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14-1004
Supreme Court of Pennsylvania Court of Common Pleas For Prothonotary Use Only: Civil Cover Sheet Docket No: Cumberland County The information collected on this form is used solely for court administration purposes. This form does not supplement or replace the ftling and service of leadin s or other papers as required by law or rules of court. Commencement of Action: ® Complaint ❑ Writ of Summons ❑ Petition ❑ Transfer from Another Jurisdiction ❑ Declaration of Taking S E Lead Plaintiff's Name: Lead Defendant's Name: FRANCIS T DUBOIS C SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST Are money damages requested? X El Yes [_1 No Dollar Amount Requested: ® within arbitration limits (Check one) El outside arbitration limits 0 N Is this a Class Action Suit? ❑ Yes ® No Is this an MDJ Appeal? YQ X NO A Name of Plaintiff /Appellant's Attorney: Morris Scott /Syretta Martin ❑ Check here if you have no attorney (are a Self - Represented [Pro Se] Litigant) N_ ature 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) Cmuy��r`PTIai , do( not include Judgments) CIVIL APPEALS El Intentional tiff Administrative Agencies E3 Malicious Prosecution bt Collection: Credit Card ❑ Board of Assessment ❑ Motor Vehicle ❑ Debt Collection: Other ❑ Board of Elections ❑ Nuisance ❑ Dept. of Transportation S ❑ Premises Liability ❑ Statutory Appeal: Other E ❑ Product Liability (does not include ❑ Employment Dispute: mass tort) e C ❑ Slander /Libel /Defamation Discrimination T ❑ Other: ❑ Employment Dispute: Other ❑ Zoning Board I ❑ Other: 0 N El Other: MASS TORT ❑ Asbestos ❑ Tobacco B ❑ Toxic Tort - DES ❑ Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS ❑ Toxic Waste ❑ Ejectment ❑ Common Law /Statutory Arbitration ❑ Other: ❑ Eminent Domain /Condemnation ❑ Declaratory Judgment ❑ Ground Rent ❑ Mandamus ❑ Landlord /Tenant Dispute ❑ Non - Domestic Relations ❑ Mortgage Foreclosure: Residential Restraining Order PROFESSIONAL LIABILITY ❑ Mortgage Foreclosure: Commercial ❑ Quo Warranto ❑ Dental ❑ Partion ❑ Replevin ❑ Legal ❑ Quiet Title ❑ Other: ❑ Medical ❑ Other: ❑ Other Professional: Updated 1 2874199 Blatt, Hasenmiller, Leibsker & Moore, LLC Attorney for Plaintiff, Morris Scott Attorney I.D. #83587 SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B THUS Syretta Martin Attorney I.D. #309370 1835 Market Street, Suite 501 Philadelphia, PA 19103 215- 564 -1567 SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST c/o Blatt, Hasenmiller, Leibsker & Moore, LLC IN THE COURT OF COMMON PLEAS 1835 Market Street, Suite 501 Philadelphia, PA 19103 CUMBERLAND COUNTY, PA Plaintiff, CIVIL ACTION vs. r FRANCIS T DUBOIS �. 434 N PITT ST # 2 CARLISLE PA 17013 -1945 I "t7 Defendant(s). i L:) PRAECIPE TO ENTER APPEARANCE TO THE PROTHONOTARY: Kindly ENTER my appearance in the above - captioned matter on behalf of PLAINTIFF SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST. Papers may be served at the address set forth below: Blatt, Hasenmiller, Leibsker & Moore, LLC 1835 Market Street, Suite 501 Philadelphia, PA 19103 Telephone Number: 1- 215 - 564 -1567 BLATT, HASENMILLER, LEIBSKER & MOORE, LLC Dated: February 12, 2014 By: Morris 60 t Attorney Syretta Martin Attorney 2874199 PPTXPEAI (111/18/2013) 11111111111111 IN 11111111111111111111111111111111111111111111 IN 11111 1111 Blatt, Hasenmiller, Leibsker & Moore, LLC Attorney for Plaintiff, Morris Scott Attorney I.D. #83587 SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUS Syretta Martin Attorney I.D. #309370 1835 Market Street, Suite 501 Philadelphia, PA 19103 800 - 850 -1079 SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST c/o Blatt, Hasenmiller, Leibsker & Moore, LLC IN THE COURT OF COMMON PLEAS 1835 Market Street, Suite 501 Philadelphia, PA 19103 CUMBERLAND COUNTY, PA Plaintiff, CIVIL ACTION ' vs. No. — 1 - l �V1 FRANCIS T DUBOIS 434 N PITT ST # 2 CARLISLE PA 17013 -1945 C�) Defendant. ....+• c:; gym' { t 1 5 NOTICE TO DEFEN 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 plaintiff. 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 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 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 28741991�� PPTCPADI AVISO Le han demandado a usted en la corte. Si usted quiere defen derse de estas demandas expuestas en las paginas siguientes, usted tiene veinte dias de plazo al partir de la fecha de la demanda y la notification. Hase falta ascentar una comparencia escrita o en persona o con un aboga do y entregar a la corte en forma escrita sus defensas o sus objeciones a las demandas en contra de su persona. Sea avisa do que si usted no se de fiende la corte tomara medidas y puede continuar la demanda en contra suva sin previo aviso o notificacion. Ademas, la corte puede decidir a favor del demandante y requiere que usted cumpla con todas las provisiones de esta demanda. Usted puede perder dinero o sus propieda des u otros derechos importantes para usted. LLEVE ESTA DEMANDA A UN ABOGADO IMMEDIATAMENTE, SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. SERVICIO DE REFERENCIA LEGAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 (717) 267 -2032 Blatt, Hasenmiller, Leibsker & Moore, LLC Attorney for Plaintiff, Morris Scott Syretta Martin 1835 Market Street, Suite 501 Philadelphia, PA 19103 800 - 850 -1079 SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B RUST IN THE COURT OF COMMON PLEAS c/o Blatt, Hasenmiller, Leibsker & Moore, LLC CUMBERLAND COUNTY, PA Plaintiff, CIVIL ACTION VS. No. FRANCIS T DUBOIS 434 N PITT ST # 2 CARLISLE PA 17013 -1945 Defendant(s). Plaintiff, SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST, claims as follows: 1. The Defendant(s), FRANCIS T DUBOIS , is a resident of Cumberland County, PA. 2. Plaintiff and Defendant executed a Promissory Note whereby Defendant(s) promised to make monthly payments as specified in the Note. A Copy of the Note is attached hereto as Plaintiff's Exhibit A. 3. The Defendant was advanced the proceeds of the loan which were to be used for educational purposes. 