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HomeMy WebLinkAbout10-6145% I t Reserved for Court Use. MA-D-Ot i 1{,..r. OF THE P:7, 0, T G 1N'0 TA R'%` 2010 SEP 28 P °i 1: 28 UM'D RL010 U NT'?f PE N!INS L VAN fl 6 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: 16 - L.l q .T ?t C)? t, Originations, LLC and Christopher Weems ?- INITIAL ORDER OF COURT r On thisA day of 't 2010, it is ordered that a hearing on this Petition to Transfer Structured Settlement Payment Rights will be held on N 13? , 2010, in Courtroom 3 at MIN o'clock.4-01 • The payee shall bring income tax returns for the prior two (2) years to the hearing. Within sever (7) days, the transferee shall give notice of the hearing date to the payee, the structured settlement obligor, the annuity issuer, the payee's spouse and any person receiving child support, alimony, or alimony pendente lite. The transferee shall attach a certificate of service to the notice of hearing date. A copy of the notice with the certificate of service shall be filed with the court prior to the hearing. Copy r1l;Z1 J. 1b I I MARO & MARO, P.C. By: Robert A. Maro, Esquire Attorney I.D. No.: 89585 1115 West Main Street Norristown, PA 19401 (610) 275-9600 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: Originations, LLC and Christopher Weems `6 - 6 lY,5"&vf erg NOTICE OF HEARING ON PETITION TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS To: Erie Family Life Insurance Company Attn. Legal Dept./structured Settlements 100 Erie Insurance Place Erie, PA 16530 Erie Insurance Exchange Erie Insurance Exchange 100 Erie Insurance Place Erie, PA 16530 J.G. Wentworth Originations, LLC 40 Morris Avenue Bryn Mawr, PA 19010 Christopher Weems 35 N. Middlesex Rd. Carlisle, PA 17013 You are hereby given notice that J.G. Wentworth Originations, LLC has filed a petition to transfer structured settlement payment rights. A hearing in this matter has been scheduled on , 2010 at o'clock in courtroom no. courthouse, Cumberland County Court of Common Pleas, Pennsylvania. You are entitled to support, oppose or otherwise respond to the payee's petition, either in person or by counsel, by filing written comments with the court prior to the hearing or by attending the hearing. The Name, Address and Tax Identification number of the transferee is J.G. Wentworth Originations, LLC. 40 Morris Avenue, Bryn Mawr, PA 19010, Tax I.D. No. 20-4728885. Date BY: P ttomey for J.G. Wentwoi Originations, LLC. 1115 W. Main Street Norristown, PA 19401 (610) 275-9600 (610) 275-9666(facsimile) MARO & MARO, P.C. By: Robert A. Maro, Esquire Attorney I.D. No.: 89585 1115 West Main Street Norristown, PA 19401 P`~LE~-OFFiC£ 2110 OCT ! 4 P~ 3~ G O (610) 275-9600 ~UhS[3~RLAPdD CQUNi'Y pE~r5Y~4~APIl~; IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO:10-6145 Originations, LLC and Christopher Weems MOTION FOR CONTINUANCE NOW COMES, J.G. Wentworth Originations, LLC by and through its attorney, Robert A. Maro, Esquire and moves for a continuance as follows: 1. The above captioned matter is scheduled for a fifteen (15) minute hearing on the 8th day of November 2010 at 11:00 a.m., Courtroom 2, before the Honorable Judge Guido. 2. The Moving party for said proceeding is J:G. Wentworth Originations, LLC and Christopher Weems, as this is a Joint petition. 3. The other parties in the case are: There are no defendants in this case; this is a joint petition for partial transfer of a structured settlement. 4. The proceeding was scheduled by Initial Order of Court dated September 28, 2010. 5. The proceeding has NOT bee previously continued. 6. A continuance is requested because: a. Robert A. Maro, Esquire attorney for J.G. Wentworth Originations, LLC is scheduled for a hearing in Carbon County, Pennsylvania on the same date, November 11, 2010 at 9:00 a.m. The hearing in Wyoming county was scheduled on September 28, 2010 and received by my office prior to receiving the hearing date for the case at issue. I have attached copies of the hearing notice in Cazbon County as Exhibit "A". We are not requesting a continuance in the form of days; only hours. I am requesting that the hearing in Cumberland County be scheduled on the same date, November 8, 2010 at or after 1:00 p.m. to allow Robert A. Mazo, Esquire, enough travel time to be present at the hearing. 7. No interested party objects to the continuance. 8. I hereby certify that if a continuance is granted, I will notify all witnesses who would be appeazing at my request and will provide a copy of this Motion to any opposing counsel and unrepresented parties. 9. I specifically request a continuance as follows: a. I would like to have the matter heazd on the same date, November 8, 2010. I am requesting that the time of the hearing be changed from 11:00 a.m. until after 1:00 p.m. Respectfully Submitted: ~ ~ ~ ~i-~n BY: Date Attorney for J.G. Wentworth 'Originations, LLC. 1115 W. Main Street Norristown, PA 19401 (610)275-9600 (610) 275-9666(facsimile) MARO & MARO, P.C. By: Robert A. Maro, Esquire Attorney I.D. No.: 89585 1115 West Main Street Norristown, PA 19401 (614) 275-9600 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: 10-6145 Originations, LLC and Christopher Weems CERTIFICATE OF SERVICE I, Robert A. Maro, Esquire, hereby certify that a true and correct copy of the Motion for Continuance has been served upon the following entities via first class mail and/or certified return receipt requested and/or email on To: Erie Family Life Insurance Company Attn. Legal Dept./structured Settlements 100 Erie Insurance Place Erie, PA 16530 Erie Insurance Exchange Erie Insurance Exchange 100 Erie Insurance Place Erie, PA 16530 Date: l Q-1(--/0 J.G. Wentworth Originations, LLC 40 Morris Avenue Bryn Mawr, PA 19010 Christopher Weems 35 N. Middlesex Rd. Carlisle, PA 17013 By: Robert A. Maro, Esquire Attorney for J.G. Wentworth Originations, LLC Reserved for Court Use. FILED ~0{0 P ~~ Phi 3~ ~5' CA BQM Cfllltif Y P~~THaN1fT~tRY BY: INITIAL ORDER OF COURT On this ~~~day of ~~~..~... 