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HomeMy WebLinkAbout04-3483IVY SHIELDS-CHPdSTMAN and MARC CHRISTMAN, Plaintiffs V. PAUL TOLBERT and TERESA MOORE, Defendants 1N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 0 3 g3 CIVIL ACTION-LAW 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 are warned that if you fail to do so, the case may proceed without you and a judgment may be entered against you by the court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiffs. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. 1F YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH iNFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCE FEE OR NO FEE: Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 (717) 249-3166 Date: July Iq , 2004 MARTSON DEARDORFF WILLIAMS & OTTO By Christopher E. Rice, Esquire I.D. Number 90916 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff IVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. CWIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED COMPLAINT 1. Plaintiffs, Marc Christman and Ivy Shields, are adult individuals residing at 466 North Pitt Street, Carlisle, Cumberland County, Pennsylvania, 17013. 2. Defendant, Teresa Moore, is an adult individual residing at 106 A Street, Apartment One, Carlisle, Cumberland County, Pennsylvania 17013. 3. Defendant, Paul Tolbert, is an adult individual residing at 529 North Pitt Street, Apartment One, Carlisle, Cumberland County, Pennsylvania 17013. 4. On or about July 9, 2003, Plaintiffs owned a 1999 Chevrolet Malibu LS (herein "Chevrolet") with Pennsylvania registration plates FDL0733, which was parked in a parking lot behind 466 North Pitt Street, Carlisle, Cumberland County Pennsylvania. 5. On or about July 9, 2003, Defendant Moore, owned a 1998 Kia Sportage (herein "Kia") with Pennsylvania registration plates EBC3078, which was being operated by Defendant Tolbert behind 466 North Pitt Street, Carlisle, Cumberland County, Pennsylvania. 6. On or about July 9, 2003, Defendant Tolbert was operating the Kia behind 466 North Pitt Street when he backed into the parked Chevrolet. COUNT I NEGLIGENCE Ivy Shields and Marc Christraan v. Paul Tolbert 7. Plaintiffs hereby incorporate by reference the averments contained in Paragraphs 1 through 6 of this Complaint. 8. The accident was directly and proximately caused by the negligence and carelessness of Defendant Tolbert, which consisted, among other things, of the following: negligent. 11. a. Operating the Kia in a careless, reckless, and negligent manner; b. Failing to operate the Kia under the proper control so as to prevent the vehicle from striking Plaintiffs' parked Chevrolet; c. Failing to keep a proper look-out; d. Failing to use due care under the circumstances; e. Failing to notice Plaintiffs' Chevrolet; f. Upon noticing Plaintiffs' Chevrolet, failing to take evasive action to avoid impact with Plaintiffs' Chevrolet; and g. Failing to report the accident to the proper authorities. At all times material hereto, Plaintiffs acted with due care and were not contributorily As a result of Defendants' negligence, the Kia collided with Plaintiffs' Chevrolet. The collision caused damage to Plaintiffs' Chevrolet in the amount of $1,250.26. A true and correct copy of the estimate is attached hereto as Exhibit "A." 12. Plaintiffs have demanded compensation for the losses they sustained and Defendant Tolbert has failed to pay. WHEREFORE, Plaintiffs demand judgment against Defendant Tolbert in an amount of $1,250.26, plus attorney's fees, costs, interest, and any other relief that the court deems appropriate. COUNT I1 NEGLIGENCE ENTRUSTMENT Ivv Shields and Marc Christman v. Teresa Moore 13. Plaintiffs hereby incorporate by reference the averments contained in Paragraphs 1 through 12 of this Complaint. 14. The accident was directly and proximately caused by the negligence and carelessness of Defendant Moore which consisted of, among other things, entrusting Defendant Tolbert, whose licence was suspended, to drive her Kia. 15. The collision caused damage to Plaintiffs' Chevrolet in the amount of $1,250.26. A true and correct copy of the estimate is attached hereto as Exhibit "A." 16. Plaintiffs have demanded compensation for the losses they sustained and Defendant Moore has failed to pay. WHEREFORE, Plaintiffs demand judgment against Defendant Moore in an amount of $1,250.26, plus attorney's fees, costs interest, and any other relief that the court deems appropriate. Date: July/~, 2004 MARTSON DEARDORFF WILLIAMS & OTTO Christopher E. Rice, Esquire I.D. Number 90916 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff Auto · Heavy EquiPment · ~H~rne. POST OFFICE BOX 7462 STEELTON, PA 17113-0462 t sHONE 717-939-9891 FAX 717-939-1992 Damage Assessed By: 151292 Gerald Walton Appraised For: Date: 9/8/03 12:43 PM Estimate ID: D1-0003-57 