4. Allowing for credits for payments, the balance due is $29910.85. See Plaintiff's Exhibit B. 5. The Plaintiff had declared the Defendant to be in default and demands payment of the balance due from the Note. WHEREFORE, the Plaintiff SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST, prays for Judgment in it's favor and against the defendants) FRANCIS T DUBOIS , in the amount of $29910.85. Respectf submitted, Morris Scott Attorney I.D. #83587 Syretta Martin Attorney I.D. #309370 Dated: February 12, 2014 2874199 PPTCNCSI VERIFICATION I, the undersigned attorney for the Plaintiff, hereby verify that the statements made in the foregoing Complaint are true and correct to the best of my knowledge, information, and belief, based upon information provided by the Plaintiff, that the Plaintiff is presently located outside of this jurisdiction, and that in order to file the within document in an expedient and timely manner I am authorized to sign this verification on behalf of the Plaintiff. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsifications to authorities. PPTXV ERI / Blatt, Hasenmiller, Leibsker & Moore, LLC Attorney for Plaintiff, Morris Scott Attorney I.D. #83587 SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUS Syretta Martin Attorney I.D. #309370 1835 Market Street, Suite 501 Philadelphia, PA 19103 800 - 850 -1079 SLIM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST c/o Blatt, Hasenmiller, Leibsker & Moore, LLC IN THE COURT OF COMMON PLEAS 1835 Market Street, Suite 501 Philadelphia, PA 19103 CUMBERLAND COUNTY, PA Plaintiff, CIVIL ACTION vs. No. FRANCIS T DUBOIS 434 N PITT ST # 2 CARLISLE PA 17013 -1945 Defendant(s). AFFIDAVIT OF NON - MILITARY SERVICE COMMONWEALTH OF PENNSYLVANIA: County of Cumberland: I, Morris Scott /Syretta Martin, being duly sworn according to law, depose and say I am the attorney for Plaintiff and I am authorized to make this affidavit on Plaintiff's behalf. I hereby certify that the Defendant(s) is at least 18 years of age and not in the Military Service of the United States, nor any State or Territory thereof or its allies as defined in the Servicemembers' Civil Relief Act of 2004 and any amendments thereto. See Defendant(s) Military Status Report pursuant to 50 U.S.C. App. Section 521, 525 which was obtained from the Department of Defense Manpower Data Center ( https: / /www.dmdc.osd.mil /appi /scra /). I also herby certify that the statements made in the foregoing Affidavit of Non - Military Service are true and correct to the best of my information, knowledge, and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. Section 4904 relating to unsworn falsification to authorities. BLATT, HASENMIL EIBSKER & MOORE, LL Dated: February 12, 2014 By: Ma Is Scott Syretta Martin 2874199 PPTJCAMI (06/28/2013) 1111111111111111111 IIII III 111111 VIII VIII VIII VIII VIII 11111111111 III IIII Exhibit "A" PPTXEXAI STATE OF INDIANA COUNTY OF HAMILTON Plaintiff, SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST V. Defendant, FRANCIS T DUBOIS, Note # XXXXXXXXXX0103 AFFIDAVIT OF DEBT I, Mary Kay Mauer, being of full age, hereby certify as follows: 1. 1 am more than 19 years of age and am competent to make this affidavit. 2. 1 am employed by Sallie Mae, Inc., as a Litigation Assistant. I am authorized to make this affidavit on behalf of Sallie Mae Inc. as administrator and agent for SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST. 3. 1 am familiar with the facts and circumstances in connection with this account and have been authorized to make this affidavit in the above referenced case. 4. In the ordinary course of business and as a regular business practice, Sallie Mae, as administrator and agent for SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST compiles business records memorializing account activity and transactions at or near the time they occur. 5. Entries in the files and business books and records of Sallie Mae, as Administrator and Agent for SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST are made contemporaneously with transactions in order to preserve the accuracy of the transaction. 6. Account information and business records regarding Plaintiff's accounts are maintained by, Sallie Mae, as administrator and agent for SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST. 7. 1 have custody and control of the files and business records relating to this account 8. There remains an outstanding balance due Plaintiff from Defendant in the amount of $ 27741.44 plus interest of $2169.41 calculated through 06 -22 -13 for a total balance due and owing of $29910.85. 9. The documents attached to this affidavit, if any, are true and accurate copies of business records regarding the Defendant's account. 10. Based upon the account information that I reviewed, the Defendant is not an infant or incompetent person. I have input the Defendant's name in the Manpower Department of Defense database and based upon the review, the Defendant is not on active duty with the Armed Forces of the United States of America or its allies. i I affi under the nal o erjury that the above facts are true and correct to the best of my belief. Mary Kay er, Salli ae, as administrator and agent for SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST IN WITNESS WHEREOF I have hereunto subscribed my name and affixed my official seal on August 20, 2013. Notary Public Pamela Ann Pedigo My Commission Expires: September 22, 2013 Within and for the County of <<Notary County>> And State of Indiana ° Notary Number 629676 ° °° ANN 2874199 = SEAL = LXDXCSMI % F /0Fl i TRUE AND EXACT COPY OF TIi E ORIGINAL F is L Signature Student Lon' Application and Promissory Note valid through May 2003 =�i• '. Lender. Chase Bank USA (516745) Wilmington, DE Lender Code: 5 Section A: Student Applicant Section: Please read iostrudions before completing this section I �nn t°CUrlty Number' 2fsstNtmck73r. FauName K Acadmucpetydrhs wr7Jbcip fwd -1345 DUBOIS FRANCIS T (ter» `r Fm 0 2 P 70: 05-03 3. Pamm�entlbae Stmn Atidmss(ucbde apt #orKJdozj