HomeMy WebLinkAbout07-0629Christopher E. Rice, Esquire
I.D. Number 90916
MARTSON DEARDORFF WILLIAMS & OTTO
Ten East High Street
Carlisle, PA 17013
717-243-3341
Attorneys for Plaintiffs
RAYMOND GRANDON JR and
NANCY GRANDON,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V.
MELVIN PERKINS,
Defendant
NO. L) 2 , ? ';1 CIVIL TERM
CIVIL ACTION- LAW
NOTICE
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 j udgment 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 Plaintiffs. You may lose
money or property or other rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE
CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCE FEE OR NO FEE:
Cumberland County Bar Association
32 South Bedford Street
Carlisle, PA 17013
(717) 249-3166
RAYMOND GRANDON, JR. and IN THE COURT OF COMMON PLEAS OF
NANCY GRANDON, CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs
V. : NO. 02- G 27 CIVIL TERM
CIVIL ACTION- LAW
MELVIN PERKINS,
Defendant
COMPLAINT
Plaintiffs, Raymond Grandon Jr. and Nancy Grandon, are adult individuals residing at 300
Hummel Avenue, Lemoyne, Pennsylvania 17043. Plaintiffs are the owners of the real property at 308
Hummel Avenue, 2"d Floor, Lemoyne, Pennsylvania 17043 (herein, the "Premises").
2. Defendant, Melvin Perkins, is an adult individual residing at 308 Hummel Avenue, 2"d
Floor, Lemoyne, Pennsylvania 17043.
3. On December 17, 2004, Plaintiffs entered into a Residual Lease agreement for the
Premises by which Plaintiffs were Lessors and Defendant was Lessee. The Residential Lease is attached
hereto as Exhibit "A."
4. Pursuant to the Residential Lease, Defendant was required to maintain a Renter's Insurance
Policy, which he failed to do.
5. Pursuant to the Residential Lease, Defendant agreed to indemnify Plaintiffs "against all
claims arising from the negligence, fault ofmisconduct ofDefendant, including payment for reasonable
attorney fees incurred in the defense of such a claim." See Paragraph 25 of the Residual Lease.
6. On January 16, 2006, Defendant cooked food on the electric range in the kitchen of the
Premises.
7. On that same date, after cooking, Defendant fell asleep without turning the range burner
control knob to OFF.
8. A fire started as a result of leaving the knob turned to the MEDIUM/HIGH position, which
lit a greasy pot sitting on the range.
9 As a result of the fire, Plaintiffs incurred damages in the amount of $24,996.39 to the
Premises. A true and correct copy of the repair estimate is attached hereto as Exhibit "B."
10. As a result of the fire, Plaintiffs additionally incurred loss of rents of $575.00.
Count I - Negligence
11. Paragraphs 1-10 are incorporated herein by reference.
12. The fire was caused as a result of the negligence, recklessness, and carelessness
of Defendant in that he, among other things:
a. operated the range in a careless, reckless, and negligent manner;
b. failed to use due care under the circumstances;
C. failed to ensure that proper fire signals had batteries and were plugged in;
d. failed to turn off the range after cooking;
e. failed to remove greasy objects and potential fire hazards from the range;
f. fell asleep during a period of time for which the range remained on; and
g. failed to call the fire department to extinguish the fire.
13. Defendant's negligence, careless, and recklessness was the direct and proximate cause of
the damage to the Premises located at 308 Hummel Avenue, 2°d Floor, Lemoyne, Pennsylvania 17043.
14. At all times material hereto, Plaintiffs acted with due care and were not contributorily
negligent.
15. Defendant otherwise failed to use due care and caution under the circumstances.
WHEREFORE, Plaintiffs demand judgment against Defendant in the amount of $25, 571.39, plus
costs, interest, attorney's fees and any other relief that the court deems appropriate.
Count II - Breach of Contract
16. Paragraphs 1-15 are incorporated herein by reference.
17. Plaintiffs and Defendant entered into a written Residential Lease.
18. Defendant has breached the Residential Lease as stated above causing Plaintiffs' to incur
damages in the amount of $25,571.39.
WHEREFORE, Plaintiffs demand judgment against Defendant in the amount of $25, 571.39, plus
costs, interest, attorney's fees and any other relief that the court deems appropriate.
MARTSON DEARDORFF WILLIAMS & OTTO
By r K-
Christopher E. Rice, Esquire
I.D. Number 90916
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Date: ?_ 3i _ o 7 Attorneys for Plaintiffs
EXHIBIT °°A"
Apartment - Condominium - House
RESIDENTIAL LEASE
BY THIS AGREEMENT made and entered into on December 17, 2004 between
Raymond C. Grandon, Jr. (Agent for: RCG Properties ) herein referred to as Lessor,
and Melvin & Vanessa Perkins equally and severely, referred to as Lessee. Lessor
leases to Lessee the premises situated at 308 Hummel Avenue, 2"d Floor, Lemoyne,
PA 17043 and more particularly described as follows: 2/3 bedroom apartment situated at
308 Hummel Avenue, 2"d Floor, Lemoyne, County of Cumberland, State of
Pennsylvania, together with all appurtenances for a term of one (1) year to commence
on January 1, 2005 and to end on December 31, 2005.
