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a, Defendants will pay the reasonable attorney's fees of seller or of seller's
assignee, provided that prior to commencement of legal action such fee
shall not exceed $50.00;
b, Court costs and disbursements: and
c. Costs Incurred by seller or of seller's assignee to foreclose on the Mobile
Horne including the costs of storing, reconditioning and reselling the Mobile
Horne.
11. In order to bring this action BankAmerica Housing Services, a Division of Bank of
America, FSB was required to retain an attorney and did so retain Attorney Erin POyer.
WHEREFORE, Plaintiff, BankAmerica Housing ServicCls, a Division of Bank of America,
FSB, requests:
a) judgment against Defendants to recover the Mobile Home, plus detention damages, special
damages consisting of inter alia, detaching and transporting the Mobile Home, shipping fees, any
cost for insurance placed on the Mobile Home by Plaintiff, late charges, and all allowable damages
per the Security Agreement, any further costs for repossession and sale, and attorney's fees and
costs of litigation in order to obtain possession of the Mobile Home; and b) In the event Plaintiff
repossesses said Mobile Home and resells or otherwise disposes of said Mobile Home, a
deficiency judgment in an amount to be determined by the Court upon petition of Plaintiff, which
amount shall be equal to the difference between the amount owed pursuant to the said Security
Agreement plus the damages set forth in paragraph (a) above and the amount recovered by
Plaintiff from the resale or other disposition of the said Mobile Home, less expenses.
COUNT II - DAMAGES
By way of separate and alternative pleading, Plaintiff, BankAmerica Housing Services, a
Division of Bank of America, FSB, alleges the following:
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1, C..h Prio. (Inel, 5.1.. Tu of S ., ,: S --sG', ,,00 . PROPI!ATYJh..URANOE: PfOp,a!IY In,urMca o,n ththla
! Manulactura Home la raqulll~ lor the tarmtho s
Z... C..h'Dawnp.vm.nt, ...... S 2. 827 .2 contract. I hava tha riallt to choo.. the ptl",on rough
b, TrH.-l" (y..,. M.k.. Mad.l): whom It I, obtained. "'By markJng tile 'PPlopriatlll IIl1a
LI"11lI Width bilow, I Ilact to buy till cova,.gl indlcatad fmm you
Gro.. V.lu. . . 00 u.". s . 00 101 the ltrm and prlmium shown. Md I want It Inlncad
- I...... ......, on 1111. contract. _ .
N.t Tllde.ln V.lu. S . 00
TolIl Dow"p.Ym.nl.....,..'...','.'......,.... ............,.... $
3. U"p.ld Illl,n.. 01 C,"h Prle. (1 mlnu. ZI... S
4, Amau"" plld 1. alharl a" my b.h.l~
.. To Inlur.nu. Camplnl..:
PI Pr"p.rty '""u..ne...... S . 00
(Z) C..dIWf. I""ur"".~.. S . ' 00
b, To Publfe Officl.l.,
'(1) C.rtlft.lt. ofT1l1........ S 15.00
(Zl FILING FEES s 5.00-
0, To C..dilo'
For: S .00
d. To,
Fo,,=--AOMIN FEE
S 25.00'
eo To:
For: .50
S
t. To:
"or:
S .00
g, '(0:
"or:
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Talll (I . b + 0 + d . . . f + gl. S
6, U"p.ld 811.ne. (3 plul 41.., .....................:.... S
6. ....p.ld "In """ Chllg.,......,..,.. ............ S
.7. Amou"t Fin.n..d ~6 ml"u. 61....,..,........,.... S
<:, 827 .25
53,672.75
45.00
53,717.75
.00'
53,717.75
TypI alln,ulln.. Tllm Pllmlum
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OMOS S .00
-SERV eNTRT S_,
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OTHERS IS NOT INCLUDI!D UNLESS INOIOATEO IN
THE PROPERTY INSURANoe SECTlON ABOVE.
OR EDIT LIlli! INSURANCe: Credit uto Ineuranc. Ie
not re~ulr.d 'or thl. contraot or , lactor In It. Ipprov.1.
