HomeMy WebLinkAbout04-0755
STATE FARM INSURANCE
COMPANIES,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04 - "ItS C'OLL ~~
v.
CIVIL ACTION - LAW
WILLIAM KURTZ, JR.
Defendant
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
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.
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.
CUMBERLAND CO. BAR ASSOCIATION
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
(717) 249-3166
AVISO
USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las
demandas que se presentan mas adelante en las siguientes paginas, debe tomar
acci6n dentro de los pr6ximos veinte (20) dias despues de la notificaci6n de esta
Demanda y Aviso radicando personalmente 0 por medio de un abogado una
comparecencia escrita y radicando en la Corte por escrito sus defensas de, y
objecciones a, las demandas presentadas aqui en contra suya. Se Ie advierte de que
si usted falla de tomar acci6n como se describe anteriormente, el caso puede proceder
sin usted y un fallo por cualquier suma de dinero reclamada en la demanda 0 cualquier
otra reclamaci6n 0 remedio solicitado por el demandante puede ser dictado en contra
suya por la Corte sin mas aviso adicional. Usted puede perder dinero 0 propiedad u
otros derechos importantes para usted.
USTED DE BE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE.
SI USTED NO TIENE UN ABOGADO, LLAME 0 VAYA A LA SIGUIENTE OFICINA.
ESTA OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO
CONSEGUIR UN ABOGADO,
SI USTED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES
POSIBLE QUE ESTA OFICINA LE PUEDA PROVEER INFORMACION SOBRE
AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO 0 BAJO COSTO A
PERSONAS QUE CUALlFICAN.
CUMBERLAND CO. BAR ASSOCIATION
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
(717) 249-3166
v.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04 - '155/ C;o~L'-r~
CIVIL ACTION - LAW
STATE FARM INSURANCE
COMPANIES,
Plaintiff
WILLIAM KURTZ, JR.
Defendant
COMPLAINT
1. The Plaintiff is a corporation duly licensed to engage in the casualty
insurance business in the Commonwealth of Pennsylvania, and having an office located
at P.O. Box 41, Concordville, Pennsylvania 19339.
2. The Defendant is an adult individual residing at 32 Adams Street, Enola,
Pennsylvania 17025.
3. On or about April 9, 2003, Plaintiff insured a vehicle owned by Robert J.
Pusti, which vehicle sustained damages totaling ONE THOUSAND THREE HUNDRED
"TWENTY-ONE and 36/100 ($1,321.36) DOLLARS as a result of the negligence of the
Defendant.
4. Defendant entered into an installment agreement to repay to Plaintiff the
amount of money damages caused by the negligence of the Defendant. A copy of said
installment agreement is attached hereto marked as Exhibit "A" and incorporated herein
by reference.
5. Defendant after entering into the agreement on May 13, 2003 has paid a
total of $200.00 and therefore is in breach of the installment agreement.
WHEREFORE, Plaintiff demands judgment against the Defendant in an amount
not in excess of mandatory arbitration limits.
Respectfully submitted,
WIX, WENGER & WEIDNER
By
.'~(~IlW-x'
Richard H. Wix, Esq., ID# 07274
Attorneys for Plaintiff
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
Dated: /).111 I O~
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05113103
Claim Number:
38 KI89 568
Soclo/ Security Numbor(s~
(Oplionol)
Nome 01 Debtor(s):
WI1IIom Kurtz ok.
Address 01 OoblDr(s):
RRlI B..17
_ Bloomfiold ... 17011
Nama 01 Cnldltor (chock the 8PP"'Priale boxt.
iZI Slate Form MuIuoI Automobile Insul8llCll Company
8 Slate Fa"" Are ond Casualty Insurance Company
SllIte Fa"" Gonnlnsuronce Company
8 Slate Fa"" LIoyds 01 Toxss
Slele Form Indomnlty Company
For PUrp0s8S 0/ the Fed"",1 TnJIh in Lencl1ng Dlsclosu.... (15 use 5 1601 etseq. (2001]) and thb PlIlm\ssory Note, the words '1", 'Me', or
oM(' rafer to each and overy person signing belaN lIS a 0eb1l>r (under thIo Pnlmlsao<y /IIote) joInIly and 1ndMdu811y. The __ 'You',
'Your', end 'Yours" moan the etednor identified above. The __ 'Nole' or 'Agreemenr moan this PIIlmIssory Note.
