vehicle at public sale at the expiration of fifteen il 5) dass after the date of naailing this notice, and shall continue to be offered for sale thereafter until sold .4. n.x persona by ongir~gs Iefft in the Yehmte must be redeemed by you w thi ~ I5 ds.',s from the date of'this letter or tilex., u, dl be d~spos~d of accord ~glx· ' ~ccount Advisor Mailing Address: PO Sox ~7~O_1 ~,~rrisburg. PA 17106-7013 · (717) 777-2100 (TDD) · (800) 472-19e~ (TDD) Web Address: www.pseCU c°m mi Savings fe ¢:leral ly insured up to $100,000 by the National Credit Union Administration. Godfrey & Courtney, P.C. BY: Steven C. Courtney, Esquire Attorney I.D. No. 74669 P.O. Box 6280 Harrisburg, PA 17112 (717~ 540-3900 Attorney for Plaintiff PENNSYLVANIA STATE EMPLOYEES CREDIT UNION, Plaintiff DEBRA J. BESHORE and DAVID S. BESHORE, Defendants IN THE COURT OF COMMON PLEAS CUMBEKLAND COUNTY, PENNSYLVANIA ACTION FOR DECLARATORY JUDGMENT NO. 2002-05229 JURY TRL~L DEMANDED PRAECIPE TO WITHDRAW COMPLAINT TO THE PROTHONOTARY: Please withdraw the Complaint that was filed in the above-captioned matter. Respectfully submitted, Dated: December 3, 2002 By: Steven C. Courtney, Esquire GODFREY & COURTNEY, P.C. P.O. Box 6280 Harrisburg, PA 17112 717-540-3900 I.D. #74669 Attorney for Plaintiff SHERIFF'S RETURN - OUT OF COUNTY CASE NO: 2002-05229 p COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND PENNSYLVANIA STATE EMPLOYEES C VS BESHORE DAVID S ET AL R. Thomas Kline , Sheriff or Deputy Sheriff who being duly sworn according to law, says, that he made a diligent search and and inquiry for the within named DEFENDANT , to wit: BESHORE DEBRA j but was unable to locate Her in his bailiwick. He therefore deputized the sheriff of YORK County, Pennsylvania, to serve the within COMPLAINT & NOTICE On December llth , 2002 , this office was in receipt of the attached return from YORK Sheriff,s Costs: Docketing Out of County Surcharge Dep York County 18.00 9.00 10.00 29.87 .00 66.87 2/1 /2002 GODFREY & COURTNEY Sworn and subscribed to before me this _/? ~ day of _~ ~-~ A.D. Prothonotary' · So answers: omas K1 lne Sheriff of Cumberland County SHERIFF,S RETURN - REGULAR CASE NO: 2002-05229 p COMMONWEALTH OF PENNSYLVANIA: COUNTy OF CUMBERLAND PENNSYLVANIA STATE EMPLOYEES~CC VS BESHORE DAVID S ET AL D___AVID MCKINNEY , Sheriff or Deputy Sheriff of Cumberland County, Pennsylvania, who being duly sworn according to law, says, the with'in COMPLAINT & N~OOTICE was served upon BESHORE DAVID S DEFENDANT , at 1851:00 HOURS, on the at 521 EUTAW STREET~ NEW CUMBERLAND, PA 17070 DAVID S BESHORE the 4th day of November , 2002 by handing to a true and attested copy of COMPLAINT & N__OTICE together with and at the same time directing Hi~s attention to the contents thereof. Sheriff,s Costs: Docketing Service Affidavit Surcharge 6.00 11.73 .00 10.00 27.73 Sworn and Subscribed to before me this day of A.D. So Answers: R-H- 12/11/2002 GODFREy & COURTNEY By: ~ Prot-~-onotary COUNTY OF YORK OFFICE OF THE SHERIFF SERVICE CALL (717) 771-9601 28 EAST MARKET ST., YORK, PA 17401 SHERIFF SERVICE I INSTRUCTIONS PROCESS RECEIPT