It I .I.el Oradn ute In.uranco. the nm.(.) 01 the
propoSld Inlur.d(.) are:
Prop'o..d In,ured
!'ropoled Insur.d
(Only .pOUst can be Inlulld jointly.)
Thl. Ineuranoa m.y not P'Y off all of my debt, and tha
ax! amount 01 coverage Is .hown oh my polll;Y or
Olrtif OIIlt. My lignatuII Indlcat.. my I,.ctlon \0 olltllln
Orad t ute 1n,urance oOYII'ga for the tarm and
pramium .hown:
Typ..f Ca.lllg. T.rm Promiurn
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(II joint .o..ro,. d..lrod. both prop.lld in.urodl mU$l.lo",)
ADDmONAL TERMS AND CONDITIONS
SICURITY INTERl!ST: I grant you. ..curily Intertlt undll thl UnWorm Oommerclal Code In (1) tIIa Manul.ctulld Home and In
all goods that ara or m~";herealter by operation of law ba~om. aace,,'o"" to It, (2) all appllanclS, m,chlnary, aqulpment and
~ther qoodl fuml.h.d Wibl!h. Manufactured Home (whether or not In.tallld or atllx.d to It) Including but not IImitad to thlltlm.
Isted .. "Additional Acclllorl., and Fumi.hlngs' on pagl 1 of this contract. (3) any ralunda of uneam.d InsurMca premium.
In,nll8d In tIlII contract, and (4) all proo..d. of suoh Manulactured Home and acoell/ons, and 01 MY Additional Acc..lorl..
II1d Fumlehlngs. Thl. .ecurlty Interest ..cur.. paym.nl Md perfonnMco of my obllgatione under this contr~, Including any
lddltional debl 1Il,'ng blCaUII of my failure to perform my obllgallcns undar this contract and Includ.. any contractual
IIItIMlonl, ranawal. or modllicallohO. My axecutlon 01 this contract constitute" a waivlr of my pII.onll property and
lomlltlld ex.mption right. to tho property h.rtln desCribad, I will sign and deliver to YOII whalever IInanolng .lttamlnt. and
Ither documln" you claem nacessary to allow you to porfect your security Int.,est In MY psrtlonal property and flxtur...
'AI!PAYMINT: I MAY PREPAY THIS CONTRACT IN FULL OR IN PART AT ANY 11MI WITHOUT PiNAL,..." BUT I WILL
lOT I. eNTITLED TO A REFUND OFTHE PRIPAID FINANCE CHARGI!, II' ANY,
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ORIGINAL copy
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DEe -22-1997 17: 38 ERNk H~IU' I LH f- I I ,1O~Ukl.'H
rnyrc;n: r ""Qun""..",c;
.. Minimum Oover.ga. I am requlrtd t~ provldl physical damago InBuranoe coverage protecting Ih~ Manufactured Horn. tor
' tha tenn of this conlract IIglllnst lOSI by Ilrl, hazard, InOluded within thl tllm 'extondad covarage and any other hazard"
I"eludlng flaed 101 which you require insuranoe, In an amcunt equal to tha 10uII of lI1a actual cash valul 01 the
Manulactured Homa or the rtmalning unpaid balance I owe Irem time 10 tlma under this oontlact (the 'Minimum Coverage'),
Theln,urancl POlicy will contain a Ion payable olause protecting you (as your interast may appear), and provide tor a 10 day
notice of oancallallon 10 you. Un lass yeu consontln writing, I ,hall not add any additional Iou payoe to the InsurancI pOlicy, I
have thll rlghl 10 choese tha persen through whom the preperty Insurance policy Is obtalnld, II my Insurance coverag.
