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HomeMy WebLinkAbout13-4354 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION IN RE: TRANSFER OF STRUCTURED - C:) SETTLEMENT PAYMENT RIGHTS F-q No. JEROMEY TASKER � C:) i� rz JOINT PETITION TO TRANSFER. STRUCTURED SETTLEMENT PAYMENT RIGHTS Joint Petitioners, Jeromey Tasker, and Stone Street Capital, LLC, hereby submit the following Joint Petition to Transfer Structured Settlement Payment Rights pursuant to the Structured Settlement Protection Act, 40 P. S. §§ 4001-4009 ("the Act") , and Pa. R.C. P. 229 . 2, and in support state: 1 . Joint Petitioner and "Payee" herein is Jeromey Tasker, an adult individual whose date of birth is October 30, 1980, and who resides at 104 Neil Road, Shippensburg, Pennsylvania 17257 . 2 . Pursuant to Rule 229. 2, Joint Petitioner Stone Street Capital, LLC ("Stone Street") , is a company in the business of purchasing future periodic payments and therefore a "Transferee" as defined by 40 P. S. § 4002 . Stone Street is a Delaware limited liability company having a place of business at 7316 Wisconsin Avenue, Fifth Floor, Bethesda, Maryland 20814 . 3 . This Court has jurisdiction to determine the merits of this joint petition pursuant to the Act because the Payee is domiciled in Cumberland County, Pennsylvania. 40 P. S. § 4004 . 4 . As the result of a personal injury claim that was settled in 1989, Payee is entitled to receive 240 monthly payments each in the amount of $496 . 00 commencing on August 15, 2007 through and including July 15, 2027 . Attached hereto as Exhibit "A" is a portion of Payee' s Annuity Contract, with benefit information. 5. The obligation to make the monthly payments is held by Allstate Settlement Corporation, the Structured "Settlement Obligor" as defined by 40 P. S . § 4002 . Allstate Settlement Corporation is located at 3100 Sanders Road, N3A, Northbrook, Illinois 60062 . 6. The obligation was funded through the issuance of an annuity by Allstate Life Insurance Company (the "Annuity Issuer") . Allstate Life Insurance Company is located at 3100 Sanders Road, N3A, Northbrook, Illinois 60062 . 7 . On or about July 19, 2013, Payee executed a "Purchase, Transfer and Assignment Agreement" (the "Transfer Agreement") , a true and correct copy of which is attached hereto and incorporated herein by reference as Exhibit "B" . The Transfer Agreement provides for the assignment of Payee' s right and interest in receiving 120 monthly payments of $496. 00 from July 15, 2017 through and including June 15, 2027, to Stone Street and/or its Designated Assignee. ' 8 . The right to receive the payments described above at paragraph 4, and reflected in Exhibit "A", is exclusive to the Payee. He has never pledged, sold, assigned, transferred, or otherwise encumbered the rights to receive these payments . 9. The Transfer Agreement was executed by the Transferee on or about July 19, 2013 . 10 . Payee shall retain all right and interest in remaining payments not assigned. 11 . Payee has completed the "Payee' s Affidavit in Support of Petition" required by Rule 229 . 2, a copy of which is attached hereto as Exhibit "C" . As set forth in further detail in the Affidavit, Payee intends to use the funds in order to purchase a vehicle, and build an addition to his home (Exhibit "C", para. 7) . 12 . Payee is 32 years old, and has no dependents or child support obligations . 13 . Payee has been provided, and has acknowledged receipt at least 10 days prior to receipt of the Transfer Agreement, of the "Disclosure Statement" required by 40 P. S . § 4003 (a) (2) , attached and incorporated herein by reference as Exhibit "D" . The following terms have been disclosed to the Payee: a. The amounts and due dates of the structured I Pursuant to Rule 229.2(4), Stone Street has attached a Verification in support of the joint petition. Pursuant to Rule 229.2(c),the Payee is also a party,but is not represented by counsel for Stone Street. settlement payments to be transferred are: 120 monthly payments of $496. 00 from July 15, 2017 through and including June 15, '2027 . b. The aggregate amount of the structured settlement payments to be transferred is $59,520 . 00 . C. The discounted present value of the payments transferred using the most recently published applicable federal rate for determining the value of an annuity is $52, 639.38 . d. The federal discount rate used to determine the discounted present value is 1 . 4%, as most recently published by the IRS. e. The gross amount payable to Payee in exchange for the transferred payments is $21, 000 .00 . f. The net amount payable to Payee after deduction of legal fees, costs, expenses and processing fees is $21,000. 00. g. The quotient is 39.89% . h. The amount of penalty and aggregate amount of any liquidated damages inclusive of penalties payable by the Payee in the event of any breach of the Transfer Agreement by the Payee is : NONE. 14. Based on the net amount that the Payee will receive from this transaction ($21,000 . 00) , and the amounts and timing of the structured settlement payments that would be assigned, the Payee is, in effect, paying interest at the rate of 13.33% per year ("Disclosure Statement", Exh. "D", para. 8) . 15 . Payee has been provided, and has acknowledged receipt, at least 10 days prior to receipt of the Transfer Agreement, the written "Notice" in bold print 12-point type as required by 40 r. P. S. § 4003 (b) . (See, Exhibit "E", attached) . 16. Payee acknowledges that he has been advised to obtain independent professional advice regarding the consequences, implications, and tax effects of the transaction, as set forth in the "Statement of Professional Representation, " attached to this Petition as Exhibit "F" . 17 . The transfer complies with the requirements of the Act, 40 P. S . §§ 4001-4009, and will not contravene other applicable Federal or State statutes or regulations or any applicable law limiting the transfer of workers' compensation claims . (See, Certification of Ronald E. Reitz, attached as Exhibit "G") . 18 . Joint petitioners respectfully request that the Court sign an order approving this transfer which constitutes a "qualified order" for purposes of 26 U. S.C.A § 5891 . 19. Payee has seriously contemplated this transaction, and due to his personal circumstances and needs, believes that this transfer is in his best interests . 20 . Payee acknowledges that Margolis Edelstein and/or Ronald E. Reitz have not been engaged to render professional advice with respect to the advisability, or the implications of the transfer, including the tax ramifications of the transfer. Counsel has been engaged solely to prepare and present the within Joint Petition, based upon Payee' s independent determination and professional advice obtained from others, with respect to the advisability and ramifications of the transfer. 21 . Pursuant to Cumberland County Local Rule 208 . 3 (a) (2) , Payee has had one previous transfer petition approved, docketed at No. 06-02903, - in April 2006. (See, Exhibit "C", para. 6) . WHEREFORE, Joint Petitioners, Jeromey Tasker, and Stone Street Capital, LLC, pray that this Honorable Court grant this Joint Petition to Transfer Structured Settlement Payment Rights . Respectfully submitted, Margolis Edelstein By: nald E. z PA I . D. No. 55408 525 William Penn Place Suite 3300 Pittsburgh, PA 15219 rreitz @maraolisedelstein. com (412) 355-4969 Attorney for Transferee, Stone Street Capital, LLC IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION IN RE: TRANSFER OF STRUCTURED ) SETTLEMENT PAYMENT RIGHTS ) By, ) No. JEROMEY TASKER ) FINAL ORDER On this day of 2013, it is ordered that the Petition to Transfer Structured Settlement Payment Rights is granted. The court specifically finds that : (1) the payee, Jeromey Tasker, has established that the transfer is in the best interests of the payee taking into account the welfare and support of payee' s dependents; (2) based on the certification by an attorney for the transferee, Stone Street Capital, LLC, and the court having not been made aware of any statute, regulation or order that would be incompatible with the proposed transfer, the transfer will not contravene any Federal or State statute or regulation, or the order of any court or responsible administrative authority; (3) the transfer complies with the remaining requirements of the Structured Settlement Protection Act, including Sections 3 (a) (2) , 3 (a) (4 ) , 3 (a) (5) and 3 (a) (6) ; (4) the payments that are to be transferred are designated as follows : 120 monthly payments of $496. 