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10-5950
BELOO COMMUNITY CREDIT UNION COURT OF COMMONS PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO.. ?p _ r6 Civil lei vs. CIVIL ACTION - LAW CONNIE R. BENDER Defendant N 0 T I C E 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 AOUT 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. Legal Services, Inc. 8 Irvine Row Carlisle, Pennsylvania 17013 (717) 243-9400 i .?=.i,. Cn 7r _,ryFn C/, -713 cn 0?' .0 Arr/ #Qa o, rt 4849 A &cN83W N 0 T I C I A Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita o en persona o por abogado y archivar en la corte en forma escrita sus defensas o sus objeciones a las demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso o notificacion y por cualquier queja o alivio que es pedido en la peticion de demanda. Usted puede perder dinero o sus propiedades o otros derechos importantes para usted. LLEVE ESTA DEMANDA A UN ABODAGO INMEDIATAMENTE. SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Legal Services, Inc. 8 Irvine Row Carlisle, Pennsylvania 17013 (717) 243-9400 BELCO COMMUNITY CREDIT UNION Plaintiff CONNIE R. BENDER .• Defendant COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO.. CIVIL ACTION - LAW COMPLAINT 1. Plaintiff is Belco Community Credit Union, hereinafter referred to as "BELCO", a Pennsylvania Corporation with an office at 449 Eisenhower Blvd., Harrisburg, Dauphin County, Pennsylvania 17111. 2. Connie R. Bender, a Defendant, is an adult individual with an address at 212 Louis Lane, Enola, Pennsylvania, 17025 3. Defendant applied for a Line of Credit from Plaintiff pursuant to the Application and Security Agreement dated April 20, 1989 which is attached hereto, marked Exhibit "A" and made part hereof. The Social social security number has been redacted to protect the privacy of the Defendant. 4. Defendant's delinquent balance on this account is $4326.37 as of September 9, 2010. 5. Because of Defendant's failure to make monthly payments and in accordance with the Application and Security Agreement, Defendant owes an attorney commission of $648.95 for a total of $4975.32. 6. Defendant also applied for a L14 Visa Credit Card from Plaintiff pursuant to the Application dated March 2, 1989 which is attached hereto, marked Exhibit "B" and made part hereof. The Social Security number has been redacted to protect the privacy of the defendant. 7. Defendant's delinquent balance on this account is $7213.89 as of September 9, 2010. 8. Because of Defendant's failure to make monthly payments and in accordance with the standard Security Agreement, Defendant owes an attorney commission of $1082.08 for a total of $8295.97. 9. Total due for both accounts is $13,271.29. 10. Defendant has failed and refused to bring her accounts current. 11. Defendant is not a member of the Armed Forces of the United States of America, nor engaged in any way which would bring her within the Soldiers and Sailors Relief Act of 1940, as amended. WHEREFORE, Plaintiff requests entry of judgment against Defendant in the amount of $13,271.29, plus interest together with costs of suit thereon. Date: 1 Respectfully, Submitted, (?I- VIA /I Arthur M. Feld, Esquire Attorney I.D. No. 07172 1309 Bridge Street New Cumberland, PA 17070 (717)770-0292 HAkff SE3URG` BELCO FEDERAL CREDIT UNION DArE MAIN OFFICE BRANCH OFFICE 1I _J 7 403 N. 2nd.5TREE7 - P.O, BOX82 326 N. DUKE STREET - P.O. BOX 1026 a : a' _SOOIALSEG RITY )JWMBEA L,:t HARRISBURG, PA .17108 LANCASTERJA 17603 MEMBER uDUNT NUMSER?