axp/res 01 is canoellad prlar to payment In lull of thl, contract, i must obtain no less than the Minimum Covlrage at my
expanslI ler tha remaining term ef thi, contraot. Should I lall to maintain thl Minimum COvlrage, you may, but are not
obllgalld ta, eblaln InsurahQa coverage, I agree that any insuranc. you puroha.. may be lor the prolaction of only your
Intlllet In lha Manulactured Home, may not lully protect ma In the evant of a los8, and may be lor SUCh reasonable pelled as
you determlna, II you daolde, In your ,ole discretion, te obtain Insurance, you will netlfy ma 01 that lact and that tha cost, plus
Intar..t at Ihe contract raIl, will be addld to my d.bt. I will repay such amount during thl term af the policy In tha manner
"qullt.d by you, I undarstand lhat thalnaurance promlums may be high" II you must purohaoo tha Ineuranel than might bl
thl oue n I had purch.,ud thl InauranclI, and that you may purchase the Irlsurance Irom an affiliated company which may
rse.lve a profit lor this Slrvlce,
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b. A"'g"m.nt and AppUeallon 01 Insuranc. proc..d.. I heroby grallt and assign to you the proc..ds of any and all
In.urance cov"aga on tha Manulactur.d Hom., Including any optional coverage, such as earthquake InlurancII, Which In
tyPI or amount Is bayond tha Minimum COVelagl, In ths ev.nt of a less to thl Manulactured Homl, I Shall givI prampt noticl
Ie you and Iha Inaurance cllrrler. III lalllo prOmptly "etlfy or make proof ar le,a to Ihalnsuranca carrier, you may de so on my
behllll, All phy.lcal damaga in,urancI proceeds, InclUding procoeds from optional coverage, shall ba applied to reateratlon er
"pair 01 the MUlufaeturtd Homl, unleas yeu and I sg..a olherwlsa In writing or unless such I'oslerlltlon ar repair is not
Iconomlcally pr.otlCllI or feaslbla, or yeur Slcurlty Intlr.st would bl lessened, II such restoralion er raplllr Is nol practical 01
II..ible, or yeur nourlty Interest would b. lussen.d, yau shall apply thl Insuranoe prOCeeds to Iha remaining unpaid balance
el Ihl. conlract, Whether or not thIn due, and give me any eXcelS.
LATI! CHARGE: I agree 10 pay a lata charge for lale paymsnt as Sit lorth on tha Ironl ef Ihls contraot. Only one Illtl chargl will
bl made on any dalinqulntlnstallment IIgardless 01 the periOd for which thatlnstallmont remains In default. After thi, conlract
matures, wh.th" by accalaratien or othelW/n, I will not be chargad a latl charge,
EVENTS OF DEFAULT; I will be In dalault under this contract II: (a) I tall to make any paymant Whan dua; (b) Ilail to timlly
make renlaJ paym.nls, or to pay othll charge,~ and asslSsments, relating to the real property lind/or lacllity on which Ihe
Manuractulld Home Is located; (c) I violata restriC1lva covenanta, rules or regulations relating to Ihe rial property and/or lacllity
where tha Manulactured Home Ie located; (d) I lail to k..p the Manu/actU"d Home In geed repair llnd cendillon, as yeu may
rea,onably. determine; (I) I ramova the Manulaotured Home from the addreS5 shown on Ihls Contract unleSl I notify you In
advancI and rtcQlve your written consant; (t) I sell or attampt to $8l1th. Manufactured Homl without first obtaining your wllllln
conSlnt; (g) I allow tha ManulaC1ured Home te blcome part ef any real estate without Ilrst Obtaining your wrlllen oonSlnt; (h) I
lIncumber or abandan Ihl Manulactured Homa or Ustll tar hi,. or Illegally; (I) I lall to promptly pay ~ny taxes and other I/ans and
Incumbrances on the Manulaoturtd Horne or on the "al preplrty on which It Is lecalod; and/or UJ I lail 10 do anylhln'jl el.. which
' hlwe proml,ad te do under this contract,
NOTICE OF DEFAULT: II any 01 tha above specllled Events 01 Default have occurred, you may do whatever Is neoessa/)' to
. corract my delault. Yeu Will, eJCcapt a8 SIt Icrth balow, Ilrst givI ml a Notlol 01 Dslault and Right to Cure Oelault balore you
Iccelerata paymlnt el tile remaining unpaid balance , OWe you ar repessoss or loraclost on any property which securts thl,
contract. Thl Notice will tell ml What my default is and hew I can eu,. It. Exclpt as required by appllcabla law, you ara nel
required to send m. thl, Notloe whan (1) you have already unt II Notlcl twlcl within thl preceding one-year period, (2) I hava
abandoned or voluntarily $urrendlled Ihl Manufactured Homl, or (3) other Ixtreme circum stan CIS 9xlst.
