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HomeMy WebLinkAbout08-4613? PAUL F. D'EMILIO, ESQUIRE ATTORNEY I.D. #16654 PAUL M. SCHOFIELD, JR, ESQUIRE ATTORNEY I.D. #81894 905 W. SPROUL ROAD, SUITE 105 SPRINGFIELD, PA 19064 (610) 338-0338 ATTORNEY FOR PLAINTIFF THIS IS AN ARBITRATION MATTER STATE AUTO INSURANCE COMPANIES AS SUBROGEE OF WESTERBROOK CUSTOM MADE DRAPERIES 1300 WOODLAND AVENUE WEST DES MOINES, IOWA 50065 VS. ANDREW PAUL SMITH 19 MAPLEWOOD AVENUE MECHANICSBURG, PA 17055 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. : COMMON PLEAS COURT OF : CUMBERLAND COUNTY NO. p$ - ylol3 Givi ( Term AVISO LE HAN DEMANDADO A USTED EN LA CORTE. SI USTED QUIERE DEFENDERSE DE ESTAS DEMANDAS EXPUESTAS EN LAS PAGINAS SIGUIENTES, LISTED TIENE (20) DIAS DE PLAZO A PARTIR DE LA FECHA DE LA DEMANDA Y LA NOTIFICACION. LISTED DEBE PRESENTAR UNA APARIENCIA ESCRITA 0 EN PERSONA 0 POR ABOGADO Y ARCHIVAR EN LA CORTE SUS DEFENSAS 0 SUS OBJECIONES A LAS DEMANDAS ENCONTRA DE SU PERSONA. SEA AVISADO QUE SI LISTED NO SE DEFIENDE, LA CORTE TOMARA MEDIDAS Y PUEDE ENTRAR UNA ORDEN CONTRA LISTED SIN PREVIO AVISO 0 NOTIFICACION O POR CUALQIER QUEJA O ALIVIO QUE ESPEDIDO EN LA PETICION DE DEMANDA. LISTED PUEDE PERDER DINERO, SUS PROPIEDADES 0 OTROS DERECHOS IMPORTANTES PARA LISTED. 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 County Bar Association 32 S. Bedford Street Carlisle, PA 17013 (717) 249-3166 (800) 990-9108 LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE PARA PAGAR TAL SERVICIO, VAYA EN PERSONA O LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE USTED PUEDE CONSEGUIR ASISTENCIA LEGAL. Cumberland County Bar Association 32 S. Bedford Street Carlisle, PA 17013 (717) 249-3166 (800) 990-9108 PAUL F. D-EMILIO, ESQUIRE ATTORNEY I.D. #16654 PAUL M. SCHOFIELD, JR, ESQUIRE ATTORNEY I.D. #81894 905 W. SPROUL ROAD, SUITE 105 SPRINGFIELD, PA 19064 (610) 338-0338 ATTORNEY FOR PLAINTIFF THIS IS AN ARBITRATION MATTER STATE AUTO INSURANCE COMPANIES AS SUBROGEE OF WESTERBROOK CUSTOM MADE DRAPERIES 1300 WOODLAND AVENUE WEST DES MOINES, IOWA 50065 VS. COMMON PLEAS COURT OF CUMBERLAND COUNTY NO. Of - V& j.3,c ?c. ANDREW PAUL SMITH 19 MAPLEWOOD AVENUE MECHANICSBURG, PA 17055 ; NOTICE UNDER THE FAIR DEBT COLLECTION PRACTICES ACT, 15 U.S.C. §1601 (AS AMENDED) THE PENNSYLVANIA UNFAIR TRADE PRACTICES ACT AND CONSUMER PROTECTION LAW, 73 PA.CON.STAT.ANN. §201, ET. SEQ. ("THE ACTS") IN AS MUCH AS THE ACTS MAY APPLY, PLEASE BE ADVISED THAT THIS COMMUNICATION IS FROM A DEBT COLLECTOR. THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. COMPLAINT The Plaintiff, State Auto Insurance Companies, by its attorney Paul F. D'Emilio, Esquire, bring action upon a cause whereof the following is a statement: 1. The Plaintiff, State Auto Insurance Companies ("Plaintiff'), is a Corporation authorized to do business in the Commonwealth of Pennsylvania, having an office at 200 West Main Street, Mechanicsburg, PA 17055. Plaintiff brings this action as subrogee of Westerbrook Custom Made Draperies, herein the ("Insureds") under a policy of insurance issued by Plaintiff. 