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HomeMy WebLinkAbout08-5867IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC. Plaintiff No. _,5g,0 2 &A` vs. JEFFREY A LONG Defendant COMPLAINT IN CIVIL ACTION FILED ON BEHALF OF Plaintiff COUNSEL OF RECORD OF THIS PARTY: WILLIAM T. MOLCZAN, Esquire PA I.D. #47437 WELTMAN, WEINBERG & REIS CO., L.P.A. 1400 Koppers Building 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-7955 WWR#06431721 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC. Plaintiff VS. Civil Action No. JEFFREY A LONG Defendant COMPLAINT AND NOTICE TO DEFEND 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 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. 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 LAWYER REFERRAL SERVICE CUMBERLAND COUNTY BAR ASSOCIATION 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 (717) 249-3166 COMPLAINT 1. Plaintiff is a corporation with offices at 2171 NW 139 TERR, PEMBROKE PINES, FL 33028. 2. Defendant is an adult individual residing at 463 RICH VALLEY ROAD. COUNT I - ACCT NO. 7610558 3. At the specific instance and request of Defendant, CARLISLE REGIONAL MEDICAL CENTER provided certain medical services to Defendant. 4. This obligation was subsequently assigned to Plaintiff for value. 5. Defendant, JEFFREY A LONG, received and accepted the aforementioned medical services which were provided by Plaintiff's assignor 6. The prices charged by Plaintiff's assignor were the prices that Defendant, JEFFREY A LONG, agreed to pay. 7. Plaintiff avers that there is a balance due and owing from Defendant, JEFFREY A LONG, in the amount of $2435.29 as of SEPTEMBER 19, 2008. 8. Plaintiff claims interest at the legal rate of six (6%) percent per annum from SEPTEMBER 19, 2008. 9. Although repeatedly requested to do so by Plaintiff, Defendant has willfully failed and/or refused to pay the aforementioned balance, or any part thereof to Plaintiff. WHEREFORE, Plaintiff demands Judgment in its favor and against Defendant, JEFFREY A LONG, in the amount of $2435.29 as to Count I, with continuing interest thereon at the rate of 6% per annum from SEPTEMBER 19, 2008 and costs. COUNT II: ACCOUNT NO -7556261 10. At the specific instance and request of Defendant, CARLISLE REGIONAL MEDICAL CENTER provided certain medical services to Defendant. 11. This obligation was subsequently assigned to Plaintiff for value. 12. Defendant, JEFFREY A LONG, received and accepted the aforementioned medical services which were provided by Plaintiff's assignor 13. The prices charged by Plaintiff's assignor were the prices that Defendant, JEFFREY A LONG, agreed to pay. 14. Plaintiff avers that there is a balance due and owing from Defendant, JEFFREY A LONG, in the amount of $40.00 as of SEPTEMBER 19, 2008. 15. Plaintiff claims interest at the legal rate of six (6%) percent per annum from SEPTEMBER 19, 2008. 16. Although repeatedly requested to do so by Plaintiff, Defendant has willfully failed and/or refused to pay the aforementioned balance, or any part thereof to Plaintiff. WHEREFORE, Plaintiff demands Judgment in its favor and against Defendant, JEFFREY A LONG, in the amount of $40.00 as to Count II, with continuing interest thereon at the rate of 6% per annum from SEPTEMBER 19.2008 and costs. COUNT III: ACCOUNT NO -7610557 17. At the specific instance and request of Defendant, CARLISLE REGIONAL MEDICAL CENTER provided certain medical services to Defendant. 18. This obligation was subsequently assigned to Plaintiff for value. 19. Defendant, JEFFREY A LONG, received and accepted the aforementioned medical services which were provided by Plaintiff s assignor 20. The prices charged by Plaintiff's assignor were the prices that Defendant, JEFFREY A LONG, agreed to pay. 21. Plaintiff avers that there is a balance due and owing from Defendant, JEFFREY A LONG, in the amount of $1277.67 as of SEPTEMBER 19, 2008. 22. Plaintiff claims interest at the legal rate of six (6%) percent per annum from SEPTEMBER 19, 2008. 