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HomeMy WebLinkAbout99-06157. SHERIFF'S RETURN - U.S. CERTIFIED MAIL CASE NO: 1999-06157 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND MONY LIFE INSURANCE COMPANY VS. ADAMS WILLIAM R. THOMAS KLINE , Sheriff or Deputy Sheriff of CUMBERLAND County, Pennsylvania, who being duly sworn according to law, served the within named DEFENDANT, ADAMS WILLIAM by United States Certified Mail postage prepaid, on the 11th day of October 1999 , at 8:00 HOURS, at 400 OLD KENNETT ROAD GREENVILLE, DE 19807 a true and attested copy of the attached COMPLAINT together with NOTICE The returned receipt card was signed by WILLIAM ADAMS , on 11/15/1999. Sheriff's Costs: So answ rs Docketing 18.00 CertiMail 6.35 ?•rt•? Surcharge 8.00 , $ .65 *KN[[}}1/18/19KODAK Sworn ar subscribed to before me this y 19?J??D . i j i i r'Y wn - a4 " SENDER: 99-6157 C v 1 rvcea i I also wish to receive the following servkes(101a" . N :=- eema 1 arid'"' 21M edMbme elrpa 3.4a. and ab. Ye'W" erw address err IM rMrw or 06 Mrrn w dui we CM rat "a ° t.O Addrosseo's Address ' ', 1 reNbyouipm to rM irrxN d tM ree,r°`"' M Mtheback +lapecedoe. r4l 2. 0 Realncted Delivery , eas A • Y De mm Ancia e wme •Rerum nKVV Red rwrm ", eueMeu beb« ero d and nurrber Consult postmaster for leo. e The RNMn RecwP+.0 ?•'+o r,, in, ,"WN wU de+rvere and IM dare r ti doWeted, 4a. AdKle Maribor t g 3, Art c+o Addressed to: " y 013 338 031 / William Adam nnett Road r: K 4b. Service Type NO Cerel+ed j e 400 Old Greenville, DE 19807 p Registered [3 Express Mail ? Insured g' .. ? Mum ReceiM lx Me rdlsa O COD i 7. Data of Deli cry i I N ' + + 8. Add+esca e A reas (Only if requested + m 6. R eN BY: (Print N and toe is paid) + r t, 6, gna+ure:(Addr s aorA 1 g ozze Domostic Return Receipt + enusees '? PS Form 3 11. Dournber 1 , • , >,...;?: „.-.. :.., .•.>--?-' i, . 1 i • f MONY LIFE INSURANCE COMPANY Formerly Known as THE MUTUAL LIFE INSURANCE COMPANY OF NEW YORK Plaintiff V. WILLIAM ADAMS Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 99-6157 CIVIL : CIVIL DIVISION -LAW TO: PROTIIONOTARY, COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA PRAECIPEMRAEFAULT JUDGMENT Enter judgment in favor of Plaintiffand against Defendant(s), WILLIAM ADAMS, named for failure to file within the required time an Answer to the Complaint in the above-captioned case and assess the Plaintiffs damages as follows: Amount claimed in Plaintiffs Complaint $147,052.93 Interest from September 22, 1999 at the legal rate of 6% per annum $ 11,396.51 Total $158,449.51 It is hereby certified that a written notice of intention to file this Praecipc was mailed to the Defendart(s) and his attorney of record, after the default occurred and at least ten (10) days prior to the date of the filing of this Praceipe. See Exhibits A & B attached. KNUPP, KO#01 LUM, P.C. Robert D. Kodak, Attorney for Plaintiff DATED: Judgment entered and damages assessed as above. Prothonotary yI,?W LAW OFFICES OF KNUPP, KODAK & IMBLUM, P.C. Robot L Knupp CAMERON MANSION Robert D. Kodak 407 NORTH FRONT STREET CiO POST OFFICE BOX 11848 ry J. lmblum HARRISBURG, PA 17108-1848 Telephone: 717/238-7159 Facsimile: 717/238-7158 email: kki,law('lgveri:on.net December 18, 2001 WILLIAM J ADAMS 941 N E 19TH AVE #301 FT LAUDERDALE FL 33304 IJ? Fl . u 1Knupp l (1909.1976) Robert H. Mauer (1923.1998) RE: Many Life Insurance Co., f/k/a The Mutual Life Insurance Co. of New York VS: William Adams No. 99-6157 Civil Term, Court of Common Pleas Cumberland County, Pennsylvania Our File No. 21832 Dear Mr. Adams: In accordance with Pennsylvania Rules of Civil Procedure 237.1, we are enclosing herewith a Notice of a Praecipe for Entry of Default Judgent. According to the records as they are found in the Office of the Prothonotary of Cumberland