_rei Truth In Londlng D_ure
Address fur Creditor: (Claim 0Ill.. Add.....)
Annual P....ntage _
The cost of your credit as a
yearly",te
Finan.. Charaa
Tha dollar amount the etedit
will cost you.
Total of Paymonla
Tha amount you Will have paid
after you have mada aU
payments as scheduled.
$ 1321.38
Amount Financed
The amount of etedn provtdad
to you or on your behall.
NA
$ 1321.38
NA
My payment schedule will be:
I Number of Pay7 ments I Amount of Payments
200.00 and 121.36 nnal
Preoavment. If I pay off early. I will not have to pey a penalty.
LatA Chan:1e" None
See the prOmissOrY NOl8 for any additionallnfonnation.
I When Payments are Due
30th
Promissory Note
,. Promise to Pay. In consideration for your defonnent of the amounts I owe to you. I promlso to pay to you or to your order all amounts
outstanding under this Nota,lndudlng tho principal balance, Intorast at a rate equal to tha Annual porcentaga Rate dlscIooed In the Fede<al
Truth In Lending Disclosures contained in thiS Note. All my payments shaa be made pursuanl to the payment schedule set furth in the
Fadera! TnJIh In Landing Disclosure contained in this /IIote.
2. Amount Financed: $ 1321.3&
3. AcknowladgamenL By signing this note, I (Wo), as the OeblOl(s) under this Note, heraby acknowIadgethet (a) the Faderel TnJIh In
Lending Disclosures and this Noto were complela, with ell the blanks approplietely filled In, when racalved pt10r to the a-.lIon of this
Nota. end (b) that a copy hal80I WllS provtclacl to each Dabtor under this /IIote
WITNESSETH tha Hand of the undel1lgned, this Agreement belng e.acutacI,
hereby, on the deta ftrstwriltan ebove. b.
Wilna..: \)I
Witness:
"
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1'~' 1'0-07-2002 ; .
Exhibit "A"
"I
VERIFICATION
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I, Barb Baller, a Claim Representative for State Fann Insurance Company, have
read the foregoing Complaint which has been drafted by counsel. The factual statements
and/ordenials contained .!!1erein ,are true and correct to the best of my knowledge;
infonnation and belief. I am authorized to make this verification.
This verification is made only as to the factual avennents contained therein and
not to legal conclusions and avennents authorized by counsel in his capacity as attomey
for the party or parties hereto.
This verification is made subject to the penalties of 18 PA. C.S. Section 4904.
relating to unswom falsification to authorities which provides that, if I knowingly made
false avennents. I may be subject to criminal penalties.
Date: ~/'rj 0'/'
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SHERIFF'S RETURN - NOT FOUND
CASE NO: 2004-00755 P
COMMONTWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
STATE FARM INSURANCE COMPANIES
VS
KURTZ WILLIAM JR
R. Thomas Kline
,Sheriff or Deputy Sheriff, who being
duly sworn according to law, says, that he made a diligent search and
inquiry for the within named DEFENDANT
KURTZ WILLIAM JR
but was
unable to locate Him in his bailiwick. He therefore returns the
COMPLAINT & NOTICE
, NOT FOUND , as to
the within named DEFENDANT
, KURTZ WILLIAM JR
32 ADAMS STREET
ENOLA, PA 17025
CURRENT RESIDENT HAS LIVED THERE FOR 6 YEARS.
BELIEVES DEFENDANT LIVES IN PERRY COUNTY.