2. Defendant, Andrew Paul Smith, is an individual residing at 19 Maplewood Avenue, Mechanicsburg, PA 17055. 3. On or about August 15, 2006, a motor vehicle owned and operated by the Defendant, Andrew Paul Smith was traveling, at a high rate of speed, east on Trindle Road, Mechanicsburg, PA when he crossed the center line and struck the Insured's vehicle which was traveling West on Trindle Road, Mechanicsburg, PA, causing the damages hereinafter set forth. The Defendant than fled the scene of the accident. 4. Plaintiff avers that the personal property of the Insureds was damaged as a result of the occurrence hereinbefore mentioned, the reasonable costs of repairs thereto being is Seven Thousand Six Hundred Forty Eight and 16/100 ($7,648.16) Dollars which was paid by Plaintiff to it Insured. A true and correct copy of the estimate is attached hereto, made part hereof and marked Exhibit "A." 5. The said occurrence was due to the negligence of the Defendant Andrew Paul Smith, in that he: a. did fail to have the motor vehicle under proper and adequate control; b. did operate the motor vehicle at an excessive rate of speed; C. did fail to apply the brakes in time to avoid the collision; d. did negligently apply the brakes; e. did fail to operate the vehicle in accordance with existing conditions; f. did fail to drive at a speed and in the manner that would allow him to stop within the assured clear distance ahead; g. did fail to keep a reasonable lookout for other vehicles lawfully on the road; h. did operate the motor vehicle without due regard for the rights, safety and position of the Insured at the point of aforesaid; and 1. did drive under the influence of alcohol and/or drugs; did leave the sene of the accident; k. did operate his vehicle without a valid driver's license; did operate the vehicle without Insurance; M. did fail to maintain financial responsibility; and n. did violate the various statutes and laws of the Commonwealth of Pennsylvania and County of Cumberland and Sections 1501, 3714, 3736, 3745 of the Motor Vehicle Code, pertaining to the operation of motor vehicles. WHEREFORE, Plaintiff demands judgment against the Defendants upon each count in an amount not in excess of Fifty Thousand and 00/100 ($50,000.00) dollars together with costs of suit. Date: a'? 0 (?Lvw__44? Paul F. D'Emilio, Esquire Identification No.: 16654 e-mail address: pauld@demiliolaw.com Paul M. Schofield, Jr., Esquire Identification No.: 81894 e-mail address: pauls@demiliolaw.com 905 W. Sproul Road, Suite 105 Springfield, PA 19064 Telephone No.: 610-338-0338 Fax No.: 610-338-0303 VERIFICATION , Subrogation Specialist with Erie Insurance Exchange in the above captioned matter verifies that the facts contained in the foregoing Complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. DATE: 07- / S -- W u') ) - )6.1, Subrogation Specialist EXHIBIT "A" • 0 08/31/2006 at 08:42 AM File ID: GH-0229-95 95926 STARSINIC APPRAISALS Starsinic Appraisal Serv., Inc. Auto - Heavy Equipment - R.V.