CURE OF DEFAULT; , may cure II delauil at any time before title to tho Manufactured Home Is transllrrad from me, which will
b. at Ilut 4.!5 days alter rlcalpl of tha notlca of default. To CUra a dalaull, , must pay: (a) all ..mount. which Would have bien
dUlln the absence 01 default and acctlerallen; (b) Ihl attemey's fees Sit l011h be/ow; (e) any late oharglS that all dua; and
(d) reasonabl. cO,I, which arl actually Inourred lor detaChing and trans parting Ih. Manulaotured Home Ie thl .ila 01 sld., /
muat also pa"'orm any other obligation I would have hall to parlorm In thl absenca of dlfault.
""".071' ,.~
ORIGINAL copy
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DEC-22-1997 17:39 t::I~'lhl', HI'it::.~IU-l ~'III.:ltllJ""I~It-' "'fJ.';'; 01-.,,1 -.,,10.:;,' r.V';'1' j,j,
REMEDIES UPON DEFAULT: " I do not oure th~ default, you may do any or alt 0' th. following at thl and 0' the notloa p~rlod
as allowed by applioable law: (a) you oan rlquirliO me to Imrn~dlately p~y you the antirliO remaining unpaid balance due under thll
oontlaet plus aocruld Inter"t er (b) you C4ln repoSSl/ss the Manufaotured Home pureuant 10 the seourity Inttrust I glva YOI
undll thi. 'Contract. If you arl not required to send me the Notlca 0' De'ault and Right to Cura Default, you will havI those
right. Immldlately upon my default. Once you g.t POSSlS$lon of tha Manufaotured Home y\'>u will SIll it. If lhl amount 'rom thl
eal., after .Xplll.... I. las. th.n what low. you, I Will pay you the diffaranc. exoept as otharwlse provldad by law, All remediel
.,. cumulatlva and you may anloroe them separately or together In any order you deem necessary to protaot your $Oourlty,
ATTOflNEY FEES: If you hira an attornlY who Is not youl salalled employe. 10 oollact whal I owe undlr this oontract or to ga
poueulon 0' the Mllnur"ctured Home, I will PllY your rellSonable llttorn.y's 'ees, provided that prior to oomm.nCement at lage
llotlon suoh teas mllY not exotld $50.00 and further provldad that no attorney's fe.. may be charged prior to my "c"pt of th,
not/oe 01 dalaull.
OTHER TERMS AND CONDITIONS: I agree: (a) to pay with my monthly Inslallme"ts. ~ ..quested by you to do '0, the
elllmatad amount naoeasary to pay yellrly tlJ(es, aS$enments and InsurMce premiums that will become dUll wilhln thl
next twalve month period; (b) 10 pay you a trans'" fae ~ I sill the Manufactured Home, ur.less such fee Is prohibited by law; (c:
10 pay Intereat at the contract ratIon the remaining unpaid balanca pius aoerued interest, Irom t~e data of maturity until paid Ir
'ull; (el) to relmburu you Immadlately upon yuur damand, WI(~ inlerest e.t the contract rate, tha amount of lunds you actuall)
lldvance on my behalf to correct my dlfaull; ane! (e) tne.t If I am married, and reSiding In a oommunlty property statt, both m)
oommunity proparty and "parale property will ba lIabl8 for all paym.nts due under t~is oontract,
ASSIGNMENT: You may.ssign t~ls oontraot to any person or Intlty. All rlght$ grantad to you undll this contract shall apply tc
any asslgnllll of t~ls contract,
CRI!DIT INFORMATION: You may Investlgata my oredlt history IlIId credit capacity In connection with opening and collactlng
my accour\l and s~ara Information about mil and my aeoount with oredtt reporting agencies, You may SIll or ot~erwl$e !umls~
Information about me, including Insurance Information, to all ot~ars who may lawfully recalvlI sUc~ Information, You may lurnlsh
speeltlo Infolmatlon about I~e Manutaotured Home and any insurancB pollcias on the ManufaotU"d Homa to any insurance
agent to enable suo~ agent to quote premiums to m. and sollelt my insurano. business,
WAIVER: Waiver of any default shall not constltule II waiver of any othar default. No tllm of this contrllot Shall ba changed
unlau In writing and signed by one 0' your officers, This contract is tha antlre agr..ment batwelln us and I agree that no oral or
Impllod "presentatlons hava been made to Induce ma to enter into this oonlracl.