00 from July 15, 2017 through and including June 15, 2027, to Stone Street Capital, LLC and/or its Designated Assignee. (5) the terms of this order shall survive the death of the payee and shall be binding on the payee' s heirs, beneficiaries and assigns. (6) the payee shall receive from the transferee the gross amount of $21, 000 . 00 . BY THE COURT: J. VERIFICATION I, Patricia LaBorde, Division Counsel for the Structured Settlement Division of Stone Street Capital, LLC, have read the foregoing Petition for Jeromey Tasker to Transfer Structured Settlement Payment Rights, and hereby aver that the statements therein are correct to the best of my personal knowledge, information and belief. This statement is made. subject to the penalties of 18 Pa. C. S . § 4904 relating to unsworn falsification to authorities . Date: Patricia LaBorde CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing JOINT PETITION TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS was served via Federal Express, Priority Overnight, on this day of July 2013 on: Allstate Settlement Corporation 3100 Sanders Rd. , N3A Northbrook, IL 60062 ATT' N: ROBIN GAY ("Settlement Obligor") TRACKING NO. : 8035 6907 4753 Allstate Life Insurance Company 3100 Sanders Rd. , N3A Northbrook, IL 60062 ATT' N: ROBIN GAY ("Annuity Issuer") TRACKING NO. :8035 6907 4764 Jeromey Tasker 104 Neil Rd. Shippensburg, PA 17257-9416 ("Payee") TRACKING NO. :8035 6907 4775 and by regular U. S . mail, postage prepaid to: Sharon Ji, Senior Paralegal Stone Street Capital, LLC Structured Settlement Division 7316 Wisconsin Avenue, Suite 500 Bethesda, MD 20814 ("Transferee") M g Edelstein By: Ronald E. Witz 525 William Penn Place Suite 3300 Pittsburgh, PA 15219 (4 12) 355-4969 Attorney for Transferee 06 `02903 NOV-18-1006 UtOPM IR0I*+.VILS01l COIL ` �+ w�iltw2B4/16�,T9 T-JIT4 P.010/011 Mt0 _ A StocU Company—Home off low.Northbrook.1111nola60082� Single Premium This contract Is tasued to the Owner(called"yout'l In conslderstlon of the application,a copy of whfoh i.s attached,and your payment of the single premlum.This contract and the.application are the entire con- tract.All statements mad@ In the appllostfgn are representatlone and not warranties.No statement wiltbe used by us In defense of a claim or to vold,this contreot unless it Is In the signed application.Only our off lcere may chenge this contract orwalve s right or requirement.No agent maydo this. Allstate Llfa Insurance Company(called"we"of"ue")will pay the Annuitant of the Owners designee the- Payments shown on Page 3 as long as the Annuitant shall lire.In addition,if the Annuitant Is not IMng,any Payments shown as Certain Payments on page 8 will be made to the Beneficiary. This contract tcrtnlnatea on the I aterof the payment of the last Certain Payment or the death of the Annul- tent. ,. If you are not satisfied with thle contract,you may vold It by retur g It to utt or our agent within i0 days after you receive It.We will give you all of yourmonay back tip. CAREFULLY O i f Signed for ALLSTATE LIFEtNBUAA Cp P ur me Offica in Northbrook,Illinois. i I secretary President LU070 Page 1 (190) NAMEX_.. DATE OF BIRTH ANNUITANT, JEREt4V MICHAEL If ASICER MALE OCT 30. 1960 __---_-r_:___e__:e_GONTR'ACr'f=-NU>1UEa'i-.-JS►0702�yp -:01d`TIER.t_:.`.AG4S7A.7.E--S�-1"CL�`NLN'f"'-LKiRP-_: ::. _ PAGE E I POLICY DATA PAGE FOR LU970 t I ' EXHIBIT NOV-15-2005 02110P11 FRO"ItSON 001.4 t71710411TO T-414 P,011/012 F-020 •06- 0290 SCH2rOULP OF PAYMENTS DATE AMOUNT AVG 15s, 2007 8 494.00 MONTHLY AND THEREAFTER CERTAIN PAYMENTS$ THE FIRST 240 PAYMENTS SHOWN ABOVE# THE LAST ONE SCHEDULED FOR JUL IS, 2027. i NAME SEX DATE OF BIRTH ANNUITANTe JEREMY MICHAEL �. TASKER MALE OCT 300 I900 ...._....CONTRACT- NUMBER_t......._.9.07.02370.......OWNER.t_....ALI.STATE...SE.T-TLEMS?4t..CORP_..-.._.. _. ZSSU6=DATl:�._i1lfG`_ a:; :9:j:o.:_.__.-_ PAGE 3 POLICY DATA- PACE FOR LU9.70 - r Nov-lt-7006 o2+60PU PROWWIttOR COLL 06 - 02903 „-- . illltS41610 7-std A.OIf/017 f-u20 ' ATATEYtF1xTlrsattntvs.e�v�,.. j Application for Single Protnluirr a1n ' ty t. Annuitant a. Full Name TASKfvR JEREMY Michael b.800tal5aourityNo. 199-68-4711 - (PRtN'f) Lest First Middle a:. Addreas 98h Locust Street, 5hiWenaburft. %nneV1vAn14 17257 t Na,andStreet City county state zip t I Unkatawa e.Blrthdate fDM�,U2J$g- 1. Ago-9 _ Sex M a d. Phone L, (bA p g• 2. fawner r a. Ham,Allstate Settlement Corporation b.Relation loAnnuitant Nana l AddreneOne Penn Square West,Ste. 1504 PMladelgttia, PA.1910200na No.and street GUY state Zip Phone t tlaxueble Consideration . 3. Stnyte Prarnlum (must be submitted with application) j 4. Type of Annuity ( 0 a. Coy lalnPaymaMa only(AnnuRant'ssurvlval not requiredl n b. Gir)plaUlaAnnully(submit proof of age,e.g.birth eartilldate) Cammenc}.►.:• 06-15-2007 G o. Joint and Survivor We Annuity{submit proof of aged,a.g,birth cortif(aates,alaa4 Submit LR512) 15. Number of Cortala Payments 240 (enter"O"If none desired) '� B. Paym�ntinformatlon ! a. First payment date(MFDM- 20 1 151, 2000 $500 per month for 48 monttts. b. f'requonoy; ,® Monthly f.] Annually O Irregular fj Other—$6,,O00 .par year (�+) years c_ Amounts)of paymenis Commending i 08-15-2000 I 1. -Level payments'Of S 496.00 Commencing: 06-,15-2007 L/20yra i © It. 5larl payrnents at$ 3nareeeea paymanle (paTCentar amounq (Ifequenoy and du>etlan). i >0 iii. Irregular Paymenta i Date').,r Amount Cate Amount Dale Amount 1 71 Make paymonte'tor 0 Annuitant 0 Other designee(give name,add rasa,Wall On.eta.) 8. genoticlary(will bathe Anhu%jtant'e ablate It left blank) CoEWD TASIiI~R Relatlon-l4.Annuitant.._ -_ F'athar IN 1QW . .. Me"r--- :__•_ ._.._..__. —=ta ''>'A$ -- ..._-RblAtlba�l�A7►n�iat+3�ll--- _ -.. The Appilaant represents that at efatdtrtente an en were o'r$MIS App oa lah"Wal•true tr ev as a 9 or r knowledge and belief and completely recorded h irel ! Applloant: AURtate Agttleroent Cprp- by <• �•^-'� bate;��. f� Agent: GERALD D. GREGn signature Me. Day Ya sraea 1.1 J . 01/26/2008 06:27 17175974847 MARY POTTER PAGE 05/30 FN F PeStreet a p i t a 1 PURCIUSE,TRANSFER AND ASSIGNMENT AGREEMENT Thi ! urehase, Transfer and Assignment Agreement, which along with the Terms and Conditions atta d hereto is referred to herein as the"Agreement",is a contract between Stone Street Capital,LLC its cessors and/or assigns ("Stone Street" ar "we," "us", or "our"), a Delaware Limited Liability Co ny,and Jerorney Tasker(referred to as"you"or"your"). The prtrpose of this Agreement is to set fort he terms of a legally binding contract where you agree to sell us your structured senlemen.t pa nts. SUMMARY OF KEY TERMS: Yo ! tee to sell,and Stone Street agrees to purchase the following payments: i 12C nthly payments of$496.00 from July 15, 2017 through and including Juute 15, 2W7 ("the Ast ed Payments") i ` Yo ave agreed to accept tlae following;purchase price in exchange for the Assigned Payments: $23 0.00(the"Purchase Price") i sure Statement. To comply with state and federal law,we gave you a Disclosure Statement that ex ned the financial terms of this Agreement Among other things, the Disclosure Statement de, . bes the fees that you will be responsible for at the time of funding. •T'he terms set forth of the Di sure Statement, including any later amendments to the document, are considered a part of thus A ent. You agree that you had the opportunity to read and review the Disclosure Statement, and ou agree to its tetras. Di of the A eement. The date of this Agreement is July 30,2013,and you have no obligation under thi 'greement before that elate. By ing below,the parties agree to be bound to the terms of the agreement, including the provisions set rth in the Terms and Conditions attached hereto and incorporated herein by reference. SIE R: - STONE STREET CAPITAL,LLC: Set _ ---� By- David ii re g instru ent was acknowledged before David Vi Lewis, me �`t"`day of�u� 2013 by Jeromey Tasker Senior Vice president will', tither{ tai)who has Piro ed identification. w ,.a N ' Signa z i i Na Public in and for the State of M mtrtis q NOTARW SEAL MARY K POTTER Notary Public ` ANTRIM TWP,ERANKUN COUNTY My OommissioA Exp!