HomeMy WebLinkAbout09-8085F:'TILES'Chentss.3050 Donegal'Cur ent,566'3050.566.cotn2./ntm
Cmated: 9/20;04 0:06PM
Revised. 11, 19/09 4:OOPM
3050.566
George B. Faller, Jr., Esquire
I.D. No. 49813
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
SEUNGGOO CHO, IN THE COURT OF COMMON PLEAS OF
Plaintiff, CUMBERLAND COUNTY, PENNSYLVANIA
V. NO.'?'t??S? ?lG
CIVIL ACTION - LAW
SHANE HEISEY and JOHN
DAGOSTINO t/d/b/a
DAGO CONSTRUCTION,
Defendants.
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 Plaintiffs. 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 REDUCE FEE OR NO FEE:
Cumberland County Bar Association
32 South Bedford Street
Carlisle, PA 17013
(717) 249-3166
George B. Faller, Jr., Esquire
I.D. No. 49813
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
SEUNGGOO CHO,
Plaintiff,
V.
SHANE HEISEY and JOHN
DAGOSTINO t/d/b/a
DAGO CONSTRUCTION,
Defendants.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. c?d ?.5 l
CIVIL ACTION - LAW
COMPLAINT
1. Plaintiff Seunggoo Cho is an adult individual residing at 124 Old School House Lane,
Mechanicsburg, Cumberland County, Pennsylvania 17055.
2. The Defendant Shane Heisey is an adult individual residing at 329 East Main Street,
Mount Joy, Lancaster County, Pennsylvania 17552.
3. The Defendant Dago Construction is a Pennsylvania corporation with an address of
50 North Main Street, Lancaster, Pennsylvania 17608.
4. In the alternative, Defendant John Dagostino, an adult individual residing at 121
North Market Street, Mount Joy, Lancaster County, Pennsylvania 17552, operates a sole
proprietorship known as Dago Construction.
5. On or about January 9, 2008, the Plaintiff was operating a 2004 Hyundai Santa Fe
with License Plate Number GRN-0190, on Cumberland Parkway heading West.
6. At the same time and place, Defendant Shane Heisey was operating a 1996 Dodge
Ram owned by Dago Construction and was trying to exit a Sheetz gas station located on the north
side of Cumberland Parkway.
7. Plaintiff was in the left-hand turn only lane when the vehicle owned by Defendant
Dago Construction and operated by Defendant Shane Heisey pulled out of the parking lot causing
a collision with Plaintiff's vehicle.
8. As a direct and proximate result of the collision, Plaintiff incurred property damage
in the amount of $3,131.66. Plaintiff incurred a rental expense of $162.60 for total damages in the
amount of $3,294.26. A true and correct copy of the estimate and rental invoice is attached hereto
as Exhibit "A."
WHEREFORE, Plaintiff demands judgment against Defendants Shane Heisey and Richard
Dagostino t/d/b/a Dago Construction in the amount of $3,294.26 plus interest and costs.
COUNTI
Seunggoo Cho v. Shane Heisey
9. The averments of paragraphs 1 through 8 of the Complaint are hereby incorporated
by reference.
10. The accident was caused solely as the result of the negligence, recklessness, and
carelessness of the Defendant Shane Heisey in that:
a. He pulled from the parking lot when he could not ascertain that it was safe
to do so because a truck was blocking his view of the left-hand lane;
b. failed to yield the right-of-way to Plaintiff's vehicle;
C. improperly entered the roadway attempting to head east on Cumberland
Parkway before ascertaining that it was safe or proper to do so;
d. relied on being waved out by an individual that he did not know or have any
reason to believe was in a position to determine that it was safe to do so;
e. failed to stop his vehicle before entering the left-hand westbound lane of
Cumberland Parkway.
WHEREFORE, Plaintiff demands judgment against Defendant Shane Hcisey in the amount
of $3,294.26 plus interest and costs.
COUNT II
Seunggoo Cho v. John Dagostino t/d/b/a Dago Construction
and Dago Construction. Inc.
11. The averments of paragraphs 1 through 10 of the Complaint are hereby incorporated
by reference.
12. Defendant Shane Heisey was operating the vehicle within the scope of his
employment for John Dagostino t/d/b/a Dago Construction and/or Dago Construction, Inc.
WHEREFORE, Plaintiff demands judgment against Defendant John Dagostino and Dago
Construction, Inc., in the amount of $3,294.26 plus interest and costs.
MARTSON LAW OFFI
By
George B. Faller, Jr., Esquire
I.D. No. 49813
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Date: November 19, 2009 Attorneys for Plaintiff
? ?««<o PAP?a
«1 k«?<?Aa?E
DONEGAL INSURANCE GROUP
1195 RIVER ROAD P.O. BOX 302
MARIETTA, PA 17547-0302
(717) 426-1931 FAX: (717) 426-7023
SUPPLEMENT 1
01/15/2008 11:21 AM
Owner
Owner: SEUNGGOO CHO
Address: 124 OLD SCHOOLHOUSE LANE Home/Day: (717)458-5625
City State Zip: MECHANICSBURG, PA 17055
Control Information
Claim: PAF-PA-01-08-0023068-101
Loss Datefrime: 01/09/2008 07:00 AM
Deductible: $500.00
Ins. Company: Donegal Insurance Group
Agent: DENISE SHEARER
Address:
Email: deniseshearer@donegaigroup.com
Insured: SEUNGGOO CHO
Address:
Insured Policy * : PAF3077777
Loss Type: Collision
Work/Day: (800)877-0600x7416
Home/Day: (717)458-5625
Claim Rep: DENISE SHEARER
Address:
Email: deniseshearer@donegaigroup.com
Inspection
Inspection Date: 0111112008 10:59 AM
Inspection Location: Owner's residence
Address: 124 OLD SCHOOLHOUSE LANE
City State Zip: MECHANICSBURG, PA 17055
Primary Impact: Left Front Comer
Driveable: Yes
Assigned DatwTime:
First Contact Date/Time:
Appraiser Name: DONEGAL MUTUAL INSURANCE CO
Contact: JACK CHIARA
Address: P.O. BOX 567
City State Zip: NEW CUMBERLAND, PA 17070
Orig Appraiser Name: JACK CHIARA
Address: P.O. BOX 567
City State Zip: NEW CUMBERLAND, PA 17070
Repairer
Work/Day: (800)877-0600x7416
Inspection Type: Field
