HomeMy WebLinkAbout11-5069MARO & MARO, P.C.
By: Robert A. Maro, Esquire
Attorney I.D. No.: 89585
1115 West Main Street
Norristown, PA 19401
(610) 275-9600
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
RE: Joint Petition of J.G. Wentworth NO: I Sdc?? C? Vi
Originations, LLC and W. Porter-Lovett
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, W. Porter-Lovett, 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, W. Porter-Lovett ("Payee"), an adult individual who resides
in the County of Cumberland. For privacy issues, any and all notices can be sent to 201
King of Prussia Road, Radnor, PA 19089.
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: 0
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a. PA R.C.P. 229.2(d)(3)(i) Payee's Affidavit in Support of Petition.
Please see Attachment/Exhibit "I"; 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) A certification by Robert A. Maro, Esquire,
attorney for transferee, J.G. Wentworth Originations, LLC.; and
d. PA. R.C.P. 229.2(d)(3)(iv) A Final Order of Court Granting
he Petition.
5. Joint Petitioner, W. Porter-Lovett, is the beneficiary of an annuity
owned by Twin City Fire Insurance Company and issued by Hartford Life Insurance
Company. The structured settlement provides payment to the petitioner as described on
Attachment/Exhibit "2".
6. Joint Petitioner, W. Porter-Lovett, after having the opportunity to have
independent counsel review the agreement; knowingly, intelligently and voluntarily
waived his right to independent counsel. A copy of the waiver report is attached hereto,
incorporated herein and marked Attachment/Exhibit "3".
7. Joint Petitioner, W. Porter-Lovett, 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 $23,000.00 on December 23, 2014 B) 1
payment of $10,000.00 on December 23, 2019
7. The structured settlement is currently owned by Twin City Fire Insurance
Company and issued by Hartford Life Insurance Company, and the net amount in return
payable to W. Porter-Lovett is $15,765.00 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 114".
9. The net amount payable to the payee after deduction of all commissions,
fees, costs, expenses, and charges is $15,765.00.
10. Based on the net amount that the payee will receive from this transaction
$15,765.00 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 17.00% per
year.
11. The Buyer furnished W. Porter-Lovett 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 W. Porter-Lovett 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 has never transferred payment under his annuity in the
past. Joint Petitioner is only transferring a portion of his structured settlement. Joint
petitioner is currently engaged and would like this money to make repairs and remodel
his home that he and his fiance will reside in once they are married. Joint petitioner has
no other income available to pay for the cost of these repairs and remodel. Joint
petitioner and his fiance would like to make the home as perfect as possible and believe
that this is in their best interest to do at this time. Based upon the foregoing which shall
be expanded upon at the time fo trial, the transfer is clearly within the best interest of
Joint petitioner.
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.
Maro & Maro, P.C.
Respectfully Submi
By:
rert A. Maro, Esquir
Attorney for Transferee
VERIY+'ICATION
1, 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 (,'.J, P
o f ? - 4411T and hereby aver that the
statements contained therein are true and correct to the best of my knowledge,
information and belief.
This Verification's made subject to the Penalties of 18 Pa.C.S.A. Section 4904
relating to the unworn falsification to authorities.
Lori Borowski, V? 4:
Date
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 true 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
unworn falsification of authorities.
Date
Abert A. Maro, Esquire
Attorney for Transferee, J.G.
Wentworth Originations, LLC
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 W. Porter-Lovett
CERTIFICATE OF SERVICE
I, Robert A. Maro, Esquire, hereby certify that a true and correct copy of the
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: Hartford Life Insurance Company
Attn. Legal Dept/structured Settlements
200 Hopmeadow Street
Simsbury, CT 06089
J.G. Wentworth Originations, LLC
201 King of Prussia Road
Radnor, PA 19089
Twin City Fire Insurance Company
Attn. Legal Dept/structured Settlements
Hartford Plaza
Hartford, CT 06115
Date: ?. a //
W. Porter-Lovett
By:
rDert A. Maro, Esquire
ttomey for J.G. Wentworth Originations,
LLC
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 W. Porter-Lovett
ENTRY OF APPEARANCE
To The Prothonotary:
Kindly enter my appearance on behalf of Joint petitioner, J.G. Wentworth
Originations, LLC.