County, you have not filed responsive pleadings to the Complaint filed against you to the above term and number, nor has any attorney entered an appearance on your behalf. Accordingly, we are forwarding to you the enclosed Notice which indicates that if you do not take action as set forth in this Notice, we, at the expiration of time indicated therein, will request the Office of the Prothonotary of Cumberland County, Pennsylvania, to enter Judgment against you in the amount as set forth in said Complaint. Very truly yours, KNUPP, KODAK & IMBLUM, P.C. Robert D. Kodak, Esq. rober? koo'okQverz-o eel THIS LETTER IS AN ATTEMPT TO COLLECT A DEBT AND ANY RDK/kgb INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE enclosure cc: FRIESNER & SALTZMAN LLP 11 GRACE AVENUE POST OFFICE BOX 700 GREAT NECK NY 11022-0700 #128186 ?t i MONY LIFE INSURANCE COMPANY Formerly : IN THE COURT OF COMMON PLEAS Known as THE MUTUAL LIFE INSURANCE j COMPANY OF NEW YORK CUMBERLAND COUNTY, PENNSYLVANIA 4 Plaintiff V. NO. 99-6157 CIVIL WILLIAM ADAMS Defendant TO: WILLIAM ADAMS. Defendant(s) DATE OF NOTICE: DECEMBER 18, 2001 : CIVIL DIVISION - LAW YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO TAKE ACTION REQUIRED OF YOU IN THIS CASE. 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 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 TWO LIBERTY AVENUE CARLISLE PA 17013 (717) 249-3166 A: WILLIAM ADAMS, Deniandado(s) FECHA DE NOTICIA: DECEMBER 18, 2001 USTED NO HA COMPLIDO CON EL AVISO ENTERIOR PORQUE HA FALTADO EN TOMAR MEDIDAS REQUERIDS RESPECTO A ESTE CASE. SI USTED NO ACTUA DENTRO DE DIEZ (10) DIAS DESDE LA FECHA DE ESTA NOTICIA, ES POSIBLE QUE UN FALLO SEIA REGISTRADO CONTRA USTED SIN UNA AUDIENCIA Y USTED PODRIA PERDER SU PROPIEDAD 0 OSTROS DERECHOS URORTANTES. USTED DEBE LLEVAR ESTA NOTICIA A SU ABOGADO EN SEGUIDA. SI USTED NO TIENE ABOGADO 0 NO TIENE CON QUE PAGAR LOS SERVICIOS DE UN ABOGADO, VAYA 0 LLAME A LA OFICINA ESCRITA ABAJO PARA AVERIGUAR A DONDE USTED PUEDE OBTENER LA AYUDA LEGAC: CUMBERLAND COUNTY BAR ASSOCIATION TWO LIBERTY AVENUE CARLISLE PA 17013 (717) 249-3166 M. MONY LIFE INSURANCE COMPANY Formerly Known as THE MUTUAL LIFE INSURANCE. COMPANY OF NEW YORK Plaintiff V. WILLIAM ADAMS Defendant To WILLIAM ADAMS, Dcfendanl(s) : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 99-6157 CIVIL : CIVIL DIVISION- LAW You arc hereby notified that on - / `a )C44,3akA /4 , 20Wthe following (Judgment) has been entered against you in the above-captibncd case. DATE: 11b I Prothonotary I hereby certify that the name and address of the proper person(s) to receive this notice is: . WILLIAM ADAMS 941 N E 19TH AVE #301 FT LAUDERDALE FL 33304 A/ WILLIAM ADAMS, Defendido/a Defendidos/as Por este medio se le esta notificando que el do del 20_, el/la siguientc(Fallo) ha sido anotado cn contra suya cn el caso mencionado en el epigrafe. FECHA• Protonotario Certificao que la siguienie direccion es la del defcndido/a scgun indicada en el cetificado de residencia: WILLIAM ADAMS 941 N E 19TH AVE #301 FT LAUDERDALE FL 33304 Abogado del De:nandante a ?. ' ?{ CL .. a• MONY LIFE INSURANCE COMPANY Formerly : IN THE COURT OF COMMON PLEAS Known as THE MUTUAL LIFE INSURANCE COMPANY OF NEW YORK : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff / 9 V. . NO. 197 Il "_ WILLIAM ADAMS : CIVIL DIVISION -LAW Defendant NOTICE YOU HAVE BEEN SUED IN COURT. IF YOU WISH TO DEFEND AGAINST THE CLAIM 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 AN 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 PLAINTIFF. YOU MAY LOSE MONEY OR PROPERTY OR OTHER RIGHTS IMPORTANT TO YOU. CUMBERLAND COUNTY BAR ASSOCIATION TWO LIBERTY AVENUE CARLISLE PA 17013 (717) 249-3166 MONY LIFE INSURANCE COMPANY Formerly Known as THE MUTUAL LIFE INSURANCE COMPANY OF NEW YORK Plaintiff V. WILLIAM