- Motorcycles P.O. Box 7462 636 So. 2nd Street Steelton, PA 17113-0462 (717)939-9891 Fax: (717)939-1992 Written By. Nicholas V. Starsinic #136710 08/31/2006 08:42 AM For. STATE AUTO INSURANCE COMPANY - Adjuster: MARLENE MCGEE ESTIMATE OF RECORD Insured: WESTERBROOK CUSTOM MADE Clain # Owner: WESTERBROOK CUSTOM MADE Policy # Addreass PO BOX 541 Date of Loss: 08/15/2006 NEW CUMBERLAND, PA 17070 Type of Loss: Collision Day: Point of Impact: 15. Total Lose Evening: Inspect 08-30-06 .1111 OTHER Locations ROADSIDE RESCUE A r f,?? /„ MECHANICSBURG, Repair L LOS,, Days to Repair Facility: License # 2000 PONT MONTANA 4X2 EXT 6-3.4L-Fl 4D VAN GOLD Int: VIN: 1GMDX03ESYD272533 Lie: GBV-0518 PA Prod Date: Odometer: 123000 Air Conditioning Rear Defogger Tilt Wheel Cruise Control Intermittent Wipers Keyless Entry Rear Wiper Body Side Moldings Dual Mirrors Privacy Glass Luggage/Roof Rack Fog Lampe Clear Coat Paint Power Steering Power Brakes Power Windows Power Locks Power Mirrors AM Radio FM Radio Stereo Search/Seek CD Player Anti-Lock Brakes (4) Driver Air Bag Passenger Air Bag Front Side Impact Air Bag Cloth Seats Bucket Seats 7 Passenger Option Automatic Transmission Overdrive ------------------------ - --- Deluxe Wheel Covers NO. OP. ---------------- - - ----------------- DESCRIPTION ----------- ---- QTY ---------------------------- EXT. PRICE LABOR PAINT 1# Repl -------------------- Qual Recy Parts LKQ Prt clip ---- 1 ---------------------------- 2250.00 24.0 14.0 complete +25% 2 FRONT DOOR 3* Rpr RT Outer panel 0 0.00 2.0 2.3 4 SIDE LOADING DOOR 5* Rpr RT Outer panel long WB 0 0.00 2.0 2.2 6 Overlap major Adj. Panel 0 0.00 0.0 -0.4 7 SIDE PANEL 8* Rpr RT Lower panel long WB 0 0.00 2.0 2.0 1 08/3112006 at 08:42 AM File ID: GH-0229-95 95926 ESTINkTR OF RBCORD 2000 PONT MONTANA 4X2 EXT 6-3.4L-Fl 4D VAN GOLD Ynt: --------- NO. --------- ------- OP. ------- ------------------------------ DESCRIPTION ---------- ----- QTY ------------ EXT. PRICE ------- LABOR --------- PAINT 9 -------------------- Overlap Major Adj. Panel ----- 0 -------- 0.00 ---- ------- 0.0 --------- -0.4 10 LIFT GATE 11* Rpr Lift gate 0 0.00 2.0 2.5 12 Overlap Major Adj. Panel 0 0.00 0.0 -0.4 13 RESTRAINT SYSTEMS 14 Repl Driver air bag 1 694.16 m 0.4 0.0 15 System diagnosis 0 0.00 0.5 0.0 16 Repl Psngr air bag neutral 1 694.16 m 0.7 0.0 17 Repl Diagnostic unit w/sensor 1 299.80 m 0.7 0.0 is ROOF 19* Rpr Roof parcel long wheelbase 0 0.00 4.0 4.6 w/dual sliding doors 20 Overlap Major Adj. Panel 0 0.00 0.0 -0.4 21* Clear Coat 0 0.00 0.0 3.0 22 WINDSHIELD 23* Repl Glass NAGS 1 721.85 Incl. 0.0 24# Repl Hazardous Waste Removal 1 3.00 T 0.0 0.0 25# Repl Cover vehicle for overspray 1 5.00 T 0.2 0.0 26# Repl Stripe 1 12.00 T 0.3 0.0 27# Repl Seam sealer 1 10.00 T 0.0 0.0 28# Repl Restore Corrosion Protection 1 18.00 T 0.0 0.0 29# Repl Flex additive 1 6.00 T 0.0 0.0 30# Refn Tint color 0 0.00 0.0 0.5 31# Repl Freon R134A 1 30.00 T 0.0 0.0 32# Repl Coolant 1 25.00 T 0.0 0.0 33# Subl Two Wheel alignment 1 49.95 T 0.0 0.0 34# Rpr Pull and square front unibody 0 0.00 8.0 F 0.0 35# Rpr Setup & measure (Unibody) 0 0.00 2.0 0.0 36# Trim & recon. lkq parts 1 0.00 4.0 0.0 37 OTHER CHARGES 38# --------- ------- Towing ------------ 1 250.00 ------------------ Subtotals --> ------ -------- 5068.92 --- -------- 