2010, it is ordered that a . `. ~, ~ . IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: ~ ~ - ~ $~;~ Originations, LLC and Shawn Filchner hearing on this Petition to Transfer Structured Settlement Payment Rights will be held on (}t/~-mil ?S ~ , 2010, in Courtroom 1 at Q ' ~ ~ ll~ o'clock. The payee shall bring income tax returns for the prior two (2) years to the hearing. Within sever (7) days, the transferee shall give notice of the hearing date to the payee, the structured settlement obligor, the annuity issuer, the payee's spouse and any person receiving child support, alimony, or alimony pendente lite. The transferee shall attach a certificate of service to the notice of hearing date. A copy of the notice with the certificate of service shall be filed with the court prior to the hearing. BY THE COURT: ` ., ~ ~, ~1. Maro &Maro, P.C. By: Robert A. Mazo, Esquire Attorney I.D. No.: 89585 1115 W. Main Street Norristown, PA 19401 (610) 275-9600 IN THE COURT OF COMMON PLEAS OF C PENNSYLVANIA IN RE: Joint Petition of JG Wentworth Originations, LLC and Christopher Weems CERTIFICATE OF SERVICE CUUN"l~Y, NO: 2010-6145 Civil I, Robert A. Maro, Esquire, hereby certify that a true and correct copy of the Initial Order of Court was served upon the Payee, The Structured Settlement Obligor, The Annuity Issuer, the Payee's Spouse and any person receiving child support, alimony or alimony pendente lite. A copy of the Notice is attached hereto. Date: October 12, 2010 B. Robert A. Mazo, Esquire Attorney for JG Wentworth Originations, LLC 0~" TKELPROTHOt~~j'~R~* zotaocr i~# aM~i: f • Reserved for Court Use. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: I D , C.l ~ $' Originations, LLC and Christopher Weems INITIAL ORDER OF COURT ~" On this~~ day of ~ 2010, it is ordered that a e~~;~ ~~ hearing on this Petition to Transfer Structured Settlement Payment Rights will be held on N OY'r'ti"''~ ~ , 2010, in Courtroom 3 at !~~ o'clock.~~~''t • The payee shall bring income tax returns for the prior two (2) years to the hearing. Within sever (7) days, the transferee shall give notice of the hearing date to the payee, the structured settlement obligor, the annuity issuer, the payee's spouse and any person receiving child support, alimony, or alimony pendente lite. The transferee shall attach a certificate of service to the notice of hearing date. A copy of the notice with the certificate of service shall be filed with the court prior to the hearing. J. MARO & MARO, P.C. By: Robert A. Maro, Esquire Attorney I.D. No.: 89585 1115 West Main Street Norristown, PA 19401 (610) 275-9600 OCT 15 Sulu F~_ ~'~?-OFFfCF OF ~ -~ `~b~~~~S0~i0TARY ZO f C' ~'''~ ~ ~ 1 F,~ I ~ 13 CUF'-4~~,~Q COt1PdTY ~'~~i;'~Y~11~,4~1A IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO:10-6145 Originations, LLC and Christopher Weems AMENDED' INITIAL ORDE/R~O~Fr COURT AND NOW, this Slay of Q G~DD t/~ 2010, upon consideration of the attached motion for continuance by J.G. Wentworth Originations, LLC: The Motion is denied. The Motion is Granted and the Joint Petition for Partial Transfer of Structured Settlement scheduled for November 8, 2010 at 11:00 a.m. before the Honorable Judge Guido is hereby continued until ~Iy~ ~ , 2010 at ~. ~4 d ~ M The Moving Party shall promptly notify all interested parties of this Order. All other terms and conditions of the original initial order of court shall remain in effect ~Pr ~.,~, ~~ ~. ~ rol~r/ra THE COU J. 3 ~ ~! MARO & MARO, P.C. By: Robert A. Maro, Esquire Attorney I.D. No.: 89585 1115 West Main Street Norristown, PA 19401 ~~~.~-c~~~fe~ ~~(IOCT 2$ ~~ I1= ~~ (610) 275-9600 ~"l~B~.Ri_,~~ i ~J~ '' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: 10-6145 Originations, LLC and Christopher Weems Civil Term PRAECIPE TO AMEND TO THE PROTHONOTARY: Kindly Amend the Petition filed in this matter on September 24, 2010 with the attached amended Petition. The purpose of the amendment is a result of an increase in purchase price from J.G. Wentworth Originations, LLC to Christopher Weems. The hearing date scheduled in this matter for November 8, 2010 at 1:00 p.m. is still a good date. Respectfully Submitted: Maro &IMaro, P.C. Date BY: ACttorne for J.G. Wentworth Origina ns, LLC. 1115 W Main Street [vorrist ~ . PA 19401 (610) 2 (610) 2 MARO & MARO, P.C. By: Robert A. Maro, Esquire Attorney I.D. No.: 89585 1115 West Main Street Norristown, PA 19401 (610) 275-9600 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: 10-6145 Originations, LLC and Christopher Weems Civil Term NOTICE OF HEARING ON AMENDED PETITION TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS To: Erie Family Life Insurance Company Attn. Legal Dept./structured Settlements 100 Erie Insurance Place Erie, PA 16530 J.G. Wentworth Originations, LLC 40 Morris Avenue Bryn Mawr, PA 19010 Erie Insurance Exchange Erie Insurance Exchange 100 Erie Insurance Place Erie, PA 16530 Christopher Weems 35 N. Middlesex Rd. Carlisle, PA 17013 You are hereby given notice that J.G. Wentworth Originations, LLC has filed an amended petition to transfer structured settlement payment rights; A hearing in this matter has been scheduled on , 2010 at o'clock in courtroom no. courthouse, Cumberland County Court of Common Pleas, Pennsylvania. You are entitled to support, oppose or otherwise respond zo the payee's petition, either in person or by counsel, by filing written comments with the court prior to the hearing or by attending the hearing. The Name, Address and Tax Identification number of the transferee is J.G. Wentworth Originations, LLC. 40 Morris Avenue, Bryn Mawr, PA 19010, Tax I.D. No, 20-4728885. , (Q - ~6 (0 BY: Date attorney for J.G. Wentworth Originations, LLC. 1115 W. Main Street Norristown, PA 19401 (610) 275-9600 (610) 275-9666(facsimile) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: Originations, LLC and Christopher Weems FINAL ORDER OF COURT On this Day of , 2010, it is ordered that the Amended Petition to Transfer of Structured Settlement Payment Rights is granted. The court specifically finds that: (1) the payee has established that the transfer is in the best interests of the payee or the payee's dependents; (2) based on the certification by an attorney for the transferee, and the court having not been made aware of any statute, regulation or order that would be incompatible with the proposed transfer, the transfer will not contravene any applicable federal or state statue or regulation, or the order of any court or administrative authority; (3) the transfer complies with the remaining requirements of the Structured Settlement Protection Act, including Sections 3(a)(2), 3(a)(4), 3(a}(5) and 3(a)(6); (4) the payments that are to be transferred are designated as follows: A) 1 payment of $60,585.00 on Apri124, 2014 (5) the terms of this order shall survive the death of the payee and shall be binding on the payee's heirs, beneficiaries and assigns; (6) the payee shall receive from the transferee, within ten (10) days from the date of this Order, the amount of $45,005.00, from which no funds are owed for counsel fees, administrative fees, or other costs, fees or expenses. BY THE COURT: J. MARO & MARO, P.C. By: Robert A. Maro, Esquire Attorney I.D. No.: 89585 1115 West Main Street Norristown, PA 19401 (610) 275-9600 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: 10-6145 Originations, LLC and Christopher Weems Civil Term AMENDED JOINT PETITION FOR PARTIAL TRANSFER OF STRUCTURED SETTLEMENT PURSUANT TO STRUCTURED SETTLEMENT PROTECTION ACT, 40 P.S. 4000, ET SEQ., TO THE HONORABLE JUDGES OF SAID COURT: And now comes your petitioner, J.G. Wentworth Originations, LLC, by and through its attorneys, Maro & Maro, P.C., and joint petitioner, Christopher Weems, and in accordance with the applicable rules of Pennsylvania Civil Procedure, hereby represents as follows: 1. Petitioner is J.G. Wentworth Originations, LLC. ("Buyer" or Transferee"), with an office address located at 40 Morris Avenue, Bryn Mawr, Pennsylvania, 19010. 