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Home My WebLink About04-3442 F:\FILESIDA T AfILE\Donega13050ICurrent\256.com Jlenunlelk Created: 3/30/04 0:48PM Revised: 7/]6/04 8:03AM 3050.256 BELINDA RIGGLEMAN, Plaintiff v. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. CJ4- ?f/Lj'J. 6 _i I CNIL ACTION - LAW STEPHANIE KINER, Defendant JURY TRIAL OF TWELVE DEMANDED 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 arewamed 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 MAYBE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGffiLE PERSONS AT A REDUCED FEE OR NO FEE: Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania l7013 Telephone (717) 249-3166 Date: July 16, 2004 MARTSON DEARDORFF WILLIAMS & OTTO By Ct:- c4L r L Christopher E. Rice, Esquire J.D. Number 90916 Ten East High Street Carlisle, PAl 70 13 (7l7) 243-334l Attorneys for Plaintiff BELINDA RIGGLEMAN, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO. CNIL ACTION - LAW STEPHANIE KINER, Defendant JURY TRIAL OF TWELVE DEMANDED COMPLAINT I. Plaintiff Belinda Riggleman is an adult individual residing at 446 West Main Street, Walnut Bottom, Cumberland County, PA l7266. 2. Defendant Stephanie Kiner is an adult individual residing at 196 Shippensburg Mobile Estates, Shippensburg, Cumberland County, PA l7257. 3. On or aboutJune 16, 2003, Plaintiff owned a 200l Pontiac Sunfire with Pennsylvania registration plates DVT60l4. 4. On the aforesaid date, Defendant was operating Plaintiff's vehicle without Plaintiff's permission and traveling north on Kline Road, Shippensburg, Cumberland County, P A. 5. On the aforesaid date, at approximately 1 1 :55 p.m., Defendant lost control of Plaintiff's vehicle and collided with a Pennsylvania Department of Transportation sign on the west side of Kline Road. COUNT I - NEGLIGENCE 6. Plaintiff incorporates and makes part of this Complaint paragraphs 1 through 5 above, as if the same were set forth fully below. 7. The aforementioned collision was caused as the result of the negligence, recklessness, and carelessness of Defendant Stephanie Kiner in that she: a. operated a vehicle in a careless, reckless, and negligent manner; b. failed to properly operate and control the vehicle; c. operated the vehicle in careless disregard for the safety of Plaintiff s property (75 Pa. C.S.A. 93714); d. failed to keep a proper look out; e. failed to drive at a safe speed (75 Pa. C.S.A. \)336l); f. failed to use due care under the circumstances; g. operated the vehicle in disregard ofthe Rules of the Road, the ordinances of the local municipality and the laws of the Commonwealth of Pennsylvania, including, but not limited to 75 Pa. C.S.A. 93745, 75 Pa. C.S.A. 93746, 75 Pa. C.S.A. 9l50l, and 75 Pa. C.S.A. \)3361. 8. At all times material hereto, Plaintiff acted with due care and was not contributorily negligent. 9. The collision caused damage to the Plaintiffs vehicle in the amount of$4,277.66. A true and correct copy of the estimate of property is attached hereto as Exhibit "A." 10. As a result of Defendant's negligence, Plaintiff was required to rent a vehicle totaling $575.00. A true and correct copy of the rental invoice is attached hereto as Exhibit "B." WHEREFORE, Plaintiff demands Judgment against Defendant in the amount of$4,852.66, exclusive of interest and costs; an amount within compulsory arbitration limits. COUNT II - TRESPASS TO CHATTEL 1 1 . Plaintiff incorporates and makes part of this Complaint paragraphs 1 through 10 above, as if the same were set forth fully below. l2. Defendant intentionally and unreasonably interfered with Plaintiff s use, exclusive use and enjoyment of her vehicle, proximately causing injury to the Defendant. 