Estimate Version: 0 Committed Profile ID: CUSTOMIZED DONEGAL/FORDHAM Condition Code: Good Date of Loss: 7/9/03 Contact Date: 9/4/03 Deductible: UNKNOWN File Number: D1-0003-57 Claim Number: PAE0597086-72 Insured: MARC CHRISTMAN Address: 466 N. PITT STREET APT#2 CARLISLE, PA 17018 Telephone: Home Phone: (717) 571-5462 Type of Lose: Collision Received 9/3103 Mitchell Service: 911494 Description: Body Style: VIN: OEM/ALT: Color: Options: 1999 Chevrolet Mallbu LS Vehicle Production Date: 1t99 4D Sed Drive Train: 3.1L Inj 6 Cyl AO 1G1NE52J8X6152716 License: FDL-0733 PA O Search Code: B17113 MAROON ALUM/ALLOY WHEELS, AIR CONDITIONING, POWER STEERING, POWER BRAKES, POWER WINDOWS POWER DOOR LOCKS, TILT STEERING WHEEL, CRUISE CONTROL, ELECTRIC DEFOGGER AM-FM STEREO CASSETTE, POWER SUNROOF, AUTOMATIC TRANSMISSION PASSENGER-FRONT AIR BAG, POWER REMOTE MIRROR, FRONT WHEEL DRIVE, 4-DOOR DRIVER-FRONT AIR BAG ** ALL SUPPLEMENTAL REPAIRS MUST BE APPROVED PRIOR TO THEIR COMPLETION BY THE APPRAISER OR INSURANCE COMPANY ** SUPPLEMENTAL CHARGES DISCLAIMER= Any supDle~ental reDair 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 comDany and/or their affiliates. corapany Line Entry Labor Item Number Type Operation I 100014 REF BLEND 2 100015 BDY REMOVE/INSTALL 3 100028 BDY REMOVE/INSTALL 4 101576 BDY REMOVE/REPLACE 5 AUTO BDY CHECK/ADJUST 6 100040 BDY REMOVE/REPLACE 7 100074 BDY REPAIR Line Item Part Type/ Description Part Number FRT BUMPER COVER FRT BUMPER ASSY GRILLE ASSY R FRT COMBINATION LAMP ASSEMBLy 22618781 GM PART HEADLAMPS GRILLE MOUNTING PANEL 22609040 GM PART HOOD PANEL Existing ESTIMATE RECALL NUMBER: 9/8/03 12:43:37 D1-0003-57 UltraMate is a Trademark of Mitchell International Mitchell Data Version: SEP_03_A Copyright (C) 1994 - 2002 Mitchell International UltraMate Version: 4.8.012 All Rights Reserved Dollar Labor Amount Units C 1.0 1.4 # INC 243.89 INC 0.4 176.40 1.6 # 4.5' Page I of 5 EXHIBIT "A" STARSINIC APPRAISAL SERVICE ' Auto · Heavy Equipment ,e Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 ONE 717-939-9891 FAX ? 17-939-1992 AUTO REF REFINISH HOOD OUTSIDE 100177 BDY REPAIR R FENDER PANEL AUTO REF REFINISH R FENDER OUTSIDE AUTO REF ADD'L OPR CLEAR COAT AUTO ADD'L COST PAINT/MATERIALS AUTO ADD'L COST HAZARDOUS WASTE DISPOSAL * - Judgement Item # - Labor Note Applies C - Included in Clear Coat Calc Date: 9/8/03 12:43 Estimate ID: D1-0003-$7 Estimate Version: 0 Committed Profile ID: Existing CUSTOMIZED C 2.7 C 1.6 133.00 * 3.00 * Prior Damage NONE ** KEy TO ABBREVIATIONS USED IN APPRAISALS ** LABOR TYPES~ BDY-Body BDS- Body Structure ~F-Refinish GLS-Glasa FRM-Frame MCH-Mechanical ADDITIONAL OPERATIONS/ITEMS=A~D~L-Additional OPR- O~eration QTR-Quarter FNDR- Fender FRT- Front ~R- Rear L- Left R- RiHht UPR- Upper LWR- Lower OTR- Outer INR-Inner ASSY- Assembly SUSP-Suspension EXT- E~tension BRKT-Bracket INST-Inatrumen= RECON- Recondition ATG~ Assembly Time ~ulde QUAL-Quality REPL-Replacement MLDG- MoldinH AM-Aftermarket OEM- Original E~ui~ment Manufacturer 0/H- Overhaul A/C- Air Conditioner INCL-Included R&I- Remove and Install P~R- R~ove and Replace ~AD- Radiator SUPT- SuDport H/LAMP- Headlamp W/SHIELD-Windshield W/S-Windshield W/O-Wheel O~eninH H/L- Headlamp T/L- Taillam~ MISC-Miscellaneous FRAUD DISCLOSUP~E= Any person who knowinHly and with intent to injure or defraud any insurance company or other person files an application for insurance or statement of claim containinH any materially false information or conceals for the purDose of misleading, information concerninH any fact material thereto commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. ESTIMATE RECALL NUMBER: 9/8/03 12:43:37 D1-0003-57 UltraMate is a Trademark of Mitchell International Mitchell Data Version: SEP_03_A Copyright (C) 1994 - 2002 Mitchell International UItraMate Version: 4.8.012 All Rights Reserved Page 2 of Auto .. Heavy Equipment .* Hom, e POST OFFICE BOX 7462 STEELTON, PA 17113-04(~2 )HONE 717-939-9891 FAX 717-939-1992 Add'l Labor Sublet Labor Subtotals Units Rate Amount Amount Totals Body 9.4 38.00 0.00 0.00 357.20 T Refinish 7.0 38.00 0.00 0.00 266.00 T Taxable Labor 623.20 LaborTax @ 6.000 % 37.39 Labor Summary 16.4 660.59 IIh Additional Costs Amount Taxable Costs 136.00 Sales Tax @ 6.000% 8.16 Total Additional Costs Point(s) of Impact 12 Front Center (P) Body Shop: KARTUNES UNLIMITED,INC Address: 145 EAST MAIN ST. WALNUT SO~rOM, PA 17266 Telephone: (717) 532-2616 Fax Phone: (717) 532-7140 144.16 Data: 9/8/03 12:43 PM Estimate ID: DI-0003-57 Estimate Version: 0 Committed Profile ID: CUSTOMIZED II. Part Replacement Summary Taxable Parts Sales Tax @ Total Replacement Parts Amount IV. Adjustments Customer Responsibility I. Total Labor: Ih Total Replacement Parts: Ill. Total Additional Costs: IV. Total Adjustments: Net Total: Inspection Site: RESIDENCE CARLISLE, PA Inspection Date: 9/5/03 