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Home My WebLink About04-1794DONEGAL INSURANCE COMPANY, as subrogee for KATIE L. MARTIN, Plaintiff V. TEAGUE W. QUINN, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW JURY TRIAL DEMANDED PRAECiPE FOR WRIT OF SUMMONS TO: PROTHONOTARY OF CUMBERLAND COUNTYi PENNSYLVANIA Kindly issue a Writ of Summons in the above-captioned action against: Teague W. Quinn 1084 Tunberry Court Mechanicsburg, PA 17050 Respectfully submitted, HARTMAN, OSBORNE & RETTIG, P.C. Harrisburg, PA 17101 (717) 232-3046 Attorney for Plaintiff, Donegal Insurance Company, as subrogee of Katie L. Martin DONEGAL INSURANCE COMPANY, as subrogee for KAT/E L. MARTIN, Plaintiff V. TEAGUE W. QUINN, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. ~ -~ ~toi.(,.,C'"~ffal.j~ CIVIL ACTION - LAW JURY TRIAL DEMANDED WRIT OF SUMMONS TO: Teague W. Quinn 1084 Ttmberry Court Mechanicsburg, PA 17050 You are notified that Plaintiff, Donegal Inst~rance Company, as subrogee of Katie L. Martin, has commenced an action against you. Dated: Seal of Court Prothonotary of Cumberland Cou~TPennsyl ania ~._ ~-,~ ~ . . r<t~ Deputy SHERIFF'S RETURN CASE NO: 2004-01794 P COMMONWEALTH OF PENNSYLVANIA: COUlqTY OF CUMBERI~AND DONEGAL INSURANCE COMPANY ETAL VS QUINN TEAGUE W REGULAR SHA/qNON SHERTZER , Cumberland County, Pennsylvania, says, the within WRIT OF SUMMONS QUINN TEAGUE W DEFENDANT , at 1032:00 HOURS, on the at 1084 TUNBERRY COURT MECHANICSBURG, PA 17050 FAGAN QUINN, BROTHER a true and attested copy of Sheriff or Deputy Sheriff of who being duly sworn according to was served upon the law, 5th day of May , 2004 WRIT OF SUMMONS together with by handing to and at the same time directing His attention to the contents thereof. Sheriff's Costs: Docketing 18.00 Service 8.97 Affidavit .00 Surcharge 10.00 .00 36.97 So Answers: R. Thomas Kline 05/06/2004 HARTMAN OSBORNE RETTIG ~ Sworn and Subscribed to before By: ~ ~ ~~&~6_~ me this /J ~ day of ~ Deputy Sheriff C~ ~ A.D. DONEGAL INSURANCE COMPANY, as subrogee for KATIE L. MARTIN, Plaintiff TEAGUEW. QUINN, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-1794 CIVIL ACTION - LAW 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 County Bar Association 32 S. Bedford Street Carlisle, PA 17013 (800) 990-9108 AVISO USTED HA SIDO DEMANDADO/A EN CORTE. Si usted desea defenderse de las demandas que se presentan mis adelante en las siguientes pfiginas, debe tomar acci6n dentro de los pr6ximos veinte (20) dias despu~s de la notificaci6n de esta Demanda y Aviso radicando personalmente o 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 le 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 o cualquier otra reclarnaci6n o remedio solicitado por el demandante puede ser dictado en contra suya por la Corte sin mis aviso adicional. Usted puede perder dinero o propiedad u otros derechos importantes para usted. USTED BEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE UN ABOGAGO, LLAME O VAYA A LA