Date: ?'- /4 -//
By:
It6bert A. Maro, Esquire
Attorney for J.G. Wentworth Originations,
LLC
MARO & MARO, P.C.
By: Robert A. Maro, Esquire
Attorney I.D. No.: 89585
1115 West Main Street
Norristown, PA 19401
(610) 275-9600
ATTACHMENT/EXHIBIT 66197
Payee's Affidavit in Support of
Petition to Transfer Structured' Settlement Rights
I, W? Porter-Lovett, the payee, verify that the statements below are true and correct:
Payee's name, address and age: Vim porter-Lovett,
a
1. Marital Status:
X Never Married; Married; Separated;
Divorced
If married or separated, name of spouse: N/A
2 Minor Children and other dependents:
Names, ages, and places of residence: NONE
3. Income:
I am currently working as a bartender where I am making around $1,800 a
month.
4. Child support, alimony or alimony pendente lite:
Obligation to pay: __ Yes -A- No
If yes, state the amount of the obligation, to whom payable, and whether there are
arrearages: none
5. Previous transfers: Have you previously filed a petition to transfer payment
rights under the structured settlement that is the subject of this petition?
Yes ._X 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: If the transfer was
approved,
(b) State the name of the transferee and identify (listing due
dates and payment amount(s)) the payments involved in the
transfer:
State the amount of money and the manner in which the money
was used:
(c) Have you ever transferred payments without court
approval? If so, please explain: No
6. Reasons for transfer:
I want to use the money that I will be transferring to make repairs and
remodel my home that my fiancd and I will be living in once we are married.
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
Verification
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 unsworn falsification to authorities.
DATED:
..
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ATTACHMENT/EXHIBIT "2"
!20610-
THE RTFORIJ
Awth ird tif• 10OU1.6nme 06mpany
Mantora ik
Harlfors/r COny? ? 7 T3
ANNVJ i x LUNTRACT CIRTIVICATION
'to llar4r%ru life inGUrance Gortt thal bVen DaM rn rrm and M,. rontrac? 64mw "a l am e j . the p[Amium for tfW foltowi
$tabd below: "ma rm area '? nnnu Contract l,My
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CCX JG4
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ave Date Tw-TIJ CITY FIRE
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CO 09/2g/I993
I?IlKENCFM MT DATE 22
133 / 1999 Annuitant
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UNOMPORTZR
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SINGLE kxXRlUy 'PERIOD CERTAIN
LOIN 604
5 20,000.00 PAYMLNTS
ON 12/33/1999
$ 30,000.00
4'4000
00 nX 12/2J/2001,
ON
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$ -50,000.00
46;400
0 12/!3/7nAg
ON 22/23/2014 C
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0
950000.00 6N 12/23/2019
ON 13/23/2024
This camcation Only CCrf1rRin an caes. .9 issuance of annuity
coMArBAe. Thq astral contract provisions will control
Sinod for the Company '
U•
Frank C:
i-ord, Secretary
Hartford Life Insurance COMPany
form NL-11174.0 FrJnt&d in U.B.A.
ATTACHMENVEXHIBIT 643"
Please complete and sign. Account ill: 74137
STATEMENT OF PROFESSIONAL REPRESENTATION
Please. Choose Either Box. A 0 Box B Below.
After you have made your choice, SIGN AND DATE the appropriate box signature line.
YOU SHOULD SIGN ONLY NI<, BOX - THE BOX YOU HAVE CHOSEN.
A. I HAVE BEEN ADVISED BY J.G. WENTWORTH ORIGINATIONS, LLC
("JGW") THAT I SHOULD OBTAIN INDEPENDENT PROFESSIONAL
REPRESENTATION CONCERNING THE LEGAL, TAX AND/OR FINANCIAL
IMPLICATIONS OF THIS TRANSACTION. I FULLY UNDERSTAND THE PURCHASE
AGREEMENT AND THE IMPLICATIONS OF THE TRANSFER, INCLUDING THE TAX
RAMIFICATIONS OF THE TRANSFER AND I DO NOT WISH TO SEEK OUT SUCH
INDEPENDENT PROFESSIONAL REPRESENTATION.