52.8 -------- 29.7 -------------------------------------------------------------------------------- Estimate Notes: SUSPENSION & STEERING - OPEN Parts 4659.97 Body Labor 44.8 hrs A $ 40.00/hr 1792.00 Paint Labor 29.7 hrs B $ 40.00/hr 1188.00 Frame Labor 8.0 hrs W $ 42.00 /hr 336.00 Paint Supplies 32.4 bra W $ 7.9.00 /hr 615.60 Sublet/Misc. 158.95 Other charges 250.00 SUBTOTAL $ 9000.52 2 0 0 08/31/2006 at 06:42 AM 95926 Pile ID: GH-0229-95 ESTD MTE OF RECORD 2000 PONT MONTANA 4X2 EST 6-3.4L-Fl 4D VAN GOLD Intl Sales Tax $ 8750.52 0 6.0000t 525.03 ---------------------------------------------------- TOTAL COST OF REPAIRS $ 9525.55 ADJUSTMENTS: Deductible 0.00 ---------------------------------------------------- TOTAL ADJUSTMENTS $ 0.00 NET COST OF REPAIRS $ 9525.55 SUPPLEMENTAL CHARGES DISCLAIMER: Any supplemental repair charges may be rejected unless otherwise approved by the appraiser or the insurance company prior to the completion of such repairs All appraisals are subject to review by the assigning insurance company and or their affiliates. APPRAISER: ?.& A LIC. # I3171o DATE: APPROXIMATE DAYS TO REPAIR L DRIVBSABLE (Y or N11 COPY TO_ INS. Co. O R 1r,,-0 REPAIRER 3 00 93 CC l) D s_; cip SHERIFF'S RETURN - REGULAR CASE NO: 2008-04613 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND STATE AUTO INSURANCE COMPANIES VS SMITH ANDREW PAUL MARK CONKLIN , Sheriff or Deputy Sheriff of Cumberland County,Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon SMITH ANDREW PAUL the PLAINTIFF , at 0020:15 HOURS, on the 15th day of August , 2008 at CUMBERLAND COUNTY PRISON 1101 CLAREMONT ROAD CARLISLE, PA 17013 by handing to ANDREW SMITH DEFENDANT a true and attested copy of COMPLAINT & NOTICE together with and at the same time directing His attention to the contents thereof. Sheriff's Costs: Docketing Service Affidavit Surcharge q/03 jef (?. 18.00 5.00 .00 10.00 00 33.00 Sworn and Subscibed to before me this day So Answers: Thomas Kline 08/19/2008 PAUL D'EMILIO By. epu Sheriff of A. D. PAUL F. D'EMILIO, ESQUIRE ATTORNEY I.D. #16654 PAUL M. SCHOFIELD, JR, ESQUIRE ATTORNEY I.D. #81894 905 W. SPROUL ROAD, SUITE 105 SPRINGFIELD, PA 19064 (610) 338-0338 ATTORNEY FOR PLAINTIFF THIS IS AN ARBITRATION MATTER STATE AUTO INSURANCE COMPANIES AS SUBROGEE OF WESTERBROOK CUSTOM MADE DRAPERIES 1300 WOODLAND AVENUE WEST DES MOINES, IOWA 50065 VS. ANDREW PAUL SMITH 19 MAPLEWOOD AVENUE MECHANICSBURG, PA 17055 COMMON PLEAS COURT OF CUMBERLAND COUNTY NO. 08-4613-CIVIL TERM PRAECIPE FOR JUDGMENT AND ASSESSMENT OF DAMAGES TO THE PROTHONOTARY, C.P.: Enter Judgment in the above entitled matter in-favor of the Plaintiff, State Auto Insurance Companies and against the Defendant, Andrew Paul Smith, for want of an answer, and assess Plaintiffs damages in the sum of $7,648.16 in accordance with a Complaint filed. izzi aA, UL F. D'EMILIO, ESQUIRE ATTORNEY FOR PLAINTIFF ATTORNEY I.D. #16654 Prothy as esses Plai iff's damages in the sum of $7,648.16. PRO OTHY PAUL F. D'EMILIO, ESQUIRE ATTORNEY I.D. #16654 PAUL M. SCHOFIELD, JR, ESQUIRE ATTORNEY I.D. #81894 905 W. SPROUL ROAD, SUITE 105 SPRINGFIELD, PA 19064 (610) 338-0338 