2. Joint Petitioner is, Christopher Weems ("Payee"), an adult individual who resides at 35 N. Middlesex Rd., Carlisle, PA 17013. 3. This Joint Petition has been verified by the Transferee, J.G. Wentworth Originations, LLC. and the Petition includes all necessary information as prescribed by PA R.C.P. 229.2(d) et al and Section 3 of the Act, 40 P.S. §4001 et seq. 4. Pursuant to PA. R.C.P. No. 229.2(d)(3) there are four (4) attachments incorporated herein as follows: a. PA R.C.P. 229.2(d)(3)(i) Payee's Affidavit in Support of Petition. Please see Attachment/Exhibit "1 "; and b. PA. R.C.P. 229.2(d)(3)(ii) An Initial Order of Court Scheduling Hearing; c. PA. R.C.P. 229.2(d)(3)(iii) Acertification by Robert A. Maro, Esquire, attorney for transferee, J.G. Wentworth Originations, LLC.; and d. PA. R.C.P. 229.2(d)(3)(iv) AFinal Order of Court Granting he Petition. 5. Joint Petitioner, Christopher Weems, is the beneficiary of an annuity owned by Erie Insurance Exchange and issued by Erie Family Life Insurance Company. The structured settlement provides payment to the petitioner as described on Attachment/Exhibit " 2". 6. Joint Petitioner, Christopher Weems, after having the opportunity to have this matter reviewed by independent counsel of his own choosing including the implications of the transfer and any tax ramifications, expressly waived his right to independent counsel. A Copy of Joint petitioner's waiver is attached hereto, incorporated herein and marked Attachment/Exhibit " 3". 7. Joint Petitioner, Christopher Weems, proposes to enter into a purchase agreement with J.G. Wentworth Originations, LLC., its nominees, successors, or assigns, whose address is 40 Morris Avenue, Bryn Mawr, Pennsylvania, 19010, who will purchase the following from Petitioner's structured settlement as follows: A) 1 payment of $60,585.00 on April 24, 2014 8. The structured settlement is currently owned by Erie Insurance Exchange and issued by Erie Family Life Insurance Company, and the net amount in return payable to Christopher Weems is $45,005.00 from Buyer. A copy of the Purchase Agreement, Exhibit "A' to the Purchase Agreement and Disclosure Statement is attached hereto, made apart hereof, and designated Attachment/Exhibit "4". 9. The net amount payable to the payee after deduction of all commissions, fees, costs, expenses, and charges is $45,005.00. 10. Based on the net amount that the payee will receive from this transaction $45,005.00 and the amounts and timing of the structured settlement payments that would be assigned, the payee is, in effect, paying interest at a rate of 8.74% per year. 11. The Buyer furnished Christopher Weems with a Disclosure Statement pursuant to 40 P.S. 4003 (See Attachment/Exhibit "4") at least ten (10) days prior to the date on which Christopher Weems first incurred any obligation to the Buyer. 12. PA R.C.P. 229.2(b) requires the petition to be filed in the county in which the payee is domiciled See also Section 4 of the Act 40 P.S. §4004). PA.R.C.P. 229.2(c) also requires both the Transferee and Payee to be parties to the Joint Petition. Both requirements have been fulfilled herein. 13. Written notice of the Transferee's Names, address and taxpayer identification number has been given to the Annuity Issuer and Structured Settlement Obligor. A copy of the Notice to the structured settlement obligor is attached hereto as Attachment/Exhibit "5". Joint Petitioners wills also serve written notice as required by 40 P.S. 4004 upon all interested parties. 14. The Joint Petitioner's best interest would be served by granting the relief requested herein for the following reasons. Joint Petitioner is currently single and has no minor children. Joint petitioner was employed as a sheet metal mechanic but was recently laid off. The main purpose of this partial transfer of structured settlement is to assist Mr. Weems with making much needed home repairs/improvements, all of which will be expanded upon at the time of trial. Mr. Weems is twenty six years old, of sound mind and fully competent to enter into this transaction regarding his structured settlement. Mr. Weems understands the terms of the transaction and wishes to proceed. Based upon the foregoing which shall be expanded upon at the time of trial, the transfer is clearly within the best interest of Mr. Weems. WHEREFORE, Joint Petitioner's respectfully requests this Honorable Court to enter the Initial Order attached to this petition which shall schedule. a hearing so that Transferee and Payee shall have the opportunity to discuss the purpose and reasons for the transfer and after hearing thereon, respectfully request that this Honorable Court enter a Final Order approving the Transfer of Structured Settlement Payments Rights as is mentioned herein. By: Maro & Maro, P.C. VERIFICATION I, Lori Borowski, Vice President of JG Wentworth Originations, LLC, have read the foregoing Petition to Transfer Structured Settlement Payment Rights between J.G. Wentworth Originations, LLC and (~.,~, 5~~ (,Jeei~,S and hereby aver that the statements contained therein are true and correct to the best of my knowledge, information and belief. This Verification is made subject to the penalties of 18 Pa.C.S.A. Section 4904 relating to the unsworn falsification to authorities. CERTIFICATION OF ATTORNEY FOR TRANSFEREE I, Robert A. Maro, Esquire, attorney for Transferee, J.G. Wentworth Originations, LLC, hereby certify to the best of my knowledge, information and belief, formed after reasonable inquiry, that the Transfer will comply with the requirements of the Act (40 P.S. § 4000 et seq.) and will