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HomeMy WebLinkAbout14-6269 Supreme Cour sof Pennsylvania CouI' OPC&hrn,oleas For Prothonotary Use Only: ea`Sleft Docket No: 1t CURLAND County tl�' The information collected on this form is used solely,for court adininistration 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 Ci Complaint (] Writ of Summons tl Petition E El Transfer from Another Jurisdiction Declaration of Taking C Lead Plaintiffs Name: Lead Defendant's Name: T STATE FARM MUTUAL AUTOMOBILE INSURANCE CBI NOEL DIAZ Dollar Amount Requested: X�within arbitration limits I Are money damages requested? Yes El No (check one) ❑outside arbitration limits ' O N Is this a Class Action Suit? a 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. TORT(do not include Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS hJ Intentional 1 Buyer Plaintiff Administrative Agencies ❑ Malicious Prosecution F1_ Debt Collection:Credit Card ❑ Board of Assessment El Motor Vehicle ❑ Debt Collection:Other El Board of Elections L--J Nuisance 0 Dept.of Transportation 0 Premises Liability Ll Statutory Appeal:Other S Product Liability(does not include E mass tort) � Employment Dispute: Slander/Libel/Defamation Discrimination C El Other: ® Employment Dispute:Other f_! Zoning Board T O Other: I C Other: 0 MASS TORT El Asbestos N ❑ Tobacco CI Toxic Tort-DES I3 Toxic Tort-Implant REAL PROPERTY MISCELLANEOUS J Toxic Waste J Ejectment 0 Common Law/Statutory Arbitration B I Other: Eminent Domain/Condemnation Declaratory Judgment J Ground Rent E Mandamus I:_l Landlord/Tenant Dispute 0 Non-Domestic Relations Mortgage Foreclosure:Residential Restraining Order PROFESSIONAL LIABLITY El Mortgage Foreclosure:Commercial Quo Warranto LJ Dental Q Partition D Replevin ❑ Legal =i Quiet Title i' Other: iJ Medical CI Other: E] Other Professional: Updated 1/1/2011 Al 2 7 James J Gluck,Esq. Hennessy&Walker Group 217 Washington Street Toms River,NJ 08753 tE Y L `%i 732-505-4800 Attorney I.D. 74970 State Farm Mutual Automobile Insurance Company In the Court of Common Pleas a/s/o Henry Rynard and Henry Rynard,Individually Cumberland County, Pennsylvania P.O. Box 2371 Bloomington,IL 61702 Civil Action Law VS. No: Nicole Diaz 3019 Wade Ave Cleveland,OH 44113 NOTICE AVISO You have been sued in court. If you wish to defend against Le ban demandado a usted en ]a corte. 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 comparecfa 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. Ademds,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. Listed 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 Cumberland County Bar Association servicio. Vaya en persona o Ilame por telifono a la oficina cuya direcci6n 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 y 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 Henry Rynard and Cumberland County, Pennsylvania Henry Rynard, Individually P. 0. Box 2371 Bloomington, IL 61702 Civil Action VS. No. Noel Diaz 3019 Wade Ave Cleveland, OH 44113 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. Henry Rynard is an adult and on or about May 8, 2014, was the registered owner of a 2012 Ford motor vehicle insured under a policy of insurance issued by State Farm Mutual Automobile Insurance Company. 3. Defendant Noel Diaz is an adult, residing at 3019 Wade Ave, Cleveland, Ohio 44113, and on or about May 8, 2014, was the registered owner and operator of a 2005 Toyota motor vehicle bearing Pennsylvania License Plate: JDJ7404. 4. On or about May 8, 2014, while operating the aforesaid Toyota motor vehicle northbound on First Street at the intersection of Boyer Street in East Pennsboro Township, Pennsylvania, Defendant carelessly and/or negligently attempted to turn left onto Boyter Street without proper clearance and caused a collision with the aforesaid Ford motor vehicle as Plaintiff's insured traveled southbound on First Street through the aforesaid intersection with the right of way, resulting in extensive damage to the aforesaid Ford motor vehicle in the amount of$8,445.46. 