_? 1-717-233-8739 1-717-397-22'20 1, SA )9(1 1400&642-4482 •YOU AEOUES& THE FOLLOW?N? DVANCE =SUBJECTgTOTHE,}TFR11??wk CONDITIONS;-000 YOYf I , P t E ITY OFFERED IF ANY) »L 5-E4TE-- ^i ? r v ? R ¢ r 3? "F,n„ CONTRACT NUMBER ?. ?.' ?- • S `?t_`NEY ADDRES , ".µ,,. . : g- REFERENCE NUMBER ? . , .. . ,, REQUESTED: ------ ?- - -*- OR PHONE NO TRANSACTION: MEMBER HAS: CREDIT DISABILITY BY MAIL THRU OFFICE FIRST ADVANCE BRANCH NO: YES NO INTERNALLY BY EXTENSION AGREEMENT SINGLE CREDIT LIFE BY PHONE CREDIT UNION SUBSEQUENT R YES NO ADVANCE INSURANCE CHANGE JOINT CREDIT LIFE REPAYMENT THROUGH: CHECK NUMBER YES N DEPOSIT T. NUMBER PLAN/SUBACCOUNT NO. LOAN NUMBER - PAYROLL MILITARY PROCESSED BY DEDUCTION ALLOTMENT U7Git? (A, - LL.. CHANGES SINCE ST ADVANCE LIST ALL DEBTS: (i.e., Rent, Mortgage, Home Assoc., Auto, Credit Carda, Credit Union Alimony etc) ATT ACH ADDITKNIAL SHEET IF NECESSARY PRESENT BALANCE MONTHLY PAYMENT vo - w nu I OUMPLETE IF APPLYING FOR ! ARE YOU WORKINGS NDIVIDUAL UNSECURED CREDIT UNLESS YOU RESIDE OR RELYI NG UPON PROPERTY IN A COMMUNITY PROPERTY STATE AZ, CA, ID, LA, NV NM TX. WA WI . UNMARRIED MARRIED SEPAF NAME AND ADDRESS OF NEW EMPLOYER YES NO PHONE NO. MONTHLY SALARY NEW POSITION NOTICE: YOU DONT HAVE TO INCLUDE INCOME FROM SOURCE OF OTHER INCOME DATE HIRED ALIMONY UNLESS YOU WANT THE CRED T UNION OR OTHER MONTHLY INCOME CONSIDER D. DAILY PERIODIC RATE PAYMENT TERMS:- NNVAL PERCENTAGE RATE INTEREST RATE IS: OTHER CHARGES (DESCRIBE) LOAN LIMIT 0/0 FIXED VARIABLE AMOUNT REQUESTED 1_a..,OTHER CHARGES AMOUNT ADVANCED PREV. I CANUNER- BALANCE OTHER LOANS O1I?O - $ T$ ,+, (THIS SUBACCOUNT) 1 NEW BALANCE .00 1 0-0 1 $ $ $ Q- 1 4 17(4, CURRENT PMT DATE DUE PMT AFTER ADVANCE DATE DUE PMT FREQUENCY TOTAL PMT ALL ACCTS $ REMAINING 3 LIMIT 20.00 09 190.189 WF.FKTlr $ $ SECURITY OFFERED IN ADDITION T=SHARES ERO CREDIT AGREEMENT, THE FOLLOWING PROPERTY SECURES THE ADVANCE: ITEM PROPYEAR I.D. NUMBER TYPE VALUE OTHEA (DESCRIBE) PLEDGE OF SHARES Y: PERSONAL BUSINESS FARMING PURCHASE MONEY: YES ACCOUNT NOS . LOCATION OF PROPERTY: KEY NO. 312 WEEKLY PAYMENTS THE TERMS OF YOUR SECURITY AGREEMENT ARE ON THE REVERSE SIDE. IF YOU AGREE TO MAKE AND BE BOUND BY THE PROMISES IN THE SECURITY AGREEMENT, SIGN BELOW OR SIGN UNDER THE ACKNOWLEDGMENT ON THE ADVANCE PROCEEDS CHECK. )WNER DATE CO-OWNER NAME (PLEASE PRINT) X CO-OWNER DATE (SEAL) X (SEAL) YOU AGREE TO MAKE PAYMENTS OF THE AMOUNT AND AT THE TIME SHOWN IN THE SECTION ABOVE ENTITLED PAYMENT TERMS. IF ONE OR MORE OF THE ITEMS BELOW IS CHECKED, YOU ALSO AGREE TO ITS TERM(S). r ? YOU ARE RECEIVING A CASH ADVANCE. ? THE XTENSI PAYMENT TOF PA MENTS SHOWN IN MS SECTION. YOU ARE PLEDGING SHARES FOR THE AMOUNT THE CHANGE IN THE TERM(S) OF YOUR LOANLINER' AGREEMENT MARKED WITH A STAR(.) SHOWN IN THE SECURITY OFFERED SECTION. SIGNATURE DATE SIGNATURE X DATE (SEAL) ?.,- X tc In this agreement all references to "credit union" mean the c ediitt(unnionY whose name appears on this agreement and anyone to whom the credit union assigns the LOANLINER© Credit Agreement. All references to "the advance" mean the amount