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-Supreme Co ; .Pennsylvania Cour f Co,mmo leas For Protltonotaty Use Only: Docket No: CU L NU County p� The information collected on this form is used solely for court administration purposes. This form does not ` su letnent or replace the filing and service of pleadings or other papers as required by lmv or rules of court. f Commencement of Action: S n Complaint I-1 Writ of Summons Petition i l3 Transfer from Another Jurisdiction 0 Declaration of Taking E C , Lead Plaintiffs Name: Lead Defendant's Name: STATE FARM MUTUAL AUTOMOBILE INSURANCE CBI DOUGLAS CAREY, JR. T x J 0 Dollar Amount Requested: Ix within arbitration limits I I Are money damages requested? 0 Yes No (check one Ooutside arbitration limits �0 N Is this a Class Action Suit? Yes I No Is this an MDJAppeal? 0 Yes El No A Name of Plaintiff /Appellant's Attorney: JAMES J. GLUCK, ESQ. ' 0 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. i ` TORT (do not include Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS 0 Intentional l3 Buyer Plaintiff Administrative Agencies _p Malicious Prosecution 0 Debt Collection: Credit Card h' Board of Assessment x Motor Vehicle l3 Debt Collection: Other =i Board of Elections Nuisance 0 Dept. of Transportation 13 Premises Liability -] Statutory Appeal: Other 1 S ❑ Product Liability (does not include mass tort) El Employment Dispute: i E 0 Slander/Libel/ Defamation Discrimination C El Other: 0 Employment Dispute: Other � Zoning Board _I Other: ;T j a J Other: 10 MASS TORT 0 Asbestos N 0 Tobacco 0 Toxic Tort - DES 0 Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS U Toxic Waste 0 Ejectment Common Law /Statutory Arbitration B 0 Other: 0 Eminent Domain/Condemnation 0 Declaratory Judgment 0 Ground Rent =J Mandamus 0 Landlord/Tenant Dispute Non - Domestic Relations 0 Mortgage Foreclosure: Residential Restraining Order PROFESSIONAL LIABLITY 0 Mortgage Foreclosure: Commercial Quo Warranto 0 Dental J Partition 0 Replevin I3 Legal 0 Quiet Title 0 Other: 0 Medical 0 Other: I © Other Professional: Updated 1/1/2011 T HE IUD - OFF { James J Gluck, Esq. 20 JAN — 2 Aiwl 1 f Hennessy & Walker Group CUMBERLAND COUNTY 217 Washington Street PENNSYLVAN Toms River, NJ 08753 732 -505 -4800 Attorney I.D. 71927 State Farm Mutual Automobile : In the Court of Common Pleas Insurance Company a/s /o Vehid Duric : Cumberland County, Pennsylvania P.O. Box 2371 Bloomington, IL 61702 : Civil Action Law 0 0 VS. : No: N, a V Douglas Carey, Jr. 1878 Spring Road Floor 2 Carlisle, PA 17013 NOTICE AVISO You have been sued in court. If you wish to defend against Le han demandado a usted en la cone. Si usted quiere the claims set forth in the following pages, you must take defenderse de estas demandas expuestas en las paginas 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 provisioner 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 oficina Cumberland County Bar Association cuya direccidn se encuentra escrita abojo para averiguar 32 S. Bedford Street donde se puede conseguir asistencin legal. Carlisle, PA 17013 (717) 249 -3166 Cumberland County Bar Association (800) 990 -9108 32 S. Bedford Street Carlisle, PA 17013 (717) 249 -3166 (800) 990 -9108 S C�� ISDII � �qqq 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- Vehid Duric : Cumberland County, Pennsylvania P. O. Box 2371 Bloomington, IL 61702 Civil Action VS. No. Douglas Carey, Jr. 1878 Spring Road Floor 2 Carlisle, PA 17013 COMPLAINT I. 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. Vehid Duric is an adult and on or about October 6, 2012, was the registered owner of a 2012 Hyundai insured under a policy of insurance issued by State Farm Mutual Automobile Insurance Company. 3. Defendant Douglas Carey, Jr., is an adult residing at 1878 Spring Road, Floor 2, Carlisle, Pennsylvania 17013, and on or about October 6, 2012, was the registered owner and operator of a 1996 Chevrolet motor vehicle. 