(es Mar 14,2015 t74iS5464 r EXHIBIT 0112612008 06:27 17175974847 MARY POTTER PAGE 06130 TVRMS AND CONDITIONS `I'lic rposc of this Terms Summary is to set forth additional terms of a legally binding contract where FYI oil: to sell structured settlement payments to Stone Street Background You(or someone acting on your behalf)settled a lawsuit or a claim sometime before the date of this Agreement,and as a result of that settlement,you became entitled to receive payments payable over time. The terms of that agreement are documented in a Settlement Agreement or a similar document (the "SettlemencAgreement"), The defendants or their insurers in your lawsuit or claim assigned their obligation to make those payments to a NO party,the Settlement Obligor (the "Obligor'). The Settlement Obligor purchased an annuity (the "Annuity") from an insurance company (the "Issuer") to make sure that you would receive the payments according to the terms of the Settlement Agreement. You are entitled to receive payments from the Annuity. You have decided that receiving your payments according to the timetable set forth in the Settlement Agreement does not satisfy your financial needs. After thinking about other ways of addressing your financial situation, you have decided to sell some of your payments to Stone Street in exchange for a cash payment. I- The Sale and Purchase. You agree to sell the settlement payments identified as the "Assigned Pay nts" on the Summary of Key Terms to which this Terms Summary was attached. Stone Street agr to pay you, and you agree to accept,cash in the amount identified as the"Purchase Price"stated on Summary of Key Terms to which this Terms Summary was attached 2. How the Purchase Pirice Will be Paid to You. We will pay you by any means you choose, inc I ing an electronic wire transfer directly to your bank account or by check. If you elect an eld nic wire transfer,we will only make payment to a bank account in your name. 3 Wbut Must Happen Before Funding, Before the Assigned Payments are transferred to Stone Str a court must approve this Agreement. After court approval, there are additional conditions that mt e inet before we can pay you your Purchase Price. First,the Issuer must acknowledge,in writing, the ipt of a court order that: (a) directs the Obligor and Issuer to make the Assigned Payments to St Street to the address and entity that we name; (b)makes all findings required by applicable lavr, an cannot be appealed. Second, we must confirm that all of your obligations under the Agreement ha been satisfied including providing us with all necessary documentation. Lost, we must review the tra ation, the supporting docutrients,lien,judgment,bankruptcy and other searches to verify that there is A tight or condition that exists that would require us to terminate this Agreement. When these steps are ,ished,your transaction will close and fund. 4. The Payments We Do Not Buy. If you decided to sell us only a portion of your payments,this A rnent does not affect the payments that you did not sell. You will continue to receive the unsold po: n of the payments unless those payments were previously sold, encumbered or subject to court or d garnishment or execution, In some cases,the court,the Obligor or the Issuer May require that tht tire structured settlement payment be paid to us,and, upon receipt,we shall remit the unassigned pa n of the structured settlement payment back to you. If such a circumstance arises in your tra ction,you agree to this payment servicing arrangement. 5. Other Documents, Stone Street will expeditiously and diligently work to got a court order api Ving this Agreement. To assist us in this process,you agree to execute additional documents that ME c required by the court,the Obligor or the Issuer. You agree to provide us with complete copies of yo ottictricrit Agreement and Annuity,and other documents necessary to complete the transaction. i 6. You Owa and Can Sell Your Payments. We must establish that you own the payments that 6112612008 06:27 171.75974847 EERY POTTER PAGE 07/30 1 you selling to us,and that no one else could claim an interest in the Assigned Payments. unless you tell I in writing otherwise,you represent and promise to us that: i j (a) You have the right to receive and sell the Assigned Payments; (b)This Agreement does not conflict with any of your other obligations; (c) The Assigned Payments are not subject to any community property or spousal rights of any person; (d)There is no dispute,lawsuit,or challenge relating to your right to receive the payments under the Settlement Agreement; (e) Neither you nor anyone else has sold, pledged or otherwise transferred the Assigned Payments not attertipted to do so; (1) No outer person or business claims a security interest, lien,right, title,or interest of any kind i in the Assigned Payments; (g) All applicable child support,alimony,and tax obligations are up to date; (h) There are no unsatisfied judgments against you; (i) You are not in bankruptcy;and ' (j) If one or more of these statements becomes untrue before the Purchase Price is paid to you, you agree to notify us in writing. In all events, you authorize us to conduct credit checks, judgment and lien searches, and criminal background searches to corm that there are no claims against the Assigned Payments. 7. Your Promises to Us. Stone Street is relying upon,the statements you have made to us and the dot eats you have provided regarding you, your situation, the payments you are receiving, and the pa3 nts you are now selling,including the following: (a) You completed and signed an application along with this Agreement, and the information contained in the application is complete and correct; 4 (b) You believe that selling the Assigned Payments is in the best interest of you and your dependents; (c) You are 18 years of age or older, are of sound raw' d, not under the influence of drugs or alcohol; (d) You understand and agree that you are not considered a"consumer"in this transaction,and that you waive the protection of various consumer protections laws; (e) You understand that we are not assuming any of your obligations under the Settlement Agreement,Atrnuity,Oniforxn Qualified Assignment or other related documents; i (1) You understand and agree to the terms of this Agreement; (g) No one has forced you to sign this Agreement nor has anyone promised you anything other ! than what is stated in this Agreement in an effort to persuade you to sign it i 8. Life Contingent Payments. If we are purchasing payments that are payable only if you are alit your transaction,will be subject to a medical underwriting review. We will provide you with a S ef to release in accordance with the Health Insurance Portability and Accountability Act(H1PAA)of 19 Once you sign the release, you will be asked questions about your medical history. You must gi 11,complete,and accurate responses to all medical questions because Stoat Street will rely upon yo, wers in determining your eligibility for this transaction. if you do not meet the standards for tht section,Stone Street will inform you,and will cancel the transaction with no cost to you. If we art ying life contingent payments and you die prior to when we have paid you the Purchase Price for the a contingent payments the will have no obligation to pay the Purchase Price for such payments and tkC action will be cancelled. 9. Indeyendent Advisor. Before you sign this Agreement, you may wish to consult with an W eudetrt advisor to seek legal, ftitaneial or other expert adviee regarding the legal, fwanci<al, an ax consequences of this Agreement. By signing this Agreement,you acknowledge that Stone St t has advised you of this right in writing 10 deduetinris from the Pu[chase Price. We will deduct f orn your Purchase Price any fees that 00155464, 01/26/2008 06:27 17175974847 MARY POTTER PAGE 06/30 are forth on your Disclosure Statement. In addition,you may have elected to sell payments to pay off ts, liens, and past due obligations- If you owe back taxes, past due child support, or have judi rits or liens recorded against you or your assets,we way require that some of those debts,claims, or I ilitics be paid at the time the transaction is funded. if it is reasonably necessary to pay certain deb- efore funds are released to you so that the Assigned Payments are not subject to such debts,Stone Stre will pay those debts for your account and deduct the payment from your Purchase Price. Also, you ay have received a partial,prepayment of the Purchase Price. Any pre-funding payments that you ma ve received prior to Closing will also be deducted from the Purchase Price. It. Payments Received Before Fundln . You acknowledge that it may take some time for the Ohl r and issuer to receive and process the court order. Accordingly,you could receive payments that we osed to be sold to Stone Street, it you receive some. payments before we pay you the Nr sc Price,the amount of payment received by you will be deducted from the Purchase Price. 