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Home My WebLink About05-0700 F:\FlLES\DA T AFILE\DvnegaJ3050ICuJTem\295.com Iflde Created: 12f29f03 8:24AM Revised: 2/7/05 Il:44AM Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D.909]6 ] 0 East High Street Carlisle, PA 17013 (7] 7) 243-334] Attorneys for Plaintiff DONEGAL MUTUAL INSURANCE COMPANY, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. NO. 2005- '1 hJ ~ r.4-... CIVIL ACTION-LAW PHILIP C. GOTH and ELIZABETH J. GOTH, Defendants JURY TRIAL OF TWELVE DEMANDED 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 within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by 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 for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiffs. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMA nON ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAYBE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCE FEE OR NO FEE: Cumberland County Bar Association 32 South Bedford Street Carlisle, P A 17013 (7] 7) 249-3166 F:\FILES\DAT AFILE\Donegal3050\CurrentI295.coml Created: 717104 1l:14AM Revised: 217/05 l1A5AM DONEGAL MUTUAL INSURANCE COMPANY, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. NO. 2005- 7 aD 6;.::...p 7;.--, CIVIL ACTION-LAW PHILIP C. GOTH and ELIZABETH J. GOTH, Defendants JURY TRIAL OF TWELVE DEMANDED COMPLAINT 1. Plaintiff, Donegal Mutual Insurance Company, is a Pennsylvania corporation with a business address of 1195 River Road, Marietta, PA 17547. 2. Defendants, Philip C. Goth and Elizabeth J. Goth, are adult individuals residing at 502 Jacob Lane, Mechanicsburg, PA 17055. 3. On or about August 23, 1996, Defendants entered into a written insurance contract with Plaintiff and subsequently renewed such contract each year to include June 30, 2002. 4. On or about June 30, 2002, Defendants made a false insurance claim to Plaintiff. 5. After investigating the insurance claim, Plaintiff determined that Defendants made a fraudulent claim. 6. As a result of the investigation and fraudulent claim made by Defendants, Plaintiff incurred costs in the amount of$917.34. 7. Defendants were found guilty of insurance fraud. 8. Defendants are responsible for the costs incurred by Plaintiff under the Insurance Fraud provision of the Pennsylvania Crimes Code, Section 4117. WHEREFORE, Plaintiffs demand judgment against Defendant in an amount of$917 .34, plus attorney's fees, costs, interest, and any other relief that the court deems appropriate. MARTS ON DEARDORFF WILLIAMS & OTTO Date: February 7, 2005 BY~ ~~ r~ Christopher E. Rice, Esquire LD. Number 90916 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff VERIFICATION The foregoing Complaint is based upon information which has been gathered by my counsel in the preparation of the lawsuit. The language ofthe document is that of counsel and not my own. I have read the document and to the extent that it is based upon information which I have given to my counsel, it is true and correct to the best of my knowledge, information and belief. To the extent that the content of the document is that of counsel, I have relied upon counsel in making this verification. This statement and verification are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities, which provides that if I make knowingly false averments, I may be subject to criminal penalties. DONEGAL MUTUAL INSURANCE COMPANY F:\FILESIDATAFILE\Donegal3050\Current\295.coml ..., ~ f:c:::'l (') c..::.. -n <.::,)'"1 > -'q r r.~' ~ ~ ., e co I - CfJ - .I:.. 1;" '" -';" \,V 0 I;' I.l-, .c 0 v, r',J .(;. ~ C,) "'Q C u.: ~I 1\' <2\11 t,~l~l 1\ \ '.'6 \J ~ F: IFILES\DA T AFILE\Donegal3050\Current\295 .amended. com. wpdltde Cleated: 12129/033:24AM Revised: 2/]5105 10:09AM Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO J.D. 90916 10 East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAN]) COUNTY, PENNSYLVANIA DONEGAL MUTUAL INSURANCE COMPANY, Plaintiff v. NO. 2005-700 CIVIL ACTION-LAW ELIZABETH J. GOTH, Defendant JURY TRIAL OF TWELVE DEMANDED 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 within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by 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 for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiffs. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IFYOUDONOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAYBE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCE FEE OR NO FEE: Cumberland County Bar Association 32 South Bedford Street Carlisle, P A 17013 (717) 249-3166 F: \FILES\DA T AFILE\Donegal3050\CUrTent\295 .arnended com. wpd Created: 717104 11:14AM Revised 2/15/05 10:10AM DONEGAL MUTUAL INSURANCE COMPANY, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. NO. 2005-700 CIVIL ACTION-LAW ELIZABETH J. GOTH, Defendant JURY TRIAL OF TWELVE DEMANDED FIRST AMENDED COMPLAINT I. Plaintiff, Donegal Mutual Insurance Company, is a Pennsylvania corporation with a business address of 1195 River Road, Marietta, PA 17547. 2. Defendant, Elizabeth J. Goth, is an adult individual residing at 502 Jacob Lane, Mechanicsburg, PA 17055. 3. On or about August 23, 1996, Defendant entered into a written insurance contract with Plaintiff and subsequently renewed such contract each year to include June 30, 2002. 4. On or about June 30, 2002, Defendant made a false insurance claim to Plaintiff. 5. After investigating the insurance claim, Plaintiff determined that Defendant made a fraudulent claim. 6. As a result of the investigation and fraudulent claim made by Defendant, Plaintiff incurred costs in the amount of$917.34. 7. Defendant was found guilty of insurance fraud. 8. Defendant is responsible for the costs incurred by Plaintiffunder the Insurance Fraud provision ofthe Pennsylvania Crimes Code, Section 4117. WHEREFORE, Plaintiffs demand judgment against Defendant in an amount of$917 .34, plus attorney's fees, costs, interest, and any other reliefthat the court deems appropriate. MARTSON DEARDORFF WILLIAMS & OTTO Date: February 15, 2005 By CL~ S !2- Christopher E, Rice, Esquire J.D. Number 90916 Ten East High Stn:et Carlisle, P A 17013 (717) 243-3341 Attorneys for Plaintiff VERlFlCATrON The foregoing Complaint is based upon information which has bcen gathered by my counsel in the preparation of the lawsuit. The language of the document is that of counsel and not my own. I have read the document and to the extent that it is based upon information which I have given to my counsel, it is true and correct to the best of my knowledge, information and belief To the extent that the content of the document is that of counsel, I have relied upon counsel in making this verification. This statement and verification are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities, which provides that if I make knowingly false averments, I may be subject to criminal penalties. DONEGAL MUTUAL INSURANCE COMPANY It . . . r\ c ( li !dtfi~ C ' ! )0/1" iit:2.- Christine E. Myers '; , F \F1LE$IDA T AF!LEIDonegaBOSQ\CurrentI295 com I ~ .. ""'" f'"'\ Q? ~ '1.11 ~ ...., ;!\' t:' 0' IS' - ----- Christopher E. Rice, Esquire MARTS ON DEARDORFF WILLIAMS & OTTO LD.90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff DONEGAL MUTUAL INSURANCE COMPANY, : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. : NO. 2005-700 : CIVIL ACTION-LAW ELIZABETH 1. GOTH, Defendant : JURY TRIAL OF TWELVE DEMANDED PRAECIPE TO THE PROTHONOTARY: Enter default judgment in the above-captioned action in favor of Plaintiff and against Defendant in the amount of$917.34, plus interest, attorney's fees, and costs of suit as prayed for in the Complaint, for failure to file an Answer to Plaintiff's Complaint. I do hereby certifY that a written notice of intention to file this Praecipe was mailed to the Defendant at the address indicated thereon, on March 9, 2005, which date was subsequent to the date default occurred and at least ten (10) days prior to the date ofthe Praecipe. MARTS ON, DEARDORFF, WILLIAMS & OTTO BY~>.1Z- Christopher E. Rice, Esquire LD. Number 90916 Ten East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Plaintiff Dated: March )/, 2005 : Christopher E. Rice, Esquire . MARTSON DEARDORFF WILLIAMS & OTTO J.D. 90916 10 East High Street Carlisle, P A 17013 (717) 243-334] Attorneys for Plaintiff CG@ DONEGAL MUTUAL INSURANCE COMPANY, : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. : NO. 2005-700 : CIVIL ACTION-LAW ELIZABETH J. GOTH, Defendant : JURY TRIAL OF TWELVE DEMANDED IMPORTANT NOTICE TO: Elizabeth J, Goth DATE OF NOTICE: March 9, 2005 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 (10) DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAYBE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. 