VALIDITY: Whoraver pOSsible each prevision 01 thla conlract shell belntarpret.d In such mannel as to be aflect/vll and valid
under applioabl. law, but II any provision 0' t~ls contract Shllll be pro~ibltad by or invalid under appllcabla law, such provision
Shllll ba inellacllve only to the axtllnt of such prohibition or Invalidity, without Invalidating thll remainder 01 such provision or Iha
remaining provisions 01 this contraot. This COWaet s~all b. of no effeot until and unhlls sign ad by ml arId you, In no eVent shall
any oharge under this contract ex"..d the highest amount allowaa by applicable law. If any excess charga is reoa/ved, such
axo..s shall bl IIfunded or applied to thl amount dua,
GOVERNING LAW: Each provision of this contract shall be oonstrued In acoordanca with and governld by t~elawl 01 tha etate
wh." I~e Manufaotured Homl is locat.d, provldad t~at to the ext.nt you have greatar rights or remedi.. under f'ederllllaw,
such o',oloe of slata law shall not bl doemad to daprlve ycu of such gruter rights and remadles under Federaflaw,
-,:,: ...... .... ...... ::':,....f:t:t;,[:N~ :".:':i,::::':;~,:::'.,) NOTIC!:' . .'. .' .,\.r",.'.\V...;~<.;r:,;\;....:>::,.,...:<,.:.:'";:... .'. '...::;{..
ANY .Hl:lLD~A.()FrHl$,:cio~~(i~~~:~~Eqrr'~Q~TR~91"IS'SU,jet1:{~~.'A~~:~~AiMS.YAN,Q~_~~NIlES.wHIOH'.'.~.'.
THI!'DEElTOR'.:~OULIFASSER'JIAQAINsr::Tt:te . SELLER .' OF. 'GOODS:' Oft'SERVIOe'S' OElT AIN.ED!'PURSUANTi
HER 1m, OR .WrrHTHE:PR"OOE;EDS HeReo'F:'RECOVERY H!REli~1l)!~:$y..'tiiiE'DeBT6Fi'sHALIiN6T'!XceED ,:.
AMOUNTSPAIOBY.TI1EOeSTORHEREUNDEFI.....:... . , '. .'i":.'..,!." "."H:,::;.:,;'-..:..:,;:,.':.,,'.;:..'.:""...., ..'.....
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ORIGINAL COpy
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DEC-22-' 199'7 17:41 8.,,1,11< >'Ir'IERI04 PITT'38UPGH ,412 873 ~82'" ~,U':J/ll
~""~r'cu; ,~. "''''Y.''Y oonnGI .. n...oy "'11" . uno.r 111. llIrm. If you do not m.r 'our contraot obligation., you
. .' oll"'btllaw""'lgnm.n~ may los. your man..,lctur.d hom..
Notice to Buyer: Do not algn thla contraot In blank.
You Ire entitled to an eXlct copy of the cqntr.ct
you sign. Keep It to protect your legal rights.
.UYUlIIj 1I0.AIVA'"I'
NWft,
COUNTRY SIDE VILLAGE HOMES INC
~~if.1P~Rg~,-;~ ll__
-~UGLAS c. PETER~O&-
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llULI.., ,
AllOftIl" 2023 LINCOLN WAY EAST
orWft'1 C~HANBF.RSBl!RC'i' P~ 1;:::
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I AGREE TO ALL THE TERMS ON ALL PAGES OF THIS RETAIL INSTALLMENT CONTRACT AND
ACKNOWLEDGE RECEIPT OF A COMPLI!1'ED COpy OF THIS CONTRACT.