12- Arnonnt ffel AMc_k from Purchase Price. As set forth above, it may tae the Obligor and Issi some time to process the court order. We may withhold an. amount from the Purchase Price equal to t amount of the payments to be paid within two to six raonths of the closing (depending upon,the ins i and its practices). ' When the Assigned Payments begin to be received by Stone Street, the am i withheld will be released to you, less the amount of any payment-, paid over to you in error wh the insurance company was processing the address change. 13. Receiving Payments In-Error. The Obligor and Issuer may send an Assigned Payment to you in i r. In the event that you receive a payment that you have sold to Stone Street, you agree to hold tho payments in trust and imincdiately turn them over to Stone Street. 14. Limited Power of Attora". Sorne insurance companies will continue to make the Assigned Pal ats payable in your name after the transaction is closed. You hereby grant Stone Street., or its su sors, assigns or agents, an irrevocable limited "power of attorney" granting us the right to cash the hecks and to deposit the money into our collection account. IS. Grant of Security Interest. You intend to sell and Stone Street intends to purchase your rights, titt d interest in and to the Assigned Payments. This Agreement is not a loan. Subject to the count's ap vat of the sale, you grant to Stone Street a security interest under Article 9 of the Uniform Co ercial Code in your rights and interest in the Assigned Payments. These rights have been as ed to Stone Street as a payment intangible or general intangible under Article 9 of the Uniform Cc ercial Code. This Agreement shall function as a security agreement, and the security interest set payment of the rights assigned and performance of your obligations under this Agreement. in t ent that the transaction is for any purpose characterized as a loan, a financing or extension of cre or anything other than a true sale by any court, you grant us a security interest and all rights of a sc d party lender under the Unifrin-ii Commercial Code, We may file a UCC-I financing statement or co i nation statement evincing and perfecting our rights in the jurisdictions that we deem appropriate. 16 Testamentary Agreement. If you should die prior to the due date of the last Assigned Payment, Si( Street will continue to receive the Assigned Payments on the dates set forth in the Summary of Kc 1'erms, You are giving up your rights to the Assigned Payments, and the rights of your heirs, sui ssors,beneficiaries,and/or any other person claiming by,through or under you. Accordingly,this .Aj ment is a Testamentary Agreement in which you irrevocably agree to name Stone Street or its as s as the party that will inherit the Assigned Payments upon your death. You understand that you no ager have the power to amend, modify, -alter or otherwise char)ge this beneficiary designation. Al you agree to sign a form designating Stone Street as the sole beneficiary under the Annuity during tb rm of the Assigned Payments- 17 Restrictions on Asd9nmen - Your Settlement Agreement may contain language prohibiting YD right Or power to accelerate,defer,increase,decrease or assign your payments. You hereby waive an elcase any such restriction if your Settlement Agreement or the.Annuity contains this or similar I ge, As such, you understand and agree that you will xi.cvcr claim or assert that the payments you 00155464 0112612008 06:27 17175974847 MARY POTTER PAGE 09/30 are n ; selling were not transferable,of that this language renders this Agreement void. ` 18. rbitrat'oa Disuute. after Clogin Once your transaction has closed,any claim or dispute {"Cl "}by either You or us against the other,or against the employees,agents,successors or assigns o£ they; arising from or relating in any way to this Agreement or any prior agreement (whether unde statute,in contract, tort,or otherwise and whether for money damages, penalties or declaratory or a able relief) including Claims regarding the applicability of ibis arbitration clause or the validity of th mire Agreement or any prior agreement,shall be resolved by mandatory bidding arbitration. For matt that could be brought in your local small claims court,you have the option of proceeding in the smal aims court rather than proceeding in arbitration. This arbitration provision cannot be used to byp state and federal laws requiring court approval of this transaction. The arbitration shall be con ted by.TAMS Arbitration.("JAMS")under the Code of Procedure in effect at the time the Claim is£zl JAMS Rules and forms may be obtained and Claims may be filed at any JAMS office,online at sadr. r , or by telephone 1-800-352-5267. You will have the right to counsel,the right to be hear front of a neutral arbitrator, and you will have the opportunity to participate in the selection of the trator. You will re:aitx alI the remedies that you are afforded under local,state and federal law. The itration shall take place in your hometown or in the JAMS office closest to where yon are loea The arbitrator shall apply the law of the jurisdiction where we sought court approval of this Agr ent. We or you may, upoix approval of the other, substitute another nationally recognized, ind { dent arbitration organization that uses a similar code or procedure, This arbitrations agreement is m ursuant to a transaction involving interstate commerce, and shall be governed by the Federal Arb tion Act,9 U.S.C. §§ 1-16 C' AA"). Any arbitration award shall be final,and judgment upon the aw may be entered in a court having jurisdiction. No Claim submitted to arbitration is heard by a jury d no Claim may be brought as a class action or as a private attonaey general. You do not have the t to act as a class representative or participate as a member of a class of claimants with respect to any i aim. 19. Construction of this A e t. All of the headings contained in this Agreement are for con ience only. 'I'hey are not part of this Agreement, and that shall not affect its meaning, con ction or interpretation. This Agreement, the 13i3closure Statement, and the attached exhibits rna ' ip the entire agreement between you and Stone Street and replace all prior a.rrangernmts and and tandings, written or spoken. If we amend this.Agreement, the terms of the amendment shall con 1 over terms that set forth herein. 20. SeverabiNty. Should any provisions of this Agreement is held to be invalid, illegal, une rceable or in conflict with the law of any jurisdiction, that provisions shall be deemed to be rno4 ed to the extent necessary to render it lawf'W and enforceable. If such a modification is not pos to, that provisions shall be severed from the Agreement and shall not in any way affect or impair the idity,legality and enforceability of the remaining provisions in this Agreement. 21. future Assignment By Stone Street. Stone Street(and any future assignee) may assign all of its t, title, and interest in and to this.Agreement, the other related documents, the Annuity,and the As, ed Payments either before or after the closing and without any requirement of prior consent from or ce to you. 22. Applicable Law. Except as otherwise required by applicable statutory law,this Agreement shall be eared by and interpreted in accordance with the law of the jurisdiction where we sought court ap al of this Agreement. 1 00155461, 01/26/2!089 06:27 17175974847 MARY POTTER PAGE 27/30 IN T14B COURT OF COMA40N PLEAS OF CUMBERLAND COUNW, PENNSYLVANIA PETITION OF STONE STREET:CAPITAL, LLC TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS PAYEE'S AFFIDAVIT IN SUPPORT OF—PETIT19IN TO TRANSFER STRUCTURED SE2[jLEME(N T PA YMEN—T RIC,-Im 1,JEROMEY MICHAEL»TASKER>►,the Payee,verify that thestatiernonts below are true and correct. I. My name Is Jeromey Tosker I reside at 104 Nell Rd,Shippensburg PA 17257 and I am 32 years of age. 2. Marital Status I am single and never married. 