Sheriff's Costs:
Docketing
Service
Not Found
Surcharge
18.00
10.35
5.00
10.00
.00
43.35
../
So an,~wer. .~//:'-/~._','--""=-"~'="'"
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, ~.' Thomas Kline
Sheriff of Cumberland County
WIX WENGER WEIDNER
02/26/2004
Sworn and subscribed to before me
this
,,2~
day of ~/V
;2(J()<j A. D .
( /'Lo/' Q rJ;uPj/~/ "O~
pr6thonotary , 1-'
STATE FARM INSURANCE
COMPANIES,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-755 Civil Term
v.
CIVIL ACTION -- LAW
WILLIAM KURTZ, JR.
Defendant
PRAECIPE
TO THE PROTHONOTARY:
Please reinstate the Complaint in the above-captioned matter that was filed on or
about February 20, 2004.
Respectfully submitted,
WIX, WENGER & WEIDNER
By 'l~~L f1. lJx'
Richard H. Wix, Esq., 10# 07274
Attorneys for Plaintiff
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
Dated: 03/18/04
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SHERIFF'S RETURN - NOT FOUND
CASE NO: 2004-00755 P
COMMONTWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
STATE FARM INSURANCE COMPANIES
VS
KURTZ WILLIAM JR
R. Thomas Kline
,Sheriff or Deputy Sheriff, who being
duly sworn according to law, says, that he made a diligent search and
inquiry for the within named DEFENDANT
KURTZ WILLIAM JR
but was
unable to locate Him in his bailiwick. He therefore returns the
COMPLAINT & NOTICE
, NOT FOUND , as to
the within named DEFENDANT
, KURTZ WILLIAM JR
521 ERB LANE
ENOLA, PA 17025
CURRENT RESIDENT HAS LIVED THERE FOR 3 YEARS.
_7
Sheriff's Costs:
Docketing
Service
Not Found
Surcharge
18.00
10.35
5.00
10.00
.00
43.35
So ans",,~::s'),".>_/'. ,.:/:c~-c:
.~~~---{~
R. Thomas K:).ine
Sheriff of Cumberland County
WIX WENGER WEIDNER
03/30/2004
Sworn and subscribed to before me
this
.!/f!:
day of ~
r201J'f A.D.
~Q.~
protnonotary ,~
STATE FARM INSURANCE
COMPANIES,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-755 CIVil TERM
v.
CIVil ACTION -- lAW
WilLIAM KURTZ, JR.
Defendant
PRAECIPE
TO THE PROTHONTOARY:
Please reinstate the Complaint in the above-captioned matter that was filed on or
about February 20, 2004,
Respectfully submitted,
WIX, WENGER I~ WEIDNER
By
~ ~"^" fJ. l.Jx;
Richard H. Wix, Esq., 10# 07274
Attorneys for Plaintiff
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-845EI
Dated: 7/21/04
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SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 2004-00755 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
STATE FARM INSURANCE COMPANIES
VS
KURTZ WILLIAM JR
R. Thomas Kline
, Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
, to wit:
KURTZ WILLIAM JR
but was unable to locate Him
in his bailiwick. He therefore
deputized the sheriff of PERRY
County, Pennsylvania, to
serve the within COMPLAINT & NOTICE
On July
29th , 2004 , this office was in receipt of the
attached return from PERRY
Sheriff's Costs:
Docketing 18.00
Out of County 9.00
Surcharge 10.00
Dep Perry County 22.00
.00
59.00
07/29/2004
WIX WENGER WEIDNER
So answer
/-~..------
~'
R. Thomas Kline
Sheriff of Cumberland County
Sworn and subscribed to before me
this J.u{ day of Oil1b..J-
;&hJ'I A.D.
C) '-'- Q 7h:IJ.t..J ll,,~
~ prothonotafyr07
In The Court of Common Pleas of Cumberland County, Pennsylvania
State Farm Insurance Companies
VS.
William Kurtz Jr.