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. Cumberland County Bar Association 32 South Bedford Street Carlisle, P A 17013 (7 I 7) 249-3166 MARTSON DEARDORFF WILLIAMS & OTTO By Christopher E. Rice, Esquire Christopher E. Rice, Esquire MARTS ON DEARDORFF WILLIAMS & OTTO !.D. 90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff DONEGAL MUTUAL INSURANCE COMPANY, : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. : NO. 2005-700 : CIVIL ACTION-LAW ELIZABETH J. GOTH, Defendant : JURY TRIAL OF TWELVE DEMANDED A VISO IMPORT ANTE A: Elizabeth J. Goth FECHA DEL A VISO: March 9, 2005 USTED ESTA EN REBELDIA PORQUE HA FALLADO DE [TOMAR LA ACCION REQUERIDA EN ESTE CASO. A MENOS QUE USTED TOME ACCION DENTRO DE LOS PROXIMOS DIEZ (10) DIAS DE LA FECHA DE ESTE A VISO, SE PUEDE DICT AR UN F ALLO EN CONTRA SUY A SIN LLEV ARSE A CABO UNA VISTA Y USTED PUEDE PERDER SU PROPRIEDAD Y OTROS DERECHOS IMPORTANTES. USTED DEBE LLEVAR ESTE DOCUMENTO INMEDIA T AMENTE A SU ABOGADO. SI USTED NO TIENE UN ABOGADO o NO PUEDE P AGAR UNO, V A Y A 0 LLAME LA OFICINA ABAJO INDICADA PARA QUE LE INFORMEN DONDE PUEDE CONSEQUIR A YUDA LEGAL. ] REGISTRAR COMp ARECENCIA ESCRIT A POR SI MISMO 0 A TRA YES DE UN ABOGADO Y SOMETER CON LA CORTE SUS DEFENSAS U OBJECCIONES A LOS CARGOS QUE SE HAN PRESENT ADO CONTRA US TED. A MENOS QUE USTED ACTUE DENTRO DE DIEZ DIAS DE HABER RECIBIDO ESTE A VISO, LA CORTE PUEDE TOMAR UNA DECISION .EN CONTRA SUY A SIN TENER DERECHOS A UNA VISTA Y US TED PUEDE PERDER SU PROPIEDAD U OTROS DERECHOS IMPORT ANTES. USTED DEBE LLEV AR ESTE DOCUMENTO A SU ABOGADO INMEDIA TAMENTE. SI USTED NO TIENE UN ABOGADO, LLAME 0 VA Y A A LA SIGUIENTE OFICINA. EST A OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO CONSEQUIR UN ABOGADO. SIUSTED NO PUEDE P AGARPOR LOS SER VICIOS DE UN ABOGADO, ES POSIBLE QUE EST A OFICINA LE PUEDA pROVEER INFORMACION SOBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO 0 BAJO COSTO A PERSONAS QUE CALIFICAN. Cumberland County Bar Association 32 South Bedford Street Carlisle, pA 17013 (717) 249-3166 CERTIFICATE OF SERVICE I, Mary M. Price, an authorized agent of MARTS ON DEARDORFF WILLIAMS & OTTO, hereby certify that a copy ofthe foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, P A, first class mail, postage prepaid, addressed as follows: Elizabeth J. Goth 502 Jacob Lane Mechanicsburg, P A 17055 MARTS ON DEARDORFF WILLIAMS & OTTO l By l '4.i<- M . Price Ten ast High Street Carlisle, PA 17013 (717) 243-3341 Dated: March;21 ' 2005 <1 ~ q. c ~ 1.....,., D .l,g. ? ~ "'..1"" \-7'( ~ -t) f1'YV' ~ ~ \) 1~'/." rv :p (f....;;:; rv Sl \) ?\') .-'\."'~, ~ -0 ~p. ~ -- -- ~ !;~~ -:J'. " .t.. ~O l':? g VI 'C '}J ~ r.J\ ;;0 ~ :::%. ~ v> r () 1::- ~ t [' J::- - -- Christopher E. Rice, Esquire MARTS ON DEARDORFF WILLIAMS & OTTO 1.D,90916 10 East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Plaintiff DONEGAL MUTUAL INSURANCE COMPANY, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. : NO. 2005-700 CNIL ACTION-LAW ELIZABETH J. GOTH, Defendant JURY TRIAL OF TWELVE DEMANDED TO: ELIZABETH J. GOTH NOTICE OF ENTRY OF DEFAULT JUDGMENT You are hereby notified that on thed.L:'~of ~ ,2005, the following Judgment "- was entered against you in the above-captioned: judgment in the amount of$917.34, plus interest, attorney's fees, and costs of suit as prayed for in the Complaint for failure to file an Answer to Plaintiffs Complaint. Date: :A /;:;. "d..)