Cory Scare Zip Code AJIoroe�N -bw 1948 ROCK HOLLOW RD LOYSVILLE PA 11047 (717)789-3594 S.Ad*= Wink fn erpo am) Ciy Storm hpCoW 6.Aaoatc is F t�� L-8�;7so 8. Datcof8ith 9.!river's LiaiseNotc Starcof t0:' USG (ffwmrcartaM'A) ; Jssmoe Cita�leGLd,r Ya Nog 08/03/1983 26614289 ; PA =-- 'mJidenis 11. YOUC6a�Haly forafrdaetkanM :S�ealivtorthisSiwme SDdcati om ird&W�,y(Rc51), F016F s xk&must submit © ofthm admt VISA(type FJ, 1d18or31)ora moromronretiom.) Sf mcappUtd%ru*6eWbmpkasedte hnaMlirtyaa;-i s Form - %,I- M8arlT O Ym1bavcvpbodfora6%kWiowL UrAwNatrrc . toyucalod 13. ScboolN &&S Ie �} No,Imnrotdigbk. lec! Major (Refer biau„aiarsj 15. ha ae al c)pTSa PAV 2nd Yr (Sopbomoref Com a Selena f rXes elm fm u mdam oa 16 F.vmilAdlM 17. Refcrcnce (Doaatumwbnsmwcr,) t &Rcid'onddp tr ' 3 duboisr @pa.net t� GARY T DU80iS Relative )9. ROOM=SFamV=Ad*M Cty Smk z�Codc 20. RCeralx sHoabPhotic 243 CONWAY ST GREENFIELD MA 01301 (413)774-4,9061 I r SectiouB: Co- borrower Information: Please read instmetions before completing this sedi9 ` -, 1 c 21. Lei', e3d8r. KMNmc N 22. DateofBinh 23.Soohi 24. Qrdml9trxt Addtcss Ap #orFoAOJbxPoa ( StNe zocode 25.liom Jnro f Not. Forbox%26,27&Dd4 )w donor>emto romw irony, 26.Qrmt4Adhylnome 27.OwMooft Houw.hold bwm 2& 7 AtUylioadcgraymxa 29, OITrs Momhy dwaffott oroxroknvze kkom rmlmymwish abbe S Sow= Hbutdold Payomtda totDiderrd asa4ais forban r�peymed. (Referb iaatuaiaa) S S cb* *W Own Rcu S 30. S�+bycr`s151me 31.FmplgeraAd&m City swe TPA 32. Work Phmw 33.FfenkNare CCin8AoaoaaorSavingsAOemmt# M.Haveloucvderaukd 35.CA Po mrcm111611 t• I 36RefcmomD0N0TacaW-& onaaudeatbadJ • Perrmm Resdaas mo mbmia eVyofthe ffomaDdbadc Yes No 0fd1drMScud tA: ea Sate 4codo 3&Re4=WsHoao 39. Rdarimahip Phodo $ ORROW KYOUARENOTREQUIRED TOADDASECONDC09 0RROWERHoweve, ifyro uwmtasecondCo- b0nower'sincomeandri ts10beeanid aedmdxbandaoisb4pleasehave WWoonvietebmces4044. Co kteboxes 40.IaCNameJrJSr. FdstNeme MI 41,Dtc.Mth 41SoebIs AyNmnlxr I 43.QMMomhlyJntiomc 44.Taal mndNy !*Y�� S S Section C: Borrower and Caborrowe s S' tunes: 45. I declare that dJe information provided above is tnleand complete to the best ofmy knowledge and belief. Ihave read the PJomi -yNtee (SS2002-A) accompanying this application, and The Notice to Cosigtter(s} Promise W pay. Jointly and severally with the Other signetgbelow, l promise to pay the lender or any other holderofthjs loan all sums disbursed under Ste terms of the Promissory Note, plus interest and all Othereharges, which may become due. T71e term and conditions set forth in the Promissory Note constitute the entire agreement bttuvem us. CAUTION - rr IS IMPORTANT THAT YOU THOROUGHLY READ THE CONTRACT BEFORE YOU SIGN IT. 1, THE GO-BORROWEK HAVE READ THE APPLICABLE COSIGNER NOTICE. Notice to Custorner (a) Do not sign this before you read the promissory note even ifotherwise advised. (b) Do not sign this ifit contains any blank spans. (c) You ace entitled to an erect cop YOfany 8910Mtartt you sign. (d) You have the right at any time to pay is advarue the unpaid balance due under this apeorneort and you may be entitled ton partial refutdofthefinance SignAto� Co- boaowa of Borrower Date /2�d Sew f Second Co-boaOwer S4-ole f smQ Dark_______„ if bom 4044 com Section D: School Section: Must be completed by an authorized school official. 46.ScboolNamc 47.Sdno1 Codd&=h 4&AulhotinodrmnAtronnb sad Disbrarc7ncm Dora La Salle University 003287/0000 J 49j(CecleOm) cna>aa� so, lampaiod(mMddly}+f sJ.D;pw~ t S 9000 01- rmydar A -Farr Yea. From 001/2002 To: 05101/2001 Computer Science 2"Oisbcac S 9000 02•Scaon4 Year X 0.sw.Ayes 52.AmiaipardGrad�tiorrD .(rrarJyy) s3. FiaaameaSutus(Geta OaCl: 3 S 03- ThidYwr C•Ibwy= Sludrmsmuabc0mo1kia1ka9bWAirna Of •Fordh S D -FOUnh Ymr FuaTime HeTim 4"DisbASCnaera OS•Fdib Yrae Total Apprmed Amount 'S 54, 1bmeby moifya»t the amroweriselowe fareSigaattae Swdeaq Loan; IhUde TOW AWrovedAaauntt;.9 corned arc zod.Wstoa educalionmhas of rfrwxWrrW; amt the Ad*0 vrin,alNerequeu oftheladw. providedte tewwwithwbsogwmmfome >icwrcgarda{grheHomweYawhenmb0=, dmtftsd ooi wia comply with blIVPticabie bdrpoLciesaudpmsisiaar Aad"idbrou ionMmod m remora A eM b is auq oo0pkte aqdwa=mftbc9ofnw)mowWgeondbdkE slamneadsigndameof Prh&ortype Dhow cerificaboo. Sea Wecnun4atty 0 aulba»zcdaajool oftiaal: rwue and ddc Mail application to: Chase Bank USA (516745) clo Sallie Mac Servicing • PO Box 59030 • Panama City FL 32412 - 9030 t AIM (eepnri�aawzsdceara< c2ad¢j T'l"..'UE AND EXACT CGpy OF THE ORIGINAL 15 r iy Signature Student LOa11 Application and Promissory Nate valid through May 2003 i Lender: Chase Dank USA 51674 Wilm ion DE Lender Code:. 5974 , Section A: Student Applicant Section: Please read instructions before completing tbls section. t.!..,o:MP -ity Number 2.S�th9mc JL9z. FastNecc MI - Acad�irtiepq(oddls adllt�t fund 1345 DUBOIS FRANCIS T ( o a M Ta 05/2003 3.P OMWHntoeStroutA &hM(=haesptaorFOBox) City store ZipCede 4.lfourPb* Nmbw 1948 POCK HOLLOW RD LOYSVILLE PA 17047. (717)789-3594 S,Addreas while in5etool(�odn0o apt #azPO'BOx) - City Sate 2ipcode 6.fbltoam Mw w3dlein . ST .tj 7. CY�ttshiP: a. Dam of Binh 9. Ddw's Curse Numbs Stan of m (ordeooe) 'LSGYt=a N-6.WX Paonnas Fatiprswem• CtfmmoMaMA) law®ee Ooe Yca 14D 08/03/1983 26614289 PA (Mdrmtriamaorrc) Femmvnttmidat% wdothaagtb1eaknwu4subnd(ac %y of.dmft- ®dbakQf9=1NS card rI. Yoash addapPlyforafcdrreFWanbcfosappyingforW "sSigtwotc 5titdtatl.uab, VcTg'b`ln�,,, hasnwem br • (1NSForml -551). FoteignshdabmMsobmAaeopyofOteir AukWVl.SA(type F),HlBor3l).aa Mloi+cmf.'an) If3b,,b,esppW for andetat tv�pkmdwk ha'eard ha)om',.,. ofthev3N5Form MuBorl-7661 O Ya.lhaseappliodrorafaidalloan I.tnaaNm= �� Nglamrotc , 1Z loan AMDuat Rcqumiod 13. ScnoolN�ag &Scam l4; 6radeLe�ct R; (Rnkr WituWatts) 15. Hate3mii¢sceBCfwledonaAVdan s I8000 PhildclpVm PA ry znd Yr (soanoa omj � ascicare r We X`s -� rar actSan 1fi.Wrmil Address 17. ReRracc (Donutummbnrtwv) l &Rdnliondr4 dub , isr @pa net Nam GARY TDUBOIS Relative )9.Rs0rnce'sPa-.cMAd(k1M co Sore Z @Carlo 20 Rckmtoc'sHouiaFhofc 243 CONWAY ST GREENFISLD MA 01301 (413)774 -W Section Ii: Co- borrower Information: Please read Instructions before completing this section. 