Contact:
Home/Day: (717)458-5625x
Secondary Impact:
Rental Assisted:
Received Date/Time: 01/11/2008 01:30 PM
Appointment Date/Time: 01/15/2008 08:00 AM
Appraiser License # : 416512
Work/Day: (717)737-5757
FAX: (717)737-7501
Appraiser License M : 416512
Work/Day: (717)737-5757
FAX: (717)737-7501
Repairer: SPANKEY'S
Address: 701 EAST LOCUST ST
City State Zip: MECHANICSBURG, PA 17055
License 0:
Contact:
Work/Day: (717)697-3102
FAX: (717)591-0224
Regulation ID: 232131896
Target Complete OateMme: Days To Repair: 7
Remarks
ALL SUPPLEMENTAL DAMAGE MUST BE APPROVED BY THE APPRAISER
DENT IN LT FT DOOR IS NON ACCIDENT RELATED
021052006 0446 PM Pape 1 of 5
Exhibit "A"
2004 Hyundai Santa Fe GLS 4 DR Wagon
Claim # : PAF-PA-01-0-0023088-101 011'512008 11:21 AM
Vehicle
2004 Hyundai Santa Fe GLS 4 DR Wagon
6cyl Gasoline 2.7
4 Speed Automatic
Lic.Plate: GRN-0190
Lic Expire:
Prod Date:
Veh Insp* :
Condition: Good
Ext. Color: MERLOT RED EFFECT
Ext. Refinish: Two-Stage
Ext. Paint Code: RH
Lic State: PA
VIN: KM8SC73D54U742749
Mileage: 77,657
Mileage Type: Actual
Code: E7104B
Int. Color:
Int. Refinish:
Int. Trim Code:
Options
Air Conditioning
Bodyside Cladding Alarm System
Center Console Alununum/Allo Wheels
Cruise Control
Dual Airbags Compact Disc W/Tape
Fog Lights
Heated Power Mirrors Intermittent Wipers Keyless Entry System
Leather Steering Wheel Lighted Entry System Monsoon Sound System
Overhead Console
Power Steering Power Brakes
P Power Door Locks
Rear Window Defroster ower Windows
Rear Window Wiper/Washer Privacy Glass
Roof/Luggage Rack
Side Airbags
Tilt Steering Wheel Skid Plates
Tinted Glass Tachometer
Velour/Cloth Seats
4-Wheel Drive Tonneau/Cargo Cover
Damages
Line Op Guide MC Description MFR.Part No. Price ADJ%B% Hours R
1 E 5 Btm>Iper,Front
2 N 18 Frt Bumper Cvr Overhau 8653026000 $183.11 S1 2.2 SM
Additional Labor INC SM
3PC 6 Covar,Front Bumper Replace PXN $108 00 S1 1
2 SM
» PARTS LOCATED AT KEYSTONE 1-800-524-4349 Reconditioned .
4 L 6 13 Cover,Front Bumper Refinish
3.7 RF
2.6 Surface
0.6 Two-stage setup
5 E
93
Absorber,Front Bumper 0.5 Two-stage
8652026900
$74
91
6 E
10
Brkt,Front Bumper Mtg LT
8652426900 .
$8
88 INC SM
S1 INC SM
7 E
8 E 91
29 Brkt,Front Bumper Mkg
Grille Assembly 8655126910 .
$40.16 S1 INC SM
9 E
28
Housing,Grille 8635226900
8635126902 $20.06
$67
22 INC SM
10 L
28
Housing,Grille
Refinish . 0.1 SM
0.6 RF
0.5 Surface
11 E
48
Brkt,Grille Mounting LT 0.1 Two-stage
8636126900
$3
32
S1 INC SM
12 E
13 E 7
20 W/Strip,Grille Upper
Emblem
Grilie 8635626900 .
$9.45 0.3 SM
14 UE ,
41 46 Heakfamp Assy,Halogen LT 8635326000
Replace OE Surplus $10.91
$135.00' +25
00 0.1 SM
INC SM
» PARTS LOCATED AT LKQ 250 1-877-391-2727 EXT 4, .
QT#298704
15 N
16EU 973
21 Headamps Aim
Lamp Assembly
Fog LT Additional Labor 0.4 SM
,
>> PARTS LOCATED AT TRIPLE NICKLE 717-267-2500 QT LIKE KIND & QUAL.PRT $65.00' +25.00 INC SM
290806
17 1 83 Panel,Hood Repair '
18 L
83
Panel,Hood
Refinish 2.0
SM
3.2 RF
2.7 Surface
0.5 Two-stage
» BLEND WITHIN PANEL
19 RI 40 Pad, Insulator Hood R & I Assembly
20 1
97 07 Panel,Lower Rad Mtg
Repair 0.1 SM
*
21 L
97
Panel,Lower Rad Mtg
Refinish 3.5
SM
22 1
105 n7
Panel Inner Fonder LT
0.8 Surface
Repair 0.8 RF
02K152008 04.46 PM 1 12 0 S of
Pegs 2 of 5
2004 Hyundal Santa Fe GLS 4 DR Wagon
Clalm # : PAF-PA-01-08-0023088-101 01/' 512008 1 x:21 AM
23 L 105 Panel, Inner Fender LT Refinish S1 0.7 RF
0.7 Surface
24 E 103 Fender,Front LT 6631126290 $156.00 1.2 SM
25 L 103 Fender,Front LT Refinish 2.9 RF
2.0 Surge
0.5 Edge
0.4 Two-stage
26 RI 14 Mldg,Fender Lower UR R & I Assembly 0.2 SM
27 E 46 Skirt.lnner Fender LT 8681126000 $62.74 INC SM
26 RI 1052 Nozzle,W/S Washer LT R & I Assembly 0.1 SM
29 RI 1053 NozzJe,W/S Washer RT R & I Assembly 0.1 SM
30 1 209 Pnl, Front Door Outer LT Repair 5.0' SM
31 L 209 Pnl,Front Door Outer LT Refinish 2.4 RF
2.0 Surface
0.4 Two-stage
» BLEND WITHIN PANEL
32 RI 58 W/Strip,Belt Outer LT R & I Assembly 0.5 SM
33 RI 231 Pnl,Inner Door Trim LT R & I Assembly INC SM
34 RI 26 Mldg,Front Door Lower LT R & I Assembly 0.3 SM
35 RI 257 Tape, Front Door LT R & I Assembly 0.3 SM
36 RI 229 Mirror,Outer R/C LT R & I Assembly INC SM
37 RI 227 Handle,Front Door Otr LT R & I Assembly 0.7 SM
38 1 SET UP AND MEASURE Repair 2.0' SM
39EC CAR COVER Replace Economy $5.00' SM
40EC FLEX Replace Economy $8.00' SM
41 EC PINSTRIPES - TAPED Replace Economy $12.00' 0.3' SM
42SB HAZARDOUS WASTE Sublet Repair $3.00' SM
43 1 COLLISION PULL Repair 2.0' FR'
43 items
Mc Message
07 STRUCTURAL PART AS IDENTIFIED BY I-CAR
13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE
46 PRINTABLE ALTERNATE PARTS COMPARE
Estimate Total & Entries
Gross Parts $636.76
OE Surplus Parts $135.00
Other Parts $198.00
Paint Materials $286.00
Line item Markup $50.00
Parts & Material Total $1,305.76
Tax on Parts & Material @ 6.000% $78.35
Labor Rate Replace Hire Repair Hrs Total Hrs
Sheet Metal (SK $42.00 7.7 14.9 22.6 $949.20
Mech/Elec (ME) $45.00
Frame (FR) $48.00 2.0 2.0 $96.00
Refinish (RF) $42.00 14.3 14.3 $600.60
Paint Materials $20.00
Labor Total 38.9 Hours $1.645.80
Tax on Labor @ 6.000% $98.75
Sublet Repairs $3.00
Gross Total $3,131.66
Less: Deductible $500.00-
Net Total $2,631.66
Actual Supplement Total $332.67
Less: Previous Net Total $2,298.99-
Net Supplement Total $332.67
Alternate Parts Y/00/00/00/00/00 CUM 02101/00/01/00 Zip Code: 17111 HARRISBURG
WiMMum U4:40 FM Page 3 of 5
2004 Hyundai Santa Fe GLS 4 DR Wagon
Galm# PAF-PA-01-08.002308841 01/151200811:21 AM
.a -w,a " 01 Uc1U21A000 U4:40 rM KEL 5.0.322 DT 01101/2008 DS 02101/2008
Copyright (C) 2007 Audatex North America, Inc.