23. Although repeatedly requested to do so by Plaintiff, Defendant has willfully failed and/or refused to pay the aforementioned balance, or any part thereof to Plaintiff. WHEREFORE, Plaintiff demands Judgment in its favor and against Defendant, JEFFREY A LONG, in the amount of $1277.67 as to Count III, with continuing interest thereon at the rate of 6% per annum from SEPTEMBER 19.2008 and costs. COUNT IV: ACCOUNT NO -9318731 24. At the specific instance and request of Defendant, CARLISLE REGIONAL MEDICAL CENTER provided certain medical services to Defendant. 25. This obligation was subsequently assigned to Plaintiff for value. 26. Defendant, JEFFREY A LONG, received and accepted the aforementioned medical services which were provided by Plaintiffs assignor 27. The prices charged by Plaintiff's assignor were the prices that Defendant, JEFFREY A LONG, agreed to pay. 28. Plaintiff avers that there is a balance due and owing from Defendant, JEFFREY A LONG, in the amount of $100.00 as of SEPTEMBER 19, 2008. 29. Plaintiff claims interest at the legal rate of six (6%) percent per annum from SEPTEMBER 19, 2008. 30. Although repeatedly requested to do so by Plaintiff, Defendant has willfully failed and/or refused to pay the aforementioned balance, or any part thereof to Plaintiff. WHEREFORE, Plaintiff demands Judgment in its favor and against Defendant, JEFFREY A LONG, in the amount of $100.00 as to Count IV, with continuing interest thereon at the rate of 6% per annum from SEPTEMBER 19.2008 and costs. COUNT V: ACCOUNT NO -9320032 31. At the specific instance and request of Defendant, CARLISLE REGIONAL MEDICAL CENTER provided certain medical services to Defendant. 32. This obligation was subsequently assigned to Plaintiff for value. 33. Defendant, JEFFREY A LONG, received and accepted the aforementioned medical services which were provided by Plaintiff's assignor 34. The prices charged by Plaintiffs assignor were the prices that Defendant, JEFFREY A LONG, agreed to pay. 35. Plaintiff avers that there is a balance due and owing from Defendant, JEFFREY A LONG, in the amount of $100.00 as of SEPTEMBER 19, 2008. 36. Plaintiff claims interest at the legal rate of six (6%) percent per annum from SEPTEMBER 19, 2008. 37. Although repeatedly requested to do so by Plaintiff, Defendant has willfully failed and/or refused to pay the aforementioned balance, or any part thereof to Plaintiff. WHEREFORE, Plaintiff demands Judgment in its favor and against Defendant, JEFFREY A LONG, in the amount of $100.00 as to Count V, totaling $3952.96 for Counts I-V with continuing interest thereon at the rate of 6% per annum from SEPTEMBER 19.2008 and costs. THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED SHALL BE USED FOR THAT PURPOSE. WELTMAN, WEINBERG & REIS, CO., L.P.A. WICLIAIV T. 46LCZAN, Esquire PA I.D. #474 WELTMAN, WEINBERG & REIS CO., L.P.A. 1400 Koppers Building 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-7955 WWR#:06431721 06/13/08 PAGE 001 HEALTH MANAGEMENT ASSOCIATES DA17 COID: 858 CARLISLE REGIONAL MEDICAL CTR AS OF 06/12/08 361 ALEXANDER SPRING RD CARLISLE PA 17015 PHONE (717) 960-1680 ---- ------- ------------------------------------- PATIENT: LONG, JEFFREY A F/C: F P/T: 0 A/C: 7610558 DSC CODE: 01 TO: LONG, JEFFREY A ADMISSION: 07/06/06 DISCHARGE: 07/06/06 463 RICH VALLEY RD CARLISLE PA 17013 D E P A R T M E N T A M O U N T 174.25 2,261.04 2,435.29- --------------------- ------------------------------- TOTAL 0.00 SELECT: REV= * DEPT= * CHGCD= * DATE/MDCY= * TO/MDCY= CMD:I=DAR,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ENTER=FORWARD EXHIBIT 1 06/13/08 PAGE 001 HEALTH MANAGEMENT ASSOCIATES 858 OF 06/12/08 361 CARLISLE REGIONAL MEDICAL CTR ALEXANDER SPRING RD CARLISLE PA 17015 ---------- AS PHONE (717) 960-1680 ---- ---- PATIENT: --- ------------------------------- LONG, JEFFREY A F/C: F P/T: 0 A/C: 12/11/05 ION 7556261 DSC CODE: 01 DISCHARGE: 12/12/05 