in the box labeled "New Balance". All references to ,you,, mean each person who signs this agreement. THE SECURITY FOR THE LOAN - By signing this security agreement in the signature area or under the statement referring to this agreement which is on the back of the check you receive for the advance, you give the credit union what is known as a security interest in the property described in the "Security Offered" section. The security interest you give includes all accessions. Accessions are things which are attached to or installed in the property now or in the future. The security interest also includes any replacements for the property which you buy within 10 days of the advance or any extensions, renewals or refinancing of the advance. It also includes any money you receive from selling the Poperty or from insurance you have on the property. If the value of 'he property declines, you prOrn!$e to g:ve t hip credit union More property as Security if asked to do so. WHAT THE SECURITY INTEREST COVERS -The security interest secures the advance and any extensions, renewals a., refinancings of the advance. It also secures any other advances you have now or receive in the future under the LOANLINERcA Credit Agreement and any other amounts you o,vm the credit union for any reason now or in the future. If the property descripton is marked with two stars (-), the property will secure only the advance and not other amounts you owe. OWNERSHIP OF THE PROPERTY - You promise that you own the property, or if this advance is to buy the property, you promise you will use the advance for that purpose. You promise that no one else has any interest in or claim against the property that you have not already told the credit union about. You promise not to sell or lease the property or to use it as security for a loan with another creditor until the advance is repaid. PROTECTING THE SECURITY INTEREST - If your state issues a title for the property,,you promise to have the credit union's security interest shown on the title. The credit union may have to file what is called a financing statement to protect its security interest from the claims of others. If asked to do so, you promise to sign a financing statement. You also promise to do whatever else the credit union thinks is necessary to protect its security interest in the property. USE OF PROPERTY - Until the advance has been paid off, you promise you will: (1) Use the property carefully and keep it in good repair. (2) Obtain written permission from the credit union before making major changes to the property. (3) Inform the credit union in writing before changing your address or the address where the ro e Allow the credit union to inspect the property. (5) Promptlysnotf y the credit union if the property is damaged, stolen or abused. (6) Not use the property for any unlawful purpose. PROPERTY INSURANCE, TAXES AND FEES - You promise to pay all taxes and fees (like registration fees) due on the property and to keep the property insured against loss and damage. The amount and coverage of the property insurance must be acceptable to the credit union. You may provide the property insurance through a policy you already have, or through a policy you get and pay for. You promise to make the insurance policy payable to the credit