PARTIES TO LEASE AGREEMENT:
Tenant:
Name: Melvin & Vanessa Perkins
Home # 671-1911 Cell # 265-5511
Landlord:
Name: Raymond C. Grandon, Jr.
Agent for: RCG Properties
Work # 730-9493
1. Security Deposit. On execution of this Lease, Lessee.deposits with Lessor
Five Hundred and Seventy-Five Dollars and 00/100 ($575.00) receipt of which is
acknowledged by Lessor, as security for the faithful performance by Lessee of
the terms hereof, to be returned to Lessee, without interest, on the full and
faithful performance by him of the provisions hereof. The security deposit may
not be used as the last month's rent.
2. Rent. Lessee agrees to pay without demand to Lessor as rent for the demised
premises the sum of Six Thousand Nine Hundred Dollars and 00/100
($6,900.00). To be paid in the amount of Five Hundred and Seventy-Five Dollars
and 00/100 ($575.00) per month on or before the first day of each calendar
month beginning January 1, 2005 at 300 Hummel Avenue, Lemoyne, PA 17043
or at such other place as Lessor may designate. Postmarks are not an
acceptance of timely payments.
3. Late Charges. ALL rental payments are due ON or BEFORE the FIRST of the
month. They MUST be in our possession (postmarks are not acceptable) by the
first (15`). Rents not received by the first (1s`) will be charged a Late Fee of Ten
Percent (10%). Rents not received by the fifth (5`h) of the month will be
charged an additional penalty of Fifty Dollars ($50.00).
Page 1 of 9
FAQ
GAR
0,7 ?ft
SWORN STATEMENT IN PROOF OF LOSS •^? s , B
ANA SUBROGATION AGREEMENT FEB 1 7 2006
.6d 8 01?4,7-
AMT. F LICY AT TIME OF LOSS PO CY, ??
N BER
y 1 ?,oS L Ei7o
`1 /J /D ISSUED AGENCY AT
1 DATE EXPIRES &?? 14S-,46/1-Ac
AGENT
To the Z00Ive6 L tt./NS [AAA- do (Insurer)
By the above policy you insured t AI I* C 71
against loss by k to the property described under Schedule "A."
1. Time and Origin: A loss occurred about the hour of o'clock _ .M.,
tip /Q day of -)AAA4 t/ 20 OG . The cause and origin of the said loss were:
cQl `o , tz- ivF_e Vln1 n!S ELtr A6L EFP whl/i. E COA .1AJ&
2. Occupancy: The building described, or containing the property described, was occupied at the time of the loss as
follows, and for no other purpose whatever. 0O?L,V,6&iAt lN a 19ifA*0/FiVIS
3. Title and Interest: At the time of the loss the interest of your insured in the property described therein was
r41 No other person or persons had any interest therein or encumbrance
thereon, except: N K
4. Chas 1; Since the said policy was issued there ha$ been no assignment thereof, or change of interest, use, occupancy,
possession, location or exposure of the property described, except
5. Total lnsura ce: The total amount of insurance upon the property described by this policy was, at the time of
the loss, .a , as more particularly specified in the apportionment Schedule "C", besides which there was no Poliey or other contract of insurance, writtr oral, valid ?h under
slid.
(Cull replacement cost figures to be inserted only when Full Replacement Cost Actual Cash Value
considered in the adjustment)
6. Value of said property at time of loss
7. The whole loss and damage was ......................... .2 -3 1 01 J'JS. 07
00
8. The amount (less Ded. of S /1000.
) claimed under this policy is S , 3
9. The said loss did not originate by any act, design or procurement on the part of your insured, or this affiant; nothing
has been done by or with the privity or consent of your insured or this afl'ient, to violate the conditions of the policy,
or render it void, no articles arc mentioned herein or in annexed schedules but such as were destroyed or damaged at
the time of said loss; no property saved has in any manner been concealed, and no attempt to deceive the said
company, as to the extent of said loss, has in any manner been made. Any other information that may be required will
be fumished and considered a part of this proof.
10. In consideration of and to the extent of said payment the undersigned hereby subrogates said Company to all of the
rights, claims and interest which the undersigned may have against any party, person, persons, property or corporation
liable for the loss mentioned above, and authorizes the said Company to sue, compromise, or settle in the
undersigned's name or otherwise all such claims and to execute and sign releases and acquittances and endorse checks
or drafts given in settlement of such claims in the name of the undersigned, with the same force and effect as if the
undersigned executed or endorsed them.
Warranted no settlement has been made by the undersigned with any party, person, persons, pmperty or corporation
against whom a claim may lie, and no release has been given to anyone responsible for the loss, and that no such
settlement will be made nor release given by the undersigned without the written consent of the said Company and the
undersigned covenants and agrees to cooperate fully with said Company in the prosecution of such claims, and to
procure and furnish all papers and documents, in the undersigned's possession, necessary in such proceedings and to
attend court and testify if the Company deems such to be necessary but it is understood the undersigned is to be saved
harmless from costs in such proceedings.
11. The statements and agreements on the reverse side hereof or attached hereto arc made a part of this instrument.
12. The flrmishing of this blank or the preparation of proofs by a representative of the above insurance company is not a
waiver of any of its rights.