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ASSIGNMENT BY SILLER
TO CREDITOR INDICATED ON PA13E 1 ('Olldltor')
WItl1 r..pect to 1111. r.tallln.tallmant ccntrac;t ('contraot') elgnad by onl or morl bUYlrs ('BuYIr'), SELLER rlpr..antl
ItId Wlll1'ltIta that: (1) Buyer's crldlt "atemant submitted hlr.wilh I' compllta/y acouratl unle81 OtlllrwlSl spacnled; (2) Buyer
wa. lagally competent to contrac;t at tha tim. of Suy.r's axecution of this contract; (3) Ihls ccntracll/oae Irom tha bona Ildl lale 01
tna m.,ohln~l" dllcribecl In till. contract; (4) the downpaymant was mada by Buyer In cash unless otllerwi" .pacHlad Ind no
pitt thlrlOl wa. loanld directly or indlr.ctly by Salllr to Buyer; (5) any trade.in, or otner oon.ldlration, "calvad as MY part of tha
'downpaymant I, IlQcurataly described on pegl 2 Md has been valued at Its bona Ildl valua, and MY amount owed on
such !rId..ln 01' othlr proplrty Is accurately dllcribed on page 2 and has been plld 011 by Saller prior to or contamporlUleoully
with tha a"lgnm.nt 01 thll contract to Crldllor; (II) tIIere II now OWing on this contrac;t the amount lit forth herlln; (7) this
IIOntrac:t ItId lIIIY llUllltlty lubmltttd In oonnlc;tion herewith i. in all re.pacts Ilgally enforceabl. agalnlt each purported
signatory thlreol; (8) Sell" has tile right to a.lgn \hI. oontract lIIId tIIeraby to convey good tiU. to It; (ll) I" tile .vant oflny claim
or dllan" IIsnd by sny BUYlr, or MY hll,. or uslgns 01 Buy.,. with r..pact to the Manulac;turad Home or othlr property or
oon.ldlration trMllarTlll ,lursuant to tills ratall Inltallmant contract, Saller agrae. that It wllllndlmnily and hold Cledllor harmle..
from III .uch Claim. Md dlllnse. as wan al Irom all COlli rla'onably Incurrad by Creditor in conn.c:Uontherewlth, InclUding but
not IImltad to rlllonabll attornlY ".. ItId ccurt costs; and (10) In accordltlclI with the Fair Clldlt Raportlng Act, SIII.r ha.
notillad Buyer that till. ~ntrac1l. to b. .ubmltt.d to Creditor,
For valu. rlQelvld,Soller h,r.by a.lgns to Creditor all Its rights, tilla and internt in this contrac;t and tha prop.rty Which
I. thl lubJaof mattlr herIot and authoriz.. C"dltor to do everything necessary to collect and dl.chl/ge lame. All tha IlIml of MY
IXI.tlng writlln sgr..manta between Seller ItId C"dltor gov.mlng thl purchaua of contraeta are midI a part haraof by rll."nea,
It baing understood that Cradltor relies upon lhs abovI warranties and Upon said agr..ment. In purchasing thll contrac;t.
_~,"'A
ORIGI1'lAL COI>Y
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SHERifF'S R~TURN
H8CiUl./\H
eM:!' N[l1 1':lo;lr~-0(~lC'2 !'
COMMONWEAtTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
BANKAMERICA HOUSING SERVICES
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CL.1MlJERLANfI COllnt.y. Penrwylvania, who bc,ing duly, sworn accord~[11J
\'0 law, >>aye, the wl,thin Q)hE1AItl:L-=-. REl:J.,j;:Xl...lL.,----....----,.. waG ""i'eved
II p<:,n ,.yf,T.t;.!l.iilllL.R.Q1JBLA~_~-....._.-~.-.--'-.--.--------- t. he'
defendant.. at. _j';l':J~l~, HOUR~;, ')[1 HI.' 221l-Q. d,'y of .1anuar..Y_.___....,.__.___.-.....