ATTORNEY FOR PLAINTIFF THIS IS AN ARBITRATION MATTER STATE AUTO INSURANCE COMPANIES AS SUBROGEE OF WESTERBROOK CUSTOM MADE DRAPERIES 1300 WOODLAND AVENUE WEST DES MOINES, IOWA 50065 VS. ANDREW PAUL SMITH 19 MAPLEWOOD AVENUE MECHANICSBURG, PA 17055 COMMON PLEAS COURT OF CUMBERLAND COUNTY NO. 08-4613-CIVIL TERM AFFIDAVIT OF LAST KNOWN MAILING ADDRESS OF DEFENDANT AND PLAINTIFF Paul F. D'Emilio, Esquire, attorney for Plaintiff in the above-entitled matter hereby certifies that the following is the last known mailing address of the Defendant and Plaintiff: DEFENDANT: Andrew Paul Smith Cumberland County Prison 1101 Claemont Road Carlisle, PA 17013 PLAINTIFF: State Auto Insurance Companies 1300 Woodland Avenue West Des Moines, Iowa 50065 AUL F. D'EMILIO, ESQUIRE ATTORNEY FOR PLAINTIFF PAUL F. D'EMILIO, ESQUIRE ATTORNEY I.D. #16654 PAUL M. SCHOFIELD, JR, ESQUIRE ATTORNEY I.D. #81894 905 W. SPROUL ROAD, SUITE 105 SPRINGFIELD, PA 19064 (610) 338-0338 ATTORNEY FOR PLAINTIFF THIS IS AN ARBITRATION MATTER STATE AUTO INSURANCE COMPANIES AS SUBROGEE OF WESTERBROOK CUSTOM MADE DRAPERIES 1300 WOODLAND AVENUE WEST DES MOINES, IOWA 50065 VS. ANDREW PAUL SMITH 19 MAPLEWOOD AVENUE MECHANICSBURG, PA 17055 COMMON PLEAS COURT OF CUMBERLAND COUNTY NO. 08-4613-CIVIL TERM AFFIDAVIT AS TO NON-MILITARY SERVICE COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF DELAWARE PAUL F. D'EMILIO, being duly sworn according to law, deposes and says that he is the agent for the Plaintiff above-named and is authorized to and does make this Affidavit on its behalf; and that he has knowledge of the facts set forth herein: That Defendant, Andrew Paul Smith, is over twenty-one years of age and that he is not in the military service of the United States or otherwise within the provisions of the Soldier's and Sailor's Civil Relief Act of 1940 as amended. PAUL F. D' LIO, ESQUIRE SWORN TO AND SUBSCRIBED BEFORE ME THIS a? DAY OF OCTOBER, 2008. t,n 0.x ZP cW__Q_k-k NOTARY PUBLIC COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Public MELISSA 0NEILL' Natery SpringfieId, Twp.. Delaware County ?, E bar 67 A11 PAUL F. D'EMILIO, ESQUIRE ATTORNEY I.D. #16654 PAUL M. SCHOFIELD, JR, ESQUIRE ATTORNEY I.D. #81894 905 W. SPROUL ROAD, SUITE 105 SPRINGFIELD, PA 19064 (610) 338-0338 ATTORNEY FOR PLAINTIFF THIS IS AN ARBITRATION MATTER STATE AUTO INSURANCE COMPANIES AS SUBROGEE OF WESTERBROOK CUSTOM MADE DRAPERIES 1300 WOODLAND AVENUE WEST DES MOINES, IOWA 50065 VS. ANDREW PAUL SMITH 19 MAPLEWOOD AVENUE MECHANICSBURG, PA 17055 COMMON PLEAS COURT OF CUMBERLAND COUNTY NO. 08-4613-CIVIL TERM AFFIDAVIT OF NOTICE OF INTENT TO ENTER DEFAULT JUDGEMENT I, PAUL F. D'EMILIO, ESQUIRE, attorney for the Plaintiff, State Auto Insurance Companies, does hereby certify that a Notice of Intent to Enter Default Judgement was mailed on September 15, 2008 to the Defendant listed below by Certificate of Mailing; a copy of the Notice and the original certification of mailing are attached hereto, made a part hereof, and marked Exhibit "A". Andrew Paul Smith Cumberland County Prison 1101 Claremont Road Carlisle, PA 17013 f aka U PAUL F. D'EMILIO, ESQUIRE ATTORNEY