2.5 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA.
ABBREVIATION LEGEND:
LKQ = LIKE KIND IN QUALITY, A/M = AFTERMARKET, RECOND = RECONDITION, O/H=
OVERHAUL, REPL = REPLACE, RPR = REPAIR, REFN = REFINISH, SECT = SECTION,
R & I = REMOVE AND INSTALL, ALGN = ALIGN, SUBL = SUBLET, BLND = BLEND, ASSY=
ASSEMBLY, FRNT/FRT = FRONT, HL/H/LAMP = HEADLAMP, INR = INNER, L = LEFT,
MLD/MLDG = MOLDING, MTG = MOUNTING, OTR = OUTER, PNLS = PANELS, R/RT = RIGHT,
REPL = REPLACEMENT, SUSP = SUSPENSION, W/O MLD = WHEEL OPENING MOLDING, RIC =
REMOTE CONTROL, BRKT = BRACKET, LIC = LICENSE, R/F = RIGHT FRONT, R/R = RIGHT
REAR, L/F = LEFT FRONT, L/R = LEFT REAR, PNL = PANEL, FT = FRONT, PXN =
PARTS EXCHANGE NEW, OEM = ORIGINAL EQUIPMENT MANUFACTURER, PRT = PART, NAGS =
NATIONAL ASSOCIATION OF GLASS SUPPLIER, REMAN = REMANUFACTURED, PART = PARTIAL
ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR
OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM
CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF
MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A
FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS SUCH PERSON TO
CRIMINAL AND CIVIL PENALTIES.
WE WILL NOT BE RESPONSIBLE FOR ANY RELATED TOWING SERVICES OR STORAGE CHARGES,
KNOWN AT THE TIME OF THE APPRAISAL, AND INCURRED AFTER THE FOLLOWING
DATE: .......... CHARGES INCURRED AFTER THIS DATE WILL BE THE RESPONSIBILITY
OF THE CONSUMER.
COSTS THAT EXCEED THE APPRAISED AMOUNT MAY BE THE RESPONSIBILITY OF THE
VEHICLE OWNER.
IF YOU REQUEST, WE CAN PROVIDE YOU WITH THE NAMES OF REPAIR FACILITIES THAT
WILL BE ABLE TO REPAIR THE VEHICLE FOR THE APPRAISED AMOUNT. THERE IS NO
REQUIREMENT TO USE ANY SPECIFIED REPAIR SHOP.
THIS IS NOT AN AUTHORIZATION TO REPAIR. NO SUPPLEMENTS HONORED UNLESS
INSPECTED AND AUTHORIZED BY APPRAISER. IF THE APPRAISAL INCLUDES AFTERMARKET
CRASH PARTS, THE AFTERMARKET CRASH PART SHALL HAVE A WARRANTY EQUAL TO OR
BETTER THAN THE REMAINDER OF THE EXISTING WARRANTY ON THE PART BEING REPLACED.
SIGNED COPY OF OUR APPRAISAL SENT TO OWNER. DATE :............................
APPRAISER SIGNATURE:
Op Codes
= User-Entered Value E =Replace OEM NG = Replace NAGS
EC = Replace Economy OE = Replace PXN OE Srpls UE = Replace OE Surplus
ET = Partial Replace Labor EP = Replace PXN EU = LIKE KIND S QUAL.PRT
Page 4 of 5
2004 Hyundai Santa Fe GLS 4 DR Wagon
Claim #: PAF-PA-01-00-0023068x01
011' 52008 11:21 AM
" - rar uei mopincei rnue
L = Refinish
TT = Two-Tone
BR= Blend Refinish
CG= Chipguard
AA = Appearance Allowance
PM= Replace PXN RemardReblt
PC = Replace PXN Reconditioned
SB = Sublet Repair
I = Repair
RI = R & I Assembly
RP = Related Prior Damage
UM= Replace Reman/Rebuilt
UC = Replace Reconditioned
N = Additional Labor
IT = Partial Repair
P = Check
This report contains proprietary information of Audatex and may not be disclosed to any third party (other than
the insured, claimant and others on a need to know basis in order to effectuate the claims process) without
OPO'A Ud a--- L ex Audatmes prior written consent.
?ili' Copyright (C) 2007 Audatex North America, Inc.
Audatex Estimating is a trademark of Audatex North America, Inc.
UM52006 04:46 PM
Page 5 of 5
- HERTZ Insurance Replacement System - Invoicing Tool
Page 2 of 3
Hertz P.O. Box 268825
Oklahoma City, , OK
1-888-777-3700
Local Edition
DONEGAL MUTUAL INSURANCE INVOICE NU
SHEARER DENISE H68571`
ACCOUNT NI
RENTING LOC: 701 E LOCUST ST, MECHANICSBURG, PA, 17055 BILL START DATE: 011241
RETURN LOC: 701 E LOCUST ST, MECHANICSBURG, PA, 17055 BILL END DATE: 01/29/20
BILLING DESCRIPTION CHARGES
INFORMATION
CLAIM i:PAF-PA-01- MILES IN: 18110 DAYS 8 23
24 130
08002306801
POLICY is
MILES OUT:
18011
WEEKS .