Date
B. I HAVE OBTAINED INDEPENDENT REPRESENTATION AND I FULLY UNDERSTAND
THE LEGAL, TAX AND/OR FINANCIAL IMPLICATIONS OF THE TRANSACTION,
THE PURCHASE AGREEMENT AND THE RELATED DOCUMENTS, I WAS NOT
REFERRED TO MY PROFESSIONAL ADVISOR BY JGW. THE NAME OF MY
PROFESSIONAL ADVISOR IS SET FORTH BELOW:
WAlllllllllllllllllll? PORTER-LOVETT Date
To Be Completed By Certyled Professional Advisor
Only if you have signed Box B Above
Name of Professional:
Attorney ID #
Phone Number: (_)
Address: _ ..._,...,.___?.__ ..,_ .._
T have provided independent professional advice to __ _ in respect of the Purchase Contract with JGW and the transaction
contemplatcd thcrcby. William Porter-Lovett was referred to me by the
-?.._.-_
Professional's Signature........_-_...__..._..__w....,,_
Date
SSC[lLContract ..._._._.
'..110 1) J.(J. VYI,111%wII'II 01 i"Jilat11111J" LI C'
ATTACHMENT/EXHIBIT "4"
Account 1D: 74137
PURCHASE CONTRACT
This is a Purchase Contract ("Contract") for the sale of structured settlement payments between
R Porter-Lovett (You, Your), with legal residence at
and
J.G. Wentworth Originations, LLC (We, Us, Our)
3993 Howard Hughes Parkway, Suite 250, Las Vegas, NV 89169-6754.
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 from an annuity policy ("Annuity Policy") purchased by the person
responsible for making the Settlement Payments 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.
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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 Agreement.
Closing Documents Any documents necessary to carry out the purchase of the Purchased Payments, other
than the "Contract or Contract Documents" as defined below.
Contract or Contract
Documents Collectively, only this Contract and the Disclosure Statement.
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 Approval').
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.
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Account IR 74137
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 a
reed to
Y
g
pay
ou 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
i
, ass
gns,
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 o
r
Closing Documents may refer to You as the seller.
You and We agree as follows:
1. SALE OF I'H PUR HA,) aD 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
Documents. 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 are fair and acceptable to You and Us.
B. We will pay You the Net Purchase Price in the manner You designate for Us.
C. Before we pay You, You agree that We will adjust for the following amounts, if appUcabk:
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AccountlD: 74137
• 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 Purchased Payments to Us
instead of You, We will hold back an amount equal to any Purchased Payments that the Issuer owes You
within 90 days of the Funding Date. If We subsequently 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
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.
,YOUR RRPRVXW.N-rAT1rnMQ AND W
_ARRANTIES
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 purchase.
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 Annuity
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 Your creditors to put You into bankruptcy or take any of the Purchased Payments; or
If You filed for bankruptcy, the Purchased Payments were not subject to the claims of Your 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 Your representations, warranties, and promises in this Contract. These representations, warranties, and
promises are for Our benefit and the benefit of any future 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 terns 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.
AccountlD: 74137
1. 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 all 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 future 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 rROMI[nc Tn rrr
16efore alpd after the ??ndiu? 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 from, 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 Your 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
AccounttD; 74137
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. CACANCE?LATION 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 dic.
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 July 18, 2011.
1. A major rating agency downgrades the Issuer's credit rating.
J. The Issuer is, or becomes insolvent, or under regulatory supervision.
6. CANCFATION 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 OR 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
Account ID: 74137
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 "NOTICE 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 WITHIN FIVE (5) 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 BF, EFFECTIVE, YOU MUST SIGN THE ENCLOSED "NOTICE OF
CANCELLATION RIGHTS" FORM AND MAIL OR DELIVER IT TO US AS SPECIFIED IN THAT
NOTICE.
C. WEST VIRGINIA FSIDENTS: 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.
7. NOTICES
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.
8. 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.
9. MMC.ELLANEOUS
A. We can do background checks on You, including from the 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 Parties agree to the jurisdiction
of that state's courts.
'01 11
Account ID; 74137
H. Tbis Contract also holds responsible Your heirs, and executors. This Contract 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 ofthe Parties.
1. Failure to enforce any provision of this Contract is not a waiver of that provision.
J. 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 are 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, and 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 tax advice about the sale of the Purchased Payments and to have those advisors review with You, the
terms and legal, tax and other effects of this Contract.