not contravene any other applicable federal or state statute or regulation or the order of any court or administrative authority. I, Robert A. Maro, Esquire, attorney for Transferee, J.G. Wentworth Originations, LLC, hereby verify that the facts and statements set forth herein are hue and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn falsification of authorities. Date Ro rt . Maro, Esquire ttorne for Transferee, J.G. Wentw h Originations, LLC MARO & MARO, P.C. By: Robert A. Maro, Esquire Attorney I.D. No.: 89585 1115 West Main Street Norristown, PA 19401 (614) 275-9600 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: 10-6145 Originations, LLC and Christopher Weems Civil Term CERTIFICATE OF SERVICE I, Robert A. Maro, Esquire, hereby certify that a true and correct copy of the Amended Joint Petition for Transfer of Partial Structured Settlement has been served upon the following entities via. first class mail and/or certified return receipt requested and/or email on To: Erie Family Life Insurance Company Attn. Legal Dept./structured Settlements 100 Erie Insurance Place Erie, PA 16530 Erie Insurance Exchange Erie Insurance Exchange 100 Erie Insurance Place Erie, PA 16530 Date: ~ o - ~,~-~~ By J.G. Wentworth Originations, LLC 40 Morris Avenue Bryn Mawr, PA 19010 Christopher Weems 35 N. Middlesex Rd. Carlisle, ~'A 17013 Attorney ror J.li. wentwortn c~riginanons, LLC NTIEXHIBIT "1" ATTACHME ,. k• ~ ~ 12/06/2007 02:21 7177320282 SUSAN SMITH PAGE 23/31 Payee's AfYldavit ia. Support of Petition to Transfer Structured Settle~mtAt its I, Christopher'G~eems, the payee, verify that the statemems below are true and correct: Payee's namxe, address and age: Christopher 'Weems, 35 N. Middlesex Rd. Carlisle, PA 17013, 26 years old 1. Marital Status: ,. • X ,-Never Married; Married; }Separated; Divorced • 2 Minor Chlldren and other dependents: NONE 3. Incorac: I am currently ut~ernployed, butazn searching for work. 4. Child rapport, aliumony or aliwony pendente life: ~bligatzom to pay: Ycs X No If yes, state the emouat o;f the obligation, to whom payable, ar1,d whether there ire arrearages: none 5. Pre~rious transfers: See Exhibit "A" have yvu previously filed a petition to trdzisfer payment rights under t€~e • structured settlement that is the subject of this petition? ,,,~X Yes No ' byes, ;For each petition that you fZted, (a) I£the transfer was submitted for court approval, list firs court, the case caption aaad case nu~nnber, and stale whtthcr the count approved or disapproved the transfer: In the Court of .Common Pleas Cumberland County, P,A., lvO_ US-5916, order wss approved. 1 f 12/06/2007 02:21 7177320282 SUSAN SMITH PAGE 24131 (b) State the name ofthc ttaasferee atzd idebzi;Py (listittg due dates and payment amounts}) the payments involved in the transfer: Christopher Weems transferred $46,350 due an April 24, 2009. State the amount of money and the manner in which the money . was used: Christopher Weems received $27,500 on January JiB, ~, 2006. The money was used to pay off school loans and purchase a place. (c} Nave you ever transferred payments without court apptoval'? If so, please explain: No 6. ~teaao~a5 folr tra~asfer: I wash to use the. money front t3aas transfer to male house renovation, a~a pay attorney foes. 7. Payment of debts: If you seep file trazsfer in order to pay debts, list each debt, including the name of ~ the c:red~tor and the auaouat preserrtly owed: . t Debt Creditor Amount OweQ No lJcbt a f 12/06!2007 02:21 7177320282 SUSAN SMITH 'Veri~icalion I verify that the statements rAtade ~ tbas ai~clavit aro true and correct. I understand that false statemenb heteixt are Aaa~d~c subject to the pcrsaltiES of 18 Pa.C.S. §4904, rciating to ur~sworn falsification to authorities. DATED: 13 ~.ol~ . ~. Christopher Weems }' ~AC~ 2sia1 ,~ .~ ATTACHMENT/EXHIBIT " 2" k~ k~ ~ a 10/24/2006 10:41 FA7C 814870410 EFL ANNUITIES - TBAY A f~ 002 8RI8 FA1~[ILY LIFE ~ COlIPAl11Y _ 100 ERA ~i8[~8ANC8 'PLACE ERIE. BA 16530 - - - CSRTIFICATB EKYS FAMILY LIFE INSORANCB (~OMpANY Certifies _that the purchase payment for tho fo].lovr3.ng ~atzuatured sattlsntsnt has been paid in full, as ®v~,denoed by the issu~uxaa of th~.s certificate. The speaititts of the settlamexxt are : - - Certiiictte#~ 60$-714 Effective Date: 1Z/15/199y Payae~s ATaAfe: C~aR~CP'~R 9 Sixth Dates 04/x4/1984 15 HOR~9D7~ CIbiCL$ - BCZL~i Sp1i,INOS, PA 1700? _ - . Schedule of Payroerita ,, ~ Luc+~ $Ume Paymeat Date Age Ata0lxrit _ r..--~---~~.. OuaramteQd --..r-~~ --~-~RMr~-~--- 04/34/coos w1~-Y Z-mow 18 w~~r~~+r~~~ ~S,ooa guaranteed -- 04/4/3003 ,1Q $5,000 c~uera~ateed o4/a~/aoo4 ao . ~s, o00 Guaranteed o4/z4/coos zi $1s,ooD Guaraasteed 04/14i1a09 2S $46,350 Guara~ateed 04/Z4/$014 30 X60,585 ' ©uaraatesd Payeut s $135,P35 $xpectdd P~ayaut X136,935 . * Upon the death of the payee, auY unpaid guaranteed payments mill be paid in accox~ance to the attached berseficiary designation. This cextlficate outlines tYal. atsugtured settlement payments. It is .~ noti a contract. The actual contract p~isiQUS will _ccmtrol. 8RT - BSNIOR VI p3~xD$NT ERIE B7UM Y LIPS INSORANCg COMPANY .~ •* ATTACHMENTIEXHIBIT "3" ~~ 12/06/2007 02:21 7177320282 SUSAN SMITH PAGE 14!31 Please eorrtplete acrid sign. Accwsrt ID: 265831 STATEMENT OF PI70FESSION_AL REP'RESENTA'I'IO~T Plmtse Choose Ether Boz A Q~ Boz B Below. ,A.~er yvu have made your choice, SIGN A.N.D DATE the ap~ro~ziate box signatwre liuae. YOU SHOULA SIGN flNL~`,ONE BOX - TI-IE BOX YOU HAVE CHOSEN. A. I RAVE BEE1~T ADVISED BY J.G. WENTWOItTR ORIGINATIONS, LLC . £"JGW'~ TIIAT X S~OYJI.A OBTAIN 1NpFPFNpENT PROFESSIONAL R~PRESENTATION~ CONCERNN'INNG THE LEGAL, TAXAND/UR FINANCIAL k' IMPLXGATIONS Ol+ THIS TRANSACTION. X ~'ULLX UNDERSTANA THE PURCHASE AGREEMENT AND THE IMPLICATIONS OF THE TRANSFER, IZVCLUDING THE TAX RAl~Ik'ICATIONS OF THE TRANSFER ANT) I ~f0 NOT WISH TO SEED OUT SUCH INDE~'ENAE~iT PROFESSIONAL REPRESENTATiC1N. i3 xOl E TO 8 Da B. I HAVE OBTAIIV'Eb INDEPENDENT REPRESENT:A.TION ANA I FULLY UNDERSTAND THE LEGAL, TAX ANDlOR IrINANCIAL IlYIPLICATIONS OF T$T~ 'IItANSACTION, THE PURCHASE .A,GREEM'E1VT AND THE REL•ATEI? IlOCU1VIENTS. I WAS rIOT ItE~'ERRED TO MY I~ROFESSIONAL ADVISOR BY JG1%V. THE NAME OF biX PROFESSIONAL ADVISOR IS SET FORTH BELOW: C$RISTOPIIIUR WEEMS DYte .~ .'