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The information collected on this form is used solely for court administration purposes. This form does not
supplement or replace the filing and service of leadin s or other papers as required by law or rules of court.
Commencement of Action:
® Complaint ❑ Writ of Summons ❑ Petition
1 i
❑ Transfer from Another Jurisdiction ❑ Declaration of Taking
Lead Plaintiffs Name: Lead Defendant's Name:
y PORTFOLIO RECOVERY ASSOCIATES, LLC MARTHA G CAMACHO
:..
Are money damages requested? ® Yes ❑ No Dollar Amount Requested: X within arbitration limits
(Check one) outside arbitration limits
\ F Is this a Class Action Suit? ❑ Yes ®No Is this an MDJAppeal? ❑ Yes ®No
-` Name of Plaintiff /Appellant's Attorney: Robert N. Polas, Jr./ Carrie Brown/ Mark R. Garvey
❑ Check here if you have no attorney (are a Self- Represented [Pro Sel Litigant)
Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your
PRIMARY CASE. If you are making more than one type of claim, check the one that
you consider most important.
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`\ ❑ Other:
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E] Eminent Domain /Condemnation [3 Declaratory Judgment
" _ r Other: E:] Ground Rent E] Mandamus
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:„ . - -- - - -- ❑ Mortgage Foreclosure: Residential Restraining Order
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PROFESSIONAL LIABILITY ❑ Quiet Title ❑ Other:
❑ Dental ❑ Other: ;1 ❑ Le - - - - - -- --
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❑ Medical
❑ Other Professional:
13 -50380
Robert N. Polas, Jr., Esquire PA Bar # 201259
Carrie Brown, Esquire PA Bar # 94055
Mark R. Garvey, Esquire PA Bar # 312686
Portfolio Recovery Associates, LLC �,,; ! , c rt4 ! 01 G I Ak j
120 Corporate Blvd
Norfolk, VA 23502 !_ r1UG 22 All 10'
TELE: 1- 866 - 428 -8102
FAX: (757) 518 -0860 CU M B E RL AND CO
Attorneys for Plaintiff P E N N SYLVA N I A
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA
CIVIL ACTION - LAW
PORTFOLIO RECOVERY ASSOCIATES, LLC
120 CORPORATE BLVD
NORFOLK, VA 23502 No.
Plaintiff,
V.
MARTHA G CAMACHO
5260 ALDERSGATE CIR
MECHANICSBURG PA 17050
Defendant.
NOTICE
You have been sued in Court. If you wish to defend against the claims set forth in the following pages,
you must take action withing twenty (20) days after this Complaint and Notice are served, by entering a
written appearance, personally or by an attorney, and filing in writing with the Court your defenses or
objections to the claims set forth against you. You are warned that if you fail to do so, the case may
proceed without you and a judgment may be entered against you by the Court without further notice of
any money claimed or any other claim or relief requested by the Plaintiff. You may lose money or
property rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A
LAWYER, OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH
BELOW TO FIND OUT WHERE YOU CAN GET HELP. THIS OFFICE CAN PROVIDE YOU WITH
INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE
YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO
ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
Lawyer Referral Service - CUMBERLAND County Bar Association
Cumberland County Bar Association
32 South Bedford Street
Carlisle, PA 17013 n -S
(717) 249 -3166 /� p ,�
13 -50380 (.%�•'�'" 6 )
il It
C1
This communication is from a debt collector and is an attempt to collect a debt.
Any information obtained will be used for that purpose.
Robert N. Polas, Jr., Esquire PA Bar # 201259
Carrie Brown, Esquire PA Bar # 94055
Mark R. Garvey, Esquire PA Bar # 312686
Portfolio Recovery Associates, LLC
120 Corporate Blvd
Norfolk, VA 23502
TELE: 1- 866 - 428 -8102
FAX: (757) 518 -0860
Attorneys for Plaintiff
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA
CIVIL ACTION - LAW
PORTFOLIO RECOVERY ASSOCIATES, LLC
120 CORPORATE BLVD
NORFOLK, VA 23502
Demandante, No.
V.
MARTHA G CAMACHO
5260 ALDERSGATE CIR
MECHANICSBURG PA 17050
Demandado.
NOTICIA
USTED HA SIDO DEMANDADO/ A EN LA CORTE. Si usted desea defender conta la demanda puestas
en las siguientes paginas, usted tienen que tomar accion dentro veinte (20) dial despues que esta Demanda
y Aviso es servido, con entrando por escrito una aparencia personalmente o por un abogado y archivando
por escrito con la Corte sus defensas o obejciones a las demandas puestas en esta contra usted. Usted es
advertido que si falla de hacerlo el caso puede proceder sin usted y un juzgamiento puede ser entrado conta
usted por la Corte sin mas aviso por cualquier dinero reclamdo en la Demanda o por cualquier otro reclamo
o alivio solicitado por Demandante. Usted puede perder dinero o propiedad o otros derechos importante para
usted.