ADAMS Defendant : IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. CIVIL DIVISION -LAW COMPLAINT The Plaintiff, MONY LIFE INSURANCE COMPANY Formerly Known as THE MUTUAL LIFE INSURANCE COMPANY OF NEW YORK, by its attorneys, KNUPP, KODAK & IMBLUM, P. C., brings this action of Assumpsit against the Defendant to recover the sum of ONE HUNDRED AND FORTY-SEVEN THOUSAND, FIFTY-TWO DOLLARS AND NINETY-THREE CENTS ($147,052.93), along with costs of this suit and interest thereon from September 22, 1999 upon a cause of action of which the following is a statement: 1. The Plaintiff, MONY LIFE INSURANCE COMPANY Formerly Known as THE MUTUAL LIFE INSURANCE COMPANY OF NEW YORK, is a corporation organized and existing und:r the laws of the State of New York, having its principal office and place of business at 1740 Broadway, New York, New York 10019. 2. The Defendant, WILLIAM ADAMS, is an adult individual residing at and/or has an office and place of business at 221 North 24th Street, Camp Hill, Cumberland County, Pennsylvania 17011. 3. Defendant worked as Field Underwriter which is a commissioned insurance agent for the Plaintiff from on or about December 1, 1986 to on or about May 31,19% at which time Defendant's contract with Plaintiff was terminated. 4. During Defendant's tenure, and pursuant to his Career Contract with Plaintiff, if certain insurance policies fail to be premium producing, or if the Company has deemed it necessary to refund a premium for which the Defendant was paid a commission or if a commission was paid in advance on a premium which was not paid within the time provided by the policy, or allowed by the Company, or, if the premium is paid, and the Defendant would not have been entitled to the commissions when the premium was paid, Defendant was obliged to return the commissions that he received. Said contract is hereto attached, made a part hereof and marked as Exhibit "A". 5. At the time of Defendant's termination, an audit was done showing Defendant's unearned portion of the commissions that he received was in the amount of ONE, HUNDRED AND FIFTY THOUSAND , SIX HUNDRED AND TWO DOLLARS AND THIRTY-SIX CENTS ($150,602.36), and owed to Plaintiff as shown on Plaintiirs Statement of Account entitled "CDC Audit" which is attached hereto and made a part hereof, marked as Exhibit "D". 6. The balance now due and owing by Defendant to Plaintiff is the sum of ONE HUNDRED AND FORTY-SEVEN THOUSAND, FIFTY-TWO DOLLARS AND NINETY-THRF.F. CENTS ($147,052.93) as appears by the Statement of Account made a part hereof and marked as Exhibit "D". 7. Plaintiff has frequently demanded payment from Defendant of said amount due and owing as aforesaid, but Defendant has refused and neglected and still refuses and neglects to pay said amount of any pert thereof. WHEREFORE, Plaintiff brings this suit to recover from Defendant the sum of ONE HUNDRED AND FORTY-SEVEN THOUSAND, FIFTY-TWO DOLLARS AND NINETY-THREE CENTS (5147,052.93), along with costs of this suit and interest thereon from September 22, 1999. Respectfully submitted, KNUPP ,,,, IZOK & IMBLUM, P.C. Robert D. Kodak 407 North Front Street Post Office Box #11848 Harrisburg, PA 17108-1848 (717) 238-7151 Attorney ID No. 18041 Attorney for Plaintiff CAREER CONTRACT Name FIMWCALSERV? EXHIBIT A 1. Appointment Sou are appointed a full-time Field Underwriter. Tltc phrase "full-time" and the scope and limitations of your authorityarc defined in the following paragraphs as are other terms used in this contract. As a Field Underwriter, you have no authority except .is is specif- ically given to you by this Contract or by the Company. 