State of N tQ; Count yof Yl (d?
X '
Su ibcd and sworn to fore me this O?0 dot of ' NOIDOM 11M
y ? 20 fiF1ARl VYE:TFIAFER
Notary Public Nolaft/
UROM BOROUGH, CdY1111111KAND OUNIY
DM352 (12.02) Mr Cmn rAMW 64" Feb 28.2009
a. There will be a $25.00 Service Charge for any checks returned
by the bank.
b. Returned checks will also trigger penalty and late fees.
4. Quiet Enjoyment. Lessor covenants that on paying the rent and performing the
covenants herein contained, Lessee shall peacefully and quietly have, hold and
enjoy the demised premises for the agreed term.
5. Use of Premises. The demised premises shall be used and occupied by Lessee
exclusively as a private single-family residence, and neither the premises nor any
part thereof shall be used at any time during the term of this Lease by Lessee for
the purpose other than as a private single family residence. Lessee shall comply
with all the sanitary laws, ordinances, rules and orders of appropriate
governmental authorities affecting the cleanliness, occupancy and preservation
of the demised premises, and the sidewalks connected thereto, during the term
of this Lease.
6. Number of Occupants. Lessee agrees that the demised premises shall be
occupied by no mor/e? than 2 persons, consisting of: 2 adults. +- 3 C4_J_?
Initial: ?Y l 1 Y Lessee Lessee
G` ?l 7. Condition of Premises. Lessee stipulates that they have examined the
t +V' demised premises, including the grounds and all buildings and improvements
and that they, at the time of this Lease, are in good order, repair and a safe,
clean and tenantable condition. All carpets must be professionally cleaned
upon vacating. Unit Condition Checklist must be completed, signed, dated and
will become part of this agreement.
8. Assignment and Subletting. Without the prior written consent of Lessor,
Lessee shall not assign this Lease, or sublet or grant any concession or license
to use the premises or any part thereof. A consent by Lessor to one assignment,
subletting, concession, or license shall not be deemed to be a consent to any
subsequent assignment, subletting, concession, or license. An assignment,
subletting, concession, or license without the prior written consent of Lessor, or
an assignment or subletting by operation of law, shall be void and shall, at
Lessor's option, terminate this Lease.
9. Alterations and Improvements. Lessee shall make no alterations to the
buildings on the demised premises or construct any building or make other
improvements on the demised premises without the prior written consent of
lessor. All alterations, changes, and improvements built, constructed, or placed
on the moveable personal property, shall, unless otherwise provided by written
agreement between Lessor and Lessee, be the property of Lessor and remain on
the demised premises at the expiration or sooner termination of this Lease.
Page 2 of 9
10. Damage to Premises. If the demised premises, or any part thereof, shall be
partially damaged by fire or other casualty not due to Lessee's negligence or
willful act or that of their employee, family, agent, or visitor, the premises shall be
promptly repaired by Lessor and there shall be an abatement of rent
corresponding with the time during which, and the extent to which, the Lessee's
premises may have been untenatable; but, if the leased premises should be
damaged other than by Lessee's negligence or willful act or that of their
employee, family, agent or visitor to the extent that Lessor shall decide not to
rebuild or repair, the term of this Lease shall end and the rent shall be prorated
up to the time of the damage.
11. Dangerous Materials. Lessee shall not keep or have on the leased premises
any dangerous, inflammable, or explosive character that might unreasonably
increase the danger of fire on the leased premises or that might be considered
hazardous or extra hazardous by any responsible insurance company.
12. Utilities and Services. Lessee shall be responsible for arranging and paying for
all utility services required for their unit. The Landlord will be responsible for the
Sewer and Trash.
13. Maintenance and Repair. Lessee will, at their sole expense, keep and maintain
the leased premises and appurtenances in good and sanitary condition and
repair during the term of this Lease and any renewal thereof. In particular,
Lessee shall keep the furnace clean, keep all utility bills current, keep the walks
free from dirt and debris and at their sole expense, shall make all required repairs
to the plumbing, range, heating apparatus, and electric and gas fixtures
whenever damage thereto shall have resulted from Lessee's misuse, waste, or
neglect or that of their employee, family, agent, or visitor. Any repairs that result
in a charge up to Fifty Dollars and 00/100 ($50.00) will be the responsibility of the
lessee. Major maintenance and repair of the leased premises, not due to
Lessee's misuse, waste, or neglect or that of their employee, family, agent, or
visitor, shall be the responsibility of Lessor or his assigns. Property being rented
in as is condition.
14. Animals. Lessee shall keep no domestic or other animals on or about the
Leased premises without the prior written consent of Lessor. No exceptions.
This means at anytime; NO visits, NO overnight stays, permanent or temporary.
Initials Initials 1 1
15. Right of Inspection. Lessor and his agents shall have the right at all reasonable
times during the term of this Lease and any renewal thereof to enter the demised
premises for the purpose of inspecting the premises and all building and
improvements thereon.
Page 3 of 9
16. Display of Signs. During the last 60 days of this Lease, Lessor or his agent
shall have the privilege of displaying the usual "For Rent" or "Vacancy" signs on
the demised premises and of showing the property to prospective purchasers or
tenants.