FOR PLAINTIFF PAUL F. D'EMILIO, ESQUIRE ATTORNEY I.D. #16654 PAUL M. SCHOFIELD, JR, ESQUIRE ATTORNEY I.D. #81894 905 W. SPROUL ROAD, SUITE 105 SPRINGFIELD, PA 19064 (610) 338-0338 ATTORNEY FOR PLAINTIFF THIS IS AN ARBITRATION MATTER STATE AUTO INSURANCE COMPANIES AS SUBROGEE OF WESTERBROOK CUSTOM MADE DRAPERIES 1300 WOODLAND AVENUE WEST DES MOINES, IOWA 50065 VS. : COMMON PLEAS COURT OF : CUMBERLAND COUNTY NO. 08-4613-CIVIL TERM ANDREW PAUL SMITH 19 MAPLEWOOD AVENUE MECHANICSBURG, PA 17055 DATE OF NOTICE: SEPTEMBER 15, 2008 TO: ANDREW PAUL SMITH CUMBERLAND COUNTY PRISON 1101 CLAREMONT ROAD CARLISLE, PA 17013 NOTICE OF INTENT TO ENTER DEFAULT JUDGMENT 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 (10) DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. LAWYER REFERRAL SERVICE FOR CUMBERLAND COUNTY CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVENUE CARLISLE, PA 17013 (717) 249-3166 llhot,4?; AUL F. D'EMILIO, ESQUIRE ao6 8-' " ;Ip 1:3- S. POSTAL SERVICE CERTIFICATE OF MAILING MAY BE USED FOR DOMESTIC AND INTFRNATInNAl KAAH nncc inr Law Offices of Paul F. D'Emilio, LLC 905 W. Sproul Rd., Suite 105} Springfield, PA 19064 HASL.ER One piece of ordinary mail addressed to: Andrew Paul Smith T ', f3 Cumberland County Prison O ?) to 1101 Claremont Road;. j Carlisle PA 17013 PS Form 3817, January 2001 US POSTAGE ?'a a Ap- _ a c- 6 U'o r*l3 7 3 t;?s 03 a J a ? IN THE COURT OF COMMON PLEAS OF BUCKS COUNTY, PENNSYLVANIA CIVIL ACTION- LAW (Rule of Civil Procedure No. 236) STATE AUTO INSURANCE COMPANIES : COMMON PLEAS COURT OF AS SUBROGEE OF WESTERBROOK CUSTOM : CUMBERLAND COUNTY MADE DRAPERIES . 1300 WOODLAND AVENUE . WEST DES MOINES, IOWA 50065 NO. 08-4613-CIVIL TERM VS. ANDREW PAUL SMITH 19 MAPLEWOOD AVENUE MECHANICSBURG, PA 17055 Notice is given that a judgment in the above captioned matter has been entered against you on D.+ 42 , 2008. P thon ry If you have any questions concerning the above please contact: Paul F. D'Emilio, Esquire Attorney or Party Filing 905 West Sproul Road, Suite 105 Address Springfield, PA 19064 City, State, Zip (610) 338-0338 Telephone Number PAUL F. D'EMILIO, ESQUIRE ATTORNEY I.D. #16654 PAUL M. SCHOFIELD, JR, ESQUIRE ATTORNEY I.D. #81894 905 W. SPROUL ROAD, SUITE 105 SPRINGFIELD, PA 19064 (610) 338-0338 ATTORNEY FOR PLAINTIFF THIS IS AN ARBITRATION MATTER STATE AUTO INSURANCE COMPANIES AS SUBROGEE OF WESTERBROOK CUSTOM MADE DRAPERIES 1300 WOODLAND AVENUE WEST DES MOINES, IOWA 50065 VS. : COMMON PLEAS COURT OF : CUMBERLAND COUNTY : NO. 08-4613-CIVIL TERM ANDREW PAUL SMITH 19 MAPLEWOOD AVENUE MECHANICSBURG, PA 17055 AFFIDAVIT MOTOR VEHICLE ACCIDENT I hereby certify that the Judgment debtor, Andrew Paul Smith is the same person who is the Defendant in the Cumberland County Common Pleas Action No. 08-4613, which was a result of a motor vehicle accident on October 29, 2008. SWORN TO AND SUBSCRIBED BEFORE ME THIS'aDAY OF FEBRUARY, 2009. Imo, NOTARY PUBLIC COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL MELISSA O'NEILL, Notary Public Springfield T%-p., Delaware County My com' 'il eif o Ex irss December g 2011 PAUL F. D'EMILIO, ESQUIRE z (11 ??t, O