3. Minor children and other dependents;I have no minor children or dependents 4- Income: (a) Payee's Knor►thly income and sour=:My nionibly income averages about 700 a wcok working at the company Capstone Logistics in the warehouse. EXHIBIT 01/26/2008 06:27 17175974947 WRY POTTER PAGE 28/33 i i 5. Child support,alimony or Rlimony pendente Ide: I aim not Obligated to parry any form of child support b_ Previous transfers: Have you previously tiled a petition to transfer payment rights under the structured settlement that is the subject of this petition? _X Yes No If yes,for each petition that you tiled, (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 The court of Cumberland County Previously approved a transfer case number CI-06-02903 April 13 2006, (b) If the transfer was approved, (i) State the name of the transferee and identify (Listing due i dates and payment amount(s)) the payments involved in the transfer: 1 sold my rights to Novation Capital 120 payments of 496 From July 15`h 2007 through and including June 15`h 2011 (c) Have you ever transferred payments without court approval? If so, please explain: NO 01/26/2008 06:27 17175974847 MARY POTTER PAGE 29/30 i 7. Reasons for transfer_ Describe�jn detail your reasons for the proposed transfer,including all explanation as to why a sale of a lesser amount of the structured settlement amount will not better serve your interests, t will be using the.funds from this transfer to purchase a reliable vehicle outright along with using money left over after purchase to add an addition to the home that 1 currently live in. S. Payment of debts: If you seek the transfer W order to pay debts,list each debt, including the name of the creditor and the amount presently owed: Debt Creditor Amount Owed 01/26/2008 06:27 17175974847 MARY POTTER PAGE 30/30 Vexlticatiou 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_3. §4904,relating to unswom falsifications to authorities. DA7:Ir: Si re 01/26/2008 06:27 17175574847 MARY POTTER PAGE 10/30 i i DISCLOSURE STATEMENT i Thi ! isclosure Statement is being provided by Stone Street Capital,LLC ("Stone St r ")to you,Jeromey Tasker,on July 19,2013 in connection with your ag ; ment to transfer and assign to Stone Street Capital,LLC,or its assigns,certain str ured settlement payrneut rights. I. Amounts and Due Dates of Paluients to be Transferred. You will assign to Stone Street all of your right,title and interest in and to 120 monthly payments of$496.00 from July 15,2017 through and including June 15, 2027 out of those certain payments due uuder a certain Settlement Agreement. j 2. Aggreg-pte Amount of Pavements Transferred. The aggregate amount of the j payments to be transferred to Stone Street totals$59,520.00. i 3. Calculation of Current Value of the Transferred Structured Settlement Payments Under Federal Standards for Valuing Annuities. The Internal Revenue Service discounted present value of the payments to be transferred is $52,639.38 determined by discounting the future payments to be transferred using a rate most recently published for determining the present value of an annuity by the Internal Revenue Service, which rate is 1.40%. This is a calculation of the current value of the transferred structured settlement payments under federal standards foi•valuing annuities. THIS IS NOT THE RATE USED TO CALCULATE YOUR PURCHASE PRICE. It is also not the market rate for transfers of annuity payments of structured settlement payments. 4. Gross Amount Payable. The gross amount payable to you in exchange for the transferred payments is$21,000.00. j 5. Good Faith Estimate of Fees and Expenses- You will be responsible for paying the following commissions,fees,expenses,charges,and costs in connection with the closing of this transaction: Nome 6. Net Amount Payable. The net amount payable to you in exchange for the transferred payments is 521,000.00. i EXHIBIT 9 0112612008 06:27 17175974847 MARY POTTER PAGE 11/30 7. Qq9tiegf. The quotient(expressed as a percentage) obtained by dividing the net payment amount by the discounted present value of the payments Is 39.89% (#6 divided by 3). 8. Effective Annual Interest Rate. Based on the net amount that you will receive from us and the amounts and timing of the structured settlement payments that you are turning over to us,you will, in effect,be Paying interest to us at a rate of 13-33% per year. 9. Breach-of Contract. The amount of any penalty and the aggregate amount of any liquidated damages(inclusive of penalties) payable by the payee in the event of any breach of the transfer agreement by the payee shall be: None. I O.Cancellation. You have the right to cancel the transfer agreement,without penalty or further obligation, not later than the third day after you sign the agreement. It-Effective Date. Stone Street's commitment or obligation to enter into this transaction is conditional and contingent upon the execution and your return of this Disclosure Statement aud execution of a Purchase,Transfer and Assignment Agreement and related documents by all parties. The effective date of the Purchase,Transfer and Assignment Agreement shall be the date on which the'transaction is closed and funded to you,which date shall not, under any circumstances,be less than ten(10) days after the date of this Disclosure. igning this Disclosure Statement where provided below, you acknowledge and ag e that you have read and fully understand the foregoing Disclosure Statement, th you have been advised by Stone Street to discuss the Disclosure Statement and th etails of the proposed transaction with your financial advisors and attorneys an have been provided an opportunity to do so. RECEIVED,AGREED AND ACKNOWLEDGED: je ie Date 001 S5464 FA. 01/26/2008 06:27 17175974347 MARY POTTER PAGE 12/30 r IMPORTANT NOTICE-. Yo re strongly urged to consult with an attorney w.ho can advise you of the pot tial tax consequences of this transaction. I i RF fVED GREED AND ACKNOWLEDGED: AWz je`1 ley ricer Date i i I i i EXHIBIT a 01/26/2000 06:27 17175974347 MARY POTTER PACE 15/30 i STA')CEMEN�ON ZNDEp1FNDE,Nr)PROFESSION-AL ADVICE Stone Street Capital,LLC is required by law to advise you of your right to consult with an independent professional advisor regarding the legal, tax and financial .implications of the transfer of your structured settlement payment rights. Acknowled enncnt 1,Jerorney Tasker understand that I may consult with an independent professional advisor and acknowledge that Stone Street has informed Anne of that right. Choose one- .El I have received independent professional advice from (an Attorney, Licensed Financial Planner or CPA) whose office _ is located at phone number (—_) regarding the legal,tax and financial implications of'he transfer of my structured settlement payment rights. i -OR- i I have knowingly and voluntarily chosen not to consult with an independent professional advisor and hereby expressly waive the right to do so. F am aware of the legal, tax and financial implications of the proposed transfer and I desire to have the court approve the transfer of structured settlement payment rights as described in the Purchase,Transfer and Assignment Agreement. t J .oniey eer i EXHIBIT IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION IN RE: TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS No. BY, JEROMEY TASKER CERTIFICATION OF COUNSEL Ronald E. Reitz, attorney for Stone. Street Capital, LLC, hereby sets forth the following: 1 . I, Ronald E. Reitz, am counsel of record in this matter for Stone Street Capital, LLC. 2 . Based on materials provided to me by Stone Street Capital, LLC, and upon reasonable investigation and inquiry, the transfer set forth in the within Joint Petition complies with all requirements of the Structured uctured Settlement Protection Act, 40 P. S. § 4001-4009, and does not contravene any applicable Federal or State statute or regulation, or order of any court or administrative authority. 3 . This Certification is made to the best of my knowledge, information and belief pursuant to Pa. R. C. P. 229. 