17. Holdover by Lessee. Should Lessee remain in possession of the demised
premises, with the consent of Lessor after the natural expiration of this Lease, a
new sixty day Lease tenancy shall be created between Lessor and Lessee which
shall be subject to all the terms and conditions hereof, but shall be terminated on
sixty days written notice served by either Lessor or Lessee on the other party.
18. Surrender of Premises. At the expiration of the Lease term, Lessee shall quit
and surrender the premises hereby demised in as good state and condition as
they were at the commencement of this Lease, reasonable use and wear thereof
and damages by the elements excepted.
19. Default. If any default is made in the payment of rent, or any part thereof, at the
times herein before specified, or if any default is made in the performance of or
compliance with any other term or condition hereof, the Lease, at the option of
Lessor, shall terminate and be forfeited and Lessor may re-enter the premises
and remove all persons and/or personal belongings of the Lessee therefrom.
Lessee shall be given written notice of any default or breach and termination and
forfeiture of the Lease shall not result if, within ten (10) days of receipt of such
notice, Lessee has corrected the default or breach or has taken action
reasonably likely to effect such correction within a reasonable time. If a default
has occurred at any time during the term of the Lease, then the Lessee looses
any automatic right to renew.
A. Tenant breaks this Lease if:
(1) Tenant does not pay rent or other charges.
(2) Tenant leaves Property permanently before the end of this
Lease.
(3) Tenant does not move out when supposed to.
(4) Tenant fails to obey any of the terms agreed to in this Lease.
B. Non-Payment of Rent:
If Tenant breaks Lease by not paying rent or other charges, Landlord
must give Tenant TEN DAYS written notice describing the amount Tenant
owes for rent and /or other charges, prior to filing a lawsuit. This means
that if Tenant has not paid all balances due before the eleventh day after
Landlord has given Tenant the written notice, Landlord can file a lawsuit
for a money judgment against Tenant, evict the Tenant, and/or take back
possession of the property.
C. Other Lease Violations:
If Tenant breaks any other term of this Lease, Landlord must give Tenant
written notice describing the violation and give Tenant TEN DAYS to
correct the problem. If Tenant does not correct the problem before the
eleventh day after the Landlord has given Tenant the written notice,
Page 4 of 9
Landlord can file a lawsuit to evict the Tenant and/or take back
possession of the property.
D. If Tenant Breaks Lease for any Reason, Landlord may:
(1) File for a lawsuit for money and/or file to take possession of the
Property against the Tenant.
(2) Included in the lawsuit against Tenant all the legal fees, filing fees,
and the reasonable costs of the Landlord and/or Landlord's Agent,
including a re-renting fee.
(3) Included in the lawsuit against Tenant all rents and charges
unpaid, and for rents and charges for the rest of the Lease Term,
and for the cost of any physical damages to the Property.
(4) Keep Tenant's Security Deposit, other deposits, any interest due,
and any advance rents prepaid, if unpaid rents, charges, fees,
and/or damages are equal to or exceed their total.
20. Abandonment. If, at any time during the term of this Lease, Lessee abandons
the demised premises or any part thereof, Lessor may, at his option enter the
demised premises by any means without being liable for any prosecution
therefore and without becoming liable to Lessee for damages or for any payment
of any kind whatsoever, and may at his discretion as agent for Lessee relet the
demised premises, or any part thereof for the whole or any part of the then
unexpired term, and may receive and collect all rent payable by virtue of such
reletting, and at Lessors option hold Lessee liable for any difference between the
rent that would have been payable under this Lease during the balance of the
unexpired term, if this Lease had continued in force and the net rent for such
period realized by Lessor by such means of such reletting. If Lessor's right of re-
entry is exercised following abandonment of the premises to also have been
abandoned, in which case, Lessor may dispose of all such personal property in
any manner Lessor shall deem property and is hereby relieved of all liability for
doing so.
21. Binding Effect. The covenants and conditions herein contained shall apply to
and bind the heirs, legal representatives, and assigns of the parties hereto, and
all covenants are to be construed as conditions of this Lease.
22. Other Terms:
• NO portable or kerosene heaters are permitted.
• All Borough/Township and Community Association ordinances must
be adhered to; any violations or fines will be the sole responsibility of
the Lessee.
• No loud or boisterous behavior as to disturb others.
23. Inventory. See Unit Condition Checklist.
(24: Liabi ' Lessee agrees that Lessor or Agent shall not be liable for property
a age or personal injury occurring in the townhouse, condominium or
apartment unit, or elsewhere, on Lessors property, unless the damage or injury
Page 5 of 9
results from Lessors negligence. The Lessee agrees to indemnify the Lessor
against all claims arising from the negligence, fault of misconduct of the Lessee,
including payment for reasonable attorney fees incurred in the defense of such a
claim. LESSEE is required to maintain a Renter's Insurance Policv with a
One Hundred Thousand Dollar ($100,000) minimum Liability. Said insurance
must be in effect at the time of signing the Lease. A binder faxed to this office
will suffice as proof of coverage. The ro erty locations Mnss be listed on the
policy and Ray Grandon, Jr. must be named as Additional e on apo icy.