21. LoANsa Mr. Fro k= MI Y2. DsteotBinh y.SomtSayk�yNuel6a 24.Wrer4 _tatAd*= - Ap ftPoa0lhxBOx Gay Sate Zipcode 25.14a mPhow Notnkbr n 1 o413, you danshsotoreKW 2b.Omts Mommy [aoonc 27.Od rrA(0&4 Hmac Iwo= 2&)bmbly -Ho _*?ayv aOthz Maalt�' suppataohtmarce ini>omeaelesiyaawisltitto.b0 S Sow= LipudpllFaytn<ms oonsidatd esalraaforkwnrytaymem. (Refer to bonca0m) S S cbcb oa: Own Ran S 30.Fmpbyer'sName 33. Finpfoyer'cAddtett GSty Sam 4codo 31 work phone 33. Bank Narrc 0cd2 eAwmrdorSm%sAvw t# 34. Naveywarrde(3obed 35.ckbi wipp.1.0rc)t3SCiiaeo PametcmReiAcnt• 36..Re2ta" DONOTaea,das_ onaaudem loanT •Pamacnr ResidmanmA SUMnnaao (.yof0c 6oatardbodc Yes No 01 lNS ta4 37. Reftaa,edsPamaacmAd4r�s Gray sate ZiyCO& 3&W*mwesliome 39. Rcbrio,a Phouc AS A OD BORR()VIM YOU APF NOT RMQ1MD TO ADD A SECOND CO- BORROWER. Howeve , if ynuwanta scooted cobtnmwar's momm aW debts to be com dewed m the loan dM sion, PIMM haw him4taoolnplae tuxes 4044. CwMloe bores 43 and44 o* iftheamoucta arenot included inb-m 27 W29 above 40. IAANwe3rA* - Fha Name MI 41.D%cofSMh 42S0m1Saa,rayNm1w 43.fkoeehtomhlylomme 44,TOatmoumy paymis s $ Section Q Borrower and Co -born we s S attires: 45,1 dediere that ft infatuation provided above is true and oomplete to the best ofmy knowledge and belief. I have read the Promissory Note (SS2002•A) aabmpanying this application and the Notice to Gosigne:(S} Promise to pay. Jointly and severally with1he other signers below, I promise io pay the tender of any od=holder ofthis loan all suns diisbursod under the tettrisofthe Psornis'soryNota, plus interest and all otherc8arges,which may become due. The temu and conditions set forth in the Promissory Noteeorisbtute the entireagreement benwen us. CAUTION -1T.IS IMMRTANT THAT XOU THOROUGHLY READ THE CONTRACT BEFORE YOU.SIGN l f. I, THE CO- BORROWER, HAVE READ THE APPLICABLE COSIGNER NOTICE. Notice to Customer (a) Do not sign this before you read the prnmissorynote even ifothexwise advised (b) Do not sigh this ifit contains any blank spaces (c) You are artifledto anrxact oopyof anyagrecrnent you sign. (d) You have the right atany time to pay in advance the unpaid balance due under" and ym may be entitled to a partW refund ofthe finance Cd•borrowa Signature ti C f sca[j Date of Borrowtx ��.�m�; Dat second Coborrower Sim f seat) � ifboxea 4044 em PittoO rQ. on D: School Section: Must be completed by an authorized school official. mrNano - 47.Schw1CoddBl h - 4&Aa t =dLowAn,=ftwd Dishm- =,%Aeles Salle University 003287/0000 adciti rol(Cacb Om) 5k%- p "ecip iW0-jddW 51. 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Mail application to: Chase Bank USA (516745) c/o Sallie Mao Servicing • PO Box 59030 • Panarns CityFL 32412 -9030 I,AUR (Rm*r9a2 hLC woo Signature Student Loan Promissory Note "Margin') and rounded to the nearest one - eighth of a disputed amount or balance, I must send It to Document SS2002 -A (0.125) of one percent. (For example, the P.O. Box 3800, Wilkes- Barre, PA 18773 -3800 with a Variable Rate for each quarter beginning January 1st letter of explanation. To the extent permitted by law, will be determined by the applicable Prime Rate you may accept late payments, partial payments, or In this Promissory Note the words 'r, 'me ', 'my', published on the preceding December 15th.) The payments marked "payment in full" or having similar "mine" and Ve" mean the above signed borrower and Margin is based on my school, credit history and co- language, without waiving your rights under this Note. co- bormwer(s), unless the language specifically refers borrower's credit history. The actual interest rate to only one or the other. 'You, your" and'yours' during the quarter in which my loan is disbursed will E. LATE CHARGES mean the lender as listed on the front of the be on my Disclosure Statement. I will pay a Late Charge if I fail to make any part of an application and any subsequent holder of this installment payment within 15 days after it becomes Promissory Note, If The Wall Street Journal is not published or the due. The Late Charge is $5.00 or 5% of the unpaid Prime Rate is not stated, then the Current Index shall amount, whichever is greater. A. PROMISE TO PAY be determined by using the immediately preceding I promise to pay to your order, according to the terms published Prime Rate, if the Current index is no longer F. SUPPLEMENTAL FEES below, the sum of the Loan Amount Requested to the available, you will choose a comparable substitute. In 1. Fee at Disbursement— You may charge me and, if extent it is advanced to me, or on my behalf, which no event will the Variable Rate exceed the maximum charged, I will pay you a Supplemental Fee at includes the Supplemental Fee described in rate allowed by law. disbursement of my loan. This fee will be identified an paragraph F (the "Loan Amount"); interest accrued or my Disclosure Statement and will be a percentage of capitalized on the Loan Amount as described in this D. TERMS OF REPAYMENT the principal balance of my loan. At the time you Promissory Note ('Note'); Late Charges and Check 1. interim Period - I am not required to make issue any disbursement, you may either deduct from Return Fees as provided in this Note; and; in the payments during the Interim Period. You wilt capitalize the disbursement or add to the principal loan balance event of default, collection costs and reasonable unpaid accrued interest to the principal balance of the an amount equal to the Supplemental Fee, attomeys' fees to the extent permitted by law. loan at the beginning of the Repayment Period. If 1 2. Fee at Repayment - You may charge me and, if am an eligible health student, you will capitalize charged, I will pay you a Supplemental Fee, which will B. DEFINITIONS unpaid accrued interest annually during any residency be identified on my Disclosure Statement, either as 1. interim Period -The "Interim Period" will begin on or internship deferment, at the end of any residency or described in the next sentence or upon an