~ To Be Cos~lefed lay ~d Profes~tonel ~a!vlaor per' SfYpu lkave signed Box B Abovt Nance of Professional: Attorney [D # phone Number: ~___) Address: Z bane provided iadepeadmt professioaht adv~toe to iw. respect of ttu Purahata Conaxct with JQW and dze trausacttoa contamplat«t mereby. cbxibtppher Weems was retested to ¢te vy the ProBsssiomal's Sigrss~tae . nt~ 33C.Gonasat[Zldoc .. • ~ 4:!!34 J.G: Weatwr.Rh Ori~nifian+, F.I.C ATTACgMEr1'I'/EXHIBIT "4" ,. Account ID; 265851 PURCHASE CONTRACT This is a Purchase Contract ("Contract") for the sale of structured settlement payments between Christopher Weems (You, Your), with legal residence at 35 N. Middlesex Rd., Carlisle, PA 17013 and J.G. Wentworth Originations, LLC {We, Us, Our) 3993 Howard Hughes Parkway, Suite 250, Las Vegas, NV 891b9-6754. BACKGROUND A. In connection with the resolution of a personal injury claim, You or someone acting for You, signed a Settlement Agreement that entitles You to receive certain future payments ("Settlement Payments"), according to a set schedule. B. Those Settlement Payments are being paid to You firom an annuity policy ("Annuity Policy") purchased by the person responsible for making the Settlement Paymcnts to you ("Obligor"). C. Rather than wait for the Settlement Payments to be made to You in the future, You want to sell all or some of those Settlement Payments ("Purchased Payments") to Us now for a lump sum. DEFINED WORDS Certain words used in this Contract have specific meanings, shown below. Annuity Policy The policy purchased by the Obligor to ensure that the Settlement Payments are made to You as required by the Settlement Agreemeat. Closing Documents Any documents necessary to carry out the purchase of the Purchased Payments, other than the "Contract or Contract Documents" as defined below. Contractor Contract " Documents Collectively, only this Contract and the Disclosure Statement. • ,~ .t Contract Date The date Your signature at the end of this Contract is notarized. However, if You happen to sign this Contract before the number of days stated at the end of Your Disclosure Statement for waiting has passed, You will have no obligation under Your Contract until that time has passed. Court Order A legally binding ruling issued by a judge or properly empowered administrative officer, approving the sale of the Purchased Payments to Us ("Court Apprnval"). Disclosure Statement The document which identifies for You, the Purchased Payments, expenses, Purchase Price and various other disclosures. Encumbrance Any claim, right, lien, policy loan, or restriction. In addition, this includes any limits on rights of ownership (such as the use, voting, transfer, receipt of income, etc.). Funding Date The date We pay You the Net Purchase Price. Issuer The insurance company that issued the Annuity Policy. Obligor' The Person who is obligated to make payments to You under the Settlement Agreement. • ~ ;. ,_ Account ID: 265851 Party One of You or Us. Parties means both You and Us. Person Any natural person or legal entity. Purchased Payments Only those certain payments that We are purchasing from You under this Contract. Purchase Price: Gross Purchase Price The amount shown as the "gross amount payable to the seller (You)" on the Disclosure Statement. This is the Sum We have agreed to pay You before any deductions as set forth in the Contract Documents. Net Purchase Price The amount shown as the "net amount payable to the seller (You)" on the Disclosure Statement. This is the sum We have agreed to pay You after any deductions as set forth in the Contract Documents. Settlement Agreement The agreement that You and the Obligor signed to resolve Your personal injury claim. Settlement Payments All of the payments that the Obligor has agreed to make to You in the Settlement Agreement. We, Our, or Us J.G. Wentworth Originations, LLC, along with any of its successors, assigns, and designees. Some of the Contract Documents or Closing Documents may refer to Us as the purchaser. You or Your The Person named on this Contract's first page. Some of the Contract Documents or Closing Documents may refer to You as the seller, You and We agree as follows: 1. SALE OF THE PURCHASED PAYMENTS A. Upon the signing of this Contract and subject to certain conditions including Court Approval, You sell, transfer and assign to Us the right to receive the Purchased Payments specifically identified in the Disclosure Statement. B. We will pay You the Net Purchase Price as agreed to in the Contract Documents, subject to certain conditions, including meeting Our underwriting requirements, Court Approval and satisfactory completion of the Closing Documet~js. We will do this in exchange for You: ,~ • • Selling the Purchased Payments to Us; • changing the beneficiary of the Annuity Policy to Your estate and not changing it again until We have been paid all of the Purchased Payments; • having any current beneficiaries waive their rights to the Purchased Payments; and • fulfilling Your promises under this Contract. 2. PURCHASE PRICE A. The Gross and Net Purchase Prices are shown on the Disclosure Statement and aze fair and acceptable to You and Us. B. We will pay You the Net Purchase Pricc in the manner You designate for Us. C. Before we pay You, You agree that We will adjust for the following amounts, If applicable: ~n~ Account ID: 265851 • Purchased Payments Owed to Us -The Issuer may have already paid You some of the Purchased Payments before We have paid You for them. If that happens, We will deduct the amount of those Purchased Payments. • Holdbacks -Due to possible delays in the Issuer beginning to make the Parchased Payments to Us instead of You, We viii hold back an amount equal to any Purchased Payments that the Issuer owes You within 90 days of the Funding Date. If We sabsequently receive those particular Purchased Payments directly, We will return the amount of any related holdback to You. • Payment of Debts Owed - If You owe any past due child support, bankruptcy payoffs or taxes, or have any judgments or liens against You or Your assets, We may pay those amounts and deduct them from the f amount We pay You. We will first confirm those amounts with You. D. If any Purchased Payments are mistakenly sent to You after we have paid You for them, You will immediately contact Us. If we then determine that any deductions or holdbacks as set forth above are not enough to reimburse Us, We will advise You of the amount You owe Us. You agree to immediately send that amount to Us by bank or certified check. 