HomeMy WebLinkAbout13-4290 IN THE COURT OF COMMON PLEAS OF DOCKET # /3 -4 0- 17
CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED
CERTIFIED COPY OF LIEN
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR & INDUSTRY
TO THE PROTHONOTARY OF SAID COURT: UNINSURED EMPLOYERS GUARANTY FUND
Pursuant to Section 1605 of the Pennsylvania Workers'
Compensation Law, 77 P.S. § 2705 this is a Certified Proof of vs.
Payment for the balance of payments made by the Fund on
behalf of the uninsured employer to be entered of record by KEYSTONE POOLS, INC. �? M C=
you and indexed as judgments are indexed. 301 E. LOUTHER STREET rte` N -;
CARLISLE, PA 17013 r CD
BUREAU OF WORKERS' COMPENSATION
CS
CLAIM NUMBER: 4038916
UNINSURED EMPLOYER GUARANTY FUND
CLAIM NUMBER: UEGI -11598
ACCOUNT NUMBER:
DATE DISBURSEMENTS BALANCE DUE
AMT PAID CREDIT
Total $ 423.00 -0- $ 423.00
Expenses
Total $ -0- -0- $ -0-
Indemnity
Legal $ 3,428.90 -0- $ 3,428.90
Fees
ACS $ 2,114.11 -0- $ 2,114.11
Adjusting
Costs
Total $ -0- -0- $ -0-
Medical
TOTAL: $ 5 ,966.01
FILING FEE(S): $ 21.50
ADDITIONAL -0-
COSTS:
SATISFACTION $ 5,987.51
AMOUNT:
The undersigned, Director, Bureau of Workers' Compensation, Department of Labor & Industry, certifies that the above balance is due and payable by the above tamed
defendant under the provisions of the Pennsylvania Workers' Compensation Law. Pursuant to section 1605 of said law, 77 P.S. § 2705, the above balance is a judgment
and statutory lien upon th e franchises and property, both real and personal, including after acquired property, of the above named defendant and attach thereto from the
date o entry this Certified Cop f Lien.
t phen J Fireov Date
D rector, ureau f rkers' Compensation
Prothonotary
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET #
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR & INDUSTRY
UNINSURED EMPLOYERS GUARANTY FUND
V. NOTICE TO DEFENDANT OF ENTRY OF LIEN
KEYSTONE POOLS, INC. This is a copy of the Certified Copy of Lien which has been filed with the Prothonotary of the Court
301 E. LOUTHER STREET designated on the reverse side of this notice.
CARLISLE, PA 17013
The Department of Labor & Industry of the Commonwealth of Pennsylvania, at the expiration of ten
(10) days after the receipt of this notice, is authorized by law to execute upon this lien. This means
CERTIFIED COPY OF LIEN UNDER that your property may be levied upon, attached and sold to the extent necessary to satisfy this lien.
PENNSYLVANIA WORKERS' COMPENSATION Execution will not occur if this lien is satisfied.
LAW
Payment should be made by a Cashers Check, Certified Check or Money Order made payable to the
Commonwealth of Pennsylvania. The Account Number shown on the reverse side of this document
should be affixed to the lower left corner of the remittance and mailed to the address below:
Pennsylvania Uninsured Employers Guaranty Fund
Post Office Box 1774
Harrisburg, PA 17105 -1774
Any questions concerning this Lien should be addressed to the Uninsured Employers Guaranty Fund
office at the address or telephone number shown on the enclosure.
WRIT OF EXECUTION and/or ATTACHMENT
COMMONWEALTH OF PENNSYLVANIA) NO 2013-4290 Civil
COUNTY OF CUMBERLAND) CIVIL ACTION—LAW
TO THE SHERIFF OF CUMBERLAND COUNTY:
To satisfy the debt,interest and costs due Commonwealth of Pennsylvania Department of Labor&
Industry Uninsured Employers Guaranty Fund Plaintiff(s)
From Keystone Pools,Inc. -301 East Louther Street,Carlisle,PA 17013
(1) You are directed to levy upon the property of the defendant(s)and to sell
(2) You are also directed to attach the property of the defendant(s)not levied upon in the possession
of F& M Trust BankGARNISHEE(S)as follows:
F&M Trust Bank-214 Westminster Drive,Carlisle,PA 17013
and to notify the garnishee(s)that: (a) an attachment has been issued; (b)the garnishee(s) is enjoined from
paying any debt to or for the account of the defendant(s) and from delivering any property of the
defendant(s)or otherwise disposing thereof;
(3) If property of the defendant(s)not levied upon an subject to attachment is found in the possession
of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a
garnishee and is enjoined as above stated.