2. Authority (a) Under this -appointment, you may solicit appli- cations for insurance in the Company of the types of insurance which the Company is issuing. lint are not authorized to collect any premiums other than the first premiums in connection with such applications and to service the policies when issued, but only while this appointment remains in effect. Upon termination of this appointment you cannot solicit for, collect pre. miums for, or service the Company's policies. More. over, upon termination of this appointment you shall immediately return to the Company all rate books, forms, solicitation material and files with reference to persons insured in the Company either developed by you while this appointment was in effect or otherwise in your possession. While this contract is subject to such rules and regulations as the Company may deem -appropriate and establish from time to time for the efficient admin- istration of this contract and of its business, It is the intent of this contract that you be an independent contractor, with full freedom to determine, within the scope of this contract, the persons from whom to so- licit business and the method, time, and place of your performance. Accordingly, nothing in this contract, or any rule or regulations established by the Company, shall create, or be interpreted to create, the relation- ship of employee and employer between you and the Company. (b) Your authority under this contract is limited to such kinds of insurance as you are licensed, and to the places where you are licensed, to solicit and service under applicable federal and state law. (c) him shall not represent any other company doing the kind of insurance business which the Company is authorized to do and Is doing unless the Manager of the Agency where your contract is of rec. ord has agreed In writing that you may do so. (This provision does not apply while you hold a New lick domiciliary- license.) (d )This contract is personal to you and is, there- fore, not transferable Moreover, no compensation of any kind earned, or to be earned, under this contract may be assigned or pledged without the consent of the Company and any such assignment or pledge made without the consent of the Company is void. i. Compensation (a)'ILe Company will pay compensation fur business produced by you on the applicable premium mode in accordance with the Career Schedules in force when the business is produced and in the man. tier provided for in this contract. The phrase "business produced by you" is defined. Compensation, the con. ditions of payment, and vesting, if any, for any Com. pany product which is not listed in the Schedules will be quoted on request. Payment of compensation will be made at such times and In such manner during each year as the Company may deem appropriate for the efficient administration of this contract. (b) If the Company has paid :my compensation to you in advance, you are indebted to the Company If the premium on which the compensation is based is not paid within the time provided by the policy, or allowed by the Company, or, if the premium is paid, if you would not have been entitled to the compensation when the premium is pald. The Company will deter. mine whether or not you would have been entitled to the compensation. The Company's right to make such a determination shall survive the termination of this contract. (c) Upon the Company's demand, you must re- turn to the Company any compensation paid to you on a premium which the Company has deemed necessary to refund; and you are Indebted to the Company until you do so. The Company will determine whether a premium must be refunded. The Company's right to make such a determination shall survive the termina. tion of this contract. (d) Any compensation which would be due you under this contract shall not become due If you are indebted to the Company. Instead, in case you are in- debted to the Company, such compensation which would otherwise have been