USTED DEBE LLEVAR ESTE PAPEL A SU ABOGADO ENSGUIDA. SI USTED NO TIENE UN
ABOGADO, VAYA O LAMME POR TELEFONO LA OFICINA FIJADA AQUI ABAJO. ESTA OFICINA
PUEDE PROVEERE CON INFORMACION DE COMO CONSEGUIR UN ABOGADO.
SI USED NO PUEDE PAGARLE A UN ABOGADO, ESTA OFICINA PUEDE PROVEERE
INFORMACION ACERCA AGENCIAS. QUE PEUDAN OFRECER SERVICIOS LEGAL A PERSONAS
ELGIBLE UN HONORARIO REDUCIDO O GRATIS.
Lawyer Referral Service - CUMBERLAND County Bar Association
Cumberland County Bar Association
32 South Bedford Street
Carlisle, PA 17013
(717) 249 -3166
13 -50380
Esta coinunicacion es de u:n cobrador de deudas y es wi intent do cobrar una deud.a.
Cualquier infrotnacion sera utilizada para ese proposito.
Robert N. Polas, Jr., Esquire PA Bar # 201259
Carrie Brown, Esquire PA Bar # 94055
Mark R. Garvey, Esquire PA Bar # 312686
Portfolio Recovery Associates, LLC
120 Corporate Blvd
Norfolk, VA 23502
TELE: 1- 866 -428 -8102
FAX: (757) 518 -0860
Attorneys for Plaintiff
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA
CIVIL ACTION - -LAW
f
PORTFOLIO RECOVERY ASSOCIATES, LLC
120 CORPORATE BLVD
NORFOLK, VA 23502
Plaintiff, No.
V.
MARTHA G CAMACHO
5260 ALDERSGATE CIR
MECHANICSBURG PA 17050
Defendant.
COMPLAINT
1. Plaintiff, Portfolio Recovery Associates, LLC is a Delaware Limited Liability Company with
offices located at 120 Corporate Blvd, Norfolk, VA 23502.
2. Defendant, MARTHA G CAMACHO, is an adult individual with last known address of 5260
ALDERSGATE CIR, MECHANICSBURG PA 17050.
3. It is averred that Defendant was indebted to CITIBANK,N.A. / SEARS on January 28, 2007 with
account number * * * * * * * * * ** *5400 (hereafter referred to as "Account "). A copy of the account
history is attached here to and collectively marked as Exhibit "A."
4. By using the Account, Defendant agreed to repay any incurred balances and/or charges made to
the Account pursuant to the terms and conditions governing said Account. Failure to pay
Defendant's incurred charges on the Account is considered a default.
5. At all relevant times material hereto, Defendant has used said Account for the purchase of
products, goods and/or for obtaining services.
`Mis comniiinication. is from a dent collector and is an attempt to collect a debt.
Any information obtained will be used for that purpose.
6. Defendant was provided with copies of the Statements of Account showing all debits and credits
for transactions on the aforementioned Account to which there was no bonafide objection by
Defendant.
7. Defendant was in default with respect to that debt for failure to make the required payments on the
Account. The last payment made on this Account was on January 26, 2011.
8. Plaintiff is the purchaser, assignee and/or successor in interest CITIBANK,N.A. / SEARS and
Plaintiff is now the holder of the Account. A true and correct copy of the Plaintiffs verification is
attached hereto and collectively marked as Exhibit "A."
9. As of the date within Complaint, the remaining balance due, owing and unpaid on Defendant's
Account, as a result of Defendant and /or any authorized user's use of said Account is in the sum of
$780.92.
10. Despite reasonable and repeated demands for payment. Defendant has refused and continues to
refuse to pay all sums due and owing on the aforementioned Account, all to the damage and
detriment of the Plaintiff.
11. The amount in controversy is within the jurisdictional amount requiring compulsory arbitration.
WHEREFORE, Plaintiff respectfully requests this Honorable court enter Judgment in favor of
Plaintiff and against Defendant, MARTHA G CAMACHO , in the amount of $780.92, plus costs of this
action and any other relief as the Court deems just and reasonable.
l
Carrie A. Brown, Esquire, # 94055
Robert N. Polas, Jr., Esquire, # 201259
Mark R. Garvey, Esquire, # 312686
Attorneys for Plaintiff
13 -50380
'This corm minication is .from a debt collector and is an attempt to collect a debt.