union and to deliver the policy or AGREEMENT proof of coverage to the credit union if asked to do so. If you cancel your insurance and get a refund, the c: Euit uji0:2 has i right to the refund. If the property is lost or damaged, the credit unior can use the insurance settlement to repair the property or apply it toward: what you owe. You authorize the credit union to indorse any draft o. check which may be payable to you in order for the credit union to collet any refund or benefits due under your insurance policy. If you do not pay the taxes or fees on the property when due or keep it insured, the credit union may pay these obligations, but is not required to do so. Any money the credit union spends for taxes, fees or insurance will be added to the unpaid balance of the advance and you will pay interest on those amounts at the same rate you agreed to pay on the advance. If the credit union adds amounts for taxes, fees, or insurance to the unpaid balance of your advance, your payments may be increased by the amount necessary for the advance to be paid off in the same number of months originally scheduled. DEFAULT - You will be in default if you break any promise you make undet this agreement. You will also be in default if you are in default under the L OANLINERI Credit Agreement. WHAT HAPPENS IF YOU ARE IN DEFAULT - When you are in default, the credit union can, without advance notice to you, require immediate payment of what you owe under the LOANLINE" Credit Agreement and take possession of the property. You agree the credit union has the ight to take possession of the property without going to court and without giving you advance notice. If you are asked to do so by the credit union, you promise to deliver the property at a time and place the credit union chooses. The credit union will not be responsible for any of your other property, not covered by this agreement, that you leave inside the property. The credit union will try to return that property to you or make it available for you to claim. After the credit union has possession of the property, it can sell it and credit union will give you notice of any public sale or the date after which a private sale will be held. The expenses of the credit union for taking possession of and selling the property will be deducted from the money received from the sale. Those costs may include the cost of storing the property, preparing it for sale and attorney's fees to the extent permitted under state law or awarded under §506(b) of the Bankruptcy Code. The rest of the sale money will be applied to what you owe under the LOANLINERID Credit Agreement. If you have agreed to pay the advance, you will also have to pay any amount that remains unpaid after the sale money has been applied to the unpaid balance of the advance and to what you owe under this agreement. You agree to pay interest on that amount at the same rate as the advance until that amount has been paid. DELAY IN ENFORCING RIGHTS AND CHANGES IN THE AGREEMENT - The credit union can delay enforcing any of its rights under this agreement any number of times without losing the ability to exercise its rights later. The credit union can enforce this agreement against your heirs or legal representatives. If the credit union changes the terms of the