25. Telephone. A current phone number for both work and home for each party
must be furnished to Lessor as soon as available. Failure to do so constitutes
violation of Lease.
26. End of Lease Agreement. Upon termination of this Lease, the Lessee is
required to provide a written 60-day notice to the Lessor at 300 Hummel
Avenue, Lemoyne, PA 17043 or at such other place as Lessor may designate. It
is required that a forwarding address be left in writing with the Lessor at the
termination of this Lease. If this is not provided when the premises are vacated,
then the security deposit will be forfeited. The Lessee shall surrender the unit to
the Owner in compliance with the following:
a. No damage to the unit, or appliances, beyond fair wear and
tear. Dirt is NOT fair wear and tear.
b. The entire unit, including the range, exhaust fan, refrigerator,
bathrooms, closets and cabinets must be clean. The refrigerator
must be defrosted. The wall-to-wall carpet must be professionally
cleaned and receipt for payment turned in to the Owner. If there is
no receipt, owner will have them cleaned and deduct the expense
from the security deposit.
C. No stickers, scratches or holes in the walls.
d. All burned out light bulbs must be replaced.
e. No indentations in the wood or resilient flooring, formica or
appliances.
f. All keys must be returned, and the unit condition checklist must be
completed with the Owner/Agent and signed by all parties.
g. All debris, rubbish and discards must be placed in proper rubbish
containers.
27. Additional Policies.
A. Resident shall NOT CHANGE LOCKS or install additional
locks, chains or other fasteners without prior written
consent from the Owner.
B. Absolutely NO WATERBEDS are allowed in the units.
C. Resident shall keep the unit in good and sanitary condition.
Clothing, rugs or other articles shall not be hung, dried or
cleaned anywhere outside the unit.
Page 6 of 9
D. Motorcycles shall be kept only in assigned vehicle parking
space, not on the porch sidewalks or lawns.
E. Resident shall not park any vehicle of any kind on the
property unless the vehicle is currently licensed, in running
condition, and regularly used by the resident. Resident
agrees that the Owner may tow away any vehicle parking
in violation of this regulation at the Resident's expense.
Resident shall not use the property for repair or
disjoinment of any vehicle.
F. Walks, entryways,
access to and fro
children's playing
bicycles, toys, was
times.
halls, stairwells, shall
m the unit. Shall
areas, and shall b
to receptacles and of
be used only for
not be used for
e kept clear of
her articles at all
Page 7 of 9
IN WITNESS WHEREOF, the parties have executed this Lease on
the day and year first above written.
Lessee Date
_M', ? "I 'p-Aik - 12-1 1-7
Lessee Date
Witness
Date
Lessor
Witness
Date
Date
Page 8 of 9
Checklist
1. Lease. Lessee must read Lease, Initial Item #6 and Item #14, and sign.
One copy to be given to Lessee.
-?2. Addendum. Lessee(s) and Lessor/Agent sign Unit Condition Checklist.
One copy to be given to the Lessee.
3. Drivers License. Make copy of all tenant's drivers licenses and put in
the file.
L""4. Insurance. Proof of Renter's Insurance Policy including the following:
a) Property Location listed on the Policy
b) $100,000 minimum Liability
C) Raymond C. Grandon, Jr. must be named as additional
insured.
J 5. Security Deposit and Rent. Checks made payable to Raymond
C. Grandon, Jr.
Security Deposit $575.00 (Payable at Lease Signing)
First Full Month's Rent for Jan. '05 $575.00 (Payable at Lease Signing)
'`Pro-rated Rent for Dec. 17-31, '04 $278.23 (Payable 01/01/05)
Lessor Date a- ( -- o y
NOTE: Checklist must be completed before keys are released.
Page 9 of 9
EXHIBIT "B"
,FEB-24-2006 11:06 MANAGING PARTNERS P.03
r'SWOVX STATSMOT IN PROOF CIF LABS
AND SURROGATWN AGRBIeNLtiNr
AMT. PlIMIC AT TIMS des LOSS Z N ?MBER
y1}as r
D 1B 133171m,
G T
Y 1 ?• o? . /to. )( i4V
DAPS EXPiRB$ AQFNT
To the _
By Via above policy Yea
$jllehm Ions by
1. Ths* said OrWw.. A
on* &M day
v.?rPww?: r ne ouuousg 08901 bell, or eel
follows. and for no other purpose whoever:
(Insum)
to
oct:utted about the hour of o'clock M.,
. The cause and origin orthe wel^er -
CIM P Wd/4C 0W*y. A&
at the time of the loss as
app lat$ aatt At the time of the loss the ilowist of your insured in the property deeertbrad eiaw t was
EN i!R f-r?r - VO other person or persons had any interest therein or incumbrar?oe
in. estCept: - fAV, &Ao r?
Changes: Since do $aid policy was issued ere has been no aulgrimcnt thereof, or chanp of intt ML use. occupancy,
possessim location or exposure of the phvpctt<jr described, ezeept
a via ,return hrn total amount of insurance upon the pro" described W this policy rvsa, at file time of
the Was. ?1 Ja r y 4 , as more particularly specified in the apportionment atbohed under
Schedule "C" besides which there was no policy or other co"Na of insuraneig, writOeA or orgl, valid nr invalid,
(Full replacement cost iigures to be inserted only when Full Replacement Cost Actual (ash Value
considered in the adjus Imam)
6. Value of said property at time of loss
1. 7 he whole lass and damage was ..................