,3g .
y
DATE OF LOSS:01109/2008 MILES DRV: 99 MONTHS
ADJUSTER: SHEARER MILES ALW: 0 EXTRA DAY
DENISE
INSURED: 0 MILES CHG: EXTRA HOURS
RENTER: HYOKYONG RENTED: N/L MATRIX MILES
KWON
1y?'.0
la'J .
OI
ADJUSTMENT
SUBTOTAL
DISCOUNT
SUBTOTAL
SERVICE CHARGE FUEL & SERVICE
CHG
136
136 l
59.
LDW vl U oW -)
LIS
MISC/ADDTL CHGS
PAUPEC
SALES TAX 8%
OTHER TAX
SURCHARGE
STATE
SURCHARGE
CUSTOMER PAID
AMOUNT DUE
15.•
k/j ep
e
12
=1
64
U $U 1U -J
FOR PROPER CREDIT PLEASE REFERENCE THE INVOICE NUMBER ON YOUR F
"PAYMENT IS DUE UPON RECEIPT**
REMIT TO: TAX ID# 131938568 INVOICE C
01/24/2008 1(
HERTZ LOCAL EDITION INVOICE NU
ATTN: HLE INSURANCE - DEPT 1139
P.O. BOX 121139 H68571 F
DALLAS, TX 75312-1139
AMOUNT
$162.60
THANK YOU FOR CHOOSING HERTZ LOCAL EDITION
0 Pay Invoice Now
O Place in Invoice Queue
Comments: THANK YOUI
https://www.rent-cars.com/HIRS-Universal/invoice.asp?id=3753503
SELECT REJE
..?
1/29/2008
. o
VERIFICATION
The foregoing Complaint is based upon information which has been gathered by my counsel
in the preparation of the lawsuit. The language of the document is that of counsel and not my own.
I have read the document and to the extent that it is based upon information which I have given to
my counsel, it is true and correct to the best of my knowledge, information and belief. To the extent
that the content of the document is that of counsel, I have relied upon counsel in making this
verification.
This statement and verification are made subject to the penalties of 18 Pa. C.S. Section 4904
relating to unworn falsification to authorities, which provides that if I make knowingly false
averments, I may be subject to criminal penalties.
Seunggoo Cho
FP FILES'%Cbcnts\Donega13050\Cumcn066\3050.566.com 1
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F~.\FfLES\Cfients\3050 Danegal\Carrcnt\566\3060.566.Pra.reinstate2
Created: 9/20/04 O:ObPM
Revised: Zit/10 I122AM
3050.566
George B. Faller, Jr., Esquire
MARTSON DEARDORFF WILLIAMS OTTO
GILROY & FALLER
Attorney I.D. No. 49813
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
~ ZH~ PfipT1-~,~ !~i'AF'iY
20i0I E6 -5 PM I = l 7
CUP,~~~.~~~~~u ~.~~UNT`(
SEUNGGOO CHO, IN THE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
v. N0.09-8085
SHANE HEISEY and JOHN CIVIL ACTION -LAW
DAGOSTINO t/d/b/a
DAGO CONSTRUCTION,
Defendants
PRAECIPE
TO THE CUMBERLAND COUNTY PROTHONOTARY:
Please reinstate the attached Complaint in reference to the above-captioned action and
forward a copy to the Sheriff for Service upon Defendant John Dagostino t/d/b/a Dago Construction
at 50 S. Main Street, Wrightsville, PA 17368-9536. Thank you.
By
Date: 2/2/ 10
MARTSON LAW OFFICES
George B!Faller, Jr.,
I.D. Number 49813
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
$lo• oo Po Arn/
e~* aars~
eT'~' a3~~~Q
F:?FILES1CIirnts\3050 Donegal\Cutrrnt\566\3050.566.pra.reinstatel
Created: 9/20/04 0~06PM
Revised: 2/2/ 10 11:22AM
3050.566
George B. Faller, Jr., Esquire
MARTSON DEARDORFF WILLIAMS OTTO
GILROY & FALLER
Attorney I.D. No. 49813
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
" `~ ~trGrvLJ~~
2010 FEB -5 PN t ~ ZS
LrVtY1~:4.:'i,..,fy~-jL+ t~J~~iY
P~PJ~;SY'~V~.~'dt~
SEUNGGOO CHO, IN THE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
v. N0.09-8085
SHANE HEISEY and JOHN CIVIL ACTION -LAW
DAGOSTINO t/d/b/a
DAGO CONSTRUCTION,
Defendants
PRAECIPE
TO THE CUMBERLAND COUNTY PROTHONOTARY:
Please reinstate the attached Complaint in reference to the above-captioned action and
forward a copy to the Sheriff for Service upon Defendant Shane Heisey at 31 Crystal Drive,
Manheim, PA 17541-1917. Thank you.
Date: 2/2/ 10
MARTSON LAW OFFICES
By
Ge B. Faller, Jr., Esquire
I.D. Number 49813
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
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SHERIFF'S OFFICE OF CUMBERLAND COUNTY
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Ronny R Anderson .~~ 1 ~- ~ , ~ -,,„~v
Sheriff ~"
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Jody S Smith ~Q~~ ~ ~ ~~ ~E"i G: ~~
Chief Deputy '- -~ . ; ~.
Edward l_ Schorpp ~u~tir_, ,~,ln(
Solicitor ~r.,. r ~ - ~ ~'-~~~,~~ „r , l; r.A h;,
i r_l ,,r ~ti~~,.~r,i 41!-5
Seunggoo Cho
Case Number
vs.
John Dagostino t/d/b/a Dago Construction (et al.) 2009-8085
SHERIFF'S RETURN OF SERVICE
02/08/2010 Ronny R. Anderson, Sheriff who being duly sworn according to law states that he made a diligent search
and inquiry for the within named defendant, to wit: Shane Heisey, but was unable to locate him in his
bailiwick. He therefore deputized the Sheriff of Lancaster County, PA to serve the within Complaint and
Notice according to law.
02/08/2010 Ronny R. Anderson, Sheriff who being duly sworn according to law states that he made a diligent search
and inquiry for the within named defendant, to wit: John Dagostino t/d/b/a Dago Construction, but was
unable to locate him in his bailiwick. He therefore deputized the Sheriff of York County, PA to serve the
within Complaint and Notice according to law.
02/17/2010 York County Return: And now, March 17, 2010 I, Richard P. Keuerleber, Sheriff of York County,
Pennsylvania, do hereby certify and return, that I made diligent search and inquiry for John Dagostino
t/d/b/a Dago Construction the defendant named in the within Complaint and Notice and that I am unable tc
find them in the County of York and therefore return same NOT FOUND. Resident of 50 South Main
Street, Wrightsville, PA 17368 advised Deputies they have resided at this location for the past six years
and have never heard of the defendant.