2 . RonalWE. eitz EXHIBIT � "G a a IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION IN RE: TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS No. By, JEROMEY TASKER INITIAL ORDER OF COURT On this k� day of 2013, it is ordered that a hearing on this Joint Petition to Transfer Structured Settlement Payment Rights will be held on 2013 in Courtroom at 11'06 o'clock P'll 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. BY THE COURT: U1 CD 17 IL Ld t IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION IN RE: TRANSFER OF STRUCTURED ) SETTLEMENT PAYMENT RIGHTS ) By, ) No. 13-4354 CIVIL JEROMEY TASKER ) C-) (w ; —") f� C- G°3 NOTICE OF HEARING ON JOINT PETITION TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS-<CD � CD M ;MC) �. . TO: < c :a Allstate Settlement Jeromey Tasker Corporation 104 Neil Rd. 3100 Sanders Rd. , N3A Shippensburg, PA 17257-9416 Northbrook, IL 60062 ("Payee") ATT' N: ROBIN GAY ("Settlement Obligor") Sharon Ji, Senior Paralegal Stone Street Capital, LLC Allstate Life Insurance Structured Settlement Company Division 3100 Sanders Rd. , N3A 7316 Wisconsin Avenue, Northbrook, IL 60062 Suite 500 ATT' N: ROBIN GAY Bethesda, MD 20814 ("Annuity Issuer") ("Transferee") You are hereby given notice that Jeromey Tasker, and Stone Street Capital, LLC, have filed a Joint Petition to Transfer Structured Settlement Payment Rights. A hearing in this matter is scheduled for Thursday, September 12 , 2013 at 11 :00 a.m. , before Honorable Christylee L. Peck, Courtroom 5, Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania. A copy of the Order of Court is attached as Exhibit "A" . You are entitled to support, oppose or otherwise respond to the Payee' s petition, in either person or by counsel, by filing written comments with the court prior to the hearing or by attending the hearing. Pursuant to P.S . §4003 (a) (6) , the Transferee' s name, address, and taxpayer identification number are: Stone Street Capital, LLC Structured Settlement Division 7316 Wisconsin Avenue, Suite 500 Bethesda, MD 20814 Taxpayer I .D. 20-8094548 Stone Street Capital, LLC Transferee c/o Ronald E. Reitz MARGOLIS EDELSTEIN Tate ' - te 525 William Penn Place Suite 3300 Pittsburgh, PA 15219 412-355-4969 412-642-2380 (facsimile) rreitz @margolisedelstein. com CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing NOTICE OF HEARING ON JOINT PETITION TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS was served on the following jjA on this day of August 2013 on: VIA FEDERAL EXPRESS PRIORITY OVERNIGHT: Allstate Settlement Corporation 3100 Sanders Rd. , N3A Northbrook, IL 60062 ATT' N: ROBIN GAY ("Settlement Obligor") TRACKING NO. :8035 6907 4890 Allstate Life Insurance Company 3100 Sanders Rd. , N3A Northbrook, IL 60062 ATT'N: ROBIN GAY ("Annuity Issuer") TRACKING NO. :8035 6907 4904 Jeromey Tasker 104 Neil Rd. Shippensburg, PA 17257-9416 ("Payee") TRACKING NO. :8035 6907 4915 VIA U.S. First Class Mail: Sharon Ji, Senior Paralegal Stone Street Capital, LLC Structured Settlement Division 7316 Wisconsin Avenue, Suite 500 Bethesda, MD 20814 ("Transferee") lis delstein By: Ronald E. Reitz Attorney for Transferee IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION IN RE: TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS No. By, JEROMEY TASKER -'L INITIAL ORDER OF COURT On this L4-day of 2013, it is ordered that a hearing on this Joint Petition to Transfer Structured Settlement Payment Rights will be held on ! 2013 in Courtroom at //*Qp o'clock P. The he 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. BY THE COURT: J. Q0 rw � EXHIBIT i 'A IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION IN RE: TRANSFER OF STRUCTURED ) era SETTLEMENT PAYMENT RIGHTS ) No. 13-4354 CIVIL ZL -� Mme - ' BY, y5 , (D t JEROMEY TASKER ) C) r''o SUPPLEMENTAL EXHIBITS TO PETITION TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS Joint Petitioners herein, Jeromey Tasker, and Stone Street Capital, LLC, hereby file the following Supplemental Exhibits to the previously filed Joint Petition for Transfer of Structured Settlement Payment Rights : 1 . Amendment to Purchase, Transfer and Assignment Agreement, Exhibit "B-1"; 2 . Amended Disclosure Statement, Exhibit "D-1 . " Respectfully submitted, Mar "naldE. in By: itz 525 William Pen n Place Suite 3300 Pittsburgh, PA 15219 (412) 355-4969 rreitz @margolisedelstein. com Attorney for Transferee, Stone Street Capital, LLC CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing SUPPLEMENTAL EXHIBITS TO PETITION TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS was served via regular U. S . Mail, postage pre-paid, on this '4� of August 2013 on: Allstate Settlement Corporation 3100 Sanders Rd. , N3A Northbrook, IL 60062 ATT' N: ROBIN GAY ("Settlement Obligor") Allstate Life Insurance Company 3100 Sanders Rd. , N3A Northbrook, IL 60062 ATT' N: ROBIN GAY ("Annuity Issuer") Jeromey Tasker 104 Neil Rd. Shippensburg, PA 17257-9416 . ("Payee") Sharon Ji, Senior Paralegal Stone Street Capital, LLC Structured Settlement Division 7316 Wisconsin Avenue, Suite 500 Bethesda, MD 20814 ("Transferee") Mar olis delstein By: Ronald E. Reitz Attorney for Transferee 08/06/2013 12:02 7174147458 :LEEPERS NOTARY SERV PAGE 02/06 StoneStme t Capital AMENDMENT TO PURcRAsE,TRANsFER AND AsstcNMENT AGREEMENT Jeromey Tasker (referred to as "you" or "your'), executed a Purcbase, Transfer and Assignment Agreement(hereafter the "Agreement')dated July 30,2013,which is a contract between you and Stone Strcct Capital, LLC its successors and/or assigns("Stone Street"or"we,""us", or"our"),a Delaware limited Liability Company. After that time, you and Stone Street have agreed to amend certain key terms of the contract. The purpose of this Amendment to Purchase, Transfer and Assignment Agreement ("Aimendment) is to set forth, the new terms under which you agree to sell us your structured settlement payments. The Date of this Amendment is August 5,2013. SUMMARY OF KEY TERMS: Instead of the payments originally set forth in your Agreement,you agree to sell,and Stone Street agrees to purchase the following payments: 120 monthly payments of$496.00 from August 15,2017 through and including July 15, 2027("the Assigned Payments") Instead of the purchase price, originally set forth in your Agreement, you have agreed to accept the following purchase price in exchange for the Assigned Payments: 521,000.00(the"Purchase Price") Amended,Disclosure Statement. Along with this Amendment,we have also provided you with a copy of an Amended Disclosure Statement. Among other things,the Disclosure Statement describes the fees that you will be responsible for at the time of funding. The terms set forth of the Disclosure Statement and the Amended Disclosure Statement, are considered a part of this Agreement. You agree that you W the opportunity to read and review the Disclosure Statement and the Amended Disclosure Statement,and that you agree to its terms. Outer Terms of Your Agreement. Other than changes to the Assigned Payments and the Purchase Price as set for above,all other terms and conditions in your Agreement with Stone Street shall remain in full force and effect,and by signing below you represent and promise to Stone Street that you are not aware of any breach or violation of the Agreement as of the date hereof By signing below,the parties agree to be bound to the terms of the agreement,including the provisions set forth in the Terms and Conditions attached hereto and incorporated herein by reference. SELLER: STONE STREET CAPITAL,.LLC: By: J ask David M.Lewis, Senior Vice President EXHIBIT 08/06/2019 12:02 7174147458 :LEEPERS NOTARY SERV PAGE 03/06 AMENDED DISCLOSURE STATEMENT This Amended Disclosure Statement is being provided by Stone Street Capital,LLC ("Stone Street")to you,Jeromey Tasker,on July 25, 2013 in connection with your agreement to transfer and assign to Stone Street or its assigns certain structured settlement payment rights. This Amended Disclosure Statement replaces the Disclosure Statement that was provided to you at the beginning of your transaction with Stone Street. I. Amounts and Due Dates of Payments to be Transferred You will assign to Stone Street all of your right,title and interest in and to 120 monthly payments of$496.00 from August 15,2017 through and including July 150 2027 out of those certain payments due under a certain Settlement Agreement. 2. Aggregate Amount of Payments Transferred. The aggregate amount of the payments to be transferred to Stone Street totals$59,520.00. 3. Calculation of Current Value of the Transferred Structured Settlement Payments Under Federal Standards for Valuing Annuities The Internal Revenue Service discounted present value of the payments to be transferred is 552,578.04 determined by discounting the future payments to be transferred using a rate most recently published for determining the present value of an annuity by the Internal Revenue Service,which rate is 1.40%.This is a calculation of the current value of the transferred structured settlement payments under federal standards for valuing annuities. THIS IS NOT THE RATE USED TO CALCULATE YOUR PURCHASE PRICE. It is also not the market rate for transfers of annuity payments of structured settlement payments. 4. Gross Amount Payable. The gross amount payable to you in exchange for the transferred payments%s$21,000.00. 5. Good Faith Estimate of,Fees and Expens You will be responsible for paying the fallowing cominissions,fees,expenses,charges,and costs in connection with the closing of this transaction: None 6. Net Amount Payable. The net amount payable to you in exchange for the transferred payments is $21,000.00. (Initial Hue) EXHIBIT 0810612013 12:02 7174147458 :LEEPERS NOTARY SERV PAGE 04106 7, Quotient. The quotient(expressed as a percentage)obtained by dividing the net payment amount by the discounted present value of the payments is 31.94%(#G divided by#3). 