6.000% Gross Total: Amount 420.29 25.22 445.51 Amount 0.00 660.59 445.51 144.16 1,250.26 0.00 1,250.26 ESTIMATE RECALL NUMBER: 9/8/03 12:43:37 DI-0003-57 UltraMats Is a Trademark of Mitchell International Mitchell Data Version: SEP_03_A Copyright (C) 1994 - 2002 Mitchell International UltraMate Version: 4.8.012 All Rights Reserved Page 3 of 5 VERIFICATION The foregoing Complaint is based upon information which has been gathered by my counsel in the preparation of the lawsuit. The language of the document is that of counsel and not my own. I have read the document and to the extent that it is based upon information which I have given to my counsel, it is true and correct to the best of my knowledge, information and belief. To the extent that the content of the document is that of counsel, I have relied upon counsel in making this verification. This statement and verification are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities, which provides that if I make knowingly false averments, I may be subject to criminal penalties. VERIFICATION The foregoing Complaint is based upon information which has been gathered by my counsel in the preparation of the lawsuit. The language of the document is that of counsel and not my own. I have read the document and to the extent that it is based upon information which I have given to my counsel, it is true and correct to the best of my knowledge, information and belief. To the extent that the content of the document is that of counsel, I have relied upon counsel in making this verification, This statement and verification are made subject to the penalties of 18 Pa, C.S. Section 4904 relating to unsworn falsification to authorities, which provides that if I make knowingly false averments, I may be subject to criminal penalties. Marc Christman SHERIFF'S RBTURN CASE NO: 2004-03483 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND CHRISTMAN IVY SHIELDS ET AL VS TOLBERT PAUL ET AL - REGULAR ROBERT BITNER , Cumberland County, Pennsylvania, says, the within COMPLAINT & NOTICE TOLBERT PAUL DEFEND~-NT at 1324:00 HOURS, on the at 529 NORTH PITT STREET APT ONE CARLISLE, PA 17013 PAUL TOLBERT a Sheriff or Deputy Sheriff of who being duly sworn according to law, was served upon 21st day of July by handing to the , 2004 true and attested copy of COMPLAINT & NOTICE together with and at the same time directing His attention to the contents thereof. Sheriff's Costs: Docketing 18.00 Service 3.70 Affidavit .00 Surcharge 10.00 .00 31.70 Sworn and Subscribed to before me this ~ day of ~ 20D~ A.D. So Answers: R. Thomas Kline 07/23/2004 MDW&O / Deputy Sheriff SHERIFF'S RETURN - REGULAR CASE NO: 2004-03483 P COMMONWEALTH OF PEN-NSYLVANIA: COUNTY OF CUMBERLAND CHRISTMAN IVY SHIELDS ET AL VS TOLBBRT PAUL ET AL SGT. BARRY HORN , Sheriff or Deputy Sheriff of Cumberland County, Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon MOORE TERESA the DEFENDANT at 1310:00 HOURS, on the 23rd day of July , 2004 at CUMBERLAND CO SHERIFF'S OFFICE ONE COURTHOUSE SQUARE CARLISLE, PA 17013 by handing to TERESA MOORE 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 6.00 Service .00 Affidavit .00 Surcharge 10.00 .00 16.00 Sworn and Subscribed to before me this q~L day of /P~othonotary ' · - So Answers: R. Thomas Kline 07/23/2004 MDW&O By: Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs IVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs V. PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED TO: TERESA MOORE, DEFENDANT NOTICE OF ENTRY OF DEFAULT JUDGMENT Youareherebynotifiedthatonthe /q~dayof (Ot.~', ,2004, the following Judgment was entered against you in the above-captioned matter: Judgment in the amount of $1,250.26, plus attorney's fees, costs, and interest. Date: C")c_lc ' Iq. ~100¥ Prothonotary I hereby certify that the name and address of the proper person to receive this notice under Pa. R. Civ. P. 236 is: Ms. Teresa Moore 106 A Street, Apt. 1 Carlisle, PA 17013 Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs WY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED PRAECIPE TO THE PROTHONOTARY: Enter default judgment in the above-captioned action in favor of Plaintiff and against Defendant Teresa Moore in the amount of $1,250.26, plus interest, attorney's fees, and costs of suit as prayed for in the Complaint, for failure to file an Answer to Plaintiffs Complaint. I do hereby certify that a written notice of intention to file this Praecipe was mailed to the Defendant at the address indicated thereon, on September 27, 2004, which date was subsequent to the date default occurred and at least ten (10) days prior to the date of the Praecipe. MARTSON, DEARDORFF, WILLIAMS & OTTO Dated: October 13, 2004 Christopher E, Rice, Esquire I.D. Number 90916 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff iVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED TO: DATE: PAUL TOLBERT AND TERESA MOORE, DEFENDANTS September 27, 2004 IMPORTANT NOTICE YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS YOU ACT WITHIN TEN (10) DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 MARTSON DEARDORFF WILLIAMS & OTTO Christopher E. Rice, Esquire I.D. Number 90916 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff iVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED AVISO IMPORTANTE A: PAUL TOLBERT AND TERESA MOORE, DEFENDANTS FECHA DEL AVISO: September 27, 2004 USTED ESTA EN REBELDIA PORQUE HA FALLADO DE [TOMAR LA ACCION REQUEKIDA EN ESTE CASO. A MENOS QUE USTED TOME ACCION DENTRO DE LOS PROXIMOS DIEZ (10) DIAS DE LA FECHA DE ESTE AVISO, SE PUEDE DICTAR U'N FALLO EN CONTRA SUYA SIN LLEVARSE A CABO UNA VISTA Y USTED PUEDE PERDER SU PROPRIEDAD Y OTROS DERECHOS IMPORTANTES. USTED DEBE LLEVAR ESTE DOCUMENTO INMEDIATAMENTE A SU ABOGADO. SI USTED NO TIENE UN ABOGADO O NO PUEDE PAGAR UNO, VAYA O LLAME LA OFICINA ABAJO INDICADA PARA QUE LE INFORMEN DONDE PUEDE CONSEQUIR AYUDA LEGAL. ] REGISTRAR COMPARECENCIA ESCRITA POR SI MISMO O A TRAVES DE UN ABOGADO Y SOMETER CON LA CORTE SUS DEFENSAS U OBJECCIONES A LOS CARGOS QUE SE HAN PRESENTADO CONTRA USTED. A MENOS QUE USTED ACTUE DENTRO DE DIEZ DIAS DE HABER RECIBIDO ESTE AVISO, LA CORTE PUEDE TOMAR UNA DECISION EN CONTRA SUYA SIN TENER DERECHOS A UNA VISTA Y USTED PUEDE PERDER SU PROPIEDAD U OTROS DERECHOS 1MPORTANTES. USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE UN ABOGADO, LLAME O VAYA A LA SIGUIENTE OFICINA. ESTA OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO CONSEQUIR UN ABOGADO. SI USTED NO POEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES POSIBLE QUE ESTA OFIC1NA LE PUEDA PROVEER 1NFORMACION SOBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO O BAJO COSTO A PERSONAS QUE CALIFICAN. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 MARTSON DEARDORFF WILLIAMS & OTTO Christopher E. Rice, Esquire I.D. Number 90916 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs IVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED AFFIDAVIT OF APPP~,ISER COMMONWEALTH OF PENNSYLVANIA ) :SS. COUNTY OF ) Personally appeared before me, a Notary Public in and for the said Commonwealth and County, Gerald Walton, who, being duly sworn according to law, does depose and state that he is a licensed appraiser; that the appraisal of $1,250.26 attached hereto is true and correct and accurately sets forth the damages to the value of the 1999 Chevrolet Malibu LS owned by Marc Christman and; that he has been engaged in the appraisal business for __ years and is qualified and capable to evaluate the appraisal~s attached; and value indicated thereon was the amount by which the damages to this automobile would fairly and reasonably have been evaluated. Sworn to and subscribed before me this ~.~day of,5'~7', 200d~_. ~ POST OFFICE BOX 7462 STEELTON, PA 17113-0462' ~ PHONE 717-939-9891 FAX 717-939-1992 Date: 9/8~03 12:43 PM Estimate ID: DI-0003-57 Estimate Version: 0 Committed Profile ID: CUSTOMIZED Damage Assessed By: 151292 Gerald Walton Appraised For: DONEGAL / FORDHAM Condition Code: Good Date of Loss: 7/9/g3 Contact Date: 91 4/g3 Deductible: UNKNOWN File Number: DI-0003-57 Claim Number: PAEO597086-72 Insured: Address: Telephone: MARC CHRISTMAN 466 N. PITT STREET APT#2 CARLISLE, PA 17013 Home Phone: (717) 571-5462 Type of Loss: Collision Received 91 3/03 Description: Body Style: YIN: gEM/ALT: Color: Options: Mitchell Service: 911494 1999 Chevrolet Mallbu LS Vehicle Production Date: 1/99 4D Sed Drive Train: 3.1L Inj 6 Cyl AD 1G1NE52J8X6152716 License: FDL-0733 PA O Search Code: B17113 MAROON ALUM/ALLOY WHEELS, AIR CONDI'IIONING, POWER STEERING, POWER BRAKES, POWER WINDOWS POWER DOOR LOCKS, TILT STEERING WHEEL, CRUISE CONTROL, ELECTRIC DEFOGGER AM-FM STEREO CASSETTE, POWER SUNROOF, AUTOMA'IlC TRAN~MIS.~ION PASSENGER-FRONT AiR BAG, POWER REMOTE MIRROR, FRONT WHEEL DRIVE, 4-DOOR DRIVER-FRONT AIR BAG ** ALL SUPPLEMENTAL REPAIRS MUST BE APPROVED PRIOR TO THEIR COMPLETION BY THE APPRAISER OR I~uKANCE COMPANY ** SUPPLEMENTAL CHARGES DISCLAIMER= Any su~Dlemental re~air charges may be rejected unless otherwise approved by the aD. raiser or insurance comDany prior to such supplemental reDalrs. All apDraisals are subject to review b~ the assigning insurance comDan~ anal/or their affiliates. company Line Entry Labor item Number Type 1 100014 REF 2 100015 BD¥ 3 100028 BDY 4 101576 BDY 5 AUTO BOY 6 100040 BOY 7 100074 BOY Line Item Part Type/ Operation Description Part Number BLEND FRT BUMPER COVER REMOVEANSTALL FRT BUMPER ASSY REMOVE/INSTALL GRILLE ASSY REMOVE/REPLACE R FRT COMBINATION LAMP ASSEMBLY 22618781 GM PART CHECK/ADJUST HEADLAMPS REMOVEJREPLACE GRILLE MOUNTING PANEL 22809040 GM PART REPAIR HOOD PANEL Ex{sting ESTIMATE RECALL NUMBER: 9/8/03 12:43:37 DI-0003-57 UltraMate is a Trademark of Mitchell International Mitchell Data Version: SEP_03_A Copyright (C) 1994 - 2002 Mitchell international UItraMate Version: 4.8.012 AIl Rights Reserved Dollar Labor Amount Units C 1.0 1.4 # INC 243.89 INC 0.4 176.40 1.6 # 4.5* Page I of 5 STARSINIC APPRAISAL SERVICE ~ ' Auto · Heavy Equipment ,° Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 ONE 717o939-9891 FAX 717-939-1992 Date: 9! 