TO: LONG, : JEFFREY A ADMISS 463 RICH INS CD: 1 VALLEY RD CARLISLE PA 17013 05/HMO AETNA-QPOS GROUP 345638 POL ID: BBMIXZZA D E P A R T M E N T A M O U N T 863.95 92.09 280.95 871.05 57.94 1,589.16 2,025.32- 1,729.82- ------------------------------------------------------- TOTAL 0.00 SELECT: REV= * DEPT= * CHGCD= * DATE/MDCY= * TO/MDCY= CMD:I=DAR,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ENTER=FORWARD 06/13/08 PAGE 001 HEALTH MANAGEMENT ASSOCIATES DA17 COID: 858 CARLISLE REGIONAL MEDICAL CTR AS OF 06/12/08 361 ALEXANDER SPRING RD CARLISLE PA 17015 PHONE (717) 960-1680 ---- ------- ------------------------------------------------------ PATIENT: LONG, JEFFREY A F/C: F P/T: 0 A/C: 7610557 DSC CODE: 01 TO: LONG, JEFFREY A ADMISSION: 07/05/06 DISCHARGE: 07/05/06 463 RICH VALLEY RD CARLISLE PA 17013 D E P A R T M E N T A M O U N T 143.50 1,134.17 1,277.67- --------------------- ------------------------------------------------------ TOTAL 0.00 SELECT: REV= * DEPT= * CHGCD= * DATE/MDCY= * TO/MDCY= CMD:I=DAR,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ENTER=FORWARD 06/13/08 PAGE 001 HEALTH MANAGEMENT ASSOCIATES DA17 COID: 858 CARLISLE REGIONAL MEDICAL CTR AS OF 06/12/08 361 ALEXANDER SPRING RD CARLISLE PA 17015 PHONE (717) 960-1680 ---- ------- -------------------------------------- PATIENT: LONG, JEFFREY A F/C: D P/T: E A/C: 9318731 DSC CODE: 01 TO: LONG, JEFFREY A ADMISSION: 08/20/05 DISCHARGE: 08/20/05 463 RICH VALLEY RD CARLISLE PA 17013 POL ID: BBMIXZZA INS CD: 105/HMO AETNA-QPOS GROUP D E P A R T M E N T A M O U N T 620.16 84.13 573.55 350.00- 927.84- ----------------------------------------TOTAL 0.00 SELECT: REV= * DEPT= * CHGCD= * DATE/MDCY= * TO/MDCY= CMD:I=DAR,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ,06/13/08 PAGE 001 HEALTH MANAGEMENT ASSOCIATES AS DA17 CARLISLE REGIONAL MEDICAL CTR 361 ALEXANDER SPRING RD CARLISLE PA 17015 PHONE (717) 960-1680 ---- ------- ---------------------------------- ------------------------------- PATIENT: LONG, JEFFREY A F/C: D P/T: E A/C: 9320032 DSC CODE: 01 TO: LONG, JEFFREY A ADMISSION: 09/05/05 DISCHARGE: 09/05/05 463 RICH VALLEY RD CARLISLE PA 17013 POL ID: BBMIXZZA INS CD: 105/HMO AETNA-QPOS GROUP D E P A R T M E N T A M O U N T 150.52 475.44 350.00- 275.96- ----------------------------------------TOTAL 0.00 SELECT: REV= * DEPT= * CHGCD= * DATE/MDCY= * TO/MDCY= CMD:I=DAR,2=PAT 4=DETAIL 7=RETURN,8=BACKWARD, ENTER=FORWARD VERIFICATION The undersigned does hereby verify subject to the penalties of 18 PA.C.S. §4904 relating to unsworn falsifications to authorities, that she is GAIL WOOD (Name) DIRECTOR of Customer Care of INTERNATIONAL PORTFOLIO INC., plaintiff (Title) (Company) herein, that she is duly authorized to make this Verification, and that the facts set forth in the foregoing Complaint in Civil Action are true and correct to the best of her knowledge, information and belief. (Signature) W WR# 77 71 C 71 SHERIFF'S RETURN - NOT FOUND CASE NO: 2008-05867 P COMMONTWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND INTERNATIONAL PORTFOLIO INC VS LONG JEFFREY A 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 LONG JEFFREY A but was unable to locate Him in his bailiwick. He therefore returns the COMPLAINT & NOTICE NOT FOUND , as to the within named DEFENDANT 6360 GALLEON DR MECHANICSBURG, PA 17050 LONG JEFFREY A DESPITE NUMEROUS ATTEMPTS AT SERVICE, THE PAPER EXPIRED PRIOR TO SERVICE BEING MADE. Sheriff's Costs: So answers: Docketing 18.00 Service 20.00 Affidavit .00 R. Thomas Kline Surcharge 10.00 Sheriff of Cumberland County Not Found 5.00 ji11,fIw- 53.00 WELTMAN WEINBERG & REIS 11/06/2008 Sworn and Subscribed to before me this day of , A. D. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC Plaintiff vs. JEFFREY A LONG Defendant No. 08-5867 CIVIL PRAECIPE TO REINSTATE COMPLAINT FILED ON BEHALF OF Plaintiff COUNSEL OF RECORD OF THIS PARTY: James C. Warmbrodt, Esquire PA I.D. #42524 WELTMAN, WEINBERG & REIS CO., L.P.A. 1400 Koppers Building 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-79555 W W R#06431721 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC Plaintiff vs. Civil Action No. 08-5867 CIVIL JEFFREY A LONG Defendant PRAECIPE TO REINSTATE COMPLAINT Kindly reinstate the Complaint in the above captioned matter. WELTMAN, WEINBERG & REIS CO., L.P.A. By: James C. PA I.D. ? WELTM 1400 K Esquire WEINBERG & REIS CO., L.P.A. Building 436 See h Avenue Pittsb h, PA 15219 (412) 34-79555 WWR #06431721 G ?- r ,- pv Cut,"'- 4(0.00 Pb A'TTy MV Scl is-[ 13 pj* aAgogo Sheriffs Office of Cumberland County R Thomas Kline Sher ~~~,~~ di ~~cmbcr~~~ ~~~x 4 Gh~iGE 4F ~hlE &.!~RIFF Ronny R Anderson Chief Deputy Jody S Smith Civil Process Sergeant Edward L Schorpp Solicitor International Portfolio Inc. vs. Jeffrey A. Long ~Q~fl ~~~ ~~ ~~ ~~~ ~'~i~Pk~`f ~-~r~ ~~! ~, Case Number 2008-5867 SHERIFF'S RETURN OF SERVICE 08/29/2009 09:32 AM -Amanda Cobaugh, Deputy Sheriff, who being duly sworn according to law, states that on August 29, 2009 at 0932 hours, she served a true copy of the within Complaint and Notice, upon the withir named defendant, to wit: Jeffrey A. Long, by making known unto Tina James, adult in charge at 6360 Galleon Drive Mechanicsburg, Cumberland County, Pennsylvania 17050 its contents and at the same time handing to her personally the said true and correct copy of the same. SHERIFF COST: $64.00 August 31, 2009 SO ANS d R THOMAS KLINE, SHERIFF Depu Brit } y l n t r r IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC Plaintiff vs. JEFFREY A LONG defendant No. 08-5867 CIVIL PRAECIPE FOR DEFAULT JUDGMENT FILED ON BEHALF OF Plaintiff COUNSEL OF RECORD OF THIS PARTY: James C. Warmbrodt, Esquire PA I.D. #42524 WELTMAN, WEINBERG & REIS CO.. L.P.A. 1400 Koppers Building 436 Seventh Avenue Pittsburgh, PA 15219 (412) 434-7955 W WR#6431721 Judgment Amount S 4,438.20 a?? IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC Plaintiff vs. Civil Action No. 08-5867 CIVIL JEFFREY A LONG Defendant PRAECIPE FOR DEFAULT JUDGMENT COUNT i - XXXXXX0558 TO THE PROTHONOTARY: Kindly enter Judgment against the Defendant, JEFFREY A LONG above named, in the default of an Answer, in the amount of $2734.42 computed as follows: Amount claimed in Complaint $2,435.29 Interest from 9/19/2008 to 10/5/2010 at the interest rate of 6.00% per annum $299.13 TOTAL $2734.42 COUNT II - XXXXXX6261 Kindly enter Judgment against the Defendant, JEFFREY A LONG above named, in the default of an Answer, in the amount of $44.91 computed as follows: Amount claimed in Complaint $40.00 Interest from 9/19/2008 to 10/5/2010 at the interest rate of 6.00% per annum $4.91 TOTAL $44.9'1 COUNT III - XXXXXX0557 Kindly enter Judgment against the Defendant, JEFFREY A LONG above named, in the default of an Answer, in the amount of $1,434.35 computed as follows: Amount claimed in Complaint $1,277.67 Interest from 9/19/2008 to 10/5/2010 at the interest rate of 6.00% per annum $156.68 TOTAL $1,434.35 COUNT IV - XXXXXX8731 Kindly enter Judgment against the Defendant, JEFFREY A LONG above named, in the default of an Answer, in the amount of $112.26 computed as follows: Amount claimed in Complaint $100.00 Interest from 9/19/2008 to 10/5/2010 at the interest rate of 6.00% per annum $12.26 TOTAL $112.26 COUNT V - XXXXXX0032 Kindly enter Judgment against the Defendant, JEFFREY A LONG above named, in the default of an Answer, in the amount of $112.26 computed as follows: Amount claimed in Complaint $100.00 Interest from 9/19/2008 to 10/5/2010 at the interest rate of 6.00% per annum $1226 TOTAL $112.26 COUNTS I, II, III, IV, & V TOTAL $4,438.20 I hereby certify that appropriate Notices of Default, as attached have been mailed in accordance with PA R.C.P. 237.1 on the dates indicated on the Notices. WELTMAN, WEINBERG & REIS CO., L.P.A. By: Jam7C.W brodt, Esquire PA 4 wELTM E1NBFRG & REIS CO., L.P.A. 1400 Ko er Building 436 Sev th venue Pittsbur h, A 15219 (412) 4- 955 