8. Effective Annual Interest Rate. Based on the net amount that you will receive from us and the amounts and timing of the structured settlement payments that you are turning over to us,you will,in effect,be paying interest to us at a rate of 13.18% per year. 9. Breach of Contract. The amount of any penalty and the aggregate amount of any liquidated damages(inclusive of penalties) payable by the payee in the event of any breach of the transfer agreement by the payee shall be: None. I.O.Caneellation. You have the right to cancel the transfer agreement,without penalty or further obligation,not later than the third day after you sign the agreement. II.Effective Date. Stone Street's commitment or obligation to enter into this transaction is conditional and contingent upon the execution and your return of this Disclosure Statement and execution of a Purchase,Transfer and,Assignment Agreement and related documents by all parties. The effective date of the Purchase,Transfer and Assignment Agreement shall be the date on which the transaction is closed and funded to you,which date shall not under any circumstances, be less than ten (10) days after the date of this Disclosure. By signing this Disclosure Statement where provided below, you acknowledge and agree that you have raid and fully understand the foregoing Disclosure Statement, that you have been advised by Stone Street to discuss the Disclosure Statement and the details of the proposed transaction with your financial advisor's and attorneys and have been provided an opportunity to do so. RECEIVED,AG',J=ID AND ACKNOWLEDGED: l Jerome esker Date 04155464 FA (Initial Here) 00106/2013 12:02 7174147458 :LEEPERS NOTARY SERV PAGE 05106 ELLINOIS DISCLOSURE STATEMENT This Disclosure Statement is being provided by Stone Street Capital,LLC("Stone Street")to you,Jeromey Tasker,on July 25,2013 in connection with your agreement to transfer and assign to Stone Street Capital,LLC,or its assigns,certain structured settlement payment rights. 1. Amounts and Due Dates of Payments to be Transferred. You will assign to Stone Street all of your tight,title and interest in and to 120 monthly payments of$496.00 from August 15,2017 through and including July 15, 2027 out of those certain payments due under a certain Settlement Agreement. 2. Aggregate"ount-OL Pay ments Transferred. The aggregate amount of the payments to be transferred to Stone Street totals$59,520.00. 3. Calculation of Current Value of the Transferred Structured Settlement Payments Under Federal Standards for Valuing Annuities. The Internal Revenue Service discounted present value of the payments to be transferred is S52,578.04 determined by discounting the future payments to be transferred using a rate most recently published for-determining the present value of an annuity by the Internal Revenue Service,which rate is 1.40%.This is a calculation of the current value of the transferred structured settlement payments under federal standards for valuing annuities. THIS IS NOT THE RATE USED TO CALCULATE YOUR PURCHASE PRICE. It is also not the market rate for transfers of annuity payments of structured settlement payments. 4. Gross Amount Payable.The gross amount payable to you in ex-change for the transferred payments is$21,000.00. 5. Good Faith Estimate of Fees and Expenses. You will be responsible for paying the following commissions,fees,expenses, charges,and costs in connection with the closing of this transaction: None 6. Net Amount Payable. The net amount payable to you in exchange for the transferred payments is$21,000-00. 00155464 TL 08/06!2013 12:02 7174147458 :LEEPERS NOTARY SERU PAGE 06/06 7. Cancellation YOU have the right to cancel the transfer agreement,without Penalty or further obligation.,not later than, the third day after yoU Sign the agreement. g S. 5MI—n o#`Contract. The amount of any penalty and the a Mon Of any liquidated damages (inclusive of penalties) payable by the payee in t the event ai'any breach oi'the transfer agreement by the payee shall be: ,Nave. By signing this Disclosure Statement where provided below, you acknowledge and agree that you have read and fully understand the foregoing Disclosure Statement, that you have been advised by StOue'Street to discuss the Disclosure Statement and the details of the proposed transaction with your financial advisors and attorneys and have been provided an opportunity to do so. ECENF ED AND ACKNOWLEDGED: r ) Je s er Date ftiiw IL IN RE: TRANSFER OF IN THE COURT OF COMMON PLEAS OF STRUCTURED SETTLEMENT CUMBERLAND COUNTY, PENNSYLVANIA PAYMENT RIGHTS By, CIVIL ACTION - LAW JEROMEY TASKER No. 13-4354 CIVIL TERM IN RE: JOINT PETITION TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS ORDER OF COURT AND NOW, this 12th day of September, 2013, this being the time and place set for a hearing on the Joint Petition for the Transfer of Structured Settlement, and this Court having heard evidence from Jeromey Tasker, and this Court being satisfied that it will be in the best interest of Jeromey Tasker that this structured settlement be approved, and it further being this Court ' s understanding that counsel for Stone Street in the person of Ronald E. Reitz, Esquire, having indicated to this Court that he will submit a proposed final order of court after he has obtained permission and approval from the Lancaster County Court who initially approved the minor settlement to Jeromey Tasker, this matter is taken under advisement . This Court will sign the proposed order submitted to this Court in short order. By the Court, &I�� //O� Christy 6 L. Peck, J. Ronald E. Reitz, Esquire 525 William Penn Place STE 300 ran --= Pittsburgh PA 15219 =� -0 For Transferee, Stone Street Capital, LLC off` Jeromey Tasker, Petitioner Pro Sep 104 Neil Road Shippensburg PA 17257 pcb 913/ 3 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION L. IN RE: TRANSFER OF STRUCTURED r—n w SETTLEMENT PAYMENT RIGHTS • No. 13-4354 CIVIL "' ° By, • • JEROMEY TASKER ORDER AND NOW,this . i;day of October, 2013, it is ordered that the Petition for Transfer of Structured Settlement Payment Rights is granted. The Court specifically finds that: 1. The payee,Jeromey Tasker a/k/a Jeromey Michael Tasker a/k/a Jeromey M. Tasker a/k/a Jeremy Tasker a/k/a Jeremy M. Tasker a/k/a Jeremy Michael Tasker("Mr. Tasker"), has established that the transfer is in the best interest of Mr.Tasker and his dependents, if any,taking into account the welfare and support of his dependents, if any. 2. Based on the certification by an attorney for the transferee, Stone Street Capital, LLC("Stone Street"),and the Court having not been made aware of any statute,regulation,or order that would be incompatible with the proposed transfer,the transfer will not contravene any applicable federal or state statute or regulation,or the order' of any court or responsible The Court has reviewed and considered the April 5, 1990 Order entered by the Court of Common Pleas of Lancaster County,Pennsylvania,approving the underlying structured settlement,a copy of which is attached hereto as Exhibit"A." In addition,the Court has reviewed and considered the Order dated October 3,2013,entered by the Court of Common Pleas of Lancaster County,Pennsylvania,a copy of which is attached hereto as Exhibit"B," granting express written approval of the proposed transfer. 13E01/969661.2 governmental or administrative authority, or any applicable law limiting the transfer of workers' compensation claims. 