8/03 12:43 PM Estimate ID: DI-0003~57 Estimate Version: 0 Committed Profile iD: CUSTOMIZED AUTO REF REFINISH HOOD OUTSIDE C 2.7 100177 BOY REPAIR R FENDER PANEL Existing 1.5'# AUTO REF REFINISH R FENDER OUTSIDE C 1.6 AUTO REF ADD'L OPR CLEAR COAT 1.7 AUTO ADD'L COST PAINT/MATERIALS 133,00 * AUTO ADO'L COST HAZARDOUS WASTE DISPOSAL 3.00 * * - Judgement Item # - Labor Note Applies C - Included in Clear Coat Calc Prior Damage NONE ** KEY TO ABBREVIATIONS USED IN APPRAISALS ** LABOR TYPES: BDY-Body BDS- Body Structure R~F-Refinish GLS-Glass FRl~-Frame MCH-Mechanical ADDITIONAL OPErATIONS/ITEmS:ADD'L-Additional OPE- O~eration QTE-Quarter FNDR- Fender FRT- Front Pd{- Rear L- Left R- Eight UPR- UDDer LWR- Lower OTR- Outer INlY-Inner ASSY- Assembly SUSP-SusDension EXT- F~tension BRKT-Bracket INST-Instrument ~ECON- Recondition ATG- Assembly Time ~ide QUAL-Quality REPL-ReDlacement MLDG- Molding AM-Aftermarket OEM- Original E~ui~ment Manufacturer O/H- Overhaul A/C- Air Conditioner INCL-Included R~I- Remove and Install R~R- B~ve and ReDlace RAD- Radiator SUPT- SuDDort H/LAMP- BeadlamD W/SHIELD-Windshield W/S-Windshield W/O-Wheel ODening H/L- HeadlamD T/L- TaillaraD MISC-Miscellaneous FRAUD DISCLOSURe: Any Derson who knowingly and with intent to injure or defraud any insurance ccunpany or other Derson files an aDDlication for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto co,mu[ts & fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. ESTIMATE RECALL NUMBER: 9/8/03 12:43:37 DI4)003-57 UitraMate Is a Trademark of Mitchell International Mitchell Data Version: SEP_O3_A Copyright (C) 1994 - 2002 Mitchell International UltraMate Version: 4.8.012 All Rights Reserved 2 of 8  Auto o Heavy Equipment Home POST OFFICE BOX 7462. STEELTON, PA 17113-0462 PHONE 717-939-9891 FAX 717-939-1992 Add'l Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals Body 9.4 38.00 0.00 0.00 357.20 T Refinish 7.0 38.00 0.00 0.00 266.00 T Taxable Labor 623.20 Labor Tax @ 6.000 % 37.39 Labor S[~mmary 18.4 660.59 III. Additional Costs Amount Point(s) of Impact 12 Front Center (P) Taxable Costs 136.00 Sales Tax @ 6.000% 8.16 Total Additional Costs Body Shop: KARTUNES UNLIMiTED,INC Address: 145 EAST MAIN ST. WALNUT BO'II'OM, PA 17266 Telephone: (717) 532-2616 Fax Phone: (717) 532-7140 Date: 9/8/03 12:43 PM Estimate ID: DI-0003-57 Estimate Version: 0 Committed Profile ID: CUSTOMIZED II. Part Replacement Summary Taxable Parts Sales Tax @ Total Replacement Parts Amount IV. Ad}ustments Customer Responsibility I. Total Labor: II. Total Replacement Parts: III. Total Additional Costs: IV. Total Adjustments: Net Total: Inspection Site: RESIDENCE CARLISLE, PA Inspection Date: 9/5/03 6.000% Gross Total: 420.2~ 25.2: 445.5 Amount 0.0, 660.5 445.5 0.0 1,250.2 ESTIMATE RECALl. NUMBER: 9/8/03 12:43:37 DI-0063-57 UltraMate is a Trademark of Mitchell International Mitchell Data Version: SEP 03 A Copyright (C) 1994 - 2002 Mitchell international UltraMate Version: 4.8.012 All Rights Reserved Page 3 of 5 Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs WY SH1ELDS-CHRiSTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants 1N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED AFFIDAVIT AS TO MILITARY SERVICE COMMONWEALTH OF PENNSYLVANIA ) :SS. COUNTY OF CUMBERLAND ) Christopher E. Rice, Esquire, being duly sworn according to law, deposes and says that he has authority to make this affidavit on behalf of his client, and to the best of his knowledge, information and belief, Defendant Teresa Moore, above named is not in the military service of the United States of America, that he has knowledge that the said Defendant is now living at: 106 A Street, Apt. 1, Carlisle, PA 17013. Said Defendant's place of employment is unknown. Christopher E. Rice, Esquire Sworr~o andJml3saribed before me this]~__ day ot~,.,,//~,}4a., 2004. Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs IVY SH1ELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants 1N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 C1VIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED COMMONWEALTH OF PENNSYLVANIA ) :SS COUNTY OF CUMBERLAND ) Christopher E. Rice, Esquire, being duly sworn according to law, deposes and says that he is an employee ofMARTSON, DEARDORFF, WILLIAMS & OTTO, attorneys for the Plaintiff(s) in the above captioned matter and that pursuant to the provisions of the Pennsylvania Rules of Civil Procedure, a notice of intention to enter defanlt judgment against Defendant Teresa Moore was given to her by mail on September 27, 2004. Swom to and s ~u~b],~ribed ~r~ 2004' before me this ~_ day of Christopher E. Rice, Esquire CERTIFICATE OF SERVICE I, Tricia D. Eckenroad, an authorized agent of MARTSON DEARDORFF WILLIAMS & OTTO, hereby certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows: Mr. Paul Tolbert 529 North Pitt Street, Apt. 1 Carlisle, PA 17013 Ms. Teresa Moore 106 A Street, Apt. 1 Carlisle, PA 17013 MARTSON DEARDORFF W1LLIAMS & OTTO Carlisle, PA 17013 (717) 243-3341 Dated: October 13, 2004 Christopher E. Rice, Esquire MARTSON DEARDORFF WiLLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs iVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs V. PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CWiL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED TO: PAUL TOLBERT, DEFENDANT NOTICE OF ENTRY OF DEFAULT JUDGMENT You are hereby notified that on the J ~'t~day of ~c.~- ,2004, the following Judgment was entered against you in the above-captioned: Judgment in the amount of $1,250.26, plus attorney's fees, costs, and interest. Date: rothonotary j I hereby certify that the name and address of the proper person to receive this notice under Pa. R. Civ. P. 236 is: Mr. Paul Tolbert 529 North Pitt Street, Apt. 1 Carlisle, PA 17013 Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs WY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04~3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED PRAECIPE TO THEPROTHONOTARY: Enter default judgment in the above-captioned action in favor of Plaintiff and against Defendant Paul Tolbert in the amount orS 1,250.26, plus interest, attorney's fees, and costs of suit as prayed for in the Complaint, for failure to file an Answer to Plaintiffs Complaint. I do hereby certify that a written notice of intention to file this Praecipe was mailed to the Defendant at the address indicated thereon, on September 27, 2004, which date was subsequent to the date default occurred and at least ten (10) days prior to the date of the Praecipe. MARTSON, DEARDORFF, WILLIAMS & OTTO Dated: October 13, 2004 Christopher E. Rice, Esquire I.D. Number 90916 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff 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 HII~NG A LAWYER. IVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED TO: DATE: PAUL TOLBERT AND TERESA MOORE, DEFENDANTS September 27, 2004 IMPORTANT NOTICE YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS YOU ACT WITHIN TEN (10) DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVI~E YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 MARTSON DEARDORFF WILLIAMS & OTTO Christopher E. Rice, Esquire I.D. Number 90916 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff WY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED AVISO IMPORTANTE A: PAUL TOLBERT AND TERESA MOORE, DEFENDANTS FECHA DEL AVISO: September 27, 2004 USTED ESTA EN REBELDIA PORQUE HA FALLADO DE [TOMAR LA ACCION REQUER1DA EN ESTE CASO. A MENOS QUE USTED TOME ACCION DENTRO DE LOS PROXIMOS DIEZ (10) DIAS DE LA FECHA DE ESTE AVISO, SE PUEDE DICTAR UN FALLO EN CONTRA SUYA SIN LLEVARSE A CABO UNA VISTA Y USTED PUEDE PERDER SU PROPRIEDAD Y OTROS DERECHOS IMPORTANTES. USTED DEBE LLEVAR ESTE DOCUMENTO INMEDIATAMENTE A SU ABOGADO. SI USTED NO T1ENE UN ABOGADO O NO PUEDE PAGAR UNO, VAYA O LLAME LA OFIC1NA ABA JO INDICADA PARA QUE LE INFORMEN DONDE PUEDE CONSEQUIR AYUDA LEGAL. ] REGISTRAR COMPARECENCIA ESCRITA POR SI MISMO O A TRAVES DE UN ABOGADO Y SOMETER CON LA CORTE SLIS DEFENSAS U OBJECCIONES A LOS CARGOS QUE SE HAN PRESENTADO CONTRA USTED. A MENOS QUE USTED ACTUE DENTRO DE DIEZ DIAS DE HABER RECIBIDO ESTE AVISO, LA CORTE PUEDE TOMAR UNA DECISION EN CONTRA SUYA SIN TENER DERECHOS A UNA VISTA Y USTED PUEDE PERDER SU PROPIEDAD U OTROS DERECHOS IMPORTANTES. USTED DEBE LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE UN ABOGADO, LLAME O VAYA A LA SIGUIENTE OFICINA. ESTA OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO CONSEQUIR UN ABOGADO. SI USTED NO POEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, ES POSIBLE QUE ESTA OFICINA LE PUEDA PROVEER INFORMACION SOBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO O BAJO COSTO A PERSONAS QUE CALIFICAN. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 MARTSON DEARDORFF WILLIAMS & OTTO Christopher E. Rice, Esquire I.D. Number 90916 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs IVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED AFFIDAVIT OF APPR. AISER COMMONWEALTH OF PENNSYLVANIA ) :SS. COUNTY OF ) Personally appeared before me, a Notary Public in and for the said Commonwealth and County, Gerald Walton, who, being duly sworn according to law, does depose and state that he is a licensed appraiser; that the appraisal of $1,250.26 attached hereto is tree and correct and accurately sets forth the damages to the value of the 1999 Chevrolet Malibu LS owned by Marc Christman and; that he has been engaged in the appraisal business for __ years and is qualified and capable to evaluate the appraisal as attached; and value indicated thereon was the amount by which the damages to this automobile would fairly and reasonably have been evaluated. Sworn to and subscribed before me this ~t~,ttday of,~'~;', 200fi_. ' Auto · Heavy Equiprnent · ,Hgrne~ POST OFFICE BOX 7462 , ~ STEELTON, PA 17113-0462 HONE 717-939-9891 FAX 717-939-1992 Date: 9/9/03 12:43 PM Estimate ID: DI-0003-57 Estimate Version: 0 Committed Profile ID: CUSTOMIZED Damage Assessed By: 151292 Gerald Walton Appraised For: DONEGAL / FORDHAM Condition Code: Good Date of Loss: 7/9/03 Contact Date: 9/4/03 Deductible: UNKNOWN File Number: DI-0003-57 Claim Number: PAE0597086-72 Address: Telephone: MARC CHRIBTMAN 466 N. PI'IT STREET APT#2 CARLISLE, PA 17013 Home Phone: (717) 571-5462 Type of Loss: Collision Received 9/3/03 Description: Body Style: VIN: OEM/ALT: Color: Options: Mitchell Service: 911494 1999 Chevrolet Malibu LS Vehicle Production Date: 1/99 4D Sed Drive Train: 3.1L Inj 6 Cyl AD 1GINE52JSX6152716 License: FDL-0733 PA O Search Code: B17113 MAROON ALUM/ALLOY WHEELS, AIR CONDITIONING, POWER STEERING, POWER BRAKES, POWER WINDOWS POWER DOOR LOCKS, TILT STEERING WHEEL, CRUISE CONTROL, ELECTRIC DEFOGGER AM-FM STEREO CASSETTE, POWER SUNROOF, AUTOMATIC TRANSMISSION PASSENGER-FRONT AIR BAG, POWER REMOTE MIRROR, FRONT WHEEL DRIVE, 4-DOOR DRIVER-FRONT AIR BAG ** ALL SUPPLEMENTAL REPAIRS M~ST BE APPRO%'ED 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 co~any and/or their affiliates. company Line Entry Labor Item Number Type Operation 1 100014 REF BLEND 2 100015 BDY REMOVF-/~NSTALL 3 100028 BOY REMOVE/INSTALL 4 101576 BDY REMOVE/REPLACE 5 AUTO BOY CHECKJADJUST 6 100040 BDY REMOVE/REPLACE 7 100074 BOY REPAIR Line Item Part Type/ Description Part Number FRT BUMPER COVER FRT BUMPER ASSY GRILLE ASSY R FRT COMBINATION LAMP ASSEMBLY 22618781 GM PART HEADLAMPS GRILLE MOUNTING PANEL 22609040 GM PART HOOD PANEL Existing ESTIMATE RECALL NUMBER: 9/8J03 12:43:37 D1-0003-57 UltraMata is a Trademark of Mitchell International Mitchell Data Version: SEP_03 A Copyright (C) 1994 - 2002 Mitchell Internationat UttraMate Version: 4.8.012 All Rights Reserved Dollar Labor Amount Units C 1.0 1.4 # INC 243.89 INC 0.4 176.40 1.6 4.5* Page I of 5 STARSINIC APPRAISAL SERVICE Auto · Heavy Equipment ,o Home POST OFFICE BOX 7462 STEELTON, PA 17113-0462 )NE 717-939-9891 FAX 717-939-1992 AUTO REF REFINISH HOOD OUTSIDE 100177 BDY REPAIR R FENDER PANEL AUTO REF REFINISH R FENDER OUTSIDE AUTO REF ADD'L OPR CLEAR COAT AUTO ADD'L COST PAINT/MATERIALS AUTO ADD'L COST HAZARDOUS WASTE DISPOSAL * - Judgement Item # - Labor Note Applies C - Included in Clear Coat Calc Date: Estimate ID: Est[mate Version: Committed Profile ID: Existing 9/8/03 12:43 PM DI-00~3-57 0 CUSTOMIZED C 2.7 1.5'# C 1,6 1.7 133.00 * 3.00 * Prior Damage NONE ** KEY TO ABBREVIATIONS USED IN APPRAISALS ** L~tBOR TYPES: BDY-Body BDS- Body Structure REF-Refinish GLS-Glass FP/~-Fr~uae MCH-Mechanical ADDITIONA~ OPERATIONS/ITEMS:~tDD~L-Additional OPR- O~eration QT,-Quarter FNDR- Fender FRT- Front R/~- Rear L- Left ~- Right UPR- Upper LWR- Lower OTR- Outer INl~-I~ner ASSY- Assembly SUSP-Suspension EXT- Extension BRKT-Bracket INST-Instr~unent ~ECON- Recondition ATG- Assembly Time guide QUAL-Quality ~EPL-Replacement MLD~- Molding AM-Aftermarket OEM- Original Equipment Manufacturer O/H- Overhaul A/C- Air Conditioner INCL-Included R&I- Rmmove and Install R&R- Remove and Replace RAP- Radiator SUPT- Support H/LAMP- HeadlamD W/SHIELD-Windshield W/S-Windshield W/O-Wheel O~ening H/L- HeadlamD T/L- Taillam~ MISC-Miscellaneous FP~UD 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 olaim containing any materially Ealse 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 0ivil penalties. ESTIMATE RECALL NUMBER: 9/8103 12:43:37 DI-0003-57 UltraMate is a Trademark of Mitchell International Mitchell Data Version: SEP_03_A Copyright (C) 1994 - 2002 Mitchell international UltraMate Version: 4.8.012 All Rights Reserved Page 2 of 5 Auto · Heavy Equiprnent .o Home POST OFFICE BOX 7462, STEELTON, PA 17113-0462 F~ONE 717-939-9891 FAX 717-939-1992 Add'l Labor Sublet Labor Subtotals Units Rate Amount Amount Totals Body 9.4 38.00 0.00 8.00 367.20 T Refinish 7.0 38.00 0.00 0.00 266.00 T Taxable Labor 623.20 Labor Tax @ 6.000 % 37.39 Labor Summary 16.4 660.69 Date: 9/8/03 12:43 PM Estimate ID: DI-0003-57 Estimate Version: 0 Committed Profile ID: CUSTOMIZED II. Part Replacement Summary Taxable Parts Sales Tax @ 6.000% Total Replacement Parts Amount 420.29 25.22 445.51 Additional Costs Amount Taxable Costs 136.00 Sales Tax @ 6.000% 8.16 Total Additional Costs 144.16 