4.2 Y, g96•ay ?arSl.S• 07
S. The UnOWt (less Dad. of $ J? ow, ) claimed under Po"q is s , 1 • 3
4. The said loss did not originate by any set, design or procurement on the part of yaw insured, or this a
has been done by nr with the privity or consent of your insured or this at rer& to violaae the conditions of tide policy,
or noder it void no articles air: mentioned herein or in annexed schedules but such At were duV yed or damaged at
the rum of said lass: go property saved has in My manner beat concealed, and no Attempt to deceive the said
OMP07, as to the went of said loss, has in any manner been made. Any other information that may be required will
be furnished and considered a part of this: proof.
ID. In consideration of and to the extent of said payment the uedmsigned hereby submptcg said Company to alt of the and Nat claims
the loss temst which the undersigned My have against 07 patty, perm, parsons. pmpeq or lion
mentioned above. and authorise the said Company to suit, compmmise. or settle in the
undenigrnd•s "aria or otherwise all such claims and to execute and sign nI'Mm and acquananeaa and "name checks
or dntba Sheri in seld'eman of such etA"' In the name of the undersigned, with the same fWar and c%a as if the
undersigned executed or endorsed them,
Wwmntcd no settlement bas been made by the undersi ed with an
the Iproperly
a®ainst whm a claim may lie, and no mlease he bast to any
eVatty e , responsible S for persons,
oss, and aM w or that corporation
settlement will be made nor release given by the undersi ed without th no etch
undewsigned covsrwrhb and ?0r't the `"??" consent of the said Company and the
pmeure and flu covenants "mF to txxtpaats fully with said Company in the prosecution of such claims, and to
misli all Papm and documents` in the undersigned's possession, necessary in such proceedings and to
mend court and waify if the Company deems such to be necesmy but it is understood the undersigned is to be saved
harmless from vo" in Such proceedings.
t t. T of mishi es and Agr o an 12. the "verse sWe hwwfOr attached hereto am trade a part of this InsRunMi.
Wh2IveVr rof of any of its of this rights. blank blank or the preparation of proofs by a rvpmwntative of the above inavranoe company is not a
wainy
Sate of t1 t V% rN
County of 4 irl!'f l ??`?, x .
Su `bed and sworn to ore this (5,
day of ? 20 I Ndb1R1At tIEJ1L
!1111111 WEl:111A<rER
Notary Public
bM•332 (12-02) L0DMgR0WCf QC W
Mir ColtMltlMen Sq*r a ftb a$, MW
TOTAL P.03
•FEB-24-2006 11:06 MANAGING PARTNERS
F N mroxr-
P.02
.KW
SWOR14 STATEMM it raoor plr Lou
AND SUBROGATION AGRETEItt1ENT
-- 01 If Af I
AMT. F I.iCY AT TIME dP LO S
DATE iSSL'BQ
OATS BJt
To do By the above policy you
against Ives by 01
1. Time and OrMn A
on 0 day
2. Oecftpa11cyt The W11ding described, or cot
fbilowk and fbr no odwr purpose whautver:
3. 79tk aqd Inurast: At ft time of the lose t
do/doIf677,
POLICY NUMBER
lE'mwg. LW
AQVXY AT
JCW
41
#.S lAld
AGENT
tar (lA6urer)
? NAAk.
to the property dandbad under Schedule "A
occurred about the hour of o'clock _ .M.,
. The 9811510 and origin of the loahdss wom:
En
• -- -- ---°_ ^........w u,v p,vF-ray udtcnum inervin was
thereon- crape: G N C . No other paraoa or parso »s had any iMM$t therein or incumbaan,
4. Cha"my: $kion the said policy was issued thety has been no assigme10nt tlerepf, or an Oft
po"Mion, location or exposers of the Property described, exc * est. as c, occupancy,
opt Ni £1!G'!EJ/+'gAI.S 5. Total lntrara- The total amount of insurenoe upon the prppetty described by this policy was, at die titrae of
the loss. . r, a yr??„` , err more patticululY specified in the apportionment.
St Aedule C". besides which thel* was no policy or other contract of insumnoe. written Or 0`01. -41W or itivalid. under
(Fu(l replacement cast figures to be inserted only whey Full Replacement Cost Actual Cash Vslue
considered in the adjustment)
ti. Value of said property at time of lose
7. The wWc lose and der
ap was .........................
•m )m1?a 7j.?
,d'?r??R7
- Pv
a. The amount (IM led. or $ ) clammed under this lioy is `
.