Sworn to and subscribed
before the this ..??-. day of _ U1A.____, 20\\ ("Contract
Date")
N ry .................. SELLER:
Sworn to and subscribed t
bef re me this day of) o M 2p?\
__....._._ ............................_........_.........
Notary
COMMONWEALTH OF PENNSYLVANIA
I Noteriel Seal
I Clint E. Bom Notary Public
3watara Twp., Dauphin County
MY Comrrisalon'F Onts May 16, 2012
,ARmhpr Onnns*jniA'Asaoclgtbn of Notaries
SELLER'S SPOUSE (if applicable)
44
Spouse"
US: J.G. Wentworth Originations, LLC
BY:
Sam Gottesman, Underwriting Manager -
InI I J C;. weutwrnth rlri?iq?hnns. 1.1,('
Account ID: 74137
PENNSYLVANIA June 2, 2011
UISCLOSURF STATEMENT
We will purchase the following payments (Purchased Payments) from You:
A) 1 payment of $23,000.00 on December 23, 2014 B) 1 payment of $10,000.00 on
December 23, 2019
(The remainder of the page intentionally left blank)
Account M: 74137
June 2, 2011
The aggregate amount of the Purchased Payments is $33,000.00.
The discounted present value of the aggregate Purchase Payments at the federal interest
rate of 2.80% is $28,743.16. 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 $15,765.00.
The net amount payable to the seller (You) is $15,765.00.
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 54.80% 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 17.00% per year. PLEASE NOTE
THAT THIS IS NOT A LOAN, BUT A SALE OF PAYMENT RIGHTS AND THE
INTERES'T' FIGURE IS ONLY PROVIDED AS AN ILLUSTRATION OF THE
ECONOMIC IMPACT OF THE SALE.
Please be advised there are no penalties or liquidated damages
of any breach of the transfer agreement by you. payable by You in the event
By signing below, You are confirming receipt of this Disclosure Statement at least 10 da s
prior to You first incurring an obligation with respect to the transfer agreement y
(Purchase Contract).
W. PORTER-LOVE
-z-
'Ulla.! U. 4Ycnlwuilh Urien?allun+. I L('
Account if): 74137
June 2, 2011
CONNECTICUT
DISCLOSURE STATEMENT
We will purchase the following payments (Purchased Payments) from You:
A) I payment of $23,000.00 on December 23, 2014 B) 1 payment of $105000.00 of
December 23, 2019
(THE REMAINDER OF THE PAGE INTENTIONALLY LEFT BLAND
AccountlD: 74137
June 2, 2011
The aggregate amount of the Purchased Payments is $33,000.00.
The discounted present value of the aggregate Purchased Payments at the federal interest
rate of 2.80% is $28,743.16. 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 is $15,765.00.
No other expenses are incurred by you.
The net amount payable to the seller (You) is $15,765.00.
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 17.00% per year. PLEASE NOTE
THAT THIS IS NOT A LOAN, BUT A SALE OF PAYMENT RIGHTS AND THE
INTEREST FIGURE IS ONLY PROVIDED AS AN ILLUSTRATION OF THE
ECONONHC IMPACT OF THE SALE.
Notice of Cancellation Rights:
You may cancel without penalty or further obligation, not later than the fifth business day
after Your receipt of payment from Us under the transfer agreement (Purchase Contract).
Please be advised there are no penalties or liquidated damages payable by You in the
event of any breach of the transfer agreement (Purchase Contract) by You.
By signing below, You are confirming receipt of this Disclosure Statement at least 3 da s
prior to You executing the transfer agreement (Purchase Contract). y
r
W i#R' OVE
-2-
IMPORTANT NOTI
You are strongly urged to consult with an attorney who can advise you of the potential tax
consequences of this :transaction.
By:
VIE
Sworn to and subscribed
Be or me this day of ,...2()
Notary _
,OMMQNVy'ALTHI n F p
NotatlN t?pl
Clint E. Baum, NWary pt"O
SWara TWp„.Dauphin County
cOmmlaalon Ma 14, 2012
r.'Pnn>l
"),000 I.(i tVenRU)ilh 01Ipinati{vi"., LI (-
ATTACHMENVEXHIBIT "5'9
J.G. WENTWORTH ORIGINATIONS, LLC
June 14, 2011
Hartford Life Insurance Company
200 Hopmeadow Street
Simsbury, CT 06089
Attn: Legal Department/Structured Settlements
Twin City Fire Insurance Company
Hartford Plaza
Hartford, CT 06115
Attn: Legal Department/Structurcd Settlements
RE: Notice of Sale/Assignment of Payment Rights
Your Contract ##: CCXS64
Payee: YAM Porter-Lovett
SS #: ?