Amount Due$5,996.01 Plaintiff Paid$
Interest
Attorney's Comm. % Law Library$.50
Attorney Paid$50.50 Due Prothonotary$2.25
Other Costs$179.00
Date: September 10th,2013
David D.Buell,Prot notary
By:
Deputy
REQUESTING PARTY:
Name : Leah M.Lewis,Assistant Counsel
Address: Commonwealth of Pennsylvania Department of
Labor& Industry Uninsured Employers Guaranty Fund
Office of Chief Counsel-Worker's Compensation Division
1171 S. Cameron Street,Room 327 Harrisburg,PA 17104-2501
Attorney for: Plaintiff
Telephone: 717-783-4467
Supreme Court ID No. 207045
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR& INDUSTRY
UNINSURED EMPLOYERS GUARANTY FUND
VS. No. 004290
July 2013
KEYSTONE POOLS, INC.
301 EAST LOUTHER STREET
CARLISLE, PA 17013 LIEN
Defendant
And 13- qX10
F & M TRUST BANK
214 WESTMINSTER DRIVE
CARLISLE, PA 17013
C-
Garnishee
-O:t
MCD
PRAECIPE FOR WRIT OF EXECUTION
TO THE PROTHONOTARY OF SAID COURT:
(ZJ
Issue a writ of execution in the above captioned matter:
1. Directed to the Sheriff of Cumberland County, Pennsylvania
2. Against Keystone Pools, Inc., Defendant
3. Against F & M Trust Bank, Garnishee
4. Balance of payments made by the Uninsured
Employers Guarantee Fund of behalf of the
Uninsured employer $ 5,966.01
Fees $ 179.00
Less Payments -0-
Total Amount Due: $ 6,145.01
Date: September 10, 2013 By:
Leah M. Lewis, Assistant Counsel
(Attorney I.D. #207045)
Commonwealth of Pennsylvania
Department of Labor & Industry
Office of Chief Counsel
Workers' Compensation Division
1171 S. Cameron Street
Room 327
Harrisburg, PA 17104-2501
(717) 783-4467
leahlewis @pa.gov
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
No. 004290, July 2013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY .
To the use of the
UNINSURED EMPLOYERS GUARANTY FUND,
Plaintiff
V.
KEYSTONE POOLS, INC., Defendant
And
F &M TRUST BANK, Garnishee
PRAECIPE FOR WRIT OF EXECUTION
Uri
Leah M. Lewis (Attorney I.D. #207045)
Assistant Counsel
Office of Chief Counsel
Workers' Compensation Division
1171 South Cameron Street
Harrisburg, PA 17104
leahlewis @pa.gov
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR& INDUSTRY
UNINSURED EMPLOYERS GUARANTY FUND
VS.
KEYSTONE POOLS, INC. No. 004290
301 EAST LOUTHER STREET JULY 2013
CARLISLE, PA 17013
Defendant LIEN
And C-)
F & M TRUST BANK, 2WM r1l M---
214 WESTMINSTER DRIVE -0
CARLISLE, PA 17013
Garnishee
Z
C
AFFIDAVIT OF MAILING NOTICE OF ENTRY OF LIEN
LEAH M. LEWIS, being duly sworn according to law, deposes and says
that she is an employee of the Commonwealth of Pennsylvania, Department of
Labor and Industry, and that as such makes the following affidavit.
That on July 25, 2013, she mailed by regular, first class mail, prepaid and
certified mail, return receipt requested, NOTICE TO EMPLOYER OF ENTRY
OF LIEN, as provided by Section 1605 of the Pennsylvania Workers'
Compensation Act, Act of June 2, 1915, P.L., as amended, addressed to Keystone
Pools, Inc. 301 East Louther Street, Carlisle, PA 17013, the last known post office
address of the defendant.
This affidavit is made subject to the penalties of 18 Pa.C.S. § 4904 relating
to unsworn falsification to authorities.
AA
A
Date: September 10, 2013 By: )ALF
LeahM. Lewis,'*Esquire
`-*'
Assistant Counsel
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson --
Sheriff ,1 r w
y tix n of L"aruniir ftxfy i' i, , t' PROTI�0,40 h� �
Jody S Smith
Chief Deputy ° 2913 SEP -16 P 2: 50
Richard W Stewart
Solicitor OFF ;E OF TkE$KRIFF C,U MiSERLAND C 0UN'T �
PENNSYLVANIA
Commonwealth of PA Department of Labor and Industry Uninsured Employer Case Number
vs.