event the date my loan is disbursed. My Interim Period will internship deferment period of less than 12 months, described in paragraph I, whichever is earlier. This fee end 6 months after I graduate or drop below half -time and when I enter repayment. will be a percentage of the principal balance of my enrollment at an eligible school unless I have an 2. Repayment Period - I will make consecutive loan after unpaid interest accrued during the interim eligible health student deferment. If I am enrolled In a monthly payments during the Repayment Period in the Period is capitalized and will be added to the principal health profession and obtain an internship or amounts and an or before the payment due dates balance at the beginning of the Repayment Period. residency deferment within 6 months after leaving shown on my statements until I have paid all of the 3.1 understand and agree that the Supplemental Fee school, my Interim Period will end 6 months after the principal and interest and any other charges I may is earned when it is assessed and is not subject to deferment ends. owe under this Note. rebate if I prepay my loan. 2. Repayment Period - The "Repayment Period" wilt 3. Standard Repayment Terms - Subject to the terms begin on the day after the interi m Period ends and will of paragraph 5,1 will repay my loan in consecutive G. CHECK RETURN FEE continue for no more than 300 months depending on monthly installments of principal and interest If I make a payment by check and that check is my loan balance. calculated to equal the amount necessary to amortize returned unpaid for any reason, I agree to pay a 3. Statement Period - I will receive statements (or the unpaid principal and interest at the Variable Rate charge of up to $20.00 for each check so returned. coupons) on my loan at the address shown on your then in effect over the number of months remaining in Such Check Return Fee may be added to my principal records (see paragraph K. Notices). The period of time the Repayment Period with the payment amount balance hereunder and accrue interest at the rate covered by a statement is called a "Statement Period ". changing in the month following the month of each provided in this Note, without notice. During the Repayment Period I will receive statements Change Date. on my loan, unless I enroll in an automatic payment 4. Graduated Repayment Option - I may choose a H. RIGHT TO PREPAY plan. The statements will cover Statement Periods graduated repayment option, if available. If I convert to I have the right to prepay all or any part of my loan beginning on the first day of the Repayment Period this option, I will notify you in writing. at any time without penalty. and on the same day of each following Statement 5. Amounts Owing at the End of the Repayment Period. Period - Since interest accrues daily upon the unpaid 1. WHOLE LOAN DUE principal balance of my loan, if I make payments after Subject to applicable law, you have the right to give C. INTEREST my payment due dates, I may owe additional principal me notice that the whole outstanding principal 1. Accrual of Interest - Interest will accrue from the and interest and Late Charges at the end of the balance, accrued interest, and all other amounts date of disbursement until payment in full at the Repayment Period. In such case, I shall pay the payable to you under the terms of this Note are due Variable Rate described in paragraph 2. additional amounts, and you may increase tho amount and payable at once and to cease to make any further 2. Varable Rate - The Variable Rate will et:ange of my last monthly payment to the amount necessary disbursements tome, if. quarterly on the first day of each January, April, July to repay my town im full o< sncrease the Repaymert 1.1 fail to make any monthly payment to you when and October (the 'Change Date(s)l if the Current Period. due ( "default'); or Index changes. The Variable Rate for the Interim and 6. Minimum Repayment - Notwithstanding paragraphs 2.1 fail to provide a notice required in paragraph K.1 Repayment Pedud is the annual rate equal to the sum 3 and 4,1 agree to pay at least $50 per month or the on time; or of the highest Prime Rate published in The Wall Street unpaid balance, whichever is less. 3. 1 break any of my other promises in this Note; or Joumal `Credit Markets' section, 'Money Rates' table 7. Payments - Payments will be applied first to Late 4. Any bankruptcy proceeding is begun by or against on the fifteenth day of the last month of the quarter Charges, then to accrued interest, and the remainder me, or 1 assign any of my assets for the benefit of my prior to my loan's disbursement or Change Date (the to principal. Payments in excess of the amount due creditors; or "Current Index ") plus or minus the percentage as will advance the next payment due date by the 5. 1 make any false written statement in applying for identified on my Disclosure Statement, which is number of whole payments satisfied by the extra this loan or at any time during the Interim or hereby incorporated into this Note, per annum (the funds. If 1 wish to make a payment In satisfaction Repayment Periods; or Copyright Sallie Mae 2002 (112002) i t 6.1 die; or authority you expressly reserve. ISM SOURI L. ADDITIONAL AGREEMENTS 7.1 am in default on any loans I may already have with RESIDENTS ONLY ORAL AGREEMENTS OR 1. The proceeds of this loan will be used only for the you, or on any loans I may have with you in the future. COMMITMENTS TO LOAN MONEY, EXTEND educational expense of the student listed at the Following any of the above events, you will have all CREDITOR FORBEAR FROM ENFORCING School for the loan periodlisted above. l understand rights the law allows, including the right to give me REPAYMENT OF DEBT INCLUDING PROMISES TO that when you accept the attached signed notice that the whole outstanding principal balance, EXTEND OR RENEW SUCH DEBT ARE NOT application, you are not agreeing to lend me accrued interest, and all other amounts payable to you ENFORCEABLE. TO PROTECT YOU money and that