3. The transfer complies with the remaining requirements of the Pennsylvania Structured Settlement Protection Act,40 P.S. §4001 et seq., including sections 4003(a)(2), 4003(a)(4),4003(a)(5), and 4003(a)(6). Based upon the foregoing findings, IT IS HEREBY ORDERED that: A. The payments that are to be transferred are designated as follows: monthly payments of$496.00, beginning on August 15,2017 through and including July 15, 2027(the "Assigned Payments"). B. Allstate Life Insurance Company("Allstate Life"),shall forward the Assigned Payments,within 7 days of the date due, to Stone Street's designated assignee,Argus Settlement Funding, LLC ("Argus"), by check made payable to"Argus Settlement Funding, LLC,"at P.O. Box 809156,Chicago, IL 60680-9156 (the"Designated Address"), as follows: monthly payments of$496.00, beginning on August 15, 2017 through and including July 15, 2027. C. The terms of this Order shall survive the death of Mr. Tasker and shall be binding on Mr. Tasker's heirs, beneficiaries, and assigns, and his death shall not affect the right of Argus to receive the Assigned Payments. D. All remaining structured settlement payments (and/or portions thereof), if any, that are not the subject of the Proposed Transfer and not previously assigned, shall be made payable to Mr. Tasker and will be forwarded by Allstate Life, if and when due, to Mr.Tasker's most recent known address or any payment address designated by Mr. Tasker, subject to the consent of Allstate Life and Allstate Settlement Corporation (collectively, "Allstate"). -2 BE01/969661.2 E. Argus is authorized to make subsequent assignments or transfers of the Assigned Payments(a"Reassignment")except that,regardless of any such Reassignment,the Assigned Payments will continue to be serviced by Argus(or an agent on its behalf). In other words,the Assigned Payments will continue to be made by Allstate to Argus at the Designated Address only,regardless of any Reassignment. However,if for reasons beyond the control of Argus,or due to Argus being merged with or acquired by another entity,or for traditional address change purpose the Designated Address is no longer valid (i.e., if Argus moves or for other reasons the Designated Address is no longer a viable address for Argus to receive payments),Allstate agrees to make the Assigned Payments to a new payee and/or payment address. Notwithstanding the foregoing,this Order and the parties' Stipulation("Stipulation") will remain binding and fully enforceable against Stone Street, Argus, and Mr. Tasker. F. Stone Street and Argus shall defend, indemnify,and hold harmless Allstate and its directors, shareholders, officers, agents,employees, servants, successors,and assigns, and any parent,subsidiary, or affiliate thereof,and their directors, shareholders, officers, agents, employees,servants, successors, and assigns,past and present, from and against any and all liability, including but not limited to costs and reasonable attorneys' fees, for any and all claims asserted by any person or entity, including but not limited to any claims asserted by any person or entity not a party hereto, claiming an interest in the Assigned Payments,and any and all other claims made in connection with, related to, or arising out of the Purchase,Transfer and Assignment Agreement and amendment thereto between Stone Street and Mr. Tasker,the proposed transfer,the Assigned Payments, any Reassignment, or Allstate's compliance with the parties' Stipulation or this Order, except with respect to claims by Stone Street Capital and Argus against Allstate to enforce Allstate's obligations to Stone Street and Argus under the parties' -3 BEOI/969661.2 • Stipulation. To the extent Stone Street or Argus fails to honor this indemnification and defense obligation,Allstate may, in addition to all other remedies afforded by law,satisfy the same by withholding to its own credit any funds owed to Stone Street or Argus. G. Allstate's lack of opposition to this matter, or its or the other parties' stipulation hereto or compliance herewith, shall not constitute evidence in this or any matter, and is not intended to constitute evidence in this or any matter, that: (a) payments under a structured settlement contract or annuity or related contracts can be assigned or that"anti-assignment"or"anti-encumbrance" provisions in structured settlement contracts or annuities or related contracts are not valid and enforceable; or (b) other transactions entered into by Stone Street and/or Argus and their customers constitute valid sales and/or loans; or (c) Allstate has waived any right in connection with any other litigation or claims;or (d) Stone Street or Argus has waived any right other than as expressly set forth in the parties' Stipulation and/or this Order. II. Mr.Tasker shall receive from Stone Street the net amount of$21,000.00, from which no funds are owed for counsel fees, administrative fees, or other costs, fees,or expenses. �a - .' co _ : .ayo_ico• , + . Judge CO. (*CS /i2 ick 1.444/ .c.t1z 1), 9-100€, -ckc 4 -a- 13130 1/969661.2 /c3/Q/f? EXHIBIT A BE01/969661,2 A18TASKER IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA CIVIL ACTION-LAW • JEREMY TASKER, A MINOR BY HIS : t.b PARENTS & NATURAL GUARDIANS, �-- 'r'n SHARI TASKER & GERALD TASKER : n & SHARI TASKER & GERALD TASKER mac• :'� IN THEIR OWN RIGHT rn v. No. 3339 of 1989 - (Al EARL REALTY, INC./DUTCR • WONDERLAND rn O R D E R AND NOW this Jr" day of April, 1990 upon consideration of the Petition of Shari Tasker and Gerald Tasker relative to a pro- posed settlement for injuries sustained by Minor Plaintiff Jeremy Tasker in an accident on Defendants' premises which occurred on August 15, 1987, the court hereby ORDERS and DECREES the following: 1. Compromise of claim of Minor Plaintiff Jeremy Tasker upon the terms set forth in the Petition is hereby approved; 2. The total settlement of $75,000.00 in payment of all claims of Minor Plaintiff Jeremy Tasker arising out of the acci- dent of August 15, 1987 shall be distributed as follows: (a) 11 of the total settlement fund value of $75,000.00, or $37,500.00, shall be utilized by Respondents' insurance carrier, T.H.E. -1- Insurance Company for the purchase of an annuity issued by Allstate Life Insurance Company and owned by Allstate Settlement Corporation which will provide guaranteed future periodic payments to Minor Plaintiff ` Jeremy Tasker as .itemized in the instant petition; (b) The remaining of the .settlement fund, $37,500.00 shall..be distributed as followsi (1) Jeremy Tasker, Minor .Plaintiff (sum to be placed in a trust account until Minor Plaintiff reaches the . age of 18 years, at which time he. may withdraw the funds and use them as he sees fit with prior withdrawal by Court Order only) ; . $4,425.43 (2) Gerald Tasker, wage reimbursement $1,097.52 (3) Shari Tasker, wage reimbursement 1$ . 971.05 (4) Community Anesthesia Associates, Ltd. $1,066.00 (5) Community Surgical Associates, Inc. $4,940.00 (6) Going & Plank, Attorneys fee at 33-1/3 fee of total settlement fund $25,000.00 Total $37,500.00 3. Any funds placed in a bank account in trust for Minor Plaintiff Jeremy Tasker shall be held by the bank or other financial institution of Petitioners' choice with said funds to beheld in trust for Minor Plaintiff Jeremy Tasker, born . idaci-cr.1 until such time as said Minor Plaintiff reaches• the age of 18, at which time he may withdraw any such funds and use them as :he sees fit. Any prior withdrawal shall be by court approval only. -2- 4. The settlement as. herein •approved. .shall be. in full settlement of the liability of all Defendants naaed herein and their insurers for all causes of action or .claims '-that~ the,:Plain tiffs or any other person or party have or may have�.as: a'result of the injuries sustained by Minor Plaintiff Jeremy Tasker by reason of the accident of August 15, 1987.. 5. Proof of deposit of any funds placed . in trust for Minor Plaintiff shall be filed of record pursuant to .Pa.R.C.P. 2039(b). 6. Upon approval of the instant petition and payment of all funds as contained therein, the Petitioners shall enter a full satisfaction of the within action upon the' dockets of this- court. BY THE OU T: Attest: . • .�y-y Rona d .-<Huckwalter,. J. DEPU7YPRO7NONOAY q • -3- EXHIBIT B [DE01/969661.2 1 IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA r •r CIVIL DIVISION r- W ...� Fry IN RE: a I o D MISCELLANEOUS PETITION OF No. : ,� J q _ 0 A 0 JEROME? TASKER, 7 rn FOR APPROVAL OF STRUCTURED SETTLEMENT TRANSFER FROM THE COURT THAT APPROVED ORIGINAL STRUCTURED SETTLEMENT ORDER OF COURT AND NOW, this .Q19 day of 2013, it is hereby ORDERED, ADJUDGED and DECREED that this Court expressly approves the proposed transfer of structured settlement payment rights by Payee, Jeromey Tasker, as requested in the within miscellaneous petition. IOW • - J. NOTICE OF ENTRY OF ORDER OR DECREE PURSUANT TO PA.R.C.P.NO.238 NOTIFICATION-THE ATTACHED DOCUMENT ?���,.,� �n, HAS SEEN FILED IN THIS CASE CO 4A: �^V Y� 1 " E-4'1* PROTHONOXARK OF LANCASTER CO.,PA DATE: 10 V51 l3 L-Gr• • Copies: Ronald E. Reitz, Esq. 525 William Penn Place Suite 3300 Pittsburgh, PA 15219 Attorney for Transferee Allstate Settlement Corporation 3100 Sanders Road, N3A Northbrook, IL 60062 Attn: Robin Gay Settlement Obligor Allstate Life Insurance Company 3100 Sanders Road, N3A Northbrook, IL 60062 Attn: Robin Gay Annuity Issuer Jeromey Tasker 104 Neil Road Shippensburg, PA 17257-9416 Payee Sharon Ji, Senior Paralegal Stone Street Capital, LLC Structured Settlement Division 7316 Wisconsin Avenue Suite 500 Bethesda, MD 20814 Transferee