W W M6431721 Plaintiffs address is: c/o Weitman, Weinberg & Reis Co., L.P.A., 1400 Koppers Building, 436 7`h Avenue, Pittsburgh, PA 15219 And that the last known address of the Defendant is: 6360 GALLEON DRIVE, MECHANICSBURG, PA 17050 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC. Plaintiff vs. JEFFREY A LONG Defendant TO: JEFFREY A LONG 6360 GALLEON DRIVE MECHANICSBURG, PA 170 //0 Date of Notice: ,tx Case No. 08-5867 CIVIL IMPORTANT NOTICE 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 COUNTY BAR ASSOCIATION 32 SOUTH BEDFORD STREET CARLISLE, PA. 17013 (717) 249-3166 WELTMAN, b INBERG & REIS CO., L.P.A. By: Matthew Urban P.A.I.D.# 90963 WELTMAN, WEINBERG & REIS CO., L.P.A. 436 Seventh Avenue, 1400 Koppers Building Pittsburgh, PA 15219 Phone: (412) 434-7955 6431721 H PIT TSW IN THE COMMON PLEAS COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC Plaintiff vs. JEFFREY A LONG Defendant Civil Action No. 08-5867 CIVIL NON-MILITARY AFFIDAVIT The undersigned is the duly authorized agent and/or attorney for the Plaintiff in the within matter and states as follows: Affiant states that the within Affidavit is made pursuant to and in accordance with the Servicemembers' Civil Relief Act (SCRA), 50 U.S.C. App. 521. Affiant further states that based upon investigation it is the affiant's belief that the Defendant, JEFFREY A LONG is not in the military service. Affiant further states that this belief is supported by the attached certificate from the Defense Manpower Data Center (DMDC), which states that the DMDC does not possess any information indicating that the below individual is in the military service: JEFFREY A LONG 6360 GALLEON DRIVE MECHANICSBURG, PA 17050 Affiant further states that the averments contained herein are true and correct to the best of Affiant's knowledge, information and belief and that these averments are made subject to the penalties of 18 Pa C.S.A. §4904 relating to unsworn falsification to authorities. Affi, Request for Military Status Department of Defense Manpower Data Center Military Status Report Pursuant to the Service Members Civil Relief Act Page 1 of 2 Oct-08-2010 12:02:50 Last Name First/Middle Begin Date Active Duty Status Active Duty End Date Service Agency LONG JEFFREY A Based on the information you have furnished, the DMDC does not possess any information indicating the individual status. Upon searching the information data banks of the Department of Defense Manpower Data Center, based on the information that you provided, the above is the current status of the individual as to all branches of the Uniformed Services (Army, Navy, Marine Corps, Air Force, NOAA, Public Health, and Coast Guard). 14 4 . if Aaj Iq 0144, Mary M. Snavely-Dixon, Director Department of Defense - Manpower Data Center 1600 Wilson Blvd., Suite 400 Arlington, VA 22209-2593 The Defense Manpower Data Center (DMDC) is an organization of the Department of Defense that maintains the Defense Enrollment and Eligibility Reporting System (DEERS) database which is the official source of data on eligibility for military medical care and other eligibility systems. The DoD strongly supports the enforcement of the Service Members Civil Relief Act (50 USC App. §§ 501 et seq, as amended) (SCRA) (formerly known as the Soldiers' and Sailors' Civil Relief Act of 1940). DMDC has issued hundreds of thousands of "does not possess any information indicating that the individual is currently on active duty" responses, and has experienced a small error rate. In the event the individual referenced above, or any family member, friend, or representative asserts in any manner that the individual is on active duty, or is otherwise entitled to the protections of the SCRA, you are strongly encouraged to obtain further verification of the person's status by contacting that person's Service via the "defenselink.mil" URL http://www.defenselink.mil/fag/pis/PC09SI.,DR.html. If you have evidence the person is on active