No. 04-755 civil
Now,
July 26. 2004
, I, SHERIFF OF CUMBERLAND COUNTY, P A, do
hereby deputize the Sheriff of
Perry
County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
,../7//fi
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Sheriff of Cum berland County, P A
Affidavit of Service
Now, July 28,
,20~, at 12: 45 o'clock P
M. served the
within
Complaint
upon
William Kurtz Jr.
at
256 Roth Rd.
Centre Twp) New Bloomfield, PA 17068
by handing to William Kurtz, Jr. Defendant
a True & Attested copy of the original Complaint'
and made known to
Him
the contents thereof.
So answers,
Donald E. smithp _~I
' Q~oiJ_( /~
Deputy Sheriff of PerrY County,PA
Chief
Sworn and subscribed before
me this ~ day of -0 u Ii ' 20f2!/-
maJf<MH 1.'tU~.~
I lJHOTARIALSEAl I ()
IIAR\lAllEf F. FUC_ER. IIOIARY PU8UC
ILOOIIFlEI.D BOlO., PERRY COUNTY
IIY COIIIllSSlOll EXPIRES FEB. 16. 2001
COSTS
SERVICE
MILEAGE
AFFIDAVIT
$
$
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STATE FARM INSURANCE CO.,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
vs.
WILLIAM KURTZ, JR.
Defendant
: CIVIL ACTION- LAW
: No. 04-755
WlLL'iVI-\ l(wch.)14- *
Please enter default judgment against the Defendant, Lak~h6 Hcll /le!, in the
PRAECIPE
amount of $1,751.17 plus interest and costs of suit in the above-captioned matter.
Respectfully Submitted,
Wix, Wenger & Weidner
By 4-J~'/ /'
Kathryn L. Wix, Esq. Admission 10/1/04
Attomeys for Plaintiff
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
Dated: 10/7/04
STATE FARM INSURANCE
COMPANIES,
Plaintiff
v.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-755
WILLIAM KURTZ, JR.,
Defendant
CIVIL ACTION - LAW
TO: William Kurtz, Jr.
256 Roth Road
Bloomfield, PA 17068
DATE OF NOTICE: September 10, 2004
IMPORTANT NOnCE
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN
APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE
COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH
AGAINST YOU. UNLESS YOU ACT WITHIN TEN 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.
CUMBERLAND CO. BAR ASSOCIATION
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
(717) 249-3166
AVISO IMPORTANTE
A: William Kurtz, Jr.
256 Roth Road
Bloomfield, PA 17068
FECHA DEL AVISO; September 10, 2004
USTED ESTA EN REBELDIA PORQUE HA FALLADO DE REGISTRAR
COMPARECENCIA ESCRITA POR SI MISMO 0 A TRAVES DE UN ABOGADO Y
SOMETER CON LA CORTE SUS DEFENSAS U OBJECCIONES A LOS CARGOS
QUE SE HAN PRESENTADO CONTRA USTED. A MENOS QUE USTED ACTUE
DENTRO DE DIEZ DIAS DE HABER RECIBIDO ESTE AVISO, LA CORTE PUEDE
TOMAR UNA DECISION EN CONTRA SUYA SIN TENER DERECHOS A UNA VISTA
Y USTED PUEDE PERDER SU PROPIEDAD U OTROS DERECHOS IMPORTANTES.
USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE.
SI USTED NO TIENE UN ABOGADO, LLAME 0 VAYA A LA SIGUIENTE OFICINA.
ESTA OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO
CONSEGU1R UN ABOGADO.
SI USTED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES
POSIBLE QUE ESTA OFICINA LE PUEDA PROVEER INFORMACION SOBRE
AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO 0 BAJO COSTO A
PERSONAS QUE CUALlFICAN.
CUMBERLAND CO. BAR ASSOCIATION
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
(717) 249-3166
2
CERTIFICATE OF SERVICE
AND NOW, this 10th day of September, 2004, I, Kathryn L, Wix, an employee
of the firm of Wix, Wenger & Weidner, attomeys for Plaintiff, hereby certify that I served the
within Notice of Default this date by depositing a copy of same in the United States mail,
postage prepaid, in Harrisburg, Pennsylvania, addressed as follows:
William Kurtz, Jr.