there will be no such agreement under this Note, are due and payable immediately. My (BORROWER(s)) AND US (CREDITOR) FROM until the time the loan Is actually disbursed. You failure to receive a statement does not relieve me of MISUNDERSTANDING OR DISAPPOINTMENT, ANY have the right to lend an amount less than the Loan my obligation to make my required loan payments in AGREEMENTS WE REACH COVERING SUCH Amount Requested or to accept or reject my accordance with the terms and conditions of this Note. MATTERS ARE CONTAINED IN THIS WRITING, application. If any of the listed events occurs, i will be required to WHICH IS THE COMPLETE AND EXCLUSIVE 2. If this Note is assigned, the assignee will become pay interest on this loan accruing aflerwards at the STATEMENT OF THE AGREEMENT BETWEEN US, the owner of this Note and as my creditor will have all same rate of interest applicable to this loan prior to EXCEPT AS WE MAY LATER AGREE IN WRITING your rights to enforce this Note against me. such event The interest rate will be subject to TO MODIFY IT. NEVADA RESIDENTS ONLY This is 11 understand that you are located in the State listed adjustment in the same manner as before. a loan for study. NEW YORK, RHODE ISLAND and on the front of the attached application and this Note VERMONT RESIDENTS I understand and agree that will be entered into in the same State. Consequently, J. COLLECTION COSTS you may obtain a consumer credit report in connection the provisions of this Note will be governed by federal I agree to pay you reasonable amounts permitted by with updates, renewals or extensions of any credit as laws and the laws of that State, without regard to law, including attorneys' fees and court costs, which a result of this application. If I ask, I will be informed conflict of law rules. you incur in enforcing the terns of this Note, if I am in whether or not such a report was obtained and, if so, 4. Upon receipt of the Disclosure Statement, I will default. the name and address of the agency that fumished review it and if I am not satisfied with the terms of my the report I also understand and agree that you may loan as approved, I may cancel this Note and ail K. NOTICES obtain a consumer credit report in connection with the disbursements. To cancel this Note, I will contact you 1.1 will send written notice to you, or any subsequent review or collection of any loan made to me as a result within 3 days of receipt by me of the loan check and I holder of this Note, within 10 days after any change in of this application or for other legitimate purposes will not cash any loan checks, or 9 funds are my name, address, telephone number or school related to such loans. NEW JERSEY RESIDENTS transmitted electronically, I will instruct my school, enrollment status. ON Y: The section headings of the Note are a table of within 3 days of receipt by me of the Disclosure 2. Any notice required to be given to me by you will be contents and not contract terms. Portions of this Note Statement, to return the funds to you. effective when mailed to the latest address you have with references to actions taken to the extent of 5. By accepting past due payments you do not waive for me, applicable law apply to acts or practices that New or affect any right to accelerate this Note. I waive any 3. You may report the status of this loan to the school Jersey law permits or requires. In this Note, acts or notice of dishonor, notice of protest, presentment, identified in Section D of the application and to any practices (i) by you which are or may be permitted by demand for payment, and all other notices or credit bureaus. °applicable law" are permitted by New Jersey law, and demands in connection with this Note and consent to 4. CALIFORNIA RESIDENTS ONLY A married (ii) that may or will be taken by you unless prohibited the addition of a party who will be liable upon this loan applicant may apply for a separate account. If you by "applicable law" are permitted by New Jersey law. or any other loans I have outstanding under the take any adverse action as defined by § 1785.3 of the OHIO RESIDENTS ONLY The Ohio laws against program, to any and all extensions, renewals, or California Civil Code and the adverse action is based, discrimination require that all creditors make credit releases of any party liable upon this loan or any other in whole or In part, on any information contained in a equally available to all credit -worthy customers, and loans I have outstanding under the program, or waiver consumer credit report, I have the right to obtain within that credit reporting agencies maintain separate credit or modification that may be granted by you, all without 60 days a free copy of my consumer credit report from histories on each individual upon request. The Ohio affecting or releasing the borrower or the co- the consumer reporting agency who furnished you my Civil Rights Commission administers compliance with borrowers) from such loans. My responsibility for consumer credit report and from any other consumer this law. OKLAHOMA RESIDENTS ONLY If I am in repaying this loan is not affected by the liability of any credit reporting agency which compiles and maintains default and only if the total amount disbursed under other person to you or by your failure to notify me that files on consumers on a nationwide basis. this Note is greater than $3,600 (or any higher dollar a payment has not been made. CALIFORNIA and UTAH RESIDENTS As required by amount established by law for the payment of such 6. if any provision of this Note Is held invalid or California and Utah law, I am hereby notified that a fees), i agree to pay the lender's attorney's fees and unenforceable, that provision shall be considered negative credit report reflecting on my credit record court costs up to 15% of the unpaid debt. omitted from this Note without affecting the validity or may be submitted to a credit reporting agency if I fail WISCONSIN. RESIDENTS ONLY For married enforceability of the remainder of this Note. to fulfill the terms of my credit obligations. IOWA Wisconsin residents, my signature confirms that this 7. Any provision of this Note may be modified if jointly RESIDENTS ONLY If you are an Iowa resident and loan obligation is being incurred in the interest of my agreed upon. in writing by you and me. Any your Loan Amount Is $25,000 or less, this is a marriage or family. No provision of any marital modification will not affect the validity or enforceability consumer credit transaction. IOWA and KANSAS property agreement (pre- marital agreement), unilateral of the remainder of this Note. RE IDE T5 : NOTICE TO CONSUMER 1. Do not statement under § 765.59 of the Wisconsin statutes or 8.1 understand that this loan is an educational loan sign this paper before you read it. 2. You are entitled court decree under § 766.70 adversely affects your and is made under a program that includes Stafford to a copy of this paper. 