Any infoituation obtained will be used for that piurpose.
VERIFICATION
The undersigned Custodian of Records for Portfolio Recovery Associates, LLC,
Larry J. Andrews
hereby states that he /she is authorized to take this verification on behalf of
said Plaintiff in the within action and verifies that the statements made in the foregoing Complaint are
true and correct to the best of his /her knowledge, information, and belief, based upon information
provided by the Plaintiff.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C.S. Section 4904, relating to unsworn falsification to authorities.
AUG 1 2O13
Date: By:
Larry J. Andrews
Custodian of Records
13 -50380
This communication is from a debt collector and is an attempt to collect a debt.
Any information obtained will be used for that purpose.
XHIBIT A
This communication is from a debt collector and is an attempt to collect a debt.
Any information obtained will be used for that purpose.
PORTFOLIO RECOVERY ASSOCIATES, LLC
120 Corporate Blvd
Norfolk, VA 23502
Telephone: 1- 866 - 428 -8102
r Fax: (757) 518 -0860
.Statement of Account
Account: * * * * * * * * * ** * 5400
MARTHA G CAMACHO
Account Holder:
MARTHA G CAMACHO
5260 ALDERSGATE CIR
MECHANICSBURG PA 17050
Consumer Account Product Code: PVT
Issuer: CITIBANK,N.A. / SEARS
Assignee: Portfolio Recovery Associates, LLC
Account Number: * * * * * * * * * ** *5400
Date Account Opened: January 28, 2007
Date of Last Payment: January 26, 2011
Date of Charge Off: September 5, 2011
Balance at Purchase: $780.92
Purchase Date: November 18, 2011
Balance at Charge -Off: $780.92
Less Payments: $.00
Balance Due: $780.92
13 -50380
SRSM92
This communication is from a debt collector and is an attempt to collect a debt.
Any information obtained will be used for that purpose.
AFFIDAVIT
State of Virginia
City of Norfolk ss.
I, the undersigned, Larry J. Andrews , Custodian of Records, for Portfolio Recovery Associates, LLC hereby
depose, affirm and state as follows:
1. I am competent to testify to the matters contained herein.
2. 1 am an authorized employee of Portfolio Recovery Associates, LLC, ( "Account Assignee ") which is doing
business at Riverside Commerce Center, 120 Corporate Blvd, Norfolk, VA 23502. I am familiar with the policies and
practices, as well as the books and records of Account Assignee with respect to the matters stated herein. This affidavit
is based upon my personal knowledge of Account Assignee's record keeping system and my review of Account
Assignee's records, including a review of the business records transferred to Account Assignee from CITIBANK,N.A. /
SEARS ( "Account Seller "), which have become a part of and have integrated into Account Assignee's business records,
in the ordinary course of business.
3. According to the business records, which are maintained in the ordinary course of business, the account, and all
proceeds of the account are now owned by the Account Assignee, all of the Account Seller's interest in such account
having been sold, assigned and transferred by the Account Seller on November 18, 2011. Further, the Account Assignee
has been assigned all of the Account Seller's power and authority to do and perform all acts necessary for the settlement,
satisfaction, compromise, collection or adjustment of said account, and the Account Seller has retained no further interest
in said account or the proceeds thereof, for any purpose whatsoever.
4. According to the records transferred to the Account Assignee from Account Seller, and maintained in the
ordinary course of business by the Account Assignee, there was due and payable from MARTHA G CAMACHO
( "Debtor ") to the Account Seller the sum of $780.92 with the respect to account number ending in * * * * * * * * * ** *5400,
as of September 5, 2011 with there being no known un- credited payments, counterclaims or offsets against the said debt
as of the date of the sale.
5. According to the records of said Account Assignee, after all known payments, counterclaims, and/or setoffs
occurring subsequent to the date of sale, Account Assignee claims the sum of $780.92 as due and owing as of the date of
this affidavit.
6. Plaintiff believes that the defendant is not a minor or an incompetent individual, and declares that the Defendant
is not on active military service of the United States.
Por io Recovery Asso ' tes L
B Larry J. Andrews , Custodian of Records
,AUG
S c bed and sworn t be ore me n of , 2013
Notary Public
1 4 _ R Tt1van', G. Uzzle
13 -50380 OOMMOMW®9Itlj of Virginia
v Notary Public
OgMml®sion No, 302460
t - My C®filfTIllion Expires 1/31/2017
This communication is #rom a debt collector and i.s an. attempt to collect a debt.