13. Defendant intentionally invaded Defendant's reasonable and legitimate interest in her property, proximately causing injury to the Plaintiff. l4. Defendant intentionally used and substantially intermeddled with the chattel in the possession of the Plaintiff, proximately causing injury to the legally protected interests of the Plaintiff. 15. Plaintiff demanded compensation for the losses she sustained. Defendant has failed to pay. .' WHEREFORE, Plaintiff demands Judgment against Defendant in the amount of$4,852.66, exclusive of interest and costs; an amount within compulsory arbitration limits. MARTS ON DEARDORFF WILLIAMS & OTTO Date: July 16, 2004 By CL~ f f2- Christopher E. Rice, Esquire J.D. Number 90916 Ten East High Street Carlisle, PAl 7013 (717) 243-334 1 Attorneys for Plaintiff Exhibit A .5A~ STARSINIC APPRAISAL SERVICE ( .,""I1f1ml\,..l Auto. Heavy Equipment. Home I POST OFFICE BOX 7462 STEElTON. PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Supplement: Profile 10: 712110308:32 AM DF-0217-63 1 1 (F) 712110308:31:44 AI CUSTOMIZED pamage Assessed By: 151292 Gerald Walton Supplemented By: 151292 Gerald Walton Appraised For: DONEGAL I BOGAR I Condition Code: Date of Loss: Contact Date: Deductible: File Number: Claim Number: Insured: Address: Telephone: Description: Body Style: VIN: Mileage: OEMIAL T: Color: Options: Fair 6115103 6119103 UNKNOWN DF-0217-63 PAE0515242-1l1 Type of Loss: Collision Received 6/17/03 SlJpPt EAl ~ 1;NTAL BELINDA RIGGLEMAN 446 W. MAIN STREET WALNUT BOTTOM. PA 17266 Work Phone: (717) 649~3057 Home Phone: (717) 532-3684 Mitchell Service: 916493 Vehicle Production Date: Drive Train: License: 2001 Pontiac Sunfire SE 20 Cpe 1G2JB124117167629 41.232 o BLACK AIR CONDITIONING. POWER STEERING, POWER BRAKES, TILT STEERING WHEEL CRUISE CONTROL. ELECTRIC DEFOGGER, AM-FM STEREO. POWER SUNROOF AUTOMATIC TRANSMISSION, CD PLAYER (MULTI). PASSENGER-FRONT AIR BAG POWER REMOTE MIRROR. FRONT WHEEL DRIVE, 2-DOOR. DRIVER-FRONT AIR BAG 1101 2.2Llnj 4 Cyl 3A OVT-6014 PA Sellrch Code: B17113 ** ALL SUPPLEMENTAL REPAIRS MUST BE APPROVED PRIOR TO THEIR COMPLETION BY THE APPRAISER OR INSURANCE COMPANY ** SUPPLEMENTAL CHARGES DISCLAIMER: Any supplemental repair charges may be rejected unless otherwise approved by the appraiser or insurance company prior to such supplemental repairs. All appraisals are subject to review by the assigning insurance company and/or their affiliates. company L.ine Entry Labor Line Item Part Typel Dollar Labor Item Number Type Operation Description Part Number Amount Units 1 60273S BOY OVERHAUL FRT COVER ASSY 2.5 # 2 602736 BOY REPAIR FRT BUMPER COVER Existing 4.0'# 3 AUTO REF REFINISH FRT BUMPER COVER C 2.5 4 600058 BOY CHECK/ADJUST HEAOLAMPS 0.4 5 900500 BOY' AOO'LLABOR OP CLEAN & BALANCE RIGHT FRONT TIRE Existing 0.5'" 6 900500 BOY. REMOVE/REPLACE RIGHT REAR TIRE -Qual Repl Part 59.00 ' 0.5* ESTIMATE RECALL NUMBER: 612010307:00:33 DF"0217"63 Ultra Mate is a Trademark of Mitchell International Mitchell Data Version: JUN_03_A Copyright (C) 1994.2002 Mitchell International Page 1 of 6 Ultra Mate Version: 4.8.012 All Ri9~~gr~i~e"'A" STARSINIC APPRAISAL SERVICE Auto . Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 SA~ ~ '\llIlIrJfilllll~ I SUPPLEMENTAL 7 BETTERMENT - P RIGHT REAR TIRE %10.00 8 600059 BOY REMOVE/INSTALL R HEADLAMP ASSY 9 600060 BOY REMOVE/INSTALL L HEADLAMP ASSY 10 602780 BOY REMOVE/REPLACE R FOG LAMP ASSEMBLY 11 602781 BOY REMOVE/REPLACE L FOG LAMP ASSEMBLY S1 12 600122 BOY REMOVE/REPLACE LWR COOLING AIR DEFLECTOR '11 13 602802 BOY REMOVE/REPLACE R FENDER SPLASH SHIELD .31 14 900500 BOY' REMOVE/REPLACE ENGINE SPLASH SHIELD 31 15 602803 BOY REMOVE/REPLACE L FENDER SPLASH SHIELD 16 600238 BOY REPAIR LWR FRONT BODY TIE BAR ,< 17 600249 BOY REPAIR R UPR FRONT BODY APRON RAIL 18 AUTO REF REFINISH R UPR SIDE RAIL 19 600299 BOY REMOVE/REPLACE WHEEL 20 LINE MARKUP %25.00 31 21 600299 BOY REMOVE/REPLACE WHEEL S~ 22 LINE MARKUP %25.00 :~1 23 600299 BOY REPAIR WHEEL 24 603182 BOY REMOVE/REPLACE WHEEL COVER 25 600305 BOY REMOVE/REPLACE WHEEL VALVE STEM 26 900500 BOY' REPAIR RIGHT ROCKER PANEL 51 27 600305 BOY REMOVE/REPLACE WHEEL VALVE STEM S1 28 600614 BOY REMOVE/INSTALL HORN ASSEMBLY S1 29 900500 BOY' REMOVE/INSTALL MODULE,FRONT 30 600738 REF REFINISH R ROCKER PANEL 31 602929 BOY REMOVE/REPLACE R ROCKER MOULDING 32 AUTO REF REFINISH R ROCKER MOULDING 33 604282 BOY REMOVE/REPLACE R ROCKER MOULDING RETAINER 34 603007 BOY REMOVE/REPLACE R QUARTER OUTER PANEL -' 35 AUTO REF REFINISH R QUARTER PANEL OUTSIDE 36 AUTO REF REFINISH R LOCK PILLAR S, 37 AUTO REF REFINISH R QUARTER PANEL EDGE ,1 38 602068 BOY REPAIR R QUARTER INNER PANEL :~1 39 900500 REF' REFINISH/REPAIR RIGHT INNER QUARTER 40 604073 BOY REMOVE/REPLACE R QUARTER ADHESIVE MOULDING o 41 AUTO REF REFINISH R QUARTER MOULDING 42 900500 BOY' REMOVE/REPLACE FLEX ADDITIVE (1) 43 900500 BOY' REMOVE/REPLACE CAR COVER EXTERIOR 44 900500 MCH' REMOVE/REPLACE FOUR WHEEL ALIGNMENT '1 45 900500 BOY' ADD'L LABOR OP TIRE TAX 31 46 900500 BOY' ADD'L LABOR OP TIRE DISPOSAL FEE S1 47 601499 MCH REMOVE/REPLACE BLEED BRAKE SYSTEM 31 48 900500 BOY' REMOVE/REPLACE BRAKE FLUID S1 49 900500 BOY' REMOVE/REPLACE SEAM SEALER/CAULK S1 50 900500 BOY' REMOVE/REPLACE WHEEL BALANCE S1 51 900500 BOY' REMOVE/REPLACE WHEEL BALANCE 31 52 603555 MCH REMOVE/REPLACE REAR SUSP AXLE ASSEMBLY "1 53 LINE MARKUP %25.00 '~1 54 900500 BOY' REMOVE/REPLACE RIGHT QUARTER PROTECTOR 55 AUTO REF ADD'L OPR CLEAR COAT 56 933005 BOY ADD'L OPR RESTORE CORROSION PROTECTION 57 933012 BOY' ADD'L OPR STRIPE ESTIMATE RECALL NUMBER: 6/20/03 )7:00:33 DF-0217-63 U1traMate is a Trademark of Mitchell International Copyright (C) 1994 - 2002 Mitchell International All Rights Reserved -S -S -M .M Mitchell Data Version: UltraMate Version: JUN_03_A 4.8.012 Date: Estimate 10: Estimate Version: Supplement: Profile 10: 7/21/0308:32 AM DF-0217-63 1 1 (F) 7/21/0308:31:44 AM CUSTOMIZED 5.90 ..Qual Rapl Part ....Qual Rapl Part 22651133 GM PART 22605366 GM PART New 22605367 GM PART existing Existing Qual Recycled Part Qual Recycled Part Existing 9593365 GM PART 274288 GM PART Existing 274288 GM PART Existing Existing 12463291 GM PART 22658182 GM PART 22685546 GM PART Existing Existing ORDER FROM DEALER Sublet Sublet Sublet Sublet Sublet New Sublet Sublet Sublet Qual Recycled Part New 25.00' 25.00 . 21.40 20.10 17.87. 20.10 25.00 . 6.25 25.00' 0.3 6.25 54.93 1.83 1.83 0.3 0.3 INC # INC # 0.5. INC # 0.3" INC # 2.0. 2.0. 0.8 0.3 0.6. 5.0. 0.3.# 0.5. C 1.4 208.29 0.4 C 0.4 6.64. 482.16 12.5 # C 2.0 C 0.5 C 0.5 2.0" 0.3. 0.1 0.4 0.0. 0.0" 0.0. 0.0. 0.0. 0.5 0.0. 0.0" 0.0. 0.0. 4.4" 22.25 C 6.00. 3.00' 59.95 . 1.00. 2.00 . 3.00 .. 21.50 fr 6.00 fr 6.00. 450.00 . 112.50 3.88. 2.0 10.00. 0.5. 15.00' 0.5" 0.0. Page 2 af 6 . , ~~ ~ .-Jlllul1finlll. I . I STARSINIC APPRAISAL SERVICE Auto . Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113..0462 PHONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Supplement: Profile 10: 7/21/0308:32 AM DF-0217-63 1 1 (F) 7/21/03 08:31:44 AM CUSTOMIZED 205.20 . 3.00 . " 58 59 AUTO AUTO ADO'L COST ADO'L COST PAINT/MATERIALS HAZARDOUS WASTE DISPOSAL . .. Judgement Item # - Labor Note Applies C - Included in Clear Coat Calc Prior Damage N SUPPLEMENTAL ** KEY TO ABBREVIATIONS USED IN APPRAISALS ** LABOR TYPES: BDY-Body BDS- Body Structure REF-Refinish GLS-Glass FRM-Frame MCH-Mechanical ADDITIONAL OPERATIONS/ITEMS:ADD'L-Additional OPR- Operation QTR-Quarter FNDR- Fender FRT- Front RR- Rear L- Left R- Right UPR- Upper LWR- Lower OTR- Outer INR-Inner ASSY- Assembly SUSP-Suspension EXT- Extension BRKT-Bracket INST-Instrument RECON- Recondition ATG- Assembly Time guide QUAL-Quality REPL-Replacement MLDG- Molding AM-Aftermarket OEM- Original Equipment Manufacturer O/H- Overhaul A/C- Air Conditioner INCL-Included R&I- Remove and Install R&R- Remove and Replace RAD- Radiator SUPT- Support H/LAMP- Headlamp W/SHIELD-Windshield W/S-Windshield W/O-Wheel Opening H/L- Headlamp T/L- Taillamp MISC-Miscellaneous FRAUD DISCLOSURE: Any person who knowingly and with intent to injure or 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 the person to criminal and civil penalties. Add'l Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount - - Body 36.3 40.00 25.00 3.00 1,480.00 T Taxable Parts 1,575.73 Refinish 10.8 40.00 0.00 0.00 432.00 T Parts Adjustments 125.00 Mechanical 4.9 45.00 0.00 0.00 220.50 T Sales Tax @ 6.000% 102.04 Taxable Labor 2.132.50 Total Replacement Parts Amount 1,802.77 labor Tax @ 6.000 % 127.95 Labor Summary 52.0 2,260.45 ESTIMATE RECALL NUMBER: 6/20/0307:00:33 DF-0217-63 UltraMate is a Trademark of Mltc:helllnternational Mitchell Data Version: JUN_03_A Copyright (e) 1994 w 2002 Mitchell International Ultra Mate Version: 4.8.012 All Rights Reserved Page 3 of 6 ~& I. ~lllm(llUUra I , STARSINIC APPRAISAL SERVICE Auto . Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717.939-1992 Date: Estimate 10: Estimate Version: Supplement: Profile 10: 7/21/0308:32 AM DF-0217-63 1 1 (F) 7/21/03 08:31:44 AM CUSTOMIZED III. Additional Costs Taxable Costs Sales Tax Total Additional Costs Amount IV. Adjustments Amount 208.20 Betterment 6.25- @ 6.000% 12.49 Customer Responsibility 6.25- 220.69 I. Total Labor: 2,260.45 II. Total Replacement Parts: 1,802.77 III. Total Additional Costs: 220.69 Gross Total: 4,283.91 IV. Total Adjustments: 6.25- Net Total: 0277.~ less Original Net Total: -",9l;11 '.46 Net Supplement Amount: 1,280.20 S1: 151292 Gerald Walton 1,280.20 THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AFTERMARKET CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR VEHICLE. THE AFTERMARKET CRASH PARTS USED IN THE PREPARATION OF THIS ESTIMATE ARE WARRANTED BY THE MANUFACTURER OR DISTRIBUTOR OF SUCH PARTS, RATHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. Point(s) of Impact 14 Unknown (S) SUPPLEMENTAL Inspection Site: RESIDENCE WALNUT BOTTOM, PA Inspection Date: 6/19/03 Body Shop: H & H CHEVROLET Address: 730 E. KING ST. SHIPPENSBURG, PA 17257 Telephone: (717) 532-2121 Fax Phone: (717) 532-6647 ESTIMATE RECALL NUMBER: 6/20/0307:00:33 DF-0217-63 UltraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_03_A Copyright (C) 1994 - 2002 Mitchell International Ultra Mate Version: 4.8.012 All Rights Reserved Page 4 of 6 ~~~~ STARSINIC APPRAISAL SERVICE Auto . Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Supplement: Profile 10: 7/21/03 08:32 AM DF-D217 -63 1 1 (F) 7/21/0308:31:44 AM CUSTOMIZED REPAIR COST DISCLOSURE: Costs above the appraised amount may be the responsibility of the vehicle owner. PARTS LOCATIONS: OEM parts can be obtained at an OEM dealership. The names of where any non-OEM parts used can be purchased is listed above AFTERMARKET CRASH PARTS (AFTERMARKET or AFTERMARKET CAPA): A non-original equipment manufacturer (non-oem) replacement part, either new or used, for any of the non-mechanical parts that genreally constitute the exterior of the motor vehicle, including inner and outer panels. This appraisal will indicate if aftermarket crash parts are specified by stating "Aftermarket" or "Aftermarket CAPA". If use of such parts voids the warranty on the part being replaced or any other part, the aftermarket crash part shall have a warranty equal to or better than the remainder of the existing warranty. QUALITY RECYCLED PARTS/USED(QUAL RECYCLED PART):If appraisal specifies recycled parts they must be of like kind and quality or better than those being replaced. SUPPLEMENTAL AUTHORIZATION TO REPAIR: This is not an authorization to repair Vehicle owner is responsible for authorizing shop to begin repairs. If vehicle owner is a third party or claimant, the insurance company should be contacted to confirm liability coverage before authorizing repairs. CUSTOMER CHOICE OF SHOPS: Selection of the repair shop is the responsibility of the vehicle owner. Vehicle owner is under no obligation to use any specific repair shop. The insurer will provide, upon request, information regarding repair facilities that will be able to repair the vehicle for the appraised amount. CHARGES DISCLAIMER: Any additional towing or storage charges incurred may become the responsibility of the vehicle owner after a time frame determined by the insurer. All appra~'sal are by the assigning insurance company. _ /.. 1/ APPRAISER: _ ,~ , A L.LC. # ..{57~ZDATE: //,;?#,QS APPROXIMATE DAYS TO REPAIR _\....{'IQ.Q DRIVBEABLE (YoQ~) . COPY TO: INS. Co. C'o-n,p OWNl!:Jt ~n ,0 REPAIRER~ ESTIMATE RECAll NUMBER: 6/20/0307:00:33 DF-D217.63 UltraMate is a Trademark of Mitchell International Mitchell Data Version: JUN_03_A Copyright (C) 1994 ~ 2002 Mitchell International IJltraMate Version: 4.8.012 All Rights Reserved Page 5 of 6 .sA~ I: ~lllllt!tnlll.1 I I STARSINIC APPRAISAL SERVICE Auto . Heavy Equipment . Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Date: Estimate 10: Estimate Version: Supplement: ProfileJD: 7/21/0308:32 AM DF-0217 -63 1 1 (F) 7/21/0308:31:44 AM CUSTOMIZED WARNING: Accidental air bag deployment is possible. Personal Injury may result. Avoid area near steering wheel and instrument panel even if air bags have deployed. Dual-stage air bag modules may be present that could contain an undeployed stage. When disposing of a deployed dual--stage air bag. always treat it as a "live" module. See appropriate MITCHELL@AIR BAG SERVICE & REPAIR MANUAL, or OEM information. SlJpPLEMENTAL ESTIMATE RECALL NUMBER: 6/20/0307:00:33 DF-0217-63 U1traMate is a Trademark of Mitchell International Mitchell Data Version: JUN_03_A Copyright (e) 1994 ~ 2002 Mitchell International UltraMate Version: 4.8.012 All Rights Reserved Page 6 of 6 Exhibit B (1) (.) -- o > t:: n:s I . t:: (1) 0::: .:- ~ EnterE>n':!~~ 1337 LINCOLN WAY EAST CHAMBERSBURG PA 17201-3342 Bill To: 00003".00001100002.- ~10100!l:l111A DONEGAL MUT INS-MARIETTA A TTN: BOGARY-BETH- P. O. BOX 302, ROUTE 441 MARIETTA PA 17547 ~r:I:III'Y_' _..._.."""