3. YOUR REPRESENTATIONS AND WARRANTIES You represent and warrant to Us the following: A. You understand that THIS IS A SALE AND NOT A LOAN. B. The Annuity Policy is in full force, You are the sole and undisputed recipient of the right to the Purchased Payments and have the right to sell them, free and clear of any Encumbrances. C. You understand that Court Approval is required for this purchase; and You agree to fully cooperate with Us to obtain that approval D. You gave Us all requested information and signed originals of all documents necessary to complete the pwchase. Every statement made by You in the Contract Documents and Closing Documents is true and complete. E. No law, divorce decree or other legal obstacle • requires You to keep the Purchased Payments for the benefit of a current or former spouse, dependent children, or other person; or • legally prevents You from contracting with Us, selling the Purchased Payments or changing the Attpuity Policy's beneficiary. • ~ F. Either: • You have never filed for bankruptcy, will not do so before the Funding Date and there are no lawsuits or efforts by any of Yow creditors to put You into bankruptcy or take any of the Purchased Payments; or • If You filed for batilataptcy, the Purchased Payments were not subject to the claims of Yow creditors. You will give Us a copy of any of Your bankruptcy documents that We request including evidence of a final bankruptcy payoff, if such is the case. G. We can rely on Yow representations, warranties, and promises in this Contract. These representations, warranties, and promises are for Our benefit and the benefit of any futwe owners of the Purchased Payments. You understand that any violation of Your representations or warranties may be an act of fraud by You under applicable state law, which could result in You being held responsible for damages in favor of Us, with money to be paid by You to Us. H. You had enough time to consider the sale of the Purchased Payments, understand the terms of the Contract Documents and Closing Documents, are of legal contracting age and sound mind, not under the influence of drugs or alcohol, and freely and voluntarily, enter into this Contract and agree to all of its terms. Account ID: 265851 I. You were advised by Us to obtain independent legal advice and professional tax advice about the sale of the Purchased Payments and to have those advisors review the terms and legal, tax and other effects of this Contract with You prior to Your execution of this Contract. You have also explored all appropriate financial options before entering into this transaction. J. We did not provide tax, financial, or legal advice to You about this Contract and have advised You that We may not refer You to any specific attorney for such. purpose. K. If You are married, Your spouse understands atl of the terms and conditions of this Contract including, but not limited to that You and Your spouse will not receive the same amount of money as You would receive under the Annuity Policy payments. Your spouse gives up any property rights he or she may have in the Purchased Payments. L. We may sell, transfer, or assign Our right to the Purchased Payments in a sale, securitization, or other financing transaction (resale). Any resale would involve disclosing certain information about You (including Your personal information} to the parties to a resale. M. Any firture owner of the right to the Purchased Payments will have all of the same rights We have and duties You owe Us under this Contract. This includes the right to make a claim against You for violating any of the representations, warranties, or promises You made in this Contract. 4. YOUR PROMISES TO US Before and after the Fuadin¢ Date: A. You will tell us right away if Your address or telephone number changes and do everything necessary, including completing and signing all documents to: • sell the right to the Purchased Payments to Us and change the beneficiary as required by this Contract; and • correct any documentation errors in the Contract Documents or Closing Documents. B. You will also tell Us if any of the following occurs: • a violation of this Contract; or • anything that could negatively affect the Annuity Policy, the Purchased Payments, or this Contract. C. + You will not: . • agree to sell the Purchased Payments to any Person other than Us; • change the Annuity Policy's beneficiary to any Person other than Your estate until We have collected all of the Purchased Payments; or • withdraw cash t>iom, borrow against, or change the Annuity Policy. D. You will give Us information necessary to update Your representations, warranties, and promises in this Contract. You will also update any documents and information so they will be true and complete on the Funding Date. E. We are now, and will continue in the future, to rely on the representations and warranties You have given Us. We will confirm the accuracy of Yow representations and warranties. You must cooperate with this confirmation and provide complete access to any information We believe necessary. F. You agree that updating representations, warranties, promises, documents and other information will not cure a breach of any representation or warranty made by You that was not true and complete. G. You agree that Our liability to You under this Contract is strictly limited to the requirement to pay You what We owe ~; Account ID: 265851 You under the terms of this Contract, after receipt and approval of the Closing Documents, final underwriting approval and Court Approval. Under no circumstances will We be liable for any consequential damages. 5. INDEMNIFICATION You will pay Us for losses or damages We suffer: A. If You do not comply with Your duties in this Contract. B. You failed to honor any promise You made in this Contract. C. Because any representation or warranty You made in this Contract was not true and complete. 6. CANCELLATION BY US We may cancel this Contract before the Funding Date if: A. You breach any representation, warranty, or promise in any Contract Documents or Closing Documents. B. The petition for the Court Order is contested, opposed, or not approved. C. We are sued or threatened with a lawsuit about this Contract or the Annuity Policy. D. There is any threatened, pending, or final action, or change in law or rule challenging the legality of, or negatively affecting this transaction. E. You file for, or are forced into bankruptcy. F. You die. G. Final approval has not been given by Our underwriting department. H. The Purchase Contract is not signed by You and received back by Us by November 21, 2010. I. A major rating agency downgrades the Issuer's credit rating. J. The Issuer is, or becomes insolvent, or under regulatory supervision. 7. CANCELLATION BY YOU .