SIGUIENTA OFIC1NA. ESTA OFICINA PURDE PROVEERLE INFORMACION A CERCA DE COMO CONSEGUIR LIN ABODAGO. SI USTED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES POSIBLE QUE ESTA OFICINA LE PUEDA PROVEER INFORMACION SORBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO O BAJO COSTO A PERSONAS QUE CUALIFICAN. Cumberland County Bar Association 32 S. Bedford Street Carlisle, PA 17013 (800) 990-9108 -2- DONEGAL INSURANCE COMPANY, as subrogee for KATIE L. MARTIN, Plaintiff TEAGUEW. QUINN, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-1794 CIVIL ACTION - LAW COMPLAINT AND NOW comes Plaintiff, Donegal Insurance Company as subrogee of Katie L. Martin, by and through their attorneys, Hartman, Osborne & Rettig, P.C., and submits the within Complaint and avers the following: 1. Plaintiff, Donegal Insurance Company as subrogee of Katie L. Martin, is a registered Pennsylvania Company, doing business at P.O. Box 302, Marietta, Pennsylvania 17547. 2. Katie L. Martin is a citizen and resident of the Commonwealth of Pennsylvania residing at 5140 Primrose Lane, New Holland, Pennsylvania 17557. 3. Defendant, Teague Quinn, is a citizen and resident of Pennsylvania residing at 1084 Tunberry Court, Mechanicsburg, PA 17050. 4. On or about May 10, 2003, Defendant struck the rear of Plaintiff's vehicle at or near Carlisle Pike, Mechanicsburg, Pennsylvania. 5. Damages sustained to Ms. Martin's vehicle, from such accident total $1,523.33. See Appraisal Attached as Exhibit "A". 6. By letter dated September 30, 2003, Defendant, in response to a letter sent by Plaintiff's attorney on September 25, 2003, acknowledges the debt that is owed to Plaintiff as a result of his negligence that caused the damage to Ms. Martin's vehicle and stated his intention to repay such debt, $1,023.33 for vehicle damage plus $500.00 for deductible owed to Plaintiff. (Defendant's signed letter attached as Exhibit "B".) WHEREFORE, Plaintiff, Donegal Insurance Company, respectfully requests that this Honorable Court enter judgment in its favor, and against Defendant, Teague Quinn, for the amount of $1,523.33, plus interest, costs and damages for delay. Respectfully submitted, HARTMAN, OSBORNE & RETTIG, P.C. ...... J~fl~/ey B. Retti~, Esquire-~' Sgl6reme Ct. I.D. #19616 126-128 Walnut Street Harrisburg, PA 17101 (717) 232-3046 Attorney for Plaintiff, Donegal Insurance Company, as subrogee of Katie L. Martin -2- VERIFICATION I, Jeffrey B. Rettig, Esquire, attorney for Plaintiff, hereby verify and state that the facts set forth in the foregoing COMPLAINT are true and correct to the best of my information, knowledge and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. Section 4904 relating to unswom verification to authorities. Dated: DONEGAL MUTUAL INS~CE COMPANY 1195 RIVER ROAD P.O. BOX 302 MARIETTA, PA 17547-0302 (717) 426-1931 FAX: (717) 426-7023 CD LOG NO 2847 -0 DATE 05-21-03 CORRECTED ESTIMATE ~LAIM INFORbL~TION CLAIM # PAE-3008019-89 INSURED CLAIMANT FILE HNDLR RON CRONE 