I ')~~fl, at ....J..:!;L.RUST J. C Jlli1,.Y\~---.....-.--~.......,..,--....,...,..... ...,-' . ----....
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Ct.unt.y. l'ennsylvania, by handing t.o 1S.A1\f,H..-EfTI.RSClN. IiIFL.-...--........--
a true and at.test,.!d copy of the ...,g_C1JtPL~L!i:I,,:'._HEPJ&Y..DL._-.-,~--._-'__'
and at t.he €lame t.ime directing li~ attent.ion t.o the contr.'nt.s t.hel-e.'of.
Sheriff'S CostSI
Docketing
S'd?rv ice
Affidavi t
surc\1arge
So answerEJl . . '
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2100
ERIN DYER
01 !2J! 1~1'38
by a
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$B.llIll1
-
Sworn "nel 8,.lbSc.ri.be(-\.c' before flIt'
thiS.!.!l..1JI... day (1f .-)..~.., ".! }-..........
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TO
YOU ARE HEREBY NoTIFIED
TO Pl.EAD TO THE ENCLOSED
WITHIN DAYS
OF SERVICE HEREOF DR A
DEFAULT JUDGMENT MAV BE
ENTERED AOAINST YOU.
BY
I HEREBY CERTIFY THAT THIS
IS ATRUEANDCORRECT COPY
OF THE ORIOINA~ FI~ED IN
THIS ACTION.
BY.
ATTORNEY
.LAW 0/11... Of
John DIBemardlno
P.O. BOX 699
Le~n, PA 18235
61~n.ee17
AtTORNEY
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Form 1. VOLUNTARY PETITION
UNITED STATES BANKRUPTCY COURT [
MIDDLE DISTRICT OF PENNSYLVANl~__ _
N~ME OF JOINT OEBTOR (SpoultllLa." Flra1. Middle)
PETERSON, KAREN M.
INFORMATION AEaARDI~G DEBTOR ICh'clli appllcabl. bo..,)
CHAPTER OR SECTION OF BANKRUPTCY CODE UNDER WHICH THE PETITION
is FILED (Cheek on. bOk)
:tX Chlpl,t 7 0 Chapler 11
o Cha;llt' 9 0 Chl;:ll" 12
FILING FEE (ChIck on. bUll)
X:1 PUing ,.. IlIlel'l,d
o Filing I" 10 b. paid In installmenl,.\Appllcabl. 10 Indwldul" only.) Mu.1 attlch
alg!'\ed II'IOllcllion lor 11'1, courl's consider. lion cerlilylng Ihlllh. deblor I. un.
abl, 10 PIV 'e. lie' pi In Inll.l1menll. Rul. 1006tbl: I" Olllelll Form No, 3.
NAME AND 400RE5S OF LAW FIRM OR ATTORNEY
John DiBernardino, Esquire
P.O. Box 599
417 Iron St.
t.~!J,,~gj1.t.9n, PA 18235 (610) 377-6617
o Otblo' Is nol "\Hutnl.d tl an ,nortl,
A I I'A 1 MIN~ M~l b~t I.U,S,C. ~ nus SPACE FDA COURT USI! ONLY
Dlbtor utlm.t.. th.llundl will bl IVllllblllor dilulbullon 10 unltou"d credllorl,
~eb'or '1IIm'llllhll,ah., anv .ump\CIIOPIr1Y 1.llCclud.d Ind .dmlnlluallvl ...p,n." Plld,
there will b. no lundllvan,ble for dlllr bullon 16 unueur.d cr.dUorl,
ESTIMATED NUMBER OF CREDITORS
,8-0g eO-gg
o t:I
I
..//
. I
"....,1
IN A.iJN~. 01 d~tor-lIlndlvldu.', Inter, LIII, Fi,.,. ~Uddll)
PETER:.ON, uOllGLAS C.