and AFFIDAVIT OF RETURN PLEASE TYPE ONLY LINE 1 THRU 12 DO NOT DETACH ANY COP~$ PLAINTIFF/S/ 2. COURT NUMBER Pennsylvania State Employees Credit Union 02-5229 civil 3 DEFENDANT/S/ 4. TYPE OF WRIT OR COMPLAINT Debra J. Beshore et al J Notice and C~hplaint 5. NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC TO SERVE OR DESCRIPTION OF PROPERTY TO BE LEVIED, ATTACHED, OR SOLD Debra J. Beshore ADDRESS (STREET OR RFO WITH BOX NUMBER, APT NO., CITY, BORO, TWP., STATE AND ZIP CODE) 70 Maple Drive Etters, PA 17319 7~ INDICATOR SERVICE: Q PERSONAL Q PERSON IN CHARGE ~ ~ CF, RI, MAIL . ~ 1ST CLASS MAIL ~ POSTED ~ OTHER NOW ~ N~---~ 1 ~ ~ -- __ --~ ~ ..... SHERIFF ~UNTY PA, do hereby de utize the sheriff of gOrK .~ P ' COUNTY to execut~t~a~,*q)tr"~e~l~ ma.k~ return ..[.e~,'f according to law. This deputization being made at the request and risk of the plaintiff 8. SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST N EXP N~ ~/n~- SHERIFF O~F ~ COUN~ ' EDIT ........... uu~DerlanQ OUT OF COUNTY CUMBERLAND ADVANCED FEE PAID BY ATTY. NOTE: ONLY APPLICABLE ON WRIT OF EXECUTION: N.B. WAI~R OF WATCHMAN. Any depu~ sher~ lewing u~n or a~i~ any pmpe~ under within writ may leave same without a watchman, in custody of whomever is found n possession after notifying person of levy or attachment without liability on the part of such deputy or the sheriff to any plaintiff herein for any loss, destruction, or removal of any property before sheriffs sale thereof. 9. TYPE NAME and ADDRESS of ATTORNEY / ORIGINATOR and SIGNATURE I 10. TELEPHONE NUMBER 11. DATE FILED GODJ~REY & COURTNEY 2215 FOREST HILLS DR. STE 36 PO BOX 6280 540-3900 12. SEND NOTICE OF SERVICE COPY TO NAME AND ADDRESS BELOW: (-r~¢,~'~& mu~'~ c~n~plet~ if no'~c~i~[ ~ be mailed) CUMBERLAND CO. SHERIFF SPA~ BELOW FOR I.~;,E OF THE Shr.-RIFF - DO NOT WRITE~ 13. l acknowledge receipt of the writ R.AHRENS or complaint as indicated above· 15. Expiration/Hearing Date 11-28-02 16. HOWSERVED: PERSONAL( ) RESIDENCE( ) POSTED( ) POE( ) SHERIFF'S OFFICE ( ) OTHER( ) ~fy and return a NOT FOUND because I am unable to locate the individual, company, etc. named above. (See remarks below.) SEE REMARKS BELOW 18 NAME AND TITLE OF INDIVIDUAL SERVED / LIST ADDRESS HERE IF NOT SHOWN ABOVE (Relationship to Defendant) 1 19. Date of Servicel20. Time of Service · :~a~ I t. IDate Tme Mes Int. IDate Tme Miles Int. IDatelTime Miles Int. Date Ti,me Miles Int. }Date)Time)Miles Int. ~ Lr 24. Service Costs 25. ,,F 26 Mileage ~27. PostageI 28. Sub Total 29. Pound 30. Notary 'Advanc~°;~0 } 9.00 5.00 13.8~ 27.87 2.00 31. Surchg 32. Tot. Costs 33 Costs Due (f4~;j.,~eck No. 29.87 45.13 - 1/57C e 39. Total Costs 40. Costs Due or Refund 41. AFFIRMED and subscribed to before me this 4 42. day of J')FE ,'20 J~.43. ~.~.-'"~ J , NOTARIAL Sr~4'r1"r'"u'*~' [. MEL~SA J $HAFFER, No~ ~ ~ ~ ' Ci~'of Yor~,' Yo~un~ __ 50. I ~KNO~EDGE RECEIPT OF THE ~RIFF'S~RN SI( ~ AUTHORIZED ISSUING AUTH~RIW A~n T~TI e SO ANSWERS ~4 Signature of ~Dep. Sheriff ~r6. Signature of York 45. DATE 47. DATE 49. DATE County Sheriff WILLIAM M. HOSE 48 Signature of Foreign County Sheriff