2ND PAYEE NONE POLICY # LOSS DATE 05-10-03 LOSS TYPE COLLISION FILE # ~NSPECTION TYPE FIELD PRIMARY POI REAR END CENTER APPRAISER NAME LINDA K HELFRICH LICENSE # 3004412 WORK PHONE (717) 741-3887 ADDRESS PO BOX 307 CITY STATE YORK ZIP 17405-0307 PA SECOND P0I FAX (717) 741-3887 INSP DATE 05-20-03 LOCATION CITY STATE )WNER KATIE 5L~RTIN 5140 PRIMROSE LN NEW HOLLAND PA 17557- WORK# NOME#(717) 355-2535 ~EPAIR ~HICLE 1999 CHEVROLET CAVALIER LS 4 DR SEDAN 4CYL GASOLINE 2.2 )PTIONS TWO-STAGE - EXTERIOR SURFACES ANTI-LOCK BRAKE SYSTEM CRUISE CON'rKOL TILT STEERING WHEEL TWO-STAGE INTERIOR SURFACES AIR CONDITIONING TRACTION CON'r~OL SYSTEM AUTOMATIC TRANS BODY COLOR GOLD MILEAGE CONDITION VIN LICENSE # ETW 4502 CODE LICENSE STATE PA VEH INSP # 43,736 1G1JF52T7XT195564 U234 :EMARKS: iAW AT RESIDENCE )P CODES: * = USER-ENTERED VALUE E = REPLACE OEM EC = REPLACE ECONOMY UC = RECONDITIONED PRT EU = LIKE KIND & QUAL.PRT EP = REPLACE PXN PM = PXN REMAN/REBUILT TE = PARTL REPL PRICE NG = REPLACE NAGS LTM = REMAN/REBUILT PRT PC = PXN RECONDITIONED ET = PARTL REPL LABOR -1- 1999 CHE~/-ROLET CAVALIER LS CLAIM # PAE-3008019-89 IT = PARTIAL REPAIR BR = BLEND REFINISH SB = SUBLET P = CHECK UP = UNRELATED PRIOR 4 DR SEDAN I = REPAIR TT = TWO-TONE N = ADDITIONAL LABOR AA = APPEAR ALLOWANCE DATE 05-21-03' LOG 2847 -0 L = REFINISH CG = CHIPGUARD RI = R&I ASSEMBLY RP = RELATED PRIOR RI 0593 I 0590 L 0590 0591 07 SD RAIL,REAR FR3h~E 0591 SD RAIL,REAR FRAME I 0514 L 0514 PANEL,REAR BODY PA/qEL,REARBODY DP GDE MC DESCRIPTION MFR.PART NO. PRICE MUFFLER ASSY R & I R&I ASSEMBLY 07 SD RAIL,REAR FRAME LT REPAIR SD RAIL,REAR FRAME LT REFINISH 0.5 Surface 0.1 Two-stage RT REPAIR RT REFINISH 0.5 Surface 0.1 Two-stage REPAIR REFINISH 0.9 Surface 0.2 Two-stage I 0494 PAN, REAR FLOOR REPAIR C L 0494 PAN,REAR FLOOR REFINISH C 1.5 Surface 0.3 Two-stage gU 0566 BUMPER ASSEMBLY,REAR LIKE KIND & QUAL. 250.00* +25 >>LKQ LOCATED FROM NEW~ERLAND 800-692-7822 ~ M18 SET-UP ~ MEASURE ADDITIONAL LABOR C ~ M64 UNIBODY-FP~AME ALIGNMENADDITIONAL LABOR C 5 0566 COVER,REAR BUMPER REFINISH 2.6 Surface 0.6 Two-stage setup 0.5 Two-stage ~ M04 UNDERCOATING REFINISH C h M17 COVER CAR EXTERIOR REFINISH 5.00* 0.2* Surface ~ M58 CLEAN FOR DELIVERY ADDITIONAL LABOR ZC M60 HAZARDOUS WASTE REMOVA REPLACE ECONOMY 3.00* h FLEX ADDITIVE REFINISH 8.00* ~ REFURBSH LKQ ADDITIONAL LABOR ~ ALIGN REAR DOOR ADDITIONAL LABOR C AJ% B% HOURS R C 0.82 C 2.0'1 C 0.64 C 1.0'1 C 0.64 20 ITEMS 1.5-1 1.14 2.0-1 1.84 0.81 2.0*3 2.0*3 3.74 0.3*4 0.2*4 0.5'1 1 1 1.0'1' 0.2'1' MC MESSAGE 07 STRUCTURAL PART AS IDENTIFIED BY I-CAR ?INAL CALCULATIONS }ARTS GROSS PARTS O~rlER PARTS PAINT MATERIAL & ENTRIES -2- $ 266.00 $ 166.00 1999 CHEVROLET CAVALIER LS 4 DR SEDAN CLAIM # PAE-3008019-89 DATE 05-21-03' LOG 2847 -0 kDJUSTMENTS DISCOUNT LINE ITEMS $ PARTS TOTAL TAX ON PARTS & MATERIAL @ 6.000% MARKUP 62.50 $ $ 494.50 29.67 LABOR RATE REPLACE }{RS I-SHEET METAL $ 42.00 0.8 2-MECH/ELEC $ 45.00 0.8 3-FR3%ME $ 45.00 4-REFINISH $ 42.00 8.3 