+ ~ ~ •~ A. (1) YOU MAY CANCEL THIS CONTRACT WITHOUT PENALTY OR FURTHER OBLIGATION AT ANY TIME WITHIN FIVE (5) BUSINESS DAYS AFTER THE DATE YOU RECEIVE PAYMENT HEREUNDER FROM US. IN ORDER FOR THE CANCELLATION TO BE EFFECTIVE, YOU MUST SEND A NOTICE POSTMARKED AT ANY TIME WITHIN FIVE BUSINESS DAYS AFTER YOU RECEIVE PAYMENT HEREUNDER FROM US (This is the rescission period). (2) YOUR NOTICE IS TO BE SENT EITHER BY CERTIFIED OR REGISTERED MAIL {RETURN RECEIPT REQUESTED) OR FEDEX OR ANOTHER MAJOR OVERNIGHT DELIVERY SERVICE. THE NOTICE MUST INCLUDE A BANK QR CERTIFIED CHECK MADE PAYABLE TO US, IN THE FULL AMOUNT RECEIVED BY YOU. YOUR NOTICE MUST BE SENT TO: J.G. Wentworth Originations, LLC Attention: Manager of Operations 3993 Howard Hughes Parkway, Suite 250 Las Vegas, Nevada 89169-6754 ,~~~~ > .~ AccountlD: 265851 B. GEORGIA RESIDENTS: YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO 5:00 P.M. OF THE TWENTY-FIRST DAY FOLLOWING RECEIPT OF THE ENCLOSED KNOTICE OF CANCELLATION RIGHTS" FORM, OR AT THE HEARING ON THE APPLICATION FOR AUTHORIZATION OF A TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS, OR AT ANY TIME WTTHIN FIVE (~ BUSINESS DAYS AFTER YOU RECEIVE PAYMENT HEREUNDER FROM US, WHICHEVER EVENT OCCURS LAST (This is the Georgia rescission period). IN ORDER FOR THE CANCELLATION TO BE EFFECTIVE, YOU MUST SIGN THE ENCLOSED KNOTICE OF CANCELLATION RIGHTS" FORM AND MAIL OR DELIVER IT TO US AS SPECIFIED IN THAT NOTICE. C. WEST VIRGINIA RESIDENTS: IN ORDER FOR YOUR CANCELLATION TO BE EFFECTIVE, YOUR NOTICE CAN BE SUBMITTED VIA PHONE, MAIL, OR FACSIMILE. ANY AMOUNTS ADVANCED BY US IN CONTEMPLATION OF THE TRANSFER SHALL BE IMMEDIATELY REFUNDED TO US. IF YOU DISMISS YOUR ACTION AFTER APPOINTMENT OF A GUARDIAN AD LITEM, OR RESCIND YOUR TRANSFER AGREEMENT (PURCHASE CONTRACT) WITHIN THE RESCISSION PERIOD IN 7(A) (1) ABOVE, YOU SHALL BE RESPONSIBLE FOR THE FILING FEE AND ANY GUARDIAN AD LITEM FEES. 8. ICES A. All notices about this Contract must be in writing. B. All notices must be sent either by: (1) certified or registered mail (return receipt requested); or (2) FedEx or another major overnight delivery service and are considered given when delivered as follows: If to You: to Your address listed on the first page of this Contract. If to Us: to the address listed in Section 7(A) (2) of this Contract. 9. EVENTS OF DEFAULT You will be in default if You: A. fail to comply with any terms or conditions of this Contract; or B. breach any of Your representations, warranties and promises in this Contract. If You are in default, We have the right to sue You in court to make You perform Your promises or to get money from You. 10. MLSCELLANEOUS i A. We can do background checks on You, including from tote credit bureaus, in~order to verify your legal residence and other contact.information. B. This Contract is the entire agreement between You and Us. C. If there is more than one of Us or You, this Contract applies to all of those people together, and to each of them on their own. D. Both Parties must agree in writing to any change to this Contract or waiver of its terms. E. If a court undoes any part of this Contract, the rest of the Contract remains valid. F. You cannot voluntarily or involuntarily sell, assign, or transfer this Contract, or any of Your rights or duties under this Contract. G. The law of the state of Your domicile (where You regularly reside on the Contract Date) will govern this Contract. The Parties must litigate any dispute arising under this Contract in that state's courts and the Parries agree to the jurisdiction of that state's courts. Account ID: 265851 H. This Contract also holds responsible Your heirs, and executors. This Conrtract benefits only You and Us, and no one else. However, if permitted to be, and if properly assigned, this Contract will bind and benefit the respective successors and assigns of the Parties. I. Failure to enforce any provision of this Contract is not a waiver of that provision. The Parties may sign this Contract in one or more counterparts. Each counterpart will be considered an original. All counterparts will form one Contract. K. We have investigated the proposed transfer of the Purchased Payments and, in light of information available to Us, have identified no violation of any applicable state or federal law. L. You will not receive an IRS Form 1099 from Us. M. Titles and headings in this Contract ate for convenience only. Do not use them to interpret this Contract. N. Except as otherwise set forth in this Contract, You and We will pay our respective costs and expenses in carrying out this Contract. You and We, intending to be legally bound, have signed this Contract as of the Contract Date below, sod agree to all of its terms and conditions. By signing below, You also acknowledge that You were advised by Us in writing, that You should obtain independent legal advice and professional taz advice about the sale of the Purchased Payments and to have those advisors review with You, the terms and legal, taa and other effects of this Contract. Ga M ~a+v u~FAc:.YFE of ~14 C` G~/O K.N "P vJ O /~ C Gi l7'I g CIC L R U tJ Sworn tnand subscribed SELI,~ER: /b/2/~1b before me this s~/ day of O C "'~ , 20 /7 ("Contract ~~r// Date") ' ~ SIGN HERE Notary Christopher Wee Sworn to and subscribed before me this ~---day o~ ~ 20 '~" Notary NWEALTH OF PENNSYLVAtrIA Notarial Seal Patrlda SfaRir, Notary PubUc Lowsr Allen 7Wp., Cumb~eAand Count tNy ComnAnfon Expra wc. a sot 1 Member; rsnnayhMni. SELLER'S SPOUSE (if applicable) .* Spouse US: J.G. Wentworth Originations, LLC ~. Sam Gottesman, Underwriting Manager Pagr. 7 of 7 !s; 2UU9 J C;. Werdwor[h Urinination~, LLC Account ID: 265851 October b, 2010 PENNSYLVANIA AMENDED DISCLOSURE STATEMENT We will purchase the following payments (Purchased Payments from You: A)1 payment of $60,585.00 on April 24, 2014 (The remainder of the page intentionally left blank) .