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
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Sheriffs Office of Cumberland County
R Thomas Kline
Sher
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Ronny R Anderson
Chief Deputy
Jody S Smith
Civil Process Sergeant
Edward L Schorpp
Solicitor
International Portfolio Inc.
vs.
Jeffrey A. Long
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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
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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