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13-5426
Supreme Coin o ' len nsylvania COUP NCO * mtn po io leas For Prothonotary Use Only: 0,� jn o N k Docet o: C 4Count / SST UB L iD �. 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 pleadings or other papers as required by law or rules of court. Commencement of Action: S [@ Complaint 0 Writ of Summons Petition Q Transfer from Another Jurisdiction J Declaration of Taking ,E C Lead Plaintiffs Name: Lead Defendant's Name: i STATE FARM MUTUAL AUTOMOBILE INSURANCE CBI JULIO MALDONADO T Dollar Amount Requested: iX within arbitration limits I Are money damages requested? 0 Yes ❑ No (check one) I i outside arbitration limits 10 N Is this a Class Action Suit? Yes E No Is this an MWAppeal? (] Yes !X= No A Name of Plaintiff /Appellant's Attorney: JAMES J. GLUCK, ESQ. Check here if you have no attorney (are a Self- Represented [Pro Se] 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. TORT (do not include Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS Intentional Buyer Plaintiff Administrative Agencies r ° Malicious Prosecution © Debt Collection: Credit Card ( Board of Assessment X Motor Vehicle M Debt Collection: Other Board of Elections 13 Nuisance 1=] Dept. of Transportation S Premises Liability C� Statutory Appeal: Other Product Liability (does not include E mass tort) (� Employment Dispute: Slander/Libel /Defamation Discrimination C � Other: fJ Employment Dispute: Other 0 Zoning Board Other: T , i I Other: O MASS TORT 0 Asbestos N [ Tobacco I Q Toxic Tort - DES Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS E] Toxic Waste Ejectment 0 Common Law /Statutory Arbitration B 0 Other: 0 Eminent Domain/Condemnation 0 Declaratory Judgment Il Ground Rent Mandamus 0 Landlord/Tenant Dispute w Non - Domestic Relations 1 1 Mortgage Foreclosure: Residential Restraining Order PROFESSIONAL LIABLITY © Mortgage Foreclosure: Commercial 0 Quo Warranto [I Dental El Partition ( Replevin 0 Legal fi! Quiet Title 0 Other: E] Medical Other: 0 Other Professional: Updated 11112011 James J Gluck, Esq. 3 SEA' Hennessy & Walker Group pt, 2, CIO 217 Washington Street CUM KRL A t Toms River, NJ 08753 PENNS Y A NI U N T Y 732 -505 -4800 Attorney I.D. 71927 State Farm Mutual Automobile : In the Court of Common Pleas Insurance Company a/s /o Crista Thomas : Cumberland County, Pennsylvania P.O. Box 2371 Bloomington, IL 61702 : Civil Action L :No: U/ VS. Julio Maldonado 611A Geneva Drive Mechanicsburg, PA 17055 NOTICE AVISO You have been sued in court. If you wish to defend against Le han demandado a usted en la corte. Si usted quiere the claims set fort h in the following pages, you must take defenderse de estas demandas expuestas en las p6ginas action within twenty (20) days after this complaint and siguientes, usted tiene veinte (20) dias de plazo ai partir de notice are served, by entering a written appearance la fecha de la demanda y la notificaci6n. Hace faita asentar personally or by attorney and filing in writing with the una comparecia escrita o en personas o con un abogado y court your defenses or objections to the claims set forth entregar a la corte en forma escrita sus defenses o sus against you. You are warned that if you fail to do so the objeciones a las demandas en contra de su persona. Sea case may proceed without you and a judgment may be avisado que si usted no se defiende, la corte tomara entered against you by the court without further notice for medidas y puede continuar la demanda en contra suya sin any money claimed in the complaint or for any other claim previo aviso o notificaci6n. Ademas, la corte puede decidir or relief requested by the plaintiff. You may lose money or a favor del demandante y requiere que usted cumpla con property or other rights important to you. todas las provisiones de esta demanda. Usted puede perdee dinero o sus propiedades u otros derechos importantes para You should take this paper to your lawyer at once. If you usted. do not have a lawyer or cannot afford one, go to or telephone the office set forth below to find out where you Lleva esta demanda a un abogado inmediatamente. Si no can get legal help. tiene abogado o si no tiene el dinero suficiente de pagar tal servicio. Vaya en persona o llame por telefono a la ofzcina Cumberland County Bar Association cuya direccion se encuentra escrita abojo para averiguar 32 S. Bedford Street Carlisle, PA 17013 donde se puede conseguir asistencin legal. (717) 249 -3166 (800) 990 -9108 Cumberland County Bar Association 32 S. Bedford Street Carlisle, PA 17013 (717) 249 -3166 (800) 990 -9108 S JW 1y o Ci 3 � James J. Gluck, Esquire Hennessy & Walker Group, P.C. 217 Washington Street Toms River, NJ 08753 (732) 505 -4800 Attorney I.D. 74970 Attorney for Plaintiffs State Farm Mutual Automobile In the Court of Common Pleas Insurance Company a/s /o Crista Thomas Cumberland County, Pennsylvania P. 0. Box 2371 Bloomington, IL 61702 Civil Action VS. No. Julio Maldonado 611 A Geneva Drive Mechanicsburg, PA 17055 COMPLAINT 1. Plaintiff State Farm Mutual Automobile Insurance Company is an insurance carrier licensed to conduct business in the Commonwealth of Pennsylvania and having as one of its principal places of business the above - captioned address. 