+ -1- Account ID: 265851 October 6, 2010 The aggregate amount of the Purchased Payments is $60,585.00. The discounted present value of the aggregate Purchase Payments at the federal interest rate of 2.00% is $56,472.92. The discounted present value is the calculation of the current value of the transferred structured settlement payments (Purchased Payments) under federal standards for valuing annuities. The gross amount payable to seller (You) is $45,005.00. The net amount payable to the seller (You) is $45,005.00. Legal fees (this is an estimate of what Your attorney will charge You if You choose not to waive representation): $500.00 No other expenses are incurred by You. The net amount that You will receive from Us in exchange for Your future structured settlement payments represents 79.70% of the estimated current value of the payments based upon the discounted value using the applicable federal rate. Based on the net amount that You will receive in payment from Us and the amounts and timing of the structured settlement payments that You are selling to Us, this is the equivalent of interest payments to Us at a rate of 8.74% per year. PLEASE NOTE THAT THIS IS NOT A LOAN, BUT A SALE OF PAYMENT RIGHTS AND THE INTEREST FIGURE I5 ONLY PROVIDED AS AN ILLUSTRATION OF THE ECONOMIC IMPACT OF THE SALE. Please be advised there are no penalties or liquidated damages payable by you in the event of any breach of the transfer agreement by you. By signing below, You are confirming receipt of this Disclosure Statement at least 10 days prior to You first incurring an obligation with respect to the transfer agreement (Purchase Contract). ,~ ~, ,. ~ ~ ~: CHRISTO HER W MS SIGN HERE -2- i~'? 2C0~ 1.t;. Wentworth Orieinatious, LLC Payee's Affidavit in Support of Petition to Transfer Structured Settlement Rights I, Christopher Weems, the payee, verify that the statements below are true and correct: Payee's name, address and age: Christopher Weems, 35 N. Middlesex Rd. Carlisle, PA 17013, 26 years old 1. Marital Status: X -Never Married; Married; Separated; Divorced 2 Minor Children and other dependents: NONE 3. Income: I am currently unemployed, but am searching for work. 4. Child support, alimony or alimony pendente liter ' Obligation to pay: _ Yes X No ' If yes, state the amount of the obligation, to whom payable, and whether there are arrearages: none 5. Previous transfers: See Eahibit "A" • Have you previously filed a petition to transfer payment rights under the .+ ~ • structured settlement that is the subject of this petition? X Yes No If yes, for each petition that you filed, (a) If the transfer was submitted for court approval, list the court, the case caption and case number, and state whether the court approved or disapproved the transfer: In the Court of Common Pleas Cumberland County, PA, NO: OS-5916, order was approved. (b) State the name of the transferee and identify (listing due dates and payment amount(s)} the payments involved in the transfer: Christopher Weems transferred $46,350 due on Apri124, 2009. State the amount of money and the manner in which the money was used: Christopher Weems received $27,500 on January 18, 2006. The money was used to pay off school loans and purchase a place. (c) Have you ever transferred payments without court approval? If so, please explain: No 6. Reasons for transfer: I want to use the money from this transfer to make house renovation, .~ and pay attorney fees. 7. Payment of debts: If you seek the transfer in order to pay debts, list each debt, including the name of the creditor and the amount presently owed: . ~ Debt Creditor Amount Owed No Debt Verifteation I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. §4904, relating to unswom falsification to authorities. DATED: o /~ ~ / f ~~ • "T I i ~ {` O Christopher Weems .+ 12/06/2807 02:21 7177320282 SUSAN SMITH I~4I?PORTANT Np'~"fC~ YOII 8re strongly glged t0 cOm3Rit With aEi attOmey Who can fldvise yon of the potent~ai ta,~ conscgaencea of this transaction. 5wucn to stud satucribed -r- B !on me ~, day o ~O /~ otsry NOLIRIAL iEAt . s~~11N M ~llTi{ NAAArDEN T1Nr Gry pu01k My Cpmmisekn~Md~tLMID Cpltry~ EStPIro~ May lI. ~OiZ Y ,7 :~09 J.G. Yfrr.~nr,nh [kigiaitia~a. LLC ~• cxius oP vv~~~s . ~• PAGE 22/31 ~ ~ ~ ATTACHMENT/EXHIBIT "5" J.G. WentWOrth Originations, LLC September 14, 2010 Erie Family Life Insurance Company 100 Erie Insurance Place Erie, PA 16530. Attn: Legal Department/Structured Settlements Erie Insurance Exchange Erie Insurance Exchange 100 Erie Insurance Place Erie, PA 1650 Attn: Legal Department/Structured Settlements RE: Notice of Sale/Assignment of Payment Rights Your Contract #: 605-744 Payee: Christopher Weems SS #: 194-66-1382 Dear Insurer: Please be advised that J.G. Wentvt+orth Originations, LLC and/or its successors and assigns, have entered into a transaction with the above-referenced annuitant who is seeking to transfer certain of his/her rights to the payments scheduled to be received under the above-referenced annuity policy. We are can ently seeking court approval pursuant to the applicable structured settlement transfer statute. Pursuant to the statute, please note the following information about the Purchaser: J.G. Wentworth Originations, LLC 40 Morris Ave Bryn Mawr PA 19010 ' ~ ~ ~ Tax ID # 20-4728x85 PLEASE NOTE: No payments under this annuity should be held until the courts have entered a final order and we have forwarded this order to you. Very truly yours, J.G. Wentworth Originations, LLC ~,y+~i ~_ By: Lori Borowski, Vice President 3993 Howard Hughes Parkway • Suite 250 • Las Vegas, NV 89169-6754 PHONE: (800) 454-9368 • FAX: (215} 567-7525 • E-MtiIL: JG~GWFUNDING.CO1Vl WEB SITE: WWW.JGWFUNDING.COM 6 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RE: Joint Petition of J.G. Wentworth NO: / L4S Originations, LLC and Christopher Weems FINAL ORDER OF COURT On this Day of 04442r, 0A1, 2010, it is ordered that the Amended Petition to Transfer of Structured Settlement Payment Rights is granted. The court specifically finds that: (1) the payee has established that the transfer is in the best interests of the payee or the payee's dependents; (2) based on the certification by an attorney for the transferee, and the court having not been made aware of any statute, regulation or order that would be incompatible with the proposed transfer, the transfer will not contravene any applicable federal or state statue or regulation, or the order of any court or administrative authority; (3) the transfer complies with the remaining requirements of the Structured Settlement Protection Act, including Sections 3(a)(2), 3(a)(4), 3(a)(5) and 3(a)(6); (4) e? !a CD ; the payments that are to be transferred are designated as follows: A) 1 payment of $60,585.00 on April 24, 2014 the terms of this order shall survive the death of the payee and shall be binding on the payee's heirs, beneficiaries and assigns; (5) the payee shall receive from the transferee, within ten (10) days from the date of this Order, the amount of $45,005.00, from which no funds are owed for counsel fees, administrative fees, or other costs, fees or expenses. (6) ;. 1 /9 ,rye. Z l1