..UUI Date Out Date In 6/19/03 7/11/03 Renter GLORIA RIGGLEMAN Address 446 W MAIN ST City WALNUT BOTTOM Driver License 17009661 DOB 5/09/50 State PA State PA Additional Driver Name NO OTHER DRIVER PERMITTED Age Driver License State RUJTAL VEHICI ES Home Phone 717-532-3684 Office Phone Zip 17266 Expires 5/10/06 Expires Color BRONZE Model 03 BONN License No. Claim II/Policy #/P.O. # EZ05924 PAE051524281 Unit /I Insured UUB472 RIGGLEMAN' Date of Loss Ty;:e: of Car SUNFIRE GLORIA' Type of Loss INSURED Repo::i;- Shop H & H CHEVRO x.............. Please Return This Portion with Remittance Remit to: ~ ENTERPRISE RENT -A-CAR ATTN: ACCTS RECEIVABLE B 3 CROSSGA TE DRIVE STE 201 . , MECHANICSBURG PA 17050-2459 \ ,y----' j 07/22 EXHIBIT IfJr; 'J /:J Rental Agreement ~__"......I::Ir:.'1 1/.!-1/tcj 0511,00 r-- - 5707 Description Rate Amount 23 DAYS @ TRANSTAX SALES TAX% 24 99 8 00 TOTAL CHARGES LESS AMOUNT RECEIVED CHARGED TO OTHERS AMOUNT DUE, ,..,."""., ~ _.................'11- --_..:',11.11"'-"--- I Billing Inquiries Call Fed Tax 10 /I 717-267-0674 52-1690665 Billing Information 125.00/0AY NO SALES TAX 574,77 46.00 45,98 666.7S 40.00 51.75 575,00 -- !!!!! -- - -- -- -- !!!!! Thank You For Choosing Enterprise ASK US ABOUT OUR WEEKENO SPECIALS! . . . . . . . . . . . AMOUNT DUE.. . .. , .. . ~ Paid by: DONEGAL MUT INS-MARIETTA A TTN: BOGARY -BETH- P. D. BOX 302, ROUTE 441 MARIETTA PA 17547 ~ r:' :J~- ~ ---- Customer# ,.Reni~i - A..sreem t Amount DON57MA,/ 0511100 / 575.00 "B" ' . . . . G75.0~ f-f'., ~~ C5l dZ-i') ~0 GPBR 5707 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 rnycounsel, 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 unsworn falsification to authorities, which provides that if I make knowingly false averments, I may be subject to criminal penalties. Dated: 1-<i?- CJf/ i!i.~~~ F:\F1LESIDATAFILE\Donega130S0\Current\256.coml C[ ~. ~ (JI '* ,~ --- ~ '(j U] v.l -0 """" ~ -D ~ J::. ~ ~ C' C'. c. + 0- r--. :AJ ,., 0 G "'., ~, c:-~) o ,I ..., -,' iil~ '- , r---- --., ,I 0> ~. ) , 1 SHERIFF'S RETURN - REGULAR CASE NO: 2004-03442 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND RIGGLEMAN BELINDA VS KINER STEPHANIE RON KERR , Sheriff or Deputy Sheriff of Cumberland County,Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon KINER STEPHANIE the DEFENDANT , at 1345:00 HOURS, on the 22nd day of July , 2004 at 196 SHIPPENSBURG MOBILE EST SHIPPENSBURG, PA 17257 by handing to JACQUELINE MIXELL, MOTHER a true and attested copy of COMPLAINT & NOTICE together with and at the same time directing Her attention to the contents thereof, Sheriff's Costs: Docketing Service Affidavit Surcharge So Answers: 18.00 14.80 ,00 10,00 ,00 42,80 .r~--~~ R. Thomas Kline 07/23/2004 MDW&O Sworn and Subscribed to before By: ~,b- me this ,,8 day of ()U-A~ ,J...vv'f A.D. C' \ Q, ~ - ~thonotary ,~ F:\FILES\DA T AFILE\Donegal3050\CurreTlt\256.stipfdrg Created: 9/18f03 IO:36AM Revised: 8/16/04 857AM 9500.256 BELINDA RIGGLEMAN, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO.04-3442 CIVIL CIVIL ACTION - LAW STEPHANIE KINER, Defendant JURY TRIAL OF TWELVE DEMANDED STIPULATION AND AGREEMENT FOR ENTRY OF MOTOR VEHICLE JUDGMJi;NT AND NOW, comes Plaintiff, Belinda Riggleman, by and through her attorneys, MARTS ON DEARDORFF WILLIAMS & OTTO, and Defendant, Stephanie Kiner, who stipulate and agree as follows: 1. Pa. R.C.P. l037(c) provides that in all cases, the Court, on motion ofa party, may enter an appropriate judgment against a party upon admission. 