LOANLINERO Credit Agreement, you agree that this agreement will continue to protect the credit union. CONTINUED EFFECTIVENESS - If any part of this agreement is determined by a court to be unenforceable, the rest will remain in effect. nu I Ir you not purchase the insurance require on 1-01 1 .1 the credit union n will the auto mobl a and the credit union purchases the insurance, the insurance purchased by cover only the credit union's interest in the property. The insurance will not be liability insurance. You have read the above statement and acknowledge that the credit union has explained it to you. SIGNATURE DATE SIGNATURE PATE THE PROPERTY DESCRIPTION ON THE REVERSE SIDE IS PART OF THIS NOTICE: SIGN THIS AGREEMENT ON THE REVERSE SIDE. AGREEMENT. LIMITS ADVANCE APPROVED ? YES ? NO REFERRED TO ? COUNTER OFFER WILL BE MADE. IF ACCEPTED, ADVANCE APPROVED ADVANCE APPROVED ? YES ? NO 4,11 114 4-1:wyi t? DESCRIBE COUNTER OFFER ? COUNTER OFFER WILL BE MADE, IF ACCEPT FD. ADVANCE APPROVED SPECIFIC I ADVANCE APPROVED N FOR REJECTION: OUTSIDE INFORMATION CONSIDERED ? YES ? NO REASON(S) FOR REFERRAL: IF YES. ATTACH ADDITIONAL SHEET AND DESCRIBE CREDIT COMMITTEE SIGNATURES DATE LOAN OFFICER SIGNATIIRF I. AKIN OFFICE A,PPL i CAT ON PLEASE PRINT (IN, INKp OR TypE 403 N- 2n&STREET - P.O_ BOX82„ BRANCH OFFICE HARRIrSBURG, PA 1,7108: 326: N. DUKESrREET_ P. 0. BOX, 1026 Married A 717-233-873q )_ LANCASTER3 ) ,91PA 77603 Ing. PPlicants may apply for a separa Ea,e te accountCheck the appropriate box below tso indi ate the t 222c 7 71 duBl Credit: Complete Applicant section. Complete other section as follows: (1 Infor ype of credit for which you unity property state (AZ, CA, ID, LA, yments if you are rel In on ali onNM, NV, TX, WA, WI) Or your spouse will use the Account (2) Iaout bforma? on about the partylmaking Credit: Provide informa9on about bothpof sal support, childng Applicant and Other o Ii support or separate/spousal maintenance as a basis for repayment. AMOUNT OF MONEY PURPOSE PP cant sections. `.---- YOU ARE REQUESTING Ii1?iQ_ - COLLATERAL ? ?• }REPAYMENT THROUGH N ?'"-" .PAYROLL DEDUCTION ?ECIl T` CN S U R"i4 N C E ? MILITARY ALLOTMENT STATEMENT"OF"INTENT` " Check Coverage(s) Desired: CREDIT DISABILITY credit union will disclose the cost of this voluntary insurance Bto you. A separate conditions insurance election which discloses the x F---=- ffective. 1 .inLl NAME ACCO Co C, UNT NUMBER DrRIIVER'S LICENSE NUMBER SOCIALSECURITYNUMBER I a.4 4 o ACCOUNT NUMBER BIRTH DATE HOME PHONE rM E1 N j BUSINESS i`HUNE/EXTENSIU,, ( l( [ )1-5a-14,43 ? ????S 1 BIRTH DATE PaES?NTADDRESS (STREET, CITY, STATE, ZIP) `$ vv???L? tiv • _ `a YEARS AT THIS PRESENT ADDRESS -- Q-P-. \ 0 kA •"'"O T' ADDRESS • PREVIOUS ADDRESiS..?(STTREET. CITY, STATE, IP? ? OWN RENT ? YEARS AT THIS ADDRESS PREVIOUS ADDRESS COMPLETE FOR JOINT C?? IT, SECUREDCEDIT OR IF YOU 11 OWN STATE: LIVE IN A COMMUNITY RENT ? MARRIED E] SEPARATED PROPERTY ; COMPLETE FOR JOIE NUMBER OF DEPENDENTS OTHER THAN LIST- UNMARRIED (SINGLE, IVORCED. IDOWEDI STATE: ED BY OTHER APPLICANT (EXCLUDE SELF) AGES ? MARRIED f NUMBER OF DEP ENI ED BY APPLICANT (E ° D EMPLQY W NAME ANA •• r _ .. I .,ODRESS ¢F EMPLOYER. .. RM Tf O e' -' n01?, C NAME AND ADDRESS TITLE/CCgRADE .'`L..,.... ....1...`..-' , Pc.. SUPERVISOR - TITLE/GRADE STARTING DATE SHIFT/uni ' ?