Keystone Pools, Inc. 2013-4290
SHERIFF'S RETURN OF SERVICE
09/14/2013 09:37 AM -Shawn Harrison, Deputy,who being duly sworn according to law, attached as herein
commanded all goods, chattels, rights, debts, credits, and monies of the Defendant, in the hands,
possession, or control of the within named garnishee, F&M Trust Company, 214A Westminster Drive,
South Middleton Township, Carlisle, PA 17013, Cumberland County, by handing to David Winters,
Assistant Vice President and Manager, personally three copies of interrogatories together with three true
and attested copies of the Writ of Execution and made the contents there of known to him.
The writ of execution and notice to defendant was mailed on Septemb 1 , 20 3 Keystone Pools, Inc.
at 301 E Louther Street, Carlisle, PA 17013.
S AR ISON, DEPUTY
SO ANSWERS,
2
September 16, 2013 RONNY R ANDERSON, SHERIFF
(c)CountySuite Sheriff,Teleosoff,Inc.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR& INDUSTRY
UNINSURED EMPLOYERS GUARANTY FUND
VS.
No. 004290
KEYSTONE POOLS, INC. July 2013
301 EAST LOUTHER STREET
CARLISLE, PA 17013 - LIEN
Defendant
And
F &M TRUST BANK c _°
214 WESTMINSTER DRIVE m Ce) -
CARLISLE, PA 17013
M
.�D na
Garnishee �,� w co ,
/ DC: N c7
Vt
INTERROGATORIES IN ATTACHMENT
To F & M TRUST BANK (Garnishee)
You are required to file answers to the below interrogatories within twenty
(20) days after service upon you. Failure to do so may result in judgment against
you.
1. At the time you were served or at any subsequent time did you owe the
defendant any money or were you liable to it on any negotiable or other written
instrument, or did it claim that you owed it any money or were liable to it for any
reason? yes, V-eysbNe' PODIS 11-10 MmhtaIrIs Gl
dToS 1 t A(C a AY)-fi W i-I V) f-�N -TYW S+-
2. At the time you were served or any subsequent time was there in your
possession custody or control or in the joint possession, custody or control of
yourself and one or more other persons any property of any nature owned solely or
in part by the defendant?
3. If the Answer to question number two above was "Yes," please state the
nature of the property owned by defendant. If the nature of the property is money
or other financial assets, identify a) the amount; b) the type of account(s) in which
the money or financial asset is held; and c) the account number(s).
C41eCILl r XX AC( U 1/1+ � X12.5 q
ANoM VI-f- 3 0 2
4. At the time you were served or at any subsequent time did you hold legal
title to any property of any nature owned solely or in party by the defendant or in
which the defendant held or claimed any interest. X10.
5. At the time you were served or at any subsequent time did you hold as
fiduciary any property in which the defendant had an interest? N
6. At any time before or after you were served did the defendant transfer or
deliver any property to you or to any person or place pursuant to your direction or
consent and, if so, what was the consideration therefore? N D.
1)4+e, o�F IAS+ peposi-t-- e MUY-Ch 5120i3
7. At any time after you were served did you pay, transfer, or deliver any
money or property to the defendant or to any person or place pursuant to his or her
direction or otherwise discharge any claim of the defendant against you?
8. If you are a bank or other financial institution, at the time you were served
or at any subsequent time did the defendant have funds on deposit in an account in
which funds are deposited electronically on a recurring basis and which are
identified as being funds that upon deposit are exempt from execution, levy or
attachment under Pennsylvania or federal law? If so, identify each account and
state the reason for the exemption, the amount being withheld under each
exemption and the entity electronically depositing those funds on a recurring basis.
9. If you are a bank or other financial institution, at the time you were served
or at any subsequent time, did the defendant have funds on deposit in an account
in which the funds on deposit, not including any otherwise exempt funds, did not
exceed the amount of the general monetary exemption under 42 Pa.C.S. § 8123?
If so, identify each account. S _W e A((6 U 1)+ b A I 0jr)C-t-,
*3 D b
10. If you have answered "Yes" to any of the interrogatories numbered 1
through 7 above, state the amount of money or claim, or other liability which you
hereby admit to be owed to, owned'by, or claimed by the defendant and describe
the nature of such claim or liability and such other property as you have hereby
admitted to be in your possession. 014 ki t k,,111 I q h G0-
I QS S 444 m n -e X eM Pi t l"j
Respectfully submitted,
Date: September 10, 2013 . ewe,
Leah M. Lewis, Assistant Counsel
(Attorney I.D. #207045)
Commonwealth of Pennsylvania
Department of Labor & Industry
Office of Chief Counsel -
Workers' Compensation Division
1171 S. Cameron Street
Room 327
Harrisburg, PA 17104-2501
(717) 783-4467
leahlewis @pa.gov
13 � F ��
Rainbow D. Hopkins 1
! TRUST Compliance and Security-
FrNANCtAL SOLUTIONS... '
FROM PEOPLE YOU KNOW -
I
Memorial Square Office
20 South Main Street (717)261-3635 1
Po Box 6010 (7.17)264-6116
Chambersburg,PA 17201 'fax:(717)261-3646
www.fmtrustonline.com rainbow:hopki6s @f-mtrust.com 1
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson
Sheriff
Jody S Smith + '
Chief Deputy .s .. O`;T 4 0E:
Richard W Stewart "*'
(rl° 3)
Solicitors. ri `sro' 's'E `� x ,x !
r'X 1
Commonwealth of PA Department of Labor and Industry Uninsured Employer Case Number
vs.