2. Defendant agrees and admits that Judgment should be entered against her in favor of Plaintiff in the amount of$4,852.66, plus costs of suit and interest accruing at 6% per annum from date of judgment. 3. The parties agree that the Court, upon motion of Plaintiff, may enter judgment pursuant to this Stipulation without issuance of a Rule to Show Cause, and without further proceedings or notice. By.( \TI~\\~O~~y CL2~irL-- 5: fZ----- Stephanie Kiner \ Christopher E. Rice, Esquire 196 Shippensburg Mobile Estates Martson DeaI'dorff Williams & Otto Shippensburg, PA 17257 Attorney J.D. No. 90916 Ten East High Street Carlisle, PA 17013-3093 (7l7) 243-334l Pro Se Defendant Attorney for Plaintiff Date: g - /1; - 0 i Date: ~!J- liP -() 'f ,...., 2:::~ -~ o -+1'1 ~'..,:':" ::;1 n1::1J r- -.(3rt! ~:JO ( )/ J :r; :!J " ..~ ;~r1 C-M ci:") .oJ ,:'] :ji~ r:'? c.,,,, 0.,) F:\FILES\DA T AFILE\Donegal3050\Currenl\256.agr/drg Created: 9/]8/03 10:31AM Revised: 8/]6/04 10:12AM 3050.256 BELINDA RIGGLEMAN, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 04-3442 CNIL : CIVIL ACTION - LAW STEPHANIE KINER, Defendant : JURY TRIAL OF TWELVE DEMANDED SETTLEMENT AGREEMENT WHEREAS, Plaintiff, Belinda Riggleman, has instituted suit against Defendant, Stephanie Kiner, at the above number and term for property damage resulting from a motor vehicle accident on or about June 16,2003; and WHEREAS, Defendant does not dispute Plaintiffs claims; and WHEREAS, the parties have reached an agreement in full settlement and compromise of all claims. NOW, THEREFORE, the parties hereto, intending to be legally bound hereby, agree as follows: 1. Defendant agrees to the entry of Judgment against him and in favor of Plaintiff in the amount of $4,852.66, plus costs of suit and interest accruing at the statutory rate of 6% per annum from date of Judgment. 2. Defendant agrees to pay the Judgment in full by making a down payment of$250.00 and 54 consecutive monthly payments of$99.55 to Plaintiff on or before the Sixteenth of each month beginning September 1 6,2004. Plaintiff agrees it will not issue execution against Defendant unless he defaults in making any monthly payment of said sum. 3. All payments shall be made payable to "MDW&O" and sent to MDW&O, Attn: Christopher E. Rice, Esquire, lO East High Street, Carlisle, PAl 70 1 3. 4. At the time of execution hereof, each party shall execute a Stipulation and Agreement for Entry of Judgment which shall be presented to the Court upon motion of Plaintiff. 5. Upon payment of the Judgment amount, Plaintiff shall promptly have the Judgment marked satisfied in the Office of Prothonotary. 6. Nothing herein shall be construed to prevent Plaintiff from transferring the Judgment to other counties or states or to otherwise limit its rights as a motor vehicle judgment creditor. 7. Nothing herein shall be construed to prevent Plaintiff from filing a separate action for additional collection or attorneys' fees if Defendant breaches any provision of this Settlement Agreement. 8. Nothing herein shall be construed to prevent Plaintiff from filing a Certification of Motor Vehicle Judgment with the Bureau of Driver Licensing if Defendant breaches any provision ofthis Settlement Agreement. IN WITNESS WHEREOF, the parties hereto have exe(;uted this Settlement Agreement the date under the signature of each. WITNESS: pcurk -8, "ff/fJl By u,4-L ? ~(SEAL) Christopher E. Rice Attorney LD. C; 0 'i / 4- Ten East High Street Carlisle, PA l7013 (7l7) 243.334l Attorneys for Plaintiff Date: 1/III(OL-( WITNESS: ~- B Steph ie Kiner Pro Se Defendant SEAL) 7)OMj'<dHV 13. .