-AICI n a . '\ r•:n (LAST) (FIR ST) BUSINESS PHON Fr r ( ) ADDRESS IEET, CITY, STATE, ZIP) ? OWN ? RENT YEARS AT THIS ADDRESS EDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUN OWN ITY PROPERTY ? SEPARATED ? UNMARRIED (SINGLE, DIVORCED. WIDOWED) S OTHER THAN LIST- AGES JDE SELF) • •i r l S - -- c Urr, BUSINESS STARTING DATE -?- ' \lt..w.? ? YES i`?ryQ-"?-`?".?? SHIFT/HOURS SELF EMPLOYED TYPE OF B MILITARY: IS DUTY STATION TRANSFER ET USINESS WHER AT WQRK PECTED DURING NEXT YEARS E y - ? YES 13 NO RATION DATE MILITARY: IS OUT STATION TRAN ? YES ? NO R RATION DATE - PECTED DURING N SFER EX- WHERE ?iCOTICE AU MONY, EXT YEAR? ENDING/SEPA- nc' YOU CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE I] YES 13 NO VEALED IF DO NOT CHOOSETO HAVEITCONSIDERED. RA710N DATE NOTICE ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE ENCOME`NE ? P)ETEMPLOYMENT INgpME OTHER INCO E,.) REVEALED IF YOU DO NOT CHOOSE TO HA GROSS SOURCE ED NOT BE NET VE IT CONSIDERED. ']C Cl ?u PER°Ol.' / 1l ?}?-..?.?l? E . ,r? "` ? EMPLOYMENTINCOME OTHER INCOME JO \"?."ti,C- $ L , _ rj Ii PER L*?j-t?` _ ? GROSS - SOURCE IF EMPLOYED IN CURRENT POSITION LESS THAN TWO YEARS, COMPLETE THE FOLLOWING: $ EMPLOYED IN FER $ PREVIOUS EMPLOYER NgME $ ADDRESS PER CURRENT POSIT t STARTING DATE ION LESS THAN TWO YEARS, COMPLETE THE FOLLOWING: PREVIOUS EMPLOYER NAME $ ADDRESS ENDING DATE STARTING DATE TITLE/GRADE - SHARE DRAFT OR CHECKING R?RE? -N?g ACCOUNT NUMBER/AM ANT ADDRESS OF I SAVINGS ACC OUNT NUMBER/, "s' AMOUNT // cI?/ NAME $ ADDRESS OF E NAME AND ADDRESS F CREDITOR(S) OF DEBTS PAID OFF NAME $ ADDRESS OF NEAREST RELATIVE NOT LIVING WITH r1 NAtdE $ ADDRESS OF PERSONAL FRI N `? NOTq RE TIVE JCUDIS INSURA E SOCIETY I??r. ..,..., ,._ .. ------------------ )EPOSITORY SHARE DRAFT CI CHECKING ACCOUNT NUMBER/AMOUNT /t/ E/\ I I AMOUNT I NA-.E& nuunt55 OF DEPOSITORY DME PHONE ADDR? ES?S pF CREDITOR(S) OF DEBTS PAID OFF TELEPHONE CRESS OF NEAREST RELATIVE NOT LIVING WITH YOU RELATIONSHI HOME PHONE )RESS OF PERSONAL FRIEND - NOT A RELATIVE HOME PHONE ASSETS , APPLICANT HOME OTHER OTHER DEBTS RENT J? f•`,. - MORTGAGE ?-+ ?` . (Incl. Tax & Ins.) , SECOND MORTGAGE HOME ASSOC. DUES AUTO LOAN AUTO LOAN X CREDIT UNION CREDIT CARD CREDIT CARD ALIMONY/ ' SPOUSAL SUPP. CHILD SUPP. OTHER •'51.1,--..,: 1 `;.,.._..-p-,.? / OTHER r OTHER LIST ANY NAMES UNDER WHICH YOUR CREDIT REFERFDESCRIBE (I. E., AUTO, STOCKS, SAVINGS LIST ALL OTHER IT , ETC.). LIST HOME EMS YOU OWN FREE AND CLEAR CREDITOR NAME A ADDRESS 1 ?. 7 N '1 Z'-1?; 5 t: C: j IF A "YES" ANSWER IS GIVEN TO A QUEST ATTACHED SHEET ION, EXPLAIN ON ry AP YES HAVE YOU ANY OUTSTANDING JUDGMENTS? IN THE LAST 10 YEARS, HAVE YOU BEEN DECLARED BANKRUPT OR HAD A DEBT ADJUSTMENT PLAN CONFIRMED UNDER CHAPTER 13 OF THE BANKRUPTCY CODE? HAVE YOU HAD PROPERTY FORECLOSED UPON OR GIVEN TITLEOR DEED IN LIEU THEREOF, IN THE LAST 7 YEARS? ARE YOU A PARTY IN A LAW SUIT? ARE YOU OTHER THAN A U.S. CITIZEN OR PERMANENT RESIDENT ADEN? ' MARKET VALUE PLEOGEDASCOLLATERAI FOR ANOTHER LOAN ? YES ? NO ? YES I NO ACCOUNT $ ? YES -ET.-NO NUMBER PRESENT BALANCE MONTHLY NO. MONTHS PAYMENT PAST DUE CIUI?. (LJ /??. L`CJ $ $ $ $ 7 ? - ?