9. The said toss did not otiginate by any era. design or pnocumment on the (tart
has been done by or with the your " a ?Wtod, ur this ail'iant: frothing
privity or oonsad of yoh? imla11rad or this aPlmane, to violate the conditim of the policy,
or rattier it void: no articles are mentioned herein or in anrA%W mi eduies but such a• w
the time of said loss: no property saved has in any manner beet concealed, and no attempt reive the d
company, as to the extent of Said hue. has in any manner been made. Any other information that be requited will
he tti niched and considered a part of this proof. may
10• in cmidarati*n of and to the extent of said payment the undersigned hereby subrmptes raid CompW7 to all of the
righto, claims and intarest which the underWV d may have apinst any party, persoma. peha0rhs,
liable for the loss mentioned above, and suthoriaes the said Com PrO?' or coRloradon
undetsi pally to hhue. compromise. or settle in the
gned's Rwm, Or Otherwise all such claims and to wftuta and sign releases and acquittances mind indorse cheeks
or drafts given in mttlemcnt of such claims in the maim; of the undersigned, with the seen { e and epr? as if the
undersigned narecuted or endorsed theft.
Wartanled no settlement has bean made by the undamped with any pally. pogo", 1
apminst whom a claim may lie. and rho rokape has been Bih? 10 Properly or eoryorauc
settlement will be made nor release given by "a undemigib ? h?l?ible for the test, and that no such
undersigned Covcrhmis and m to ed without the written cotunt of the said Company and the
prncurh and fvrnisgh all cooperrate fully with said Compety in the prusmution of such claims, and to
attend court and fs_stify i?CompanY Gems such to be ec eier s Possesstorti necessary in such Prrr endings and to
harmless from mats in such proceedings. lacy but it is understood the undersigned is !b be saved
11. The statoricr?ts and agreements on the revmera side hereof or attached hereto she Made a part of this insertrmermt.
12. The furnishing fits this blank or the preparation of proofs by are Presentativc of the above fn"Mce company is not a
waiver of any at its rights.
soft of Pennsu I u ,i Cj- _
County of?? ?(
Subscrm and Sworn to before this 47 ?f day o/f?
DM 52 02-M02)
a ou
- t
Notary Public IRlIAOliR10B0114t.t1COIMIY
* Catnnrlnlan 4 tom! ft. !0011
VERIFICATION
The foregoing Complaint is based upon information which has been gathered by our counsel
in the preparation of the lawsuit. The language of the document is that of counsel and not our own.
We have read the document and to the extent that it is based upon information which we have given
to our counsel, it is true and correct to the best of our knowledge, information and belief. To the
extent that the content of the document is that of counsel, we have relied upon counsel in making
this verification.
This statement and verification are made subject to the penalties of 18 Pa. C.S. Section 4904
relating to unsworn falsification to authorities, which provides that if we make knowingly false
averments, I may be subject to criminal penalties.
Raymond Grandon, Jr.
F: \FILES\DATAFI LE\Donega13050\Curtent\407\407. com I
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-i
Christopher E. Rice, Esquire
I.D. Number 90916
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
Ten East High Street
Carlisle, PA 17013
717-243-3341
Attorneys for Plaintiffs
RAYMOND C. GRANDON and
NANCY K. GRANDON,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 07 - 629 CIVIL TERM
V.
MELVIN PERKINS,
Defendant
TO: MELVIN PERKINS, DEFENDANT
CIVIL ACTION- LAW
NOTICE OF ENTRY OF DEFAULT JUDGMENT
You are hereby notified that on the ?1 pe- day of 2007, the following
Judgment was entered against you in the above-captioned action: judgment in the amount of
$25,571.39, plus interest and costs of suit as prayed for in the Complaint for failure to file an Answer
to Plaintiffs' Complaint.
Date: h a 8 a by 7 /4 P
Prothonotary
I hereby certify that the name and address of the proper person to receive this notice under
Pa. R. Civ. P. 236 is:
Melvin Perkins
308 Hummel Avenue, 2" Floor
Lemoyne, PA 17043
Christopher E. Rice, Esquire
I.D. Number 90916
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
Ten East High Street
Carlisle, PA 17013
717-243-3341
Attorneys for Plaintiffs
RAYMOND C. GRANDON and
NANCY K. GRANDON,
Plaintiffs
V.
MELVIN PERKINS,
Defendant
TO THE PROTHONOTARY:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 07 - 629 CIVIL TERM
CIVIL ACTION- LAW
PRAECIPE
Enter default judgment in the above-captioned action in favor of Plaintiffs and against
Defendant in the amount of $25,571.39, plus interest and costs of suit as prayed for in the Complaint,
for failure to file an Answer to Plaintiffs' Complaint.
I do hereby certify that a written notice of intention to file this Praecipe was mailed to the
Defendant at the address indicated thereon, on March 12, 2007, which date was subsequent to the
date default occurred and at least ten (10) days prior to the date of the Praecipe.
MARTSON LAW OFFICES
By S 12--
Christopher E. Rice, Esquire
I.D. Number 90916
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiffs
Dated: 3 -Z$ --61
Christopher E. Rice, Esquire
I. D. Number 90916
MARTSON DEARDORFF WILLIAMS & OTTO
Ten East High Street
Carlisle, PA 17013
717-243-3341
Attorneys for Plaintiffs
RAYMOND C. GRANDON and
NANCY K. GRANDON,
Plaintiffs
V.