5. Plaintiff's insured Henry Rynard.paid$634.38 in out of pocket rental expenses as a result of the aforesaid accident, not covered by the aforesaid policy of insurance issued by State Farm Mutual Automobile Insurance Company. 6. The aforesaid damage was a direct and proximate result of Defendant's negligence and/or carelessness. 7. Pursuant to the insurance policy herein mentioned, Plaintiff State Farm Mutual Automobile Insurance Company a/s/o Henry Rynard and Henry Rynard, Individually has incurred and paid expense and other damages in the amount of$9,079.84. WHEREFORE,Plaintiff State Farm Mutual Automobile Insurance Company a/s/o Henry Rynard and Henry Rynard, Individually demands judgment against the Defendant in the amount of$9,079.84 which includes Plaintiff's deductible, plus interest and costs of suit. J es J. Gfucl Esquod ' He alker Group, P.C. 1071-4212PA 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. Jaipes J. Gl, He Walker Group,P.C. Date: James J. Gluck, Esquire Hennessy & Walker Group, P.C. 217 Washington Street Toms River, NJ 08753 (732) 505-4800 Attorney I.D. 74970 ,r-st -a' State Farm Mutual Automobile Insurance Company a/s/o Henry Rynard and Henry Rynard, Individually P. 0. Box 2371 Bloomington, IL 61702 : In the Court of Common Pleas : Cumberland County, Pennsylvania : Civil Action VS. : -No. 14-6269 Noel Diaz 3019 Wade Ave Cleveland, OH 44113 AFFIDAVIT OF SERVICE STATE OF NEW JERSEY: SS : COUNTY OF OCEAN: James J. Gluck, Esquire, being duly sworn according to law, deposes and says that he has served a true and correct copy of the Complaint filed in the above captioned action upon the Defendant, Noel Diaz by first class United States mail, certified, return receipt requested, and that Defendant did accept service of the same on 11/13/14, as evidenced by the attached sender's receipts. Sworn to and subscribed before me this /ff '`f-- day of November , 2014 . 4.44„,92t_ NOTARY PUBLIC 8l4A*ONI. ILOAT NOTARY PUBUC OF NEW JERSEY ComrnIssion Wires 4/23019 1071-4304PA SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. Also complete item 4 If Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to thetack of the mailpiece, or on the front If space permits. 1. Article Addressed to: 0 Et-- %AZ_ S 0 'A 1,P3OrDe ANC. C.-L_CVE Atoi> 4:>•-\i.\L\\\3 COMPLETE THIS SECTION ON DELIVERY A. Signature X B. Received by ( Printed Name) 0 Agent 0 Addressee C. Date of Delivery D. Is delivery address different from item 1 0 Yes If YES, enter delivery address below: 0 No 3. Service Type Certified Mall 0 Registered 0 Insured Mail 0 Express Mall 0 Retum Receipt for Merchandise 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 2. Article Number (Transfer from service label) 7013 2630 0001 5880 5207 PS Form 3811, February 2004 Domestic Return Receipt 11111\11 7013 2630 0001 5880 5207 7013 2630 0001 5880 5207 102545-02-M-1540 g 2. c57. <r% . 1 10Llco3 SENDER: COMPLETE THISSECTION • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ' • Print your name and address on the reverse so that we mijturn the card to you. si Attach this card to the back of the mailpiece, or on the frontif space permits. . Article Add sed to: 7013 2630 0001 5880 5207 COMPLETE THIS SECTION ON DELIVERY g 33 r,)UO -3, 0 0 ij 30t1 Wovete Av (ALA\ D. Is delivery address different ftrjm item 1? It YES, enter delivery address below: 0 No 2. Article Number (Transfer from service (ape9 7013 2630 0001 5880 5207 _ I Return Receipt 102595-02-M-1540 I 3. Service Type Certiflecf Mail 0 Registered 0 insured Mall 0 Express Mall O Retum Receipt for Merchandis 0 C.O.D. 4. Restricted Delivery/ (Extra Fee)