- $ $ $ $ $ C $ 7. t BE CHECKED $ . $ TOTALS $ $ IF A "YES" ANSWER IS GIVEN TO A OUESTION, EXPLAIN ON AN Pica Co_APPlicanc ATTACHED SHEET YES N YES NO rft IS YOUR INCOME LIKELY TO REDUCE IN THE NEXT TWO YEARS? ARE YOU A CO-MAKER, CO-SIGNER OR GUARANTOR ON ANY LOAN NOT LIST EO ABOVE7 FOR WHOM (NAME OF OTHERS OBLIGATED ON I neu, TO WHOM (NAME OF CREDITOR): You promise that everything you have stated in this application is correct to the best of your knowledge and that the ab your debts and obligations. You authorize the credit union to check your employment and credit history and to obtain credit application for credit and for any update, renewal or extension of the credit received. If you request, the credit union will tell you the name and address of any credit bureau from which it received a credit report on you. You understand that it is a federal crime to willful) ove information is a complete listing of all information on loan applications made to Federal Credit Unions or State Chartered Credit Unions insured by the NCUA. reports in connection with this APPLICANT'S SIGNATURE y and deliberately provide Incomplete or incorrect OA-TE'. CHECMONE Q C (SEAL) f Q8'4'LYCANT'GIOiAAANp:T "u?; DA 7 • "? APPROVED SIGNATURE LIMITS N • LIN OFCREDIT - .._..?? W OTHER . • $ $THER DEBT RATIO ADVANCE APPROVED !!l,•? (' (jl (?- YES ?NO REFERRED TO _ • • • • • ? COUNTER OFFER WILL BE MADE, IF ACCEPTED. ADVANCE APPR El NO ? OVED. E3 ADVANCE COUNTER OFFER APPROVED YES WILL BE MADE IF DESCRIBE COUNTER OFFER; ACCEPTED, ADVANCE APPROVED. SPECIFIC REASON(S) FOR REJECTION: OUTSIDE INFORMATION CONSIDERED? ? YES ? NO IF Y REASON(S) FOR REFERRAL: ES, ATTACH ADDITIONAL SHEET ANO DESCRI CREDIT COMMITTEE SIGNATURES 6E. LOAN O F1Gil{Z SI ATURE 1. DATE r t I 4... / DATE ? ECOA NOTICE AND REAgON Fna ?? _. .. 3' VERIFICATION ded- P states subject to the penalties of 18 Pa C.S.Section 4904 relating to unsworn falsification to authorities, that he/she is the ZA-?5 for the Plaintiff in this matter, that he/she is authorized to make this affidavit on its behalf and that the facts set forth in the foregoing pleading is true and correct to the best of his/her knowledge, information and belief. ? 9 Z 13?i o SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson Sheriff Jody S Smith Chief Deputy ~q~~~tr Qt ~~r~re6rr~~~~ ~, - ' .;~~ ~.~ ,,'. GSf~tGE 4F '-_ SHERIFF F1LF[~-OFF4GE ~~ TNI^ ~nnT~~[I~~OTARY Richard W Stewart SOiICIfOr r `~ ,i t t 61f1 ~..,r air.., , . - ~ ..~~r E~ss ,.. ,. '' '6~ er' BELCO Community Credit Union vs. Connie R. Bender Case Number 2010-5950 SHERIFF'S RETURN OF SERVICE 10/01!2010 Ronny R. Anderson, Sheriff, who being duly sworn according to law, states that on October 1, 2010 at 1307 hours this Complaint and Notice upon defendant Connie R. Bender is returned not served per request from Attorney Arthur M. Feld. SHERIFF COST: $41.94 SO ANSWERS, October 01, 2010 RON R ANDERSON, SHERIFF (c) Coun?ySuite Sheriff. ?eieosoff. Inc. David ED. Buell' Prothonotary Office of the Prothonotary Cum5er[and County, KPennsyfvania 7rkS. Sofionage, ESQ Solicitor ORDER OF TERMINATION OF COURT CASES TERM AND NOW THIS 28TH DAY OF OCTOBER, 2014, AFTER MAILING NOTICE OF INTENTION TO PROCEED AND RECEIVING NO RESPONSE —THE ABOVE CASE IS HEREBY TERMINATED WITH PREJUDICE IN ACCORDANCE WITH PA R.C.P.230.2. BY THE COURT, DAVID D. BUELL PROTHONOTARY One Courthouse Square 0 Suite100 6 Carlisle, TA 0 Phone 717 240-6195 0 Eax 717 240-6573