02/24/2010 Lancaster County Return: And now February 24, 2010 at 1246 hours I, Terry A. Bergman, Sheriff of
Lancaster County, Pennsylvania, do herby certify and return that I served a true copy of the within
Complaint and Notice, upon the within named defendant, to wit: Shane Heisey by making known unto
himself personally, at The Lancaster County Sheriffs Office, 50 N. Duke Street, Lancaster, PA 17602 its
contents and at the same time handing to him personally the said true and correct copy of the same.
SHERIFF COST: $62.44
May 18, 2010
SO ANSWERS,
RON R ANDERSON, SHERIFF
(cl Goun'.ySurte Sherr~f, T~1c~osoft, fno.
~~ .nr,
x
SH ERIFF S t~FFICE H
50 NORTH DUKE STREET, P.O. BOX 83480, LANCASTER, PENNSYLVANIA, 17608-3'80 - (; 17) 299-8200 ImG
SHERIFF SERVKE PLEASE MAKE SURE FORM PRINTS
PROCESS RECEIPT, and AFFIDAVIT of RETURN ~ LEGIBLY
1. PLAINTIFF/S/ 2. COURT DOCKET NUMBER
Seunggoo Cho 2009-8085
3. DEFENDANT/S/ 4. TYPE OF DOCUMENTTO RESERVED
Shane Heisey Complaint & Notice
SERVE 5. NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO BE SERVED
Shane Heisey.
6. ADDRESS (Street or RFD, Apartment No., City, Boro, Twp., State and ZIP Code)
AT 31 Crystal Drive, Manheim, PA 17541
X' EPUTIZE TH R " ' • E
Now,FPhn,ar~ q 20~_ , f SHE OF UNTY, PA:, do hereby deputize the Sheriff of
Lancaster County to exe n e retu ereof according to law. This deputation being made at the
request and risk of the plaintiff eriff
8. SPECIAL INSTRUCTIONS OR OTHER MATION THAT WILL ASSIST IN EXPEDITING SERVICE:
L UC7tSGKLAIVIY/C.'UUN'1'Y
[~IARTSON LAW OFFICES
NOTE ONLY APPLICABLE ON WRIT OF EXECUTION: N.B. WAIVER OFWATCHMAN -Any deputy sheriff levy'mg upon or attaching any property under within writ may leave same without a watchman, in custody of
whomever is found in possession, after notifying person of levy or attachment, without liability on the part of such deputy or the sheriff [o any plaintiff herein for any loss, destruction or removal of any such property before sheriffs
sale thereof.
9. SIGNATURE OF ATTORNEY OR OTHER ORIGINATOR print Name 10. TELEPHONE NUMBER 11. DATE
George B, Faller, Jr. 717-243-3341 02/05/2010
12. SEND NOTICE OF SERVICE COPY TO NAME AND ADDRESS BELOW:(This area must be completed if notice is to be mailed)
The Cumberland County Sheriff's Office-1 Courthouse Square Room 303, Carlisle, PA 17013
13. I acknowledge receipt of the writ NAME of authorized LCSO Deputy or Clerk 14. Date Received 15. Expiration/Hearing Date
or complaint as indicated above K . BRA~SHAW 299-8200 2/16/2010 3/$/2010
16. I Here y CE IFY an RETURN t at I ave personally served, i ave ega evi ence o service as s own in Remar s , ave execute as
shown in "Remarks", the writ or complaint described on the individual, company, corporation, etc., at the address shown above or on the individual,
company, corporation, etc., at the address inserted below by handino a TRUE and ATTESTED COPY thereof
t 7 I I hereby certity and return a NOT FOUND because I am unable to located fhe in~vi ua . mm~anv_ rnrnnratinn am namo a ~t~A
R
3 . Remarks:
S.T.A.:
31, AFFIRMED and subscribed to
34. day of
me this
37.
Prothonotary/Deputy/Notary Public
MY COMMISSION EXPIRES
18. Name and title of individual Served(if not shown above) (Relationship to Defendant)
19. ~"' No Service See Remarks Below
20. Address of where served (Com e
Roro, TWP, State and ZIP Code) lyjtfdiff r t n shown above)(Street o FD, Apartment No., City,
~ 21. D to of ~7e-,rvice
„ i / /' 22. Time A
(Q
..T! .S.T
~ ' ~ ~~
~ ~
j~~ ` '
`~L
' I
1/~~ '" d
23. Attempts Date
l~ Miles Dep. Int
~ Date Miles Dep. Int Date Miles Dep. Int Date Miles Dep. Int Date Miles Dep. Int
3 ~o I
thtF
24. Advance Costs 25. Service Costs 26. Notary Costs 27. Mileage/Postage/N.F 28. Total Costs 29. COST DUE OR REFUND
100.0 36.50
' ~_..._,
c ~ 2
~ ~.J ~r
20
32. Signature of D . S
35. Signatt*r o S r
Terry A. Bergman
q 3ss~
50 ANSWER.
~~ 33.D
36. C
ERIFF OF LANCASTER CO
PA
_, J' '~1
SHERIFF'S OFFICE OF YORK COUNTY
Richard P Keuerleber ~ PETER J. MANGAN, ESQ.
Sheriff
Solicitor
Reuben B Zeager ~ ~ Richard E Rice, II
Chief Deputy, Operations ,. Chief Deputy, Administration
SEUNGGOO CHO
vs. I Case Number
JOHN DAGOSTINO t/d/b/a DAGO CONSTRUCTION 09-8085 CIVIL
SHERIFF'S RETURN OF SERVICE
02/17/2010 RICHARD P. KEUERLEBER, SHERIFF, WHO BEING DULY SWORN ACCORDING TO LAW, STATES
HE MADE DILIGENT SEARCH AND INQUIRY FOR THE WITHIN NAMED DEFENDANT TO WIT: JOHN
DAGOSTINO t/d/b/a DAGO CONSTRUCTION, BUT WAS UNABLE TO LOCATE THE DEFENDANT IN
HIS BAILIWICK. THE SHERIFF THEREFORE RETURNS THE WITHIN REQUESTED CIVIL ACTION AS
"NOT FOUND" AT 50 SOUTH MAIN STREET, WRIGHTSVILLE, PA 17368.
HOME OWNER HAS BEEN LIVING AT THIS ADDRESS FOR 6 YEARS AND NEVER HEARD OF SUBJ.
SHERIFF COST: $31.00 SO ANS ERS,
February 26, 2010 RICHARD P KE RLEBE ,SHERIFF
-- -_ - - -.