3. You may prepay the unpaid interest unless, prior to the time that the loan is loans and other loans and which is funded in part by balance at any time withoutperratty and may be approved, you are furnished with a copy of the marital non - profit organizations, including the school and entitled to receive a refund of unearned charges in property agreement, a statement, a decree or have governmental units and, therefore, is not accordance with law. MARYLANDREESiDENTS actual knowledge of the adverse provision. If the loan dischargeable in bankruptcy, except pursuant to 11 ONLY: You elect to make this loan pursuant to for which I am applying is granted, I will notify you if I U.S. Code § 523(a) 8. Subtitle 10 (Credit Grantor Closed End Credit have a spouse who needs to receive notification that 9, t acknowledge that I have received a true and exact provisions) of Title 12 of the Maryland Commercial credit has been extended to me, copy of this Note. Law Article only to the extent that such provisions are 10. I may not assign this Note or any of its benefits or not inconsistent with your authority under 12 U.S.C. § obligations. You may assign this Note at any time. 85 and related regulations and interpretations, which Copyright Sallie Mae 2002 f 112002) f The obligations of this (Note will be binding on my rights under this program, the terms of this Note and estate. this "Borrower's Certification and Consent to 11. Your failure to exercise any right hereunder does Information Sharing" and that the program is funded in not constitute a waiver thereof. All waivers must be in part by non - profit organizations. writing. 12.1 hereby waive all my defenses to this Note based N. CORRECTION OF ERRORS on suretyship or impairment of collateral. All parties to this Note agree to fully cooperate and 13.1 consent to the use of my Social Security Number adjust all typographical, computer, calculation or as an account number (identifier) throughout the life of clerical errors discovered in any or all of the loan my loan, documents including the application, Note and Disclosure Statement. in the event this procedure is M. BORROWERS' CERTIFICATION AND used, all parties involved will be notified and receive a CONSENT TO INFORMATION SHARING corrected copy of the changed document 1. I, the borrower, certify that the information contained in Sections A and B of the application is 0. CO- SORROWERiSTUDENT RELEASE true, complete and correct to the best of my I agree that, if any cc- borrower applicant fails to knowledge and belief and is made in good faith, that I qualify for this loan, that applicant will be released am eligible for this loan and that I will repay it from liability hereunder, but this Note will still bind the according to the terms of this Note. I understand and student borrower and any remaining co- borrower. I agree that my lender will be as listed on the front of also agree that an approved co- borrower may be the attached application. i hereby authorize the school released from liability hereunder upon application by a to pay to you any refund that may be due me up to the student borrower who has made 24 consecutive on- amount of this loan. I understand that I must time monthly payments of principal and interest during immediately repay any funds that i receive which the first 2 years of the Repayment Period of this loan cannot reasonably be attributed to meeting my (not including deferments and forbearances) and who educational expenses related to attendance at the meets applicable credit criteria at the time of the school named on the application for the loan period application, with the student borrower remaining liable requested. At your option, you may either for this loan after such co- borrower release. As cc- electronically transmit funds to the school to be borrower, I agree that if the student borrower is applied to my account, or if you issue checks, I released from liability on this loan for any reason, authorize you to issue a check made payable to me, including infancy, i hereby consent to such release or jointly payable to me and the school, and send it to and to my continued liability for this loan after such the school. If funds are electronically transmitted, I release, hereby authorize the school to transfer the funds to my account at the school. I understand that failure to complete the educational program undertaken by THIS IS A NON - NEGOTIABLE CONSUMER NOTE, me /the student does not relieve me of any obligation of this Note. 2.1 authorize any school that I may attend to release to you, the U.S. Department of Education, guarantor or their agent, any requested Information pertinent to this loan (e.g., employment, enrollment status, current address) and to release to you whether i am eligible for a future loan. I authorize you, the guarantor or your or its agent to check my credit and employment history for this loan and for future loans that may be offered to me, to answer questions about their credit experience with me, and to release the results of the credit review process to the school. I further authorize you to release any other information on this loan to the school Identified in Settion D of the application, to other schools I have attended for which I have taken out a student loan, and to the guarantor_ I consent to the sharing of any information about this loan with my parent, guardlar ; child, spouse or sibling who complies with your procedures unless I revoke this consent. I understand that I may revoke this consent by contacting the servicer at 1- 888 -2SAH IE or P,O. Box 9500, Wilkes- Barre, PA 18773 -9500. 