256 Roth Road
Bloomfield, PA 17068
WIX, WENGER & WEIDNER
/-/
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Kathryn L. Wix
/
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3
STATE FARM INSURANCE
COMPANIES,
Plaintiff
v.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-755
WILLIAM KURTZ, JR.,
Defendant
CIVIL ACTION - LAW
NOTICE OF ASSESSMENT OF DAMAGES
TO: William Kurtz. Jr.
256 Roth Road
Bloomfield. PA 17068
You are hereby notified that in ten (10) days from the mailing of this Notice.
damages will be assessed against you in the amount indicated in the attached Repair Bill
in connection with the judgment which will be entered against you in the above-captioned
action unless, prior to the date of assessment, you request a trial on the issue of
damages by filing a written Praecipe with the Prothonotary,
WIX, WENGER & WEIDNER
) ,/'
By I": I. ,( /-j /../
Richard H, Wix, Esq., ID#'07274
Attorneys for Plaintiff
4705 Duke Street
Harrisburg. PA 17109-3099
(717) 652,8455
Dated: 9/10104
STATE FARM INSURANCE CO.,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
vs.
WILLAIM KURTZ, JR.
Defendants
: CIVIL ACTION- LAW
: No. 04-755
COMMONWEALTH OF PENNSYLVANIA )
) ss
COUNTY OF DAUPHIN )
Personally appeared before me, a notary public in and for said commonwealth
and county, KATHRYN L. WIX, ESQUIRE of the firm of Wix, Wenger & Weidner,
attorneys for the Plaintiff, who being duly sworn according to law deposes and says that
she mailed notice of default judgment and notice of assessment of damages to
William Kurtz, Jr., in accordance with Pennsylvania Rules of Civil Procedure 237.1 and
1037.
/--VC ~/ /'
Kathryn L. Wix, Esquire'"
Sworn to and subscribed
before me this Id~ay
of Odob-. ,2004
A~ iJvJ
Notary Public
My Commission Expires:
Notarial Seal
Gaye Crist, Nola1y Public
South HanO'l8r Twp., Dliuphln County
My Commission Explres Apr. 18, 2005
Member. PennsylvaniaAssociabonotNotartes
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STATE FARM INSURANCE
COMPANIES,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs.
WILLIAM KURTZ, JR.,
CIVIL ACTION- LAW
Defendant
No. 04-755
COMMONWEALTH OF PENNSYLVANIA )
) ss
COUNTY OF D^Uji'MIr~ Cl.(",~ bc!-&- ( c... /V'o{)
Personally appeared before me, a notary public in and for said commonwealth
and county, KATHRYN L. WIX, ESQUIRE of the firm of Wi x, Wenger & Weidner,
attorneys for the Plaintiff, who being duly sworn according to law deposes and says that
the judgment in the above-captioned matter was as the result of a motor vehicle
accident
L;c/ -L
Kathryn L. Wix, Es uire
Sworn to and subscribed
before me this JO'tray
of\)t(e."b4.. , 2004
fi~w
Notary Public
My Commission Expires:
Notarial Seal .
Gaye Crist, Notary PublIC
South Hanover Twp., Dauphin County
My Commission Expires Apr. 18, 2005
Member, Pennsylvania AssOCiation of Notaries
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STATE FARM INSURANCE
COMPANIES,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO, 04-755 CIVil TERM
v.
CIVil ACTION - lAW
WilLIAM KURTZ, JR.
Defendant
PRAECIPE
TO THE PROTHONOTARY:
Please mark the judgment in the above-captioned matter as satisfied and the
docket as settled and discontinued.
Respectfully submitted,
WIX, WENGER & WEIDNER
By'Puc.~o/LJ- tl V~
Richard H. Wix, Esq., ID# 07274
Attomeys for Plaintiff
4705 Duke Street
Harrisburg, PA 17109-3099
(717) 652-8455
Dated: 3/15/05