NOTARY COMMONWEALTH OF PENNSYLVANIA
Affirmed and subscribed to before me this .Notarial Seal
City Of York, York
26th day of FEBRUARY 2010 ~~ ~ ~y
My Corrrrission Eames May 15, 2011
C~?f ~ ~ :uJl't'y ~ liF.. r3.~:,,i soR ~r:~: Ni8lrll~r. I~6rlr1lylVlrliti Af$p(;irtlon OBI NoulYfio
~ n
/L~ /'/ J7,~(~j(/,L L
COUNTY OF YORK
OFFICE OF THE SHERIFF S~ R ;'; ; ~ ;L
45 N. GEORGE ST., YORK, PA 17401
SHERIFF SERVICE NSTRLICTiONS-
PROCESS RECEIPT and AFFIDAVIT OF RETURN PLEASE TYPE ONLY LAVE 1 THRU 12
DO NOT DETACH ANY COPES
1 PlA1NTIFF!$!
Seunggoo Cho
2 COURT NUMBER ?oOg-805
3. DEFENDANT/S/JOhn Dagnstin0 t/d/b/a DagO COnStruCtlOn
4. TYPE OF WRIT OR COMPLAINT
~cmpl.aint & Notice
SERVE ~ NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO BE LEVIED, ATTACHED, OR SOLD
John Dagostino t/d/b/a Daga Construr_tion
6. ADDRESS (STREET OR RFO WITH BOX NUMBER, APT NO., CITY, BORO, TWP , STATE ANO ZIP CODE)
AT 50 S. Main Street, Wrightsville, PA 17368
r. rnurcn r t SENVIGE l3 PERSONAL O PERSON IN CHARGE }~] DEPUTIZE 0 CERT. MAIL ^ t ST CIASS MAIL D POSTED Q OTHER
NOW FBbrltar~r 9, 2~1n , 20 I, SHERIF OUN A, deputize the sheriff of
_ York COUNTY to execute thi k according
to law. This deputization being made at the request and risk of the plaintiff. ,
eueo¢e
8. SPECIAL
OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE.
Return To:
The Cumberland County Sheriffs Office
1 Courthouse Square Room 303
- Carlisle, PA 17013
~ t. WAIVER OF WATCHMAN -Any deputy sherM levying upon or attaching any property under within wnt may leave same
r"''•••-° •- --•-••-°••••••• ^• wow, ~• ~••~•••~•~• •~ ~ww.•.+ •~~ ~,,,ession, after notifying person of kvy or attachment, without liability on the part of such deputy or the sheriff to any plaintiff
herein for any loss, desWdion, or removal of any properly before sheriM's sale thereof.
-• • • • •- •r•••~ o••v r•vainwa or M ~ ~ vKncr r VFi161NA I Vti and SIGNATURE
George B. Faller., Jr.
tz. SEND NOTICE OF SERVICE COPY TO NAME ANp ADDRESS BELOW: (This area must be completed if notlce is to be mailed).
THE CUMBERLAND OOUNTY SHERIFF'S OFFICE
-- ---------_ ...~... _...r ... ..:....~.r...~r -,+,...v. ~1i~~ctalGL.vlr:~t~f.~rlC.
13. I acknowledge receipt of the wrA 14. DATE RECEIVED t 5 Expiration/Hearing Oate
or complaint as indicated above.
t6. HOW SERVED: PERSONAL ( } RESIDENCE ( ) POSTED ( ) POE ( ) SHERIFF'S OFFICE ( ) OTHER ( ) SEE REMARKS BELOW
~ ~_ ~+ 1 nereoy ceruy and return a NOT FOUND because 1 am unable to locate the individual, company, etc. Warned above. (See remarks below.)
t8. NAME AND TITLE OF INDNIDUAL SERVED /LIST ADDRESS HERE lF NOT SHOWN ABOVE (Relationship to Defendant) 19. Date of Service 20 Time of Service
21. ATTEMPTSI Date ~ Time I Miles I Int. ~ Date Time Miles Int. Date Time Miles Int. Date Time Miles Int. Date Time Miles UL Dale Time Miles Int.
22 REMARKS
23. Advance Costs 24 Service Costs 25 N/F 26. Mileage 27. Postage 28. Sub Total 29. Pound 30. Notary 31. Surchg. 32. Tot. Costs 33 Costs Ove a Refund Check No.
34. Forriyn County Costs 35. Advance Costs 36. Service Costs 37. Notary Cert. 38. Mileage/Postage/NW Found 39. Total Costs 40. Costs Due or Refund
41. AFFIRMED and subscribed to before me this SO ANSWERS
u. Signature of 45. DATE
42. daY of , 20 _ 43 pep. Sheriff
PROTHY /NOTARY ~ Signature ~ York 47. GATE
County SheriR
48 Signature of Foregn 49 GATE
County ShenR
50. 1 ACKNOWLEDGE RECEIPT OF THE SHERIFF'S RETURN SIGNATURE St. DATE RECEIVED
OF AUTHORIZED ISSUING AUTHORITY ANO TITLE
10. TELEPHONE NUMBER tt. DATE FILED
'17-?.43-3341 2/5/7.010
1. WHITE - Issuing Authority 2. PINK -Attorney 3. CANARY - SheriRs Office 4. BLUE - Sheriffs Offioe
F:\F[LES\Clienta\3050 Donegal\Cutrwt\566\3050.566.pre3/nlm
Revised: 7/15/10 3:22PM
3050.566
George B. Faller, Jr., Esquire
I.D. No. 49813
MARTSON DEARDORFF WILLIAMS OTTO GILROY
MARTSON LAW OFFICES
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
-~1..~ ~.. ...
- T' ~ ~,..
& FALLF~ ~ ~ : v
F: -J' : W ~ I : 1. ' ~
~fulr (o ~P~ 3~•ao
r ,..
SEUNGGOO CHO, IN THE COURT OF COMMON PLEAS OF
Plaintiff, CUMBERLAND COUNTY, PENNSYLVANIA
v.
SHANE HEISEY
Defendant
TO THE PRQTHONOTARY:
N0.2009-8085
CIVIL ACTION-LAW
PRAECIPE
Enter default judgment in the above-captioned action in favor of Plaintiff and against
Defendant Shane Heisey in the amount of $3,294.26, plus interest and costs of suit as prayed for in
the Complaint, for failure to file an Answer to Plaintiffs Complaint.
I do hereby certify that a written notice of intention to file this Praecipe was mailed to the
Defendant at the address indicated thereon, on July 15, 2010, which date was subsequent to the date
default occurred and at least ten (10) days prior to the date of the Praecipe.
MART ON L OFFICES
By
George .Faller, Jr., q ' e
I.D. No. 49813
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Dated: ~}GI~GI$~ ~o, ~~~ Attorneys for Plaintiff
~ 1'f .oo P ~ A`rN
c~aa?4q
I~~rkex. ~~
George B. Faller, Jr., Esquire
I.D. No. 49813
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
SEUNGGOO CHO, IN THE COURT OF COMMON PLEAS OF
Plaintiff, CUMBERLAND COUNTY, PENNSYLVANIA
v.