4. On or about October 6, 2012, while operating the aforesaid Chevrolet motor vehicle southbound on Allen Road at the intersection of Commerce Avenue in South Middleton Township, Pennsylvania, Defendant attempted a left turn onto Commerce Avenue without proper clearance and struck the aforesaid Hyundai motor vehicle as Plaintiff's insured traveled northbound on Allen Road through the aforesaid intersection with the right of way, causing extensive damage to Plaintiff s insured's motor vehicle in the amount of $21,420.49. 5. The aforesaid damage 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 Vehid Duric has incurred and paid expense and other damages in the amount of $21,420.49. WHEREFORE, Plaintiff State Farm Mutual Automobile Insurance Company a/s /o Vehid Duric demands judgment against the Defendants in the amount of $21,420.49 which includes Plaintiff s deductible, plus interest and costs of suit. J es J. Gl ck Esquire Hbane ss p, P.C. 1071- 3846PA 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 this 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. a uc , Esq. roup,P.C. Date: 3 3 SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson Sheriff f' Jody S Smith 'zri s i.1t il_ Chief Deputy !I ,.) ;I...t , itt, Richard W Stewart f 4 ,, , Solicitor s �,, f�t.t., . r yA?ijL-, State Farm Mutual Automobile Insurance Company a/s/o Vehid Duric Case Number vs. Douglas Carey, Jr. 2014-2 SHERIFF'S RETURN OF SERVICE 01/07/2014 07:32 PM - Deputy Dawn Kell, 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: Douglas Carey, Jr. at 1880 Spring Road, North Middleton, Carlisle, PA 17013. r' - i. DAWN KELL, DEPUTY SHERIFF COST: $41.56 SO ANSWERS, January 08, 2014 RONNK ANDERSON, SHERIFF James J. Gluck, Esquire Hennessy & Walker Group, P.C. 217 Washington Street Toms River, NJ 08753 (732) 505-4800 Attorney I.D. 7497,0 rf : 9 pE ,: YL WiF/LIAN T }, Attorney for Plaintiffs State Farm Mutual Automobile Insurance Company a/slo Vehid Durk P. O. Box 2371 Bloomington, IL 61702 VS. Douglas Carey, Jr. : In the Court of Common Pleas : Cumberland County, Pennsylvania : Civil Action . No.: 14 -2 Civil PRAECIPE FOR JUDGMENT TO THE PROTHONOTARY: Enter Judgment in the above case by default for want of response to the Complaint filed against the Defendant, and assess the damages as per the statement below: Real Debt: $21,420.49 I hereby certify that written notice of the intention to file this Praecipe was mailed to the party against whom judgment is to be entered and to his attorney of record, if any, after the default occurred and at least ten days prior to the date of the filing of this Praecipe. A copy of said notice is attached heret And now, MAY . 1 1 ,2014, Judgment entered in favor of the Plaintiff and against the Defendant by default for want of res , nse to the Complaint and damages assessed at the sum of $21,420.49 as ab statement. squire Prothonotary Q 004 /' ,PS kohio ilia ted P- ?mbar State Farm Mutual Automobile Insurance Company a/s/o Vehid Duric P. 0. Box 2371 Bloomington, IL 61702 VS. Douglas Carey, Jr. : In the Court of Common Pleas : Cumberland County, Pennsylvania : Civil Action : No.: 14-2 Civil AFFIDAVIT OF NON-MILITARY SERVICE STATE OF NEW JERSEY: ss. COUNTY OF OCEAN James J. Gluck, Esquire, being duly sworn according to law, deposes and says that he represents the Plaintiff(s) in the above entitled case; that he is authorized to make this affidavit on behalf of the Plaintiff(s); and that the above named Defendant(s) is(are) unknown years of age; the address of Defendant, Douglas Carey, Jr. is 1880 Spring Road Carlisle, PA 17013; occupation of Defendant(s) is unknown; and Defendant is not in the Military Service of the United States nor any State or Territory thereof or its allies as defined in the Soldiers' and Sailors' Civil Relief Act of 1940 and the amendments thereto. Sworn to and subscribed before me this 12-'4' day of ,2014. OFF.I.C.