paid will be applied by the Company to reduce your indebtedness to it, regardless of any claim or lien by you or by someone other than the Company. Upon termination of this contract, you shall Immediately pay to the Company any and all amounts which arc then owed. Any debts arising after the termination of this contract shall either reduce any compensation which might otherwise become due, or shall be immediately paid in cash, at the Company's option. (c)'Ib the extent permitted by law, the Company may discharge its obligation under this contract to pay compensation due after Its termination, or after your death, by payment of the commuted value of such compensation at any time after the termination of the contract or after your death.llte commuted value will be equivalent to the sum of the compensation due, or which would become due, calculated by the Company on the basis of mortality; lapse, and interest rates deemed appropriate by it. (f) iii the extent allowed by the law of your domi. cile, you may elect that compensation which would he payable to you after your death shall he payable to a beneficiary designated by you from time to time by notice ut the Company during your lifetime. The des. ignation shall take effect, subject it) the immediately following sentence, as of the date it was signed by you upon acceptance and recording by the Cumpany'llic Company shall he fully discharged in staking payment t In accordance with the last designation of its kind it has on file before notice that a change has been made. If you have made no such beneficiary designation, or if no such beneficiary designation is In effect at your death, or if in the Company's judgment the law of your present domicile, or of your domicile at the time of your death, does not allow for the designation of a beneficiary on contracts of this type, any compensa- tion due you and unpaid at your death, or coming due to you after your death, will be paid to the executors or administrators of your estate. (g) The Company reserves the right to pay less commissions, or none, on any policy Issued which has the effect of replacing another policy previously issued. The Company has reserved the right to define "replacing" from time to time in such manner as it deems necessary for the efficient administration of Its business. Furthermore, state haw may require other commission restrictions. 4. Vesting of Compensation (a) FIRST YEAR COMMISSIONS-First year com- missions are vested, except where otherwise provided. (b) RENEWAL COMMISSIONS-Except where otherwise provided, renewal commissions are not vested. (c) OTHER COMPENSATION-No other compensation is vested unless the Schedule specifa- cally provides. (d) REQUIREMENTS FOR PAYMENT-Any compensation, or part thereof, on business produced by you, unless vested will be paid only if, since such business was produced, you have been continuously under an insurance solicitor's contract with the Com- pany until the premium on which such compensation Is based has become due and has been paid and then only in accordance with requirements specified in the applicable Schedule. 5. Amendments The Company reserves the right to change this con- tract and its Schedules from time to time.'fhe Com. Pally will attempt to give you 30 days notice before a change takes effect, but the Company will not make any change which will reduce your vested compensa- tion on business already produced by you unless you agree to the change in writing. 