5-PAINT $ 20.00 REPAIR 8.2 4.0 $ $ $ $ 378.00 36.00 180.00 348.60 · ABOR TOTAL TAX ON LABOR TAX ON SUBLET SUBLET REPAIRS TOWING STORAGE @ 6.000% @ 6.000% $ 942.60 $ 56.56 ;ROSS TOTAL LESS: DEDUCTIBLE $ 1,523.33 $ 500.00- ~T CORRECTED TOTAL $ 1,023.33 ~XN NO ~P PENPRO W0405 CES LOG2847 -0 05-21-03 09:44:54 REL 4.05 SW01/03 DT04/03 (C) 1993 2002 ADP CLAIMS SOLUTIONS GROUP, INC. 1.8 HRS WERE ADDED TO THIS EST. BASED ON ADP'S TWO-STAGE REFINISH FORMULA. dg~f PERSON WHO KNOWINGLY i~dTD WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR )THER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM ~ONTAINING ANY MATERIi~LLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF IISLEADING, INFORMATION CONCEi~NING ANY FACT MATERIAL THERETO CO, ITS A ~RAD-DULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS SUCH PERSON TO A ~RIMINAL AND CIVIL PENALTIES. ~BBREVIATION LEGEND: ,KQ = LIKE KIND IN QUALITY, A/M = AFTERMARKET, RECOND = RECONDITION, O/H= ~VERHAUL, RELP = REPLACE, RPR = REPAIR, REFN = REFINISH, SECT = SECTION, ~ & I = REMOVE AND INSTALL, ALGN = ALIGN, SUBL = SUBLET, BLND = BLEND, ASSY= ~SSE~BLY, FR/qT/FRT = FRONT, HL/H/LAMP = HEADLAMP, INR = INNER, L = LEFT, [LD/MLDG = MOLDING, MTG = MOUNTING, OTR = OUTER, PNLS PANELS, R/RT = RIGHT, ~EPL = REPLACEMENT, SUSP = SUSPENSION, W/0 MLD = WHEEL OPENING MOLDING, RIC= ~EMOTE CONTKOL, BRKT = BRACKET, LIC = LICENSE, R/F = RIGHT FRONT, R/R = RIGHT ~EAR, L/F = LEFT FRONT, L/R = LEFT REAR, PNL = PANEL, FT = FRONT 'E WILL NOT BE RESPONSIBLE FOR ANY RELATED' WOWING SERVICES 0~/STORAGE NOWN AT THE TIME OF APPRAISAL, i~uND INCURRED AFTER THE FOLL~ING DATE CHARGES, 1999 CHEVROLET CAVALIER LS 4 DR SEDAN DATE 05-21-03' CLAIM # P/%E-3008019-89 LOG 2847 -0 IHARGES INCURRED AFTER THIS DATE WILL BE THE RESPONSILIBITY OF THE CONSUMER. 20STS THAT EXCEED THE APPRAISED AMOUNT MAY BE THE RESPONSIBILITY OF THE ;E}{ICLE OWNER. £F YOU REQUEST, WE CAN PROVIDE YOU WITH THE NAMES OF REPAIR FACILITIES WHICH ~ILL BE ABLE TO REPAIR THE VEHICLE FOR THE APPRAISED AMOUNT. ~HERE IS NO REQUIREMENT TO USE ANY SPECIFIED REPAIR SHOP. FHIS IS NOT AN AUTHORIZATION TO REPAIR. NO SUPPLEMENTS HONORED UNLESS INSPECTED AND AUTHORIZED BY APPRAISER. -4- DONEGAL INSURANCE COMPANY, as subrogee for KATIE L. MARTIN, Plaintiff V. TEAGUE W. QUINN, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-1794 CIVIL ACTION - LAW CONSENT FOR STIPULATED JUDGMENT It is hereby stipulated that I, Teague Quinn, give my consent for judgment to be entered against me in the amount of $1,523.33 as a result of a motor vehicle accident I was involved in on May 10, 2003 in Mechanicsburg, Pennsylvania. Date: Sworn to and subscribed before me this c¢r63'~ day of ~C~[O~_,~.. ,2004. Notary Public My Commission Expires: tl3 ~ cf- 0 G (SEAL) Te~g~ue ~inn, Defen~ht Christine Myers, Donegal Instance Company Representative, on behalf of Plaintiffs Leann M. Bensch, ~ Public City of Harrisburg, Dauphin County My Commission Expires Oct. 24, 2006 ' ~.0:8 V I- ^Ot't ~'tIIl~'