IV. Adjustments Customer Responsibility Amount 0.00 Point(s) of Impact 12 Front Center (P) I. Total Labor: I1. Total Replacement Parts: IlL Total Additional Costs: Gross Total: IV. Total Adjustments: Net Total: 660.59 445.51 144.16 1,250.26 0.00 1,250.26 Body Shop: KARTUNES UNLIMITED,INC Address: 145 EAST MAIN ST. WALNUT BO'I-rOM, PA 17266 Telephone: (717) 532-2616 Fax Phone: (717) 532-7140 Inspection Site: RESIDENCE CARLISLE, PA Inspection Date: 9/' 5/03 ESTIMATE RECALL NUMBER: 9/8/03 12:43:37 DI-0003-57 UltraMate is a Trademark of Mitchell International Mitchell Data Version: SEP_03_A Copyright (C) 1994 - 2002 Mitchell International UltraMate Version: 4.8.012 All Rights Reserved Page 3 of Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs IVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED AFFIDAVIT AS TO MILITARY SERVICE COMMONWEALTH OF PENNSYLVANIA ) :SS. COUNTY OF CUMBERLAND ) Christopher E. Rice, Esquire, being duly sworn according to law, deposes and says that he has authority to make this affidavit on behalf of his client, and to the best of his knowledge, information and belief, Defendant Paul Tolbert, above named is not in the military service of the United States of America, that he has knowledge that the said Defendant is now living at: 529 North Pitt Street, Apt. 1, Carlisle, PA 17013. Said Defendant's place of employment is unknown. Christopher E. Rice, Esquire Swo ,r~o and sl~cl;ihed before me this~ flay o f ((.~d),*~. 2004. Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiffs IVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED COMMONWEALTH OF PENNSYLVANIA ) :SS COUNTY OF CUMBERLAND ) Christopher E. Rice, Esquire, being duly sworn according to law, deposes and says that he is an employee ofMARTSON, DEARDORFF, WILLIAMS & OTTO, attorneys for the Plaintiff(s) in the above captioned matter and that pursuant to the provisions of the Permsylvania Rules of Civil Procedure, a notice of intention to enter default judgment against Defendant Paul Tolbert was given to him by mail on September 27, 2004. Christopher E. Rice, Esquire Sworn to and subs.~t~bed before me this ,~_'day of~~~. CERTIFICATE OF SERVICE I, Tricia D. Eckenroad, an authorized agent of MARTSON DEARDORFF WILLIAMS & OTTO, hereby certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows: Mr. Paul Tolbert 529 North Pitt Street, Apt. 1 Carlisle, PA 17013 Dated: October 13, 2004 Ms. Teresa Moore 106 A Street, Apt. 1 Carlisle, PA 17013 MARTSON DEARDORFF WILLIAMS & OTTO · Eckenroad t High Street Carlisle, PA 17013 (717) 243-3341 F ~FILES~DATAF1LE'xDonega13050~Currcnt\267 affmva Created: 12/14/04 10.58AM Re'dsed 12/14/04 11 00AM IVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs go PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION-LAW JURY TRIAL OF TWELVE DEMANDED AFFIDAVIT OF MOTOR VEHICLE ACCIDENT COMMONWEALTH OF PENNSYLVANIA ) · SS. COUNTY OF CUMBERLAND ) On October 14, 2004, a Praecipe to enter default judgment in the above captioned action was entered in favor of Plaintiffs and against Defendants in the amount of $1,250.26, plus interest, attorney's fees and costs of suit and said judgment is the result of a motor vehicle accident which occurred on July 9, 20,03. I make these statements pursuant to 18 Pa. Cons. Stat· §490.4 relating to unsworn falsification to authorities and understand that false statements may subject me to criminal penalties under that statute. ~_~~ ~C r/~ Christopher E. Rice, Esquire Sworn to and subscribed before me this/o"V3ay of~ e~k~, 200_~j__. NOTARIAL SEAL "'~ VICTORIA L. OTTO, NOTARY PUBLIC I CARLISLE BORO., CUMBERLAND COUNTYI MY COMMISSION EI(I::qRES pEC. 2. 2006] P ~ R:\PiirES\Clients\3050 Donegal\Archive\267\3050.267.pra3 Created: 11/l2l04 2:13PM Revised: 9!8/10 9:OSAM George B. Faller, Jr., Esquire MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER MARTSON LAW OFFICES I.D. 49813 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff l-i~ ~~ TNT ~~^T'.;~,~~,nTAi~' .1 ~ SEP - 8 A~ 9~ d 8 CUM3Et~i.r~•~u t~~}UMY F'EN1+1SYl.V~'~A IVY SHIELDS-CHRISTMAN and MARC CHRISTMAN, Plaintiffs v. PAUL TOLBERT and TERESA MOORE, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-3483 CIVIL ACTION -LAW JURY TRIAL DEMANDED PRAECIPE TO SATISFY THE JUDGMENT TO THE CUMBERLAND COUNTY PROTHONOTARY: Please mark the judgment against Defendants in the above-captioned action as satisfied and the matter discontinued. sy Dated: 9/7/10 Attorneys for Plaintiffs i.li. No. 4ya i ~ Ten East High Street Carlisle, PA 17013 (717) 243-3341 ar ,' CERTIFICATE OF SERVICE I, Nichole L. Myers, an authorized agent of MARTSON LAW OFFICES hereby certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows: Ms. Teresa Moore 2615 Midland Park Road #B-5 N. Charleston, SC 29406 MARTSON LAW OFFICES By 1~.~(V~ Nichole L. Myers Ten East High Street Carlisle, PA 17013 (717) 243-3341 Dated: 9/7/10