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 ,
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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 ?.
'
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.. 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
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Title: A-%,4ivtntit Vice
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Dated: y/2Z 9C?
Carrie L. DeNova
Votary Public In The State of New Ybrk
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