6. bcnernl Provisions (a) Neither an Agency Manager, nor any other person. except with the written consent of a Senior or Corporate Officer of the Company has any authority to Interpret or change the printed terms of this con• tract or to add anything to it. (b) No commission will be payable on any busi• ness until the policy or contract has been finally Accepted by tile applicant. (e) )ibur commissions on any business produced by You will be reduced by any amount required to he paid to another Field Underwriter whether under ap• plicable resident agent or countersignature laws or rulings or otherwise as interpreted by the Company. (d) lieu are responsible In a fiduciary capacity- that is, as a trustee-for all premiums collected by you. If you do collect any premiums, you must deliver them to the Company immediately. Furthermore, at the Company's request, you must furnish a bond in an amount, form and surety acceptable to the Company. (e) tbu hereby authorized deduction from your commissions to pay for any Errors and Omissions In- surance provided through the Company. Furthermore, you agree that if Errors and Omissions Insurance is not provided through the Company, you will purchase and maintain such insurance in an amount, form and with a carrier acceptable to the Company. 7. Definitions For the purposes of this contract, unless the context in which it is used indicates that another meaning is appropriate, the following terms mean: (a) "Business Produced by )bu" includes only policies or contracts actually issued by the Company and placed in full force and effect as a result of your efforts. No such business shall be regarded as having been produced by you unless you have secured the completed application for the policies or contracts on which the first premium has been paid to and accepted by the Company. (b) 'Compensation" means commissions of any kind, Bonuses and Service Fees payable under this Contract. (c) "Company" and "AlONYFInancialServkes" mean no: Mutual Life Insurance Company of New York ("MONY"), MONY Life Insurance Company of America ("MLOA") and MONY Legacy Life Insurance Company ("Legacy"). (d) "Contract Year" means calendar year begin- ning)anuary 1st. (e) "First Hwr Commissions" means commis- sions (other than Bonuses and Service Fees) based on first year premiums. (f) "First yerirpremiuins" means premiums for the first policy year except as a Schedule shall provide otherwise. (g) "Full-Time" in reference to a Career Field Underwriter means a Field Underwriter whose busi- ness time, effort, and activity is primarily devoted to the selling and servicing of the Company's products and who is carving a respectable income from the Company. The Company has reserved the right to define "a respectable income" from time to time by publishing or announcing a dollar amount of first year and other compensation earned, or to be earned, in a contract year from the sale of its products. (h) "Individual" when used in connection with "policy" or "business" oceans Individual policies other than policies forming part ofa Module or Group insurance or Group pension plan of coverage. (t) "httlivldrralLifeInsurance Busimss"ex• eludes individual annuities, except where otherwise provided. (j) "Insurance" includes fixed dollar and variable contracts. (k) "StforNhs"when used with respect to this coil- tract are measured from the effective date of this con- tract to the same date in each succeeding calendar month; when used with respect to insurance policies or annuity contracts, are measured from the policy date of such policy or contract to the same date in each succeeding calendar month. (1) Non-Vested Compertsation"mcanscompen- sation other than Vested Compensation. (m) "Notice" means notice in writing delivered in person or mailed to the party entitled to notice at his last known address of record, and any period required for notice will begin on the date of delivery of that notice in person or on the date the notice is mailed to the last known address of record, whichever is earlier. (n) Policy" includes annuity contract. (o) Premium" includes annuity