(->( / I I hereby certify that the name and address of the proper person to receive this notice under Pa. R. Civ. P. 236 is: Elizabeth J. Goth 502 Jacob Lane Mechanicsburg, P A 17055 Christopher E. Rice, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 90916 10 East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Plaintiff DONEGAL MUTUAL INSURANCE COMPANY, : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. : NO. 2005-700 : CNIL ACTION-LAW ELIZABETH J. GOTH, Defendant : JURY TRIAL OF TWELVE DEMANDED COMMONWEALTH OF PENNSYLVANIA ) : SS COUNTY OF CUMBERLAND ) Christopher E. Rice, Esquire, being duly sworn according to law, deposes and says that he is an employee of MARTS ON, DEARDORFF, WILLIAMS & OTTO, attorneys for the Plaintiffs in the above captioned matter and that pursuant to the provisions of the Pennsylvania Rilles of Civil Procedure, a notice of intention to enter default judgment against the Defendant was given to her by mail on March 9, 2005. II 17 / , LA::-~ ? ~ Christopher E. Rice, Esquire Sworn to and subscribed before me this.2/, t day of It) elf c)) , 2005. v~. c((J. falL -./A.t-~v Public ~ ..,~ -,:;~p. r"DU:, z,,, h\',r~" ~..~,;, r-;;~. "J:;;(C"J. 'lr:-., J .~C 'P'~ ~ q. ~ .-\ ~ f\'\~ -e. 1)~' -- :J? ~ '1~ <:2[') --0 %?" :S g I'? 1;0) . ..z. r.J\ v> Christopher E. Rice, Esquire MARTS ON DEARDORFF WILLIAMS & OTTO 1.D,90916 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Plaintiff DONEGAL MUTUAL INSURANCE COMPANY, : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. : NO. 2005-700 : CNIL ACTION-LAW ELIZABETH J. GOTH, Defendant : JURY TRIAL OF TWELVE DEMANDED AFFIDAVIT AS TO MILITARY SERVICE COMMONWEALTH OF PENNSYLVANIA ) :SS. COUNTY OF CUMBERLAND ) Christopher E. Rice, Esquire, being duly sworn according to law, deposes and says that he has authority to make this affidavit on behalf of his client, and to the best of his knowledge, information and belief, the Defendant above named is not in the military service ofthe United States of America, that he has knowledge that the said Defendant is now living at: 502 Jacob Lane, Mechanicsburg, PA 17055. Said Defendant's place of employment is unknown. Ge-4 r (? Christopher E. Rice, Esquire Sworn to and subscribed before me this~Udayof~lC1ri41 ,2005. cJj,,~ 1t, (.)UC~, Notart ublic NW ALTH OF \'l'NNSYLVANIA Nolarial Seal Mary M. Pnce, Notary Public Clnllle BOrll, Cumberland County ._MY COmmllllon Expire. Aug. 18,2007 Member, Pef,t18V~\'~lii~ AAso6a~on ot No1aries ~ '3'- ~ ~ ~ o c. -. <, ,"'O\:p (i:n' -" -::; -e::; ,~ it));. ~t) ~Q ~~ ~ ~ ~"'<"\ \'l'~ ~~. ~.. . ....,'1 -6 ~f(.\ ,.J, % :;,:, --0 ~ r:-? (.1\ c..:> - SHERIFF'S RETURN - REGULAR CASE NO: 2005-00700 P COMMONWEAL,TH OF PENNSYLVANIA: COUNTY OF CUMBERLAND DONEGAL MUTUAL INSURANCE CO VS GOTH PHILIP C ET AL VALERIE WEARY , Sheriff or Deputy Sheriff of Cumberland County, Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon GOTH PHILIP C t e DEFENDANT , at 1939:00 HOURS, on the 14th day of February 2005 at 1197 CROSS CREEK DRIVE MECHANICSBURG, PA 17055 by handing to PHILIP GOTH a true and attested copy of COMPLAINT & NOTICE together ith and at the same time directing His attention to the contents the eaf. Sheriff's Costs: Docketing Service Affidavit Surcharge So Answers: 18.00 8,88 .00 10.00 .00 36.88 /cY' .b~ rJ,ftf~--;..",c..f ~ R. Thomas Kline 02/17/2005 MDW&O Sworn and Subscribed to~efor, me this f day af-I'~l ('Joo \--- A.D. 1}1';;0 M~.JJ _..._~ ~ I Pr~da-;;~t;:;T -~J By: iff . SHERIFF'S RETURN - REGULAR . CASE NO: 2005-00700 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND DONEGAL MUTUAL INSURANCE CO VS GOTH PHILIP C ET AL SGT DAVID ZEIGLER , Sheriff or Deputy Sheriff of Cumberland County, Pennsylvania, who being duly sworn accordin says, the within COMPLAINT & NOTICE was served upon , 2005 GOTH ELIZABETH J DEFENDANT , at 1135:00 HOURS, on the 17th day of at CUMBERLAND CO SHERIFF'S OFFICE ONE COURTHOUSE SQUARE CARLISLE, PA 17013 by handing to ELIZABETH GOTH a true and attested copy of COMPLAINT & NOTICE together with and at the same time directing Her attention to the contents t ereof. Sheriff's Costs: Docketing Service Affidavit Surcharge So Answers: 6.00 .00 .00 10.00 .00 16.00 ~,/"7./' ;:;y\,,~ ~.: "-' "-r_~, "."..-.,,:....,... .'. R. Thomas Kline By: " \~ ,,/"1 // 02/17/2005 MDW&O Sworn and Subscribed to before ," ..---', me this r day of ~ I( /."'-v" \ Deputy ~beriff ~ ---- O"'d V ,.P.~. .~,J'..-~ .} Prot onotarf A.D. .d/fr