2. Crista Thomas is an adult and on or about December 18, 2012, was the registered owner of a 2010 Dodge Nitro motor vehicle insured under a policy of insurance issued by State Farm Mutual Automobile Insurance Company. 3. Defendant Julio Maldonado is an adult residing at 611A Geneva Drive, Mechanicsburg, PA 17055, and on or about December 18, 2012, was the registered owner and operator of a 2003 Dodge Intrepid bearing Pennsylvania License Plate: HDJ6029. 4. On or about December 18, 2012, while operating the aforesaid Intrepid motor vehicle southbound on Route 581 /Harrisburg Expressway at the exit for Route 15 in Mechanicsburg, Pennsylvania, Defendant failed to change lanes properly and entered Plaintiff's lane of travel, causing a collision with the aforesaid Nitro motor vehicle, resulting in extensive damage thereto in the amount of $1,064.72. 5. The aforesaid accident was a direct and proximate result of Defendant(s) negligence and /or carelessness. 6. Pursuant to the insurance policy herein mentioned, Plaintiff State Farm Mutual Automobile Insurance Company a/s /o Crista Thomas has incurred and paid expense and other damages in the amount of $1,064.72. WHEREFORE, Plaintiff State Farm Mutual Automobile Insurance Company a/s /o Crista Thomas demands judgment against the Defendant in the amount of $1,064.72, which includes Plaintiff's deductible, plus interest and costs of suit. J es J. Gl Es ui Hennessy Walker Group, P.C. 1071- 3597PA STATE OF NEW JERSEY: COUNTY OF OCEAN : ss The undersigned verifies that the facts contained herein are true and correct. The undersigned understands that false statements herein are made subject to the penalties of 19 Pa. C.S. Section 4904, relating to unswom falsification to Authorities. If applicable, this affidavit is made on behalf of the Plaintiff(s); that the said Plaintiff(s) is /are unable and unavailable to make tlus verification on its /his /her own behalf within the time allotted for filing of this pleading and the facts set forth in the foregoing pleading are true and correct to the best of counsel's knowledge, information and belief. This verification is made pursuant to Pa. R.C.P. 1024 and is based on interviews, conferences, reports, record and other investigative material in the file. James J luck, E y & Walker Group, P.C. Date: �l SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny RAnderson Sheriff 1F4r 141t�� Jody S Smith Chief Deputy i i 0CT `" �' Richard W Stewart CUMSEIZI AQ COU14TY Solicitor OFFICE OF'TPf E SRERIFF P E N 4 S Y LVA N I A State Farm Mutual Automobile Insurance Company a/s/o Crista Thomas Case Number vs. Julio Maldonado 2013-5426 SHERIFF'S RETURN OF SERVICE 09/27/2013 Ronny R Anderson, Sheriff, being duly sworn according to law, states he made diligent search and inquiry for the within named Defendant to wit: Julio Maldonado, but was unable to locate the Defendant in his bailiwick. The Sheriff therefore returns the within requested Complaint& Notice as"Not Found"at 120 Cumberland Drive, Camp Hill, PA 17011. Per the current tenant Hai Ton Ngo he has resided at this address for eleven months and the defendant does not live here. Per the Camp Hill Postmaster the defendant is not known at the address given. SHERIFF COST: $44.95 SO ANSWERS, 16 �,- x September 27, 2013 RON R ANDERSON, SHERIFF (c)CountySuite Shent(,Te!eosoft,Inc. James J. Gluck, Esquire 1 - ,'R 0-11;ONO TA.; Hennessy& Walker Group, P.C. 217 Washington Street 2313 OCT ! 5 PM 2: 57 Toms River,NJ 08753 CUMBERLAND COUNTY (732) 505-4800 PENNSYLVANIA Attorney I.D. 74970 Attorney for Plaintiffs State Farm Mutual Automobile : In the Court of Common Pleas Insurance Company a/s/o Crista Thomas : Cumberland County, Pennsylvania P. 0. Box 2371 Bloomington, IL 61702 : Civil Action VS. : No. 2013-5426 Julio Maldonado 611A Geneva Drive Mechanicsburg, PA 17055 Praecipe to Reinstate To The Prothonotary: Please reinstate the Complaint on the above-captioned action. ames J. G m k, Esq. - torn- s 1071-3597PA n to 1Viet 35/9d eCti Cilct I LI SOU g SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson Sheriff Jody S Smith l ? CT Chief Deputy Richard W Stewart Solicitor State Farm Mutual Automobile Insurance Company a/s/o Crista Thomas Case Number vs. Julio Maldonado 2013-5426 SHERIFF'S RETURN OF SERVICE 10/21/2013 03:25 PM-Deputy Ronald Hoover, being duly sworn according to law, served the requested Complaint& Notice by"personally"handing a true copy to a person representing themselves to be the Defendant, to wit: Julio Maldonado at 609 A Geneva Drive,Apt. 31, Upper Allen, Mech i sburg, PA 17055, RONALD HOOVER, DEPUTY SHERIFF COST: $50.60 SO ANSWERS, October 22, 2013 RON R ANDERSON, SHERIFF tC:,^auntySu'.e Sheriff,?eleosctf James J. Gluck, Esquire Hennessy& Walker Group, P.C. 217 Washington Street ` ' ,10V 15 ptl 2: 30 Toms River,NJ 08753 �'`lEaEiiLj r''1C� COUIgT (732) 505-4800 Attorney I.D. 74970 Attorney for Plaintif s State Farm Mutual Automobile In the Court of Common Pleas Insurance Company a/s/o Crista Thomas Cumberland County, Pennsylvania P. O. Box 2371 Bloomington, IL 61702 Civil Action VS. No.: 13-5426 Julio Maldonado 611 A Geneva Drive Mechanicsburg, PA 17055 Praecipe to Settle Discontinue and End To The Prothonotary: And now this 13th day of November, 2013,the above captioned case, including all claims and counterclaims, are hereby discontinued with prejudice. ames J. "aintifffi A o ey f Our File No.: 1071-3597PA