Keystone Pools, Inc. 2013-4290
SHERIFF'S RETURN OF SERVICE
09/1412013 09:37 AM-Shawn Harrison, Deputy,who being duly sworn according to law, attached as herein
commanded all goods, chattels, rights, debts, credits, and monies of the Defendant, in the hands,
possession, or control of the within named garnishee, F &M Trust Company, 214A Westminster Drive,
South Middleton Township, Carlisle, PA 17013, Cumberland County, by handing to David Winters,
Assistant Vice President and Manager, personally three copies of interrogatories together with three true
and attested copies of the Writ of Execution and made the contents there of known to him.
The writ of execution and notice to defendant was mailed on September 16, 2013 to Keystone Pools, Inc.
at 301 E Louther Street, Carlisle, PA 17013.
1013012013 Ronny R.Anderson, Sheriff, who being duly sworn according to law, states this writ is returned
SATISFIED.
SHERIFF COST: $208.29 SO ANSWERS,
October 30, 2013 RbNW R ANDERSON, SHERIFF
c -c-�) , C+
3
41TRIBUTION
PLAINTIFF Commonwe:Ith of Pennsylvania
Department of Labor& Industry
Uninsured Employers Guaranty Fund
WRIT NO. 2013-34290
Commonwealth of PA
Vs
Keystone Pools
Real Debt $ 5,996.01
Interest
Attorney's Comm.
Writ Costs,Atty 50.50
Writ Costs, Pltff.
Miscellaneous 179.00
Attorneys Fees
TOTAL $ 6,225.51
Sheriff's Costs
Docketing $ 18.00
Poundage 119.92
Law Library .50
Prothonotary 2.25
Service Mileage 6.78
Postage 1.84
Advertising
Garnishee 9.00
Postpone Sale
Bad Check Charge
Surcharge 30.00
Levy 20.00
TOTAL $ 208.29
Remitter Paid to Sheriff $ 6,433.80
Advance Costs 150.00
Total Collected $ 6,583.80
DISTRIBUTION
Pd. To Pltff. $ 6,225.51
Refund of Adv. Costs 150.00
Sheriff's Costs 208.29
So Ans ers:
y R. Anderson
riff
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR & INDUSTRY
UNINSURED EMPLOYERS GUARANTY
FUND
Plaintiff(s)
vs.
KEYSTONE POOLS, INC.
301 EAST LOUTHER STREET
CARLISLE, PA 17013
Defendant
F & M TRUST BANK
214 WESTMINSTER DRIVE
CARLISLE, PA 17013
/3 -Lf 4O
DOCKET NO.
004290
July 2013
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.R- 31,1669
PRAECIPE TO DISSOVE ATTACHMENT
TO THE PROTHONOTARY OF SAID COURT:
Please release the Garnishee, F & M TRUST BANK, and discontinue the Writ of
Execution that was filed in this case by the Commonwealth of Pennsylvania, Uninsured
Employers Guaranty Fund.
Dated: October 23, 2014
Respectfully submitted,
44,14,
Leah M. Lewis, Assistant Counsel
Supreme Court I.D. #207045
Commonwealth of Pennsylvania
Department of Labor and Industry
Office of Chief Counsel
1171 South Cameron Street, Room 327
Harrisburg, PA 17104
(717) 783-4467
Attorney for the Plaintiff
CERTIFICATE OF SERVICE
I, Leah M. Lewis, Esquire, attorney for the Plaintiff, hereby certify that on this date I
served a copy of the foregoing Praecipe Dissolve Attachment 011 the following individuals, by
mailing same to them by regular first class United States Mail, postage prepaid, at the following
addresses:
Keystone Pools, Inc.
301 East Louther Street
Carlisle, PA 17013
F & M Trust Bank
214 Westminster Drive
Carlisle, PA 17013
Dated: October 23, 2014
By:
Leah M Lewis, Assistant Counsel
Supreme Court I.D. #207045
Commonwealth of Pennsylvania
Department of Labor and Industry
Office of Chief Counsel
1171 South Cameron Street, Room 327
Harrisburg, PA 17104
(717) 783-4467
Attorney for the Plaintiff