Any in. formation obtained will. be cased for that purpose.
-- _ (VI ° t "
Contract 1D: PR 1 SP 1 EM1 082511
Document 1D: 111 U 11 PR 1 SP 1 EMB 1
BILL OF SALE AND ASSIGNMENT
THIS BILL OF SALE AND ASSIGNMENT, dated November 18, 2011, is by Citibank, N.A., a
national banking association organized under the laws of the United States, located at 701 East
60th Street North, Sioux Falls, SD 57117 (the "Bank ") to Portfolio Recovery Associates, LLC,
organized under the laws of the Delaware, with its headquarters /principal place of business at
130 Corporate Boulevard, Norfolk, VA 23502 ( "Buyer ").
For value received and subject to the terms and conditions of the Purchase and Sale Agreement
dated August 25, 2011, between Buyer and the Bank (the "Agreement "), the Bank does hereby
transfer, sell, assign, convey, grant, bargain, set over and deliver to Buyer, and to Buyer's
successors and assigns, the Accounts described in Exhibit 1 and the final electronic file.
Citibank, N.A.
By: G�
(Signature)
Name: Patricia Hall
Title: Financial Account Manager
PRA 09251 I.doc
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson
Sheriff
Jody S Smithaivati�,atafantrr����n� Jf f t�t�0 1 iiOP�t� fr'Lf��r
Chief Deputy N- 2
?013 SEA' 2J AM It: 42
*6
Richard W Stewart ; �� a � A � COUNTY
SOIICItOr pFFl EOFTliw£#*tRIFF PENNSYLVANIA
Portfolio Recorvery Associates, LLC
vs. Case Number
Martha G Camacho 2013-5000
SHERIFF'S RETURN OF SERVICE-
09/20/2013 08:20 AM-Sergeant Jason Vioral, served the requested Complaint&Notice by"personally"handing a
true copy to a person representing themselves to be the Defendant, to wit: Martha G Camacho at the
Cumberland County Sheriffs Office, One Courthouse Square, Carlisle, PA 17013:
JASO IORA , DEPUTY
SHERIFF COST: $39.30 SWERS,
September 20, 2013 RON R ANDERSON, SHERIFF
(c)CountySuite Sheriff,Toleosoft,Inc.
IHE PROTHONO TAR
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o-1444.9,rt N. Polas, Jr.,Esquire PA Bar#201259
Carrie Brown,Esquire PA Bar#94055
• Mark R. Garvey,Esquire PA Bar#312686
Portfolio Recovery Associates,LLC
120 Corporate Blvd { " '.t
Norfolk,VA 23502 ; I p RR
TELE: 1-866-428-8102 •
FAX: (757) 518-0860 ��''[, f
Attorneys for Plaintiff ' EH; SYL 'AN1
IN THE COURT OF.COMMON PLEAS OF CUMBERLAND COUNTY,PA
CIVIL ACTION -LAW
PORTFOLIO RECOVERY ASSOCIATES, LLC .
120 CORPORATE BLVD No. 2� 6D eV/
NORFOLK,VA 23502 / 5O✓
Plaintiff, •
v. •
MARTHA G CAMACHO
5260 ALDERSGATE CIR
MECHANICSBURG PA 17050
•
Defendant.
NOTICE
You have been sued in Court. If you wish to defend against the claims set forth in the following pages,
you must take action withing twenty(20)days after this Complaint and Notice are served,by entering a
written appearance,personally or by an attorney, and filing in writing with the Court your defenses or
objections to the claims set forth against you. You are warned that if you fail to do so,the case may
proceed without you and a judgment may be entered against you by the Court without further notice of
any money claimed or any other claim or relief requested by the Plaintiff. You may lose money or
property rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A
LAWYER, OR CANNOT AFFORD ONE,GO TO OR TELEPHONE THE OFFICE SET FORTH
BELOW TO FIND OUT WHERE YOU CAN GET HELP. THIS OFFICE CAN PROVIDE YOU WITH
INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER,THIS OFFICE MAY BE ABLE TO PROVIDE
YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO
ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
Lawyer Referral Service- CUMBERLAND County Bar Association
Cumberland County Bar Association
32 South'Bedford Street
Carlisle,PA 17013
(717)249-3166 TRUE COPY FROM RECORD
13-50380 In Testimony whereof,I here unto set my hand
and thee the_slek of said Co at Carlisle, Pa.
This Q day of 20 ,
Prothonotary
This communication is from a debt collector and is an attempt to collect a debt.
Any information obtained will be used for that purpose.