Dear Insurer:
Please be advised that J.G. Wentworth 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 currently 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 # 20-4728885
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
By:
Lori Borowski, Vice President
3993 HOWARD HUGHES PAEtKWAY • SUITE 250 • LAS VEGAS, NV 89X69-6754.
PHONE: (800) 454-9368 • FAX: (215) 567-7525 • E-MAIL: JCxW@JQWFUNDINCx.COM
WEB SITE: WWW.JCiVI UNDIN(i.COM
r
MARO & MARO, P.C.
By: Robert A. Maro, Esquire
Attorney I.D. No.: 89585
1115 West Main Street
Norristown, PA 19401
(610) 275-9600
ri ED-OFFICE
?- : CIE 16t 3t,1 22 PM 2: 24
CUMBER Y?YANIAT?
PENNS
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA q
RE: Joint Petition of J.G. Wentworth NO:
Originations, LLC and W. Porter-Lovett
NOTICE OF HEARING ON PETITION TO TRANSFER STRUCTURED
SETTLEMENT PAYMENT RIGHTS
To: Hartford Life Insurance Company J.G. Wentworth Originations, LLC
Attn. Legal Dept/structured Settlements 201 King of Prussia Road
200 Hopmeadow Street Radnor, PA 19089
Simsbury, CT 06089
Twin City Fire Insurance Company W. Porter-Lovett
Attn. Legal Dept/structured Settlements
Hartford Plaza
Hartford, CT 06115
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
2011 at /, 3,0 o'clock in courtroom no. courthouse, Cumberland County
Cou 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. 201 King of Prussia Road, Radnor, PA 19089, Tax I.D. No. 20-4728885.
BY:
Date a aro, Esquire
Attorney for J.G. Wentworth
Originations, LLC.
1115 W. Main Street
Norristown, PA 19401
(610) 275-9600
(610) 275-9666(facsimile)
I ,
Reserved for Court use.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
RE: Joint Petition of J.G. Wentworth NO:
Originations, LLC and W. Porter-Lovett
INITIAL ORDER OF COURT
On this V- 1 day of I (I D C- 2011, it is ordered that a
hearing on this Petition to Transfer Structured Settlement Payment Rights will be held on
2011, in Courtroom at o'clock.
The payee shall bring income tax returns for the prior two (2) years to the hearing.
Within seven (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.
A. UO-W, N-
Maro & Maro, P.C.
By: Robert A. Maro, Esquire
Attorney I.D. No.: 89585
1115 W. Main Street
Norristown, PA 19401
(610) 275-9600 Attorney for JG Wentworth Origination, LLC
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
IN RE: Joint Petition of JG Wentworth NO: 2011-5069 Civil
Originations, LLC and William Porter-Lovett
CERTIFICATE OF SERVICE
C)
c
I, Robert A. Maro, Esquire, hereby certify that a true and correct copy of
Hearing Notice was served upon the Payee, The Structured Settlement Obligor,
Annuity Issuer, the Payee's Spouse and any person receiving child support, alim rQr
alimony pendente lite. a ca
A copy of the Notice is attached hereto.
Date: June 28, 2011 l/
Robert A. Maro, Esquire
Attorney for JG Wentworth
Originations, LLC
BY
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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: 4 (S4 CSC ( CSC 1
1
Originations, LLC and W. Porter-Lovett
NOTICE OF HEARING ON PETITION TO TRANSFER STRUCTURED
SETTLEMENT PAYMENT RIGHTS
To: Hartford Life Insurance Company
Attn. Legal Dept/structured Settlements
200 Hopmeadow Street
Simsbury, CT 06089
J.G. Wentworth Originations, LLC
201 King of Prussia Road
Radnor, PA 19089
Twin City Fire Insurance Company
Attn. Legal Dept/structured Settlements
Hartford Plaza
Hartford, CT 06115
W. Porter-Lovett
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
,, 2011 at I?3p o'clock in courtroom no. courthouse, Cumberland County 1.1 1 Court f 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. 201 King of Prussia Road, Radnor, PA 19089, Tax I.D. No. 20-4728885.