All OTHER NAMES ultd by thl d.blor In 'hi 1111 e yea,.
lln91udt ma"led, mlldell, and Itld. ".mll)
nl a
SOC. SEC./TA)( 1,0. NO: III mort than on., 1,,111 .m
1 3- - 868
!jTAjET ADDRESS OF DEBTOR (No. .nd II rill, elly, lilli, tnd lip ood.)
14~ S. Rustic Dr.
Shippensburg, PA ~7257 p~,'lt61:Ar~~N~oJPi5i:~ESS
Cumberland
MAiliNG AODFless OF DEBTOR lIf dlfl,,.ntl,om IUtll .d'di..11
n/a
LOCATION OF PRINCIPAlASSETS OF BUSINESS OEB10R
III/llfer.nt Itom addr..... IIlt.d .bovll
n a
TYPE OF DEBTOR
D Indivldull
~olnt IHulb.nd & Wil.)
o Parln,rlhip
OOlh.ro
NATURE OF DEBT
~on.8ulinl"'/Conlumtlr
o Coroorltlion Publicly Held
o Coroorllion NOI Publicly HIld
o MuniCipAlity
o E1ulineu . CompleUI A. & B below
A. TYPE OF BUSINilSS ICh,ck on. bolC.)
o FarmIng 0 T"nlporllllon
o Plol.ulonll 0 M.nufaclurlng!
o R.IIIl/Whol..a'l Mit\lng
o RaUroad 0 Stockbroker
B, BRIEFLY DESCRIBE NATURE OF BUSINESS
o Commodity B'o~.r
o ConllruClion
o Aut Ellllt
o Olher Busln...
1-98-01019
~
lOO.19g
o
VOLUNTARY
PETITION
ALL OTHER NAMES uud bV lh. Jolnl d.blor In thl 1111 e y"'1
Unclud. marrl,d, maldln, and tradl nameal
n/a
SOC. SEC./iAX I,P. ~mott lhln on., I'ale "Ill
l.:.5.H4.3.L_
STREET ADDRESS OF JOINT OEB10FlINo, and I"tlt, clIV, 111\', and zip aOd')
145 S. Rustic Dr.
Shippensburg, PA 17257 PRI~~""PlAC~OF U$INES!
Cumberland
MAtLING ADORESS OF JOINT OEBTOR (II diN,,,n' 'rom aUtlt Idd,eu)
n/a
VE_NUE (Chick onl bOll)
)(j Oeblor ~.. bun domlcllld or hit hid I rnldenc:e, principII pile' nl bUllnl" or
plinc:lpl' ....,. In Ihis OlaVict 10' 1 eo dlYI immediately pleeodlno Ii'll dale 01 thIs
p,tillon 0,10' Ilongll plrl 01 such 180 dlyllhan In Iny Olho( Olalritl.
o Thl" I. I blnkrvPtc,Y f,UI eoneltl'llng dltllo,'a a?tilial., goner.1 pl'lnlt, or l'l.rI-
nl"hlp Plndlng In 'hIS DIWicl.
o Chapler 13
o SIC, 30~.Cnl Ancillary 10 Fottlgn
Proceeding
NAMEISl OF ATlORNEYISI DE SIGNAlED TO REPRESENT THE DEBTOR
nELlEF or~DEFiE:D
200,gg;
o
1000-over
o
ESTIMATED ASSETS IIn Ihouundl of doll.tI)
Under SO &Odl'g lOO-Ogg &OO-;;g lOOO.999g 10,OOO.gUgg 100,OOe-over
0 0 0 0 0 0
ESTIMATED liABILITIES Un thouundl 01 dolllrs)
Under 60 SOrig 10D,Ogg SOO.ggg 1000.;ggO 10,ODO,gg,ggg 100,OOO-ovlt
0 0 0 0 0 0
EST, NO, OF EMPLOYEU - CH, 11&12 ONLY
D 1-1g. 20.9g 100.09g 1000.ova,
0 0" 0 0 0
liT. NO, OF eOUITY &ECURITY HOLDERS. CH, " &12 ONlY
o ,.,g 20-;g 10D-Ogg
o 0 0 0
~:u F~] Harrisburg,. ~
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