MELVIN PERKINS,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 07 - 629 CIVIL TERM
CIVIL ACTION- LAW
Defendant
IMPORTANT NOTICE
TO: MELVIN PERKINS DATE OF NOTICE: March 12, 2007
308 Hummel Avenue, 2nd Floor, Lemoyne, PA 17043
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN
APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITTEN WITH THE COURT
YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS YOU
ACT WITHIN TEN (10) DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE
ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR
OTHER IMPORTANT RIGHTS.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE
A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN
PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES
TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
DAMAGES WILL BE ASSESSED AGAINST YOU IN THE AMOUNT OF THE REPAIR
ESTIMATE UNLESS YOU FILE A WRITTEN PRAECIPE WITHIN TEN (10) DAYS REQUESTING A
TRIAL ON DAMAGES.
Cumberland County Lawyer Referral Service
Cumberland County Bar Association
32 South Bedford Street
Carlisle, PA 17013
Telephone:(717) 249-3166
MARTSON LAW OFFICES
ByL- ""'G- S
Christopher E. Rice, Esquire
Attorneys for Plaintiffs
Christopher E. Rice, Esquire
I.D. Number 90916
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
Ten East High Street
Carlisle, PA 17013
717-243-3341
Attorneys for Plaintiffs
RAYMOND C. GRANDON and
NANCY K. GRANDON,
Plaintiffs
V.
MELVIN PERKINS,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 07 - 629 CIVIL TERM
: CIVIL ACTION- LAW
AFFIDAVIT AS TO MILITARY SERVICE
COMMONWEALTH OF PENNSYLVANIA )
:SS.
COUNTY OF CUMBERLAND )
Christopher E. Rice, Esquire, being duly sworn according to law, deposes and says that he
has authority to make this affidavit on behalf of his client, and to the best of his knowledge,
information and belief, the Defendant above named is not in the military service ofthe United States
of America, that he has knowledge that the said Defendant is now living at: 308 Hummel Avenue,
2' Floor, Lemoyne, PA 17043. Said Defendant's place of employment is unknown.
Christopher E. Rice, Esquire
Sworn to and subscribed before me
this day of 1?'1 ar`?6 , 2007.
0, , (??-
4?4w) TL
Notary ublic
OMMONWEALI'H OF PENNSYLVANIA
Notarial Seal
Mary M. Price, Notary Public
Carlisle Soro, Cumberland County
My Commimlon Expires Aug. 18, 2007
Member, Pennsylvania Association of Notaries
Christopher E. Rice, Esquire
I.D. Number 90916
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
Ten East High Street
Carlisle, PA 17013
717-243-3341
Attorneys for Plaintiffs
RAYMOND C. GRANDON and
NANCY K. GRANDON,
Plaintiffs
: NO. 07 - 629 CIVIL TERM
V.
MELVIN PERKINS,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION- LAW
COMMONWEALTH OF PENNSYLVANIA )
: SS
COUNTY OF CUMBERLAND
Christopher E. Rice, Esquire, being duly sworn according to law, deposes and says that he
is an employee of MARTSON, DEARDORFF WILLIAMS OTTO GILROY & FALLER, attorneys
for the Plaintiffs in the above captioned matter and that pursuant to the provisions of the
Pennsylvania Rules of Civil Procedure, a notice of intention to enter default judgment against the
Defendant was given to him by mail on March 12, 2007.
Christopher E. Rice, Esquire
Sworn to and subscribed
before me this day of arc-> , 2007.
LA ' z Vt ?
Not ublic ,
C MUNWEALiH UI• PENNSYLVANIA
Notarial Seal
Mary M. Price, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Aug. 18, 2007
Member, Pennsylvania Association of Notaries
CERTIFICATE OF SERVICE
I, Mary M. Price, an authorized agent of MARTSON DEARDORFF WILLIAMS OTTO
GILROY & FALLER, hereby certify that a copy of the foregoing Praecipe was served this date by
depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as
follows:
Mr. Melvin Perkins
308 Hummel Avenue, 2°d Floor
Lemoyne, PA 17043
MARTSON LAW OFFICES
By_ t4Q A Ql?
Mary rice
Ten Eas High Street
Carlisle, PA 17013
(717) 243-3341
Dated: 3 1x)4
n ?
r> <<J
CD
l3J
q.:
p.
SHERIFF'S RETURN - REGULAR
CASE NO: 2007-00629 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
GRANDON RAYMOND JR ET AL
VS
PERKINS MELVIN
VALERIE WEARY , Sheriff or Deputy Sheriff of
Cumberland County,Pennsylvania, who being duly sworn according to law,
says, the within COMPLAINT & NOTICE was served upon
PERKINS MELVIN the
DEFENDANT , at 1809:00 HOURS, on the 12th day of February-, 2007
at 308 HUMMEL AVENUE
2ND FLOOR
LEMOYNE, PA 17043
by handing to
a true and attested copy of COMPLAINT & NOTICE
together with
and at the same time directing His attention to the contents thereof.
Sheriff's Costs: So Answers:
Docketing 18.00
Service 42.24
Postage .39
Surcharge 10.00 R. Thomas Kline
.00
70.63,/ 02/13/2007
;0 MDW&O
Sworn and Subscibed to By:
before me this day Deputy h riff
of A.D.