consideration. (p) "Renewal Commissions" means commis- sions (other than First Year Commissions, Bonuses and Service Fees) based on renewal premiums. (q) Reneivaf Premiums" means premiums for policy years other than for the first policy year except as a schedule shall provide otherwise. (r) "Schedules" means the Career Schedules cur- rently in effect relating to the Company's products which form a part of this contract. (There arc pres- ently 10 separate Schedules as follows: 1. NIONY Life Insurance (individual policies); 2. MOM' Group Insurance and Pension Plans; 3. NIONY health Insur- ance (Individual policies); 4. MOM' Variable Annuities (individual contracts); 5. MLOA Flexible Premium Adjustable Life; G. MLOA Single Premium Plans; 7. MLOA Flexible Premium Variable Life Insur- once; H. Legacy Flexible Premium Adjustable Life; 9. Legacy Single Premium Plans; and 10. Legacy Flexi- ble Premium Variable Life. (s) "tasted" means compensation, the payment of which does not depend on whether or not you remain under an insurance solicitors contract with the Company. (t) "-/.era Contract yi•rtr" usually written as "con• tract year 0" or "cyto."means the period starting on the Effective date of this contract and ending on December 31st of the same calendar year. 8. Retirement Benefits Acceptance of this contract constitutes your applica- tion to participate in MONY's Retirement Plan for Field Underwriters and continuance of this coruract Is con- ditioned upon your continued participation in the Plan. 9. Termination The laws applicable to an agency relationship provide that an agency may continue only so long as both of us desire to maintain it. Therefore, this contract may be terminated by you or by the Company at any time by notice to the other party. In case you violate any law, or violate any provision of this contract, or arc under a financing plan, termination will take effect immedi- ately upon notice from the Company. In all other cases, (except where termination, by mutual agree- ment, is to take effect in a lesser time)-that is where this contract is being terminated without cause-30 days notice is required. After termination of this con- tract, except to the extent it specifically provides for the payment of compensation after its termination, no further compensation shall be due you and the Com- pany's obligation shall cease and the Company shall be released from all further claims or demands of any kind as a result of having entered Into this contract or as a result of its termination. 'Ills contract will take effect on the Eti'ective Date Indicated in Its Field Underwriter caption, after It has been signed by you and the Agency Manager and a copy so signed has been delivered to you. It terminates all Street Address prior insurance sollcltorb contracts between you and the Com- pany, except for your right to compensation continuing to City become payable under the terms of any such prior contract. County I have carefully read the foregoing provisions and hereby accept this contract. State Zip Code Signed on y9 Code Number Field L'nJrrsvrirer Agency NIONY Financial Services. fly: Effective Date AgencyManager The Mutual Lilo Insurance Company of New York 1/40 R/oadaay { F/NgNC/AL SERV/CES tlew Yolk, N Y 10019 t, ,,,, w, i; .? f x•, OCT 04 199 15:58 FR MOW GROUP INC CDC Audit As of 9122/99 Name: ADAMS, WILLIAM FU No.; 49447 Agency; 075 212 708 2278 TO 917172 sw. 387158u? ?? P.0ium 2i030 lor.4 Balance Due: 3747,052.93 Data Source Amount Balance 04129184 Payday $2,653.22 $2,653,22 05/13/94 Payday $9,603.60 $12 256 72 05/31/94 Payday 417.41 , . $12,239.31 08/18194 Payday $14,319.43 325 558 74 06/30/84 Payday 1 , . 326 698 76 07115/94 Payday -519 .91 , , S26 S06 85 07/29/94 Payday -$52.89 , . 326 453 96 08/31/94 P yd , . 526 088 26 09115/94 Pa ay 3258,71 , . 