`FOFTI'+PR MT 'OF COMMON P To: Dated: January 31, 2014 • Douglas Carey, Jr. 1.880 Spring Road Carlisle, PA 17013 State Farm Mutual Automobile Insurance Company a/s /o Vehid Durk VS Douglas Carey, Jr. NOTAR1 EAS COURT OF COMMON PLEAS Cumberland County, Pennsylvania Civil Action Law No: 2013 -35178 Notice, Rule 237.5 Notice of Praecipe to Enter Judgment by Default IMPORTANT NOTICE You are in default because you have failed to enter a written appearance personally or by attorney and file in writing with the Court your defenses or objections to the claims set forth against you. Unless you act within ten days from the date of this notice, a judgment may be entered against you without a hearing and you may lose your property or other important rights. You should take this notice to a lawyer at once. If you do not have a lawyer or cannot afford one, go to or telephone the following office to find out where you can get legal help. Cumberland County Bar Association 32 S. Bedford Street Carlisle, PA 17013 (717) 249 -3166 (800) 990-9108 NOTIFICACION IMPORTANTE Usted se encuentra en estado de rebeldia por no haber presentado una comparecencia escrita, ya seapersonalmente o por abogado y por no haber radicado por escrito con este Tribunal sus defenses u objeciones a los reclamos formulados en contra suyo. Al no tomar laaccion debida dentro de diez (10) dias de la fecha de esta notificacion, el Tribunal podra, sin necesidad de comparecer usted en torte u oir preuba alguna, dictar sentencia en su contra y usted podria perder bienes u otros derechos importantes. Debe Ilevar esta notifiacion a unabogado inmediatamente. Si usted no tiene abogado, o si no tiene dinero suficiente para tal sericio, vaya en persona o Ilame por telefono a la oficina, nombrada para averiguar si puede consegui asistencia legal. Cumberland County Bar Association 32 S. Bedford Street Carlisle, PA 17013 (717) 249 -3166 (800) 990-9108 If you have any questions concerning this notice, please call: James J. Gluck (Name of Attorney or Plaintiff 217 Washington Street, Toms River, NJ 08753 (Attorney's or Plaintiffs Address) 732 -505 -4800 at this telephone number: Our File No.: 1071 -3 846PA (RULE OF CIVIL PROCEDURE NO. 236) - REVISED 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 Insurance Company a/s/o Vehid Duric P. 0. Box 2371 Bloomington, IL 61702 VS. Douglas Carey, Jr. : In the Court of Common Pleas : Cumberland County, Pennsylvania : Civil Action : No.: 14-2 Civil NOTICE IS GIVEN THAT A JUDGMENT IN THE ABOVE CAPTIONED MATTER HAS BEEN ENTERED AGAINST YOU. PROTHONOTARY If you have any questions concerning the above, please contact: James J. Gluck, Esquire Attorney or Party Filing 217 Washington Street Toms River, NJ 08753 732-505-4800 James J. Gluck, Esquire Hennessy& Walker Group, P.C. 217 Washington Street Toms River,NJ 08753 F (732) 505-4800 • PEtl/t5VtD �Attorney LD. 4970 Attorneyfor Plaintiffs L�� /"�� A ' ' State Farm Mutual Automobile : In the Court of Common Pleas Insurance Company a/s/o Vehid Duric : Cumberland County, Pennsylvania P. O. Box 2371 Bloomington, IL 61702 : Civil Action VS. : No.: 14-2 Civil Douglas Carey, Jr AFFIDAVIT STATE OF NEW=JERSEY, COUNTY OF OCEAN: Cristal McKinnon,being duly sworn according to law, deposes and says I am a legal assistant with the law firm of Hennessy & Walker and am familiar with the facts and circumstances of the within action That the above captioned action was a motor vehicle accident. Crista cKinnon Sworn and subscribed before me this 18 JUNE 2014 ?‘)/LX4-61t- Notary Public 1071-3846PA SHARON L. GLOAT S �� NOTARY PUBLIC OF NEWdiR� DIAAA-Y AI MY Commission Expires 4/2019 t#/6°O 700' 1