3.1 also certify that: I have read the materials explaining the loan program that have been provided ! to me, I have read, understand and agree to the provisions of the program, my responsibilities and my Copyright Sallie Vl ae 2002 (1?2002) r f f. c Notice to Co- Borrower SUPPLEMENT TO APPLICATION AND PROMISSORY NOTE for IOWA, NEW YORK, SOUTH CAROLINA and WEST VIRGINIA RESIDENTS You agree to pay the debt identified below although you may not personally receive the education or money. You may be sued for payment although the person who receives the education or money is able to pay. The Loan Amount listed below may be higher than the approved loan amount and does not include interest, late charges, court costs, attorney's fees and other charges that arc stated in the note. You may also have to pay some or all of these costs and charges under the terms of the note that you are guaranteeing. You will receive a disclosure of the approved loan amount when the loan is disbursed. This notice is not the note that obligate you to pay the debt. Read the promissory note for the exact terms of your obligation. IDENTIFICATION OF DEBT YOU MAY HAVE TO PAY (Name Student Borrower) (Social Security Number of Student Borrower) FNB Sioux Falls Sioux Falls, SD Referred by Sallie Mae (Name of Lender) Signature Student Loan S Will be disclosed to you (Kind of e t ) (Amount of Loan I have kept a complete copy of this notice and the promissory note that obligates me and the Student Borrower on this debt. (Date) (Signature of Non - Student Co- Borrower) (Printed Name of Non - Student Co- Borrower) Co-Borrower: Please sign., date, and returns an original of this notice to: Sallie Mae Servicing P.O. Box 59030 Panama City, FL 32412 -9030 NOTICE TO COSIGNER(S) (Traduccion en Ingles Se Requiere Por La Ley) You are being asked to guarantee this debt. Think carefully before you do. If the borrower does not pay the debt, you will have to. Be sure you can afford to pay if you have to, and that you want to accept this responsibility. You may have to pay up to the full amount of the debt if the borrower does not pay. You may also have to pay late fees or collection costs, which would increase this amount. The creditor can collect this debt from you without first trying to collect from the borrower. The creditor can use the same collection methods against you that can be used against the borrower, such as suing you, garnishing your wages, etc. If this debt is ever in default, that fact may become a part of your credit record. This notice is not the contract that makes you liable for the debt. AVISO PARA EL FIADOR (Spanish Translation Required by Law) Se le esta pidiendo que garantice esta deuda. Pienselo con cuidado antes de ponerse de acuerdo. Si la persona que ha pedido este prestamo no paga la deuda, usted tendra que pagarla. Este seguro de que usted pueda pagar si sea obligado a pagarla y de que usted desea aceptar la responsabilidad. Si la persona que ha pedido el prestamo no paga la deuda, es posible que usted tenga que pagar la suma total de la deuda, mas los cargos por tardarse en el pago o el costo de cobranza, to cual aumenta el total de esta suma. El acreedor (financiero) puede cobrarle a usted sin, primeramente, tratar de cobrarle al deudor. Los mismos metodos de cobranza que pueden usarse contra el deudor, podran usarse contra usted, tales como presentar una demanda en corte, quitar parte de su sueldo, etc. Si alguna vez no se cuxnple con la obligacion de pagar esta deuda, se puede incluir esa informaeion en la historia de credito de usted. Este aviso no es el conttrato mismo en que se le echa a usted la responsabilidad de la deuda. Ronny R Anderson Sheriff Jody S Smith Chief Deputy Richard W Stewart Solicitor SHERIFF'S OFFICE OF CUMBERLAND COUNTY .4 OF Mt: OF 114Z .SHERIFP 3DA* C) 4- CD SLM Private Credit Student Laon Trust 2003-B vs. Francis T Dubosis Case Number 2014-1004 SHERIFF'S RETURN OF SERVICE 03/04/2014 11:42 AM - Deputy Jason Kinder, 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: Francis T Dubosis at 434 N. Pitt Street, Apt. 2, Carlisle Borough, Carlisle, PA 17013. JASON E , DEPUTY SHERIFF COST: $41.56 SO ANSWERS, March 05, 2014 RONNY R ANDERSON, SHERIFF (c) County Suite Sheriff, Te leosoft. Inc. SLM PRIVATE CREDIT STUDENT LOAN TRUST 2003 -B TRUST, Plaintiff vs. FRANCIS T. DUBOIS, r-s iJ 7:4 r' : t 1 i:`: : IN THE COURT OF COMMON PEAS —; : CUMBERLAND COUNTY, PENILVIIA': rM, : No. 14 - 1004 CIVIL ACTION - LAW Defendant : ANSWER TO COMPLAINT AND NOW COMES, Francis T. Dubois and answers the Complaint filed in the above - captioned action, and hereby avers as follows: Civil Term= 1. Admitted, Frances T. Dubois is the Defendant in this action and is a resident of Cumberland County, Pennsylvania. 2. Denied; strict proof is demanded at trial; in addition, strict proof is demanded that Plaintiff and the entity which was a party to the alleged promissory note are one and the same, or that Plaintiff is an authorized agent thereof. 3. Denied; strict proof is demanded; such statement is overly vague and general in that it does not identify the source of funds or the nature thereof. 4. Denied; strict proof is demanded of the alleged amount due, the reasons, thereof, and a basis for the amount claimed, and if such amount is even due or payable to said Plaintiff. 5. Denied; strict proof is demanded at trial, as far as Plaintiffs right to claim the relief alleged, for the amount claimed, and that Defendant is in default of an instrument to which Plaintiff is a party. Date: Signed: rancis T. Dubois, •'fendant 434 N. Pitt St. #2 Carlisle, Pa. 17013 DEFENDANT