325 829 56 09/30194 Payday -5558,09 , . 325 271 45 10114/94 Payday $724,35 . . 325 995 81 10/31194 Payday -50.06 , . 325.995.75 11114/94 Payday -3240,18 325 755 57 11/30194 Payday $939.77 , , $26 695 34 12/15/94 Payday -364.12 . . $25 631.22 12131/94 Payday 32.55 , 526 633 77 01/13/95 Payday 413.44 , , 328 620.33 01131/95 Payday -311.15 , 326,609.18 02/15/95 Payday 4133,02 $26,476.16 020/95 Payday -$7.52 $26 468.54 03/31/95 Payday -563.22 , $26 405.42 04/14/95 Payday $46,781.47 , $73 186 89 04/28/95 Payday $1.46 , . $73,188.35 05131195 Payday -534.89 373 153.48 06/30195 Payday 483.16 , $73,090.30 07/14/95 Payday •321.70 $73 068.60 07/31/95 Payday 424.13 , S73 044.47 08115/95 Payday 378,708,64 , $151,753.11 08/25185 Payday $5,693.58 3157,446 69 08131/95 Payday 48,220.94 . 3151,225 75 09115/95 Payday -518.48 . $151,207.27 09129/95 Payday 47.16 $161.200 11 10131/95 Payday 414.61 $151,185.50 11/15/95 Payday 470.19 5161,17531 11/30/95 Payday -3115.71 $151,059.60 12/15195 Payday -5207.18 $150,852.42 01/12/96 Payday -55.42 5150,647.00 02/16196 Payday -5127.15 5150,719.65 02/29196 Payday -517.03 $150,702.82 03/29/96 Payday 421.55 3160,681.27 04115/96 Payday -334,78 $150,646.49 CCT 04 1999 :4:41 Pg3E.02 OCT 04 '99 15:58 FR MONY GROLP INC 212 708 2278 TO 917172387158 P.03i03 764 P03i03 OCT 04 099 13134 04/30/96 Payday -312,05 $150,634.44 05/31196 Payday -332.08 5160,602.30 0828/96 Payday -5238.63 $150,365.63 07/15/96 Payday -536,87 $130,328.66 07/31198 Payday -323.59 5150.305.07 08/30196 Payday -317.65 $150,287,22 09113196 Payday 36.83 $150,280.39 09/30/96 Payday 418.70 3150.283.69 10/31198 Payday -3129.77 $150,133.92 11/15196 Payday 5111.18 5150,022.74 11/27186 Payday •310,08 $150,012.68 12113196 Payday -$4.64 $150,008.12 12/31/96 Payday .3150.18 $149,867.94 01/15197 Payday -5525.68 $149,332.28 02/14197 Payday -57.65 $149,324.63 02128/97 Payday -S10.08 $149,314.55 03/14/97 Payday 316.39 $149,299.16 03131/97 Payday 519,89 $149,270.27 04115/97 Payday 310.08 $149,269.19 05/15/97 Payday 310.08 $149,259.11 05130/97 Payday 363.42 3149,205,69 06/13/97 Payday 326.92 $149,178.77 08/30/97 Payday -5202.24 $148,976.53 07/15197 Payday 320,04 $148,958.49 07/31/97 Payday 413.33 5148,943,16 08/15/97 Payday 320,17 3148,922.99 0829/97 Payday -37,77 5148,915.22 09/15197 Payday -3114,29 3146,800.93 09/30/87 Payday 310.08 $148,790.86 10115/97 Payday -510.08 5148,780.77 10/31197 Payday 3129.09 $148,651.68 1126/97 Payday -54.54 3148,647.14 12/31/97 Payday 43,50 $148,643.64 01/15198 Payday -5540,49 $145.103.15 01/30/98 Pay:tay 32.08 314P,101.07 02/13/98 Payday 361.07 $146,040.00 06/15/98 Payday -$179.41 6147,860.59 07/31/98 Payday 312.24 $147,848.35 08114196 Payday -316.84 S147,P31.51 10115/98 Payday 3107,47 $147.724.04 12/15198 Payday -3112.82 $147,611,42 12/31/98 Payday -S370.83 :5147,240,59 01/15/99 Payday -553.42 3147,107,17 03115/99 Payday -35.73 5147,181.44 08/30/99 Payday -3106.41 $147,075.03 06131199 Payday 422.10 5147,052.93 08/3111999 Payday Audit Balance $147,052.93 OCT 04 1999 14:42 PAGE.03 * r TOTPL PAGE. 03 "All 21 "N) l(OXI I k 11HY GRIP INc 212 101 2.r,t U) 'Jt :1, V F a1X S1&1 LSw I, Hlchcllr Delohn Ansialant Vice PruatdugQ(Mt7ti1' [ll f.. {:tid(11tAtiC7t"7MPA Y Nor) Formerly Known L TAE MUTUAL TIFF NSURANCE COMPANY C F ;V1:14' VORK, vt rify that Cte I tataallttf mode in the a(ampoing document are true and correct. T understand that 'alit a a a aw:%t3 l:.en:in ant nt td + iublet t to the penitiee of I$ Pa. C. S. 44904, relating to unworn fabiGcation to au dutPific I. MO: iY WE INSURANC 3 C ;??a I'.1f 'Y Br. 4,6A D-9ja- Title: A-%,4ivtntit Vice nod Annnfitn AdminLA:,atj:u Dated: y/2Z 9C? Carrie L. DeNova Votary Public In The State of New Ybrk rpointed in Madison Cou commission expires 'O ,. a ??t Vii. rt j ?? r' l tF f t :" ' ??; ?` a SJ ht .. lrs? Ut ,j a q t? g