SHANE HEISEY N0.2009-8085
Defendant CIVIL ACTION-LAW
AFFIDAVIT AS TO MILITARY SERVICE
COMMONWEALTH OF PENNSYLVANIA )
:SS.
COUNTY OF CUMBERLAND
George B. Faller, Jr., Esquire, being duly sworn according to law, deposes and says that he
has authority to make this affidavit on behalf of his client, and to the best of his knowledge,
information and belief, the Defendant above named is not in the military service of the United States
of America, that he has knowledge that the said Defendant is now living at: 31 Crystal Drive,
Manheim, PA 17541. Said Defendant's place of employment is unknown.
Geor a B. Faller, Jr., s uire
Sworn to and subscribed before me
this ~ day of ~ , 2010.
Notary u tic
COMMONWEALTH OF pENNSYL ANW
Nohdrlal Seal
Margaret Ann Nash, Notary Public
Carlisle Boro, Cumberland County
My Commission E~ires June Z9, Z011
Member, Pennsylvania Association O} Notaries
George B. Faller, Jr., Esquire
I.D. No. 49813
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
1 p East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
SEUNGGOO CHO, IN THE COURT OF COMMON PLEAS OF
Plaintiff, CUMBERLAND COUNTY, PENNSYLVANIA
v. .
SHANE HEISEY N0.2009-8085
Defendant CIVIL ACTION-LAW
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
SS
COUNTY OF CUMBERLAND
George B. Faller, Jr., Esquire, being duly sworn according to law, deposes and says that he
is an employee of MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER, attorneys
for the Plaintiff in the above captioned matter and that pursuant to the provisions of the Pennsylvania
Rules of Civil Procedure, a notice of intention to enter default judgment against the Defendant was
given to him by mail on July 15, 2010.
George B. Faller, Jr., u' e
Sworn to and subscribed before me
this ~ day of ~(~~ , 2010.
/~,
Not u lic
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Margaret Ann Nash, Notary Public
Carlisle eoro, Cumberiand Courriy
My Commission E~ir~es June 29, 2011
Member, Pennsylvania Association of Notaries
CERTIFICATE OF SERVICE
I, Nichole L. Myers, an authorized agent of MARTSON DEARDORFF WILLIAMS OTTO
GILROY & FALLER, hereby certify that a copy of the foregoing Praecipe was served this date by
depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as
follows:
Mr. Shane Heisey
31 Crystal Drive
Manheim, PA 17541
MARTSON LAW OFFICES
By
Nichole L. Myers
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Dated: ~} f~gt1~S-C ~a ~ ~O~ ~
08/06/2010 14:47 717-243-1850 MARTSON LAW PAGE 02/08
Fi~FILES1CliraattsU050 Done;nhGuneat\556U0l0.S66.tendsyooticeZ
George B. Fallcr, Jr., Esquire
I.D. No. 49813
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
10 East High Street
Carlisle, PA 17013
(717) 2433341
Attorneys for Plaintiff
SEUNGGOO CHO, 1N THE COURT OF COMMON PLEAS OF
Plaintiff, CUMBERLAND COUNTY, PENNSYLVANIA
v.
SHANE HEiSEY N0.2009-8085
Defendant CIVIL ACTION-LAW
INIP'ORTANT NOTICE
C~
TO: SHANE HEISEY, Defendant
YOU ARE IN DEFAULT BECAUSE YOU IIAVE FAILED TO ENTER A WRITTEN
APPEARANCE PERSONALLX OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT
YOUR DEFENSES OR OBJECTiON5 TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS
YOU ACT WITHIN TEN (10) DAXS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY
BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR
PROPERTY OR OTHER IlVIPORTANT RIGHTS.
YOU SHOULD TAKE TINS 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 HE 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 Lawyer Referral Service
Cumberland County Bar Association
32 South Bedford Street
Carlisle, PA 17013
Telephone:(717) 249-3166
MARTSON LAW OFFIC
By
George H. Fa , Jr., Esquir
I. D. No. 49813
Ten East High Street
Carlisle, PA 17013
(717)243-3341
Date: 7!15110 Attorneys for Plaintiff
08/06_/2_010 14: a7
'Rawyd N11~Q4 3~f1PA1
.tosO.Se~
717-243-1850
MARTSON LAW
George B. Faller, Jr., Esquire
I.D. No. 49813
MARTSON DEARDORF'F WII.LIAM9 OrITO GII.ROY 8t FALLER
MART9ON LAW OFFICES
10 East High Strut
Carlisle, PA 17013
(71'n 243-3341
Attorneys for Plaintiff'
PAGE 03!08
SEUNGGOO CHO, IN THE COURT OF COMMON PL$A9 OF
Plaintiff. CUMHFRI.AND COUNTY, PENN$YL~VANU
v.
SHANE HEISEY
NO. -~
CIVII. ACTION -LAW
1 do depose end state that I am a licensed appraiser; that tLe appraisal of 53,131.66 attached
hereto is true and correct and acctuately seb fvrtb the damages to the value oFthe ZOW Hyundai
Saab Fe owned by 8eaag=oo C>bto sal; that I havebeen eagagad is the appraisal business for
years and em qualiSed and capable to avah~ate the appraisal as attached; and the repairs were
necessary end the value indicated thereon was the amount by which the damages to this automobile
would fairly and reasonably have bees evaluated.
This statement end appraisal are made subject to the penalties of 18 Pa. C.9.3ectiou 4904
relating to unsworn falsi5cadoa to authorities, which da that if I make knowingly false
averment,, I may be subject to criminal penalties. ~/
0S/06/2010 14:47 717-243-1850 MARTSON LAW PAGE 04/08
.' ~"
~~ ,.