01-14-11 BY:
Date a aro, Esquire
Attorney for 1G. 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
In Re: Petition of William Porter-Lovett to Docket No. 11-5069-Civil
Transfer Structured Settlement Payment
Rights
ORDER
Petitioner, J.G. Wentworth Originations, LLC, having petitioned this Court for an Order
pursuant to the Pennsylvania Structured Settlement Protection Act 40 P.S. § 4001 et seq., (the
"Pennsylvania Act"), approving the transfer of structured settlement payment rights pursuant to a
transfer agreement ("Transfer Agreement") between J.G. Wentworth Originations, LLC
("Transferee") and William Porter-Lovett ("Payee"), and upon all papers and pleadings in this
matter, including the Transfer Agreement, the disclosure statement, the testimony of the Payee
and all other papers submitted in support of the transfer, and Hartford Life Insurance Company
and Twin City Fire Insurance Company, having expressed no objection to the terms of this
transfer, and the Court having heard Transferee's Counsel at the hearing on this matter on this
Ly of_ xj? , 20_ Lk , and due deliberation being had thereon, the Court hereby
makes the following express findings:
1. This Court has jurisdiction over this matter pursuant to the Pennsylvania Act;
2. The transfer of the structured settlement payments complies with the requirements
of the Pennsylvania Act, and Connecticut General Statutes § 52-225-g-1 (collectively,
"Applicable Acts");
3. The only interested parties or potential interested parties to this action as defined
by the Applicable Acts are as follows:
Payee:
William Porter-Lovett
600 E Keller St
Mechanicsburg, PA 17055-3425
Structured Settlement Obligor:
Twin City Fire Insurance Company
Hartford Plaza.
Hartford, CT 06115
Attn. Legal Dept/structured Settlements
Annuity Issuer:
Hartford Life Insurance Company
200 Hopmeadow Street
Simsbury, CT 06089
Attn. Legal Dept/structured Settlements
4. The Court has determined that the transfer is in the best interest of the Payee,
taking into account the welfare and support of Payee's dependents, if any. The
transaction, including the discount rate used to determine the gross advance amount and
the fees and expenses used to determine the net advance amount are fair and reasonable
to all interested parties.
5. The Payee has received, or expressly waived, in a separate written
acknowledgement signed by the payee, independent legal advice regarding the
implications of the transfer, including consideration of tax ramification of the transfer;
6. The transfer does not contravene any applicable federal or state statute or
regulation, or any applicable law limiting the transfer of workers' compensation plans, or
order of any court or other governmental authority;
7. The Payee has consented to the transfer in writing;
8. Transferee has satisfied the notice provisions of the Applicable Acts by serving a
copy of the notice of proposed transfer, the application for its approval and all other
required documents on all interested parties at least 20 days prior to the time at which the
Petition was noticed to be heard;
9. In connection with the transfer, at least 10 days before the date on which Payee
first incurred an obligation with respect to the transfer, Transferee provided to the Payee
the disclosure statements as required by the Applicable Acts;
10. The Transfer Agreement provides that if the Payee is domiciled in this state, any
disputes between the parties will be governed in accordance with the laws of this state,
and that this state is the proper venue to bring any cause of action arising out of a breach
of the Transfer Agreement;
11. The Transferee has given written notice of the transferee's name, address, and
taxpayer identification number to the annuity issuer and the structured settlement obligor,
and has filed a copy of that notice with the Court;
12. The Transfer Agreement does not authorize Transferee or any other party to
confess judgment or consent to entry of judgment against the Payee; and
13. The Agreement does not involve the transfer of life contingent payments.
14. The aggregate amount of the payments being transferred is $33,000.00.
15. Net amount payable to Payee in exchange for such payments is $15,765.00.
ORDERED that the petition of Transferee is granted; and it is further
ORDERED that Twin City Fire Insurance Company and Hartford Life Insurance
Company shall recognize and honor the terms of the Transfer Agreement and the assignment to
Transferee, and/or its successors or its assigns; and it is further
ORDERED that Hartford shall make payments of:
A) 1 payment of $23,000.00 on December 23, 2014 B) 1 payment of $10,000.00 on
December 23, 2019
(the "Assigned Payment") to Transferee; and it is further
ORDERED that Twin City Fire Insurance Company and Hartford Life Insurance
Company shall remit the Assigned Payment to Transferee at the following address, or such other
address as Transferee shall designate in writing:
J.G. Wentworth Originations, LLC.