duty and you fail to obtain this additional Service verification, punitive provisions of the SCRA may be invoked against you. See 50 USC App. §521(c). If you obtain additional information about the person (e.g., an SSN, improved accuracy of DOB, a middle name), you can submit your request again at this Web site and we will provide a new certificate for that query. This response reflects active duty status including date the individual was last on active duty, if it was within the preceding 367 days. For historical information, please contact the Service SCRA points-of- contact. httnc•//www clmdr. ocd mil/anni/ccra/nnnrennrt do 1 (1/52/11) 1 n Request for Military Status Page 2 of 2 More information on "Active Duty Status" Active duty status as reported in this certificate is defined in accordance with 10 USC § 101(d)(1) for a period of more than 30 consecutive days. In the case of a member of the National Guard, includes service under a call to active service authorized by the President or the Secretary of Defense for a period of more than 30 consecutive days under 32 USC § 502(f) for purposes of responding to a national emergency declared by the President and supported by Federal funds. All Active Guard Reserve (AGR) members must be assigned against an authorized mobilization position in the unit they support. This includes Navy TARS, Marine Corps ARs and Coast Guard RPAs. Active Duty status also applies to a Uniformed Service member who is an active duty commissioned officer of the U.S. Public Health Service or the National Oceanic and Atmospheric Administration (NOAH Commissioned Corps) for a period of more than 30 consecutive days. Coverage Under the SCRA is Broader in Some Cases Coverage under the SCRA is broader in some cases and includes some categories of persons on active duty for purposes of the SCRA who would not be reported as on Active Duty under this certificate. Many times orders are amended to extend the period of active duty, which would extend SCRA protections. Persons seeking to rely on this website certification should check to make sure the orders on which SCRA protections are based have not been amended to extend the inclusive dates of service. Furthermore, some protections of the SCRA may extend to persons who have received orders to report for active duty or to be inducted, but who have not actually begun active duty or actually reported for induction. The Last Date on Active Duty entry is important because a number of protections of SCRA extend beyond the last dates of active duty. Those who would rely on this certificate are urged to seek qualified legal counsel to ensure that all rights guaranteed to Service members under the SCRA are protected. WARNING: This certificate was provided based on a name and SSN provided by the requester. Providing an erroneous name or SSN will cause an erroneous certificate to be provided. Report ID:TFA48E7CA2 httnc•//www rlmrlr ncrl mil/anni/ecra/nnnrPnnrt rln if)/52/1)(M) IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION INTERNATIONAL PORTFOLIO INC Plaintiff vs. Civil Action No. 08-5867 CIVIL. JEFFREY A LONG Defendant NOTICE OF JUDGMENT OR ORDER TO: ( ) Plaintiff (xx) Defendant ( ) Garnishee You are hereby notified that the following Order or Judgment was entered against you on (xx) Assumpsit Judgment in the amount of $4,438.20 plus costs. ( ) Trespass Judgment in the amount of S plus costs. ( ) If not satisfied within sixty (60) days, your motor vehicle operator's license and/or registration will be suspended by the Department of Transportation, Bureau of Traffic Safety, Harrisburg, PA. (xx) Entry of Judgment of ( ) Court Order ( ) Non-Pros ( ) Confession (xx) Default ( ) Verdict ( ) Arbitration Award Prothonotary PR THONOTARY (OR DEPUTY) JEFFREY A LONG 6360 GALLEON DRIVE MECHANICSBURG, PA 17050 Plaintiff's address is: c/o Weltman, Weinberg & Reis Co., L.P.A., 1400 Koppers Building, 436 7"' Avenue, Pittsburoh, PA 15219 1-888-434-0085