DONEGAL INAURANC6 GROUP
1196 RNER ROAD Q.O, BO% 30Q
MARIETTA, D/117507-000Z
"" s)UPPLEMlNT 1 "'
01H6I300A 11:21 AM
Ohnrr: 9EUN0000 CMO
AdE»ne 12a OLD 9CFIOOLHOUB~i LANE MolaNOb: (717}t60.66Z6
CE6 sIN~ $ MFCHANICSBURGi. PA 17066
Co"bOl itlla"MIIr0~1 .......~~....~...._..,_ ~.._.._....._,,_.,
CMhtN: PAF~A-01-0A-002~M01
Low WMNTMw: 01J0sl12DOA 07:00 AM
DNwIbM: !600.00
lawn/ Po/sr ~ : PAF3077T77
Laa Typo: LblMdon
N-a. Caa+O~z ObI+pM Mlwarrs O-ou0
A0~ DENIBB SFIEI-RER
AddtNa
Em~M a.N..rh.rsnpelen~rl9-oua~
tlro~: (s00~77.0l00~7N0
MwA~ SEUNGGOO CNO
AddMw~:
cl.r" ~: oEnisE sHEAReR
Addlriw~
lhwMk dw+ls~al»rn~daae~l9roup.aan
I-: (717}16/-5835
tIMalUDrr (eoo~e77-ae0o.741e
Iw~e.'tloe DMr. 01M 1/90081059 AM
Ilaw I.reallOA: Or.nr/8 n/QrlIC1
Adiwsi 1u aD scNOOLlIOUSE LANs
PrMtary Mpwk L~AECHANiCC$ SRO. PA 17066
OrMrbl~: Ysa
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Ctlndel:
Mo"wory: (717}46696Z'SR
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AppnlN- Nnh.: DONEGAL MUTUAL IIVBIJRANCE Ca
cow: JACI(CNIAIIA
AddrrNc P.O. ®OX 6!7
Clly 3bM ~: NEW CUIYIeERLAND, PA 17070
~ Ap1MdM-11an1~ JACK CNIARA
Jlddnaw p.0.80X
CIlx !dr 33D; N tyV CUMB , PA 170x10
Rae~MN ptldriw: 01/11~~008 01130 PM
App~lAfa1M! DAM: 0111614006 0~00/1M)
•oorw.. uo.a.. t: 41e6tz
~~Fl~ (717 797.7601
AppgNK Laanr ~ 1116614
YNeAdO~ (7t7~737-0767
FA>F: (717)7y7.7601
..............,...... ._......_ _.._-.....m....._._..---.._.,,..... ......_..._._. , ... ._. ..
RAM!!........... _ ..................~~~r ePANKEY's .........._..~.........._._..._.__ _-._,........._..._...._..ro.~_. .... __ ... ,. . ,......
R
Addnws 701 EAlT LOCUBT AT INedifOr16; (717pe7.310Z
Clly s~ ~: MCCWINIC96URa, PA 17066 fAIB (717)601-0Z24
ue.~ r: Rgul~Maa 14 23Q1a~eoe
1arOrt CentplM~ QrNRARI~:
DM to RpMr. 7
ALL 3UPPLEMENTAI CAwtAGE AE18T 88i APPAOt/BD 8Y 111E APPRAISER
GENT IN lT FT DOOR IB NON ACCIDENT RELATED
0$If15/,i00! OI:A PY plpr / M!
Exhibit "A"
08/06/2010 14:47 717-243-1850 MARTSON LAW PAGE 05/08
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AHHREVIATZON LEGEND:
LKQ =LIKE KIND IN QUALITY, A/M = APTl~RMARIC6T, RBCOpD = RECONDITION, O/H=
OVERI~AUL, RLPL = RBPLACB, RPR =REPAIR, RBFN RBFINISN, 86CT = SECTION,
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PARTS SXCHANGB NSM, OBM = ORI~32NAL SQUIPM8I~1'! MAMTPACTCTRBR, QRT PART, NAGB
NATIONAL A990C2ATION OP GLA88 9VPPLIgR, RBMAB a RBMAI~[TFACP[AtBD, PART = PARTIAL
ANY PER801xt WIC lQI7011INQLY A1QD KITH INTENT TO DEFRAUD APIY INSURAIQCB COMPANY OR
OTHBR PLR90N FIL>38 AN APPLICATION FOR IN9UAANC$ OR 8TATBl~NT OF CLAIM
CaN'TAININA ANY MATBRTALLY FALS>i INFORMATION OR COMCBALB POR TH>t PURPOS$ OF
MI9LSADIN(3, INFORMATIOIQ CONCSRNIl~ A11Y PACT MATERIAL THBR8T0 COl~4lITS A
FRA[JDLTI.ENT INBtntANCS6 ACT, WNICH I8 A CRTMB AZPD SUD~TECTS SUCH PLR80N TO
CRIMINAL AND CIVIL PBNALTIE9.
WE WILL NOT 8B R83PONSIBLB FOR ANY RBI.ATBD TONIl~d SERVICBB OR 9TORAG>s CHARGES,
IQ~lON1Q AT TH6 TIME OF THS APPRAISAL, AND INCVRRBD 11FTBR THB FOLLONING
DATE: .......... CHAR~3E8 INCURRED AFTBA THIS DATE WILL HB THB RBSPON8x8ILITY
OP THB CONSUMER.
C09T8 THAT B7(CEBD THS APPRAISED AMOt7~l'P MAY B8 THB R89PON9IHILITY OF THB
VEF[ICLB OiPiQER.
IF YOU RBQUBST, WS CAN PRO'VIDB YOU WITH T6B NAM89 OF REPAIR PACII,ITIBS THAT
41ILL BS ABLB TO REPAIR THE VYFIICLB POR THS APPRAI9BD A190UIPT. THBR>i I9 NO
RBQUIRSME[4T TO USB ANY BPECIPIBD REPAIR 9bOP.
THIS IS NOT AN AUTHORIZl1TI~f TO REPAIR. NO SUPPLBMSNT9 HONOR$D UNL838
INSPISCTSD AND A[APRORIZ6D HY APPRAISER. IP THS APP1iAISAL INCLUDES AFTBRMARKST
CRASH PARTB, TH8 AFTBRMARKBT CRA.~ PART SHALL HAVE A iiI1RRABTy EQUAL TO OR
BETTER TFIAN THE REMAINDER OF THB EXISTIIQO ~iAARANT~! ON THE PART HBINO REPLACED.
9I@TED COPY OF OUR~APPRAIBAL 38NT TO OW?TSR. DATB:
APPRAISER BIGNATURB:
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George B. Faller, Jr., Esquire
I.D. No. 49813 '
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
SEUNGGOO CHO, IN THE COURT OF COMMON PLEAS OF
Plaintiff, CUMBERLAND COUNTY, PENNSYLVANIA
v.
SHANE HEISEY N0.2009-8085
Defendant CIVIL ACTION-LAW
TO: Shane Heisey, Defendant
NOTICE OF ENTRY OF DEFAULT JUDGMENT
You are hereby notified that on the ~'E` day of , 2010, the following
Judgment was entered against you in the above-captioned action: judgment in the amount of
$3,294.26, plus interest and costs of suit as prayed for in the Complaint for failure to file an Answer
to Plaintiff s Complaint.
Date: 8l ~~(0
Pr thonotary
I hereby certify that the name and address of the proper person to receive this notice under
Pa. R. Civ. P. 236 is:
Mr. Shane Heisey
31 Crystal Drive
Manheim, PA 17541