P.O. Box 83364
Woburn, MA 01813-3364;
and it is further
ORDERED that Twin City Fire Insurance Company and Hartford Life Insurance
Company shall, as to all parties except Transferee, be discharged from any and all liability for
the Assigned payment; and it is further
ORDERED that the Transferee shall be liable to Twin City Fire Insurance Company and
Hartford Life Insurance Company for any liabilities, taxes or costs of any kind, including
reasonable costs and attorneys' fees arising from compliance by Twin City Fire Insurance
Company and Hartford Life Insurance Company with this order and/or arising as a consequence
of the Transferee's failure to comply with applicable law; and that, if, as a consequence of the
Transferee's failure to comply with applicable law, the Transferee owes any amount to Twin
City Fire Insurance Company and Hartford Life Insurance Company, then the Transferee
expressly grants to Twin City Fire Insurance Company and Hartford Life Insurance Company
the right to recover any liabilities, taxes, costs of any kind, and attorneys' fees, as well as their
attorneys' fees relating to the above-captioned action; and it is further
ORDERED that this Order in no way modifies or negates the ownership or control of the
underlying contract by Twin City Fire Insurance Company and is entered without prejudice to
the rights of Twin City Fire Insurance Company and Hartford Life Insurance Company and the
lack of opposition by Twin City Fire Insurance Company and Hartford Life Insurance Company
to this transfer, and their compliance with this Order, shall not constitute evidence in this or any
other matter regarding: (i) the assignability of payments under a structured settlement agreement
or annuity contract or related contracts or whether such payments can be assigned; (ii) the
enforceability of provisions that restrict and/or preclude assignment of payments under a
structured settlement agreement or annuity contract or related contracts or orders; (iii) the
validity of other transactions entered into by Transferee; or (iv) whether Twin City Fire
Insurance Company and Hartford Life Insurance Company has waived any right in connection
with any other litigation or claims or rights other than the rights to the Assigned payment as
described above; and it is further
ORDERED that after Twin City Fire Insurance Company and Hartford Life Insurance
Company changes the address for the Assigned payment to the above designated address
("Designated Address"), then Twin City Fire Insurance Company and Hartford Life Insurance
Company shall not again be required to change the address for the Assigned payment; however,
the Transferee may request and Twin City Fire Insurance Company and Hartford Life Insurance
Company will reasonably grant up to one address change per calendar year; and it is further
ORDERED that in the event that Transferee further assigns rights to the Assigned payment
(or any portion thereof) to any other person or entity, then Twin City Fire Insurance Company
and Hartford Life Insurance Company will not themselves be obligated to redirect the Assigned
payment (or any portion thereof) to any person or entity other than Transferee, and Twin City
Fire Insurance Company and Hartford Life Insurance Company shall have no duty or obligation
to any person other than Transferee; and it is further
ORDERED that if prior to the issuance of the order or within 30 days after the entry of the
order, Twin City Fire Insurance Company and Hartford Life Insurance Company sends any of
the scheduled Assigned Payments to the Payee that came due and owing under the settlement
and annuity in that time period, it is adjudged that Twin City Fire Insurance Company and
Hartford Life Insurance Company has fulfilled their obligations to the Payee and to the
Transferee with respect to any such payment(s); and it is further
ORDERED that the death of Payee prior to the due date of the last of the Assigned
payment shall not affect the transfer of the Assigned payment from Payee to J.G. Wentworth
Originations, LLC., and Payee understands he is giving up his rights, and the rights of his heirs,
successors and/or beneficiaries, to the Assigned payment; and it is further
ORDERED that any further transfer of structured settlement payments rights by the Payee
shall be made in compliance with all of the requirements of Applicable Acts; and it is further
ORDERED that this order is binding on any and all successors of the Payee, of other
interested parties, and of the Transferee; and it is further
ORDERED that the Payee shall not incur any penalty, forfeit any application fee or other
payments, or otherwise incur any liability to Transferee or any other person based on any failure
of the transfer to satisfy the Applicable Acts; and it is further
ORDERED that this constitutes a Final Order of the Court.
Dated: 20 1
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