~fiP Date: 9/~/()Lj ';:'.?l ~;~ :f:! ._\ -," -l -r; -';. r>? (,,) c;::) F:\FILES\DA T AFlLE\Dollegal3050\Currellt\2S6.stipJdrg Created: 9/18/03 10:36AM Revised: 8/16104 8:57AM 9500.256 BELINDA RIGGLEMAN, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 04-3442 CIVIL CIVIL ACTION - LAW STEPHANIE KINER, Defendant JURY TRIAL OF TWELVE DEMANDED STIPULATION AND AGREEMENT FOR ENTRY OF MOTOR VEHICLE JUDGMENT AND NOW, comes Plaintiff, Belinda Riggleman, by and through her attorneys, MARTS ON DEARDORFF WILLIAMS & OTTO, and Defendant, Stephanie Kiner, who stipulate and agree as follows: 1. Pa. R.C.P. 1 037( c) provides that in all cases, the Court, on motion of a party, may enter an appropriate judgment against a party upon admission. 2. Defendant agrees and admits that Judgment should be entered against her in favor of Plaintiff in the amount of $4,852,66, plus costs of suit and interest accruing at 6% per annum from date of judgment. 3. The parties agree that the Court, upon motion of Plaintiff, may enter judgment pursuant to this Stipulation without issuance of a Rule to Show Cause, and without further proceedings or notice. By.c \U~I\ACJ\~~~y CLZ4L ~ ~ Stephanie Kiner I I 't Christopher E. Rice, Esquire 196 Shippensburg Mobile Estates Martson Deardorff Williams & Otto Shippensburg, PA 17257 Attorney LD. No. 90916 Ten East High Street Carlisle, PA 17013-3093 (717) 243.334l Pro Se Defendant Attorney for Plaintiff Date: @ - /6 - 0 i Date: t!J-/(P -() 'f .07-' ~~ r ;o~~ ~ 0 \ (;:, c ... ~ ...... tI1 CI) ~ ~~ $ t :-" c '-- --..c.... '- " " ^ ...... F: \FILESIDA T AFILE\Donega13050\CulTent\256ord I Created 6/19/034:08PM Revised: 8/17/04\o;53AM AUG 1 8 2004 11 c: BELINDA RIGGLEMAN, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL V ANlA v. NO. 04-3442 Civil CNIL ACTION - LAW STEPHANIE KINER, Defendant JURY TRIAL OF TWELVE DEMANDED ORDER OF COURT AND NOW, thisl!i1~ay of 14 "J ~ ~ t ,2004, upon consideration of the attached Stipulation, judgment is hereby entered in favor of Plaintiff, Belinda Riggleman, against Defendant, Stephanie Kiner, in the amount of$4,852.66, plus costs of suit and interest accruing at the statutory rate of 6% per annum from date of Judgment. Prothonotary is directed to enter and index this judgment accordingly. BYT~foJt , , J. for Plaintiff: Christopher E. Rice, Esquire Ten East High Street Carlisle, PA l7013 - Cc..e'f P~~[('f 9/Uc..U for Defendant: Ms. Stephanie Kiner, Pro Se - 196 Shippensburg Mobile Estates Shippensburg, P A 17257 Copy m'a~bl P'/,).r; /tY-f 4 I> F:\FILES\DA T AFILE\DonegaJ3050ICurrent\256\3050.256. pra . . Created: 6/19/034:08PM Revised: 4/12/079:14AM BELINDA RIGGLEMAN, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 04-3442 Civil CIVIL ACTION - LA W STEPHANIE KINER, Defendant JURY TRIAL OF TWELVE DEMANDED PRAECIPE To the Prothonotary: Please mark the above-captioned matter settled and discontinued, and the judgment satisfied. MARTSON LAW OFFICES B~ 4-<- '3 YC Christopher E. Rice, Esquire J.D. No. 90916 10 East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Plaintiff Date: ~ Ie. -- c>-; #' ". CERTIFICATE OF SERVICE I, Mary M. Price, an authorized agent for 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, P A, first class mail, postage prepaid, addressed as follows: Stephanie Kiner 196 Shippensburg Mobile Estates Shippensburg, P A 17257 MARTSON LAW OFFICES By M Ten st High Street Carlisle, P A 17013 (717) 243-3341 Dated: If II ~ / ()1 ,....." (.::::): C;;;:l: --1 ~ :;:0 o ,'j ::::f ;{-, :!J , r-- m c,; , {-:') ., N ,........., j"T'1 N .:;:- ~)