HomeMy WebLinkAbout05-4913
F IFILESIDA T AFILE\Donega\3050\Current\J65\J65 .com\had
Crealed 6/5/03 53] ] 6 PM
Revised 91\4/05 17.29 PM
Christopher E. Rice, Esquire
MARTS ON DEARDORFF WILLIAMS & OTTO
J.D. 90916
10 East High Street
Carlisle, PAl 7013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05 - 49/:3 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
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 INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LA WYER, 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
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v,
: NO. 05 - '19/.3
CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
COMPLAINT
1. Plaintiffs, Mark Sersch and Yvonne Sersch, are adult individuals residing at 1802 St.
Clair Road, New Cumberland, Pennsylvania 17070.
2. Defendant, Michael Daniels, is an adult individual residing at 1926 Forester Street,
Harrisburg, Dauphin County, Pennsylvania 17104 ("Defendant Davis").
3. Defendant, Tyra Johnson, is an adult individual residing at 49 I Hall Manor,
Harrisburg, Dauphin County, Pennsylvania ("Defendant Johnson").
3. On or about May 12,2005, Plaintiffs' were the owners and Plaintiff Mark was the
operator of a 1994 Buick Regal.
4. Plaintiff Mark was stationary in the Buick while waiting to exit the Hess Express
parking lot in the 200 block of Lowther Street in the Borough of Lemoyne, Cumberland County,
Pennsylvania.
5. On the same date, Defendant Johnson was the owner of a 1991 Acura Legend
automobile.
6. On the same date, Defendant Daniels was operating Defendant Johnson's Acura, with
her permission, traveling at a high rate of speed on Lowther Street in the Borough of Lemoyne when
he collided with the Plaintiffs' vehicle, which was stationary.
7. The collision caused damage to the Plaintiffs' Buick in the amount of$4,391.25. A
true and correct copy of the repair estimate and rental car invoice is attached hereto as Exhibit "A."
COUNT I - Negligence
Plaintiffs v. Defendant Daniels
8. Paragraphs 1-6 are incorporated by reference as if fully set forth below.
9. The collision was caused as a result ofthe negligence, recklessness, and carelessness
of Defendant Daniels in that he, among other things:
a. operated the vehicle in a careless, reckless, and negligent manner;
b. failed to properly operate and control the vehicle;
c. driving the vehicle at a high rate of speed;
d. failed to avoid colliding into Plaintiffs' vehicle;
e. failed to operate the vehicle under the proper control so as to prevent striking
Plaintiffs' vehicle;
f. operated the vehicle while his driving privileges are under suspension;
g. operating a vehicle without proper automobile insurance; and
h. failed to abide by the rules of the road, the ordinances of the local
municipality, and the laws of the Commonwealth of Pennsylvania.
10. Defendant Daniel's negligence, carelessness, and recklessness was the direct and
proximate cause of the damage to the Plaintiffs' Buick.
11. At all times material hereto, Plaintiffs acted with due care and were not contributorily
negligent.
12. Plaintiffs have demanded compensation for the losses they sustained and Defendant
Daniels has failed to pay.
WHEREFORE, Plaintiffs demand judgment against Defendant Daniels in the amount of
$4,391.25 plus costs, interest, and any other relief that the court deems appropriate.
COUNT II - Negligent Entrustment
Plaintiffs v. Defendant Johnson
13 Paragraphs 1-12 are incorporated by reference as if fully set forth below.
14. Defendant Johnson negligently entrusted Defendant Daniels with her Acura.
15. Defendant Johnson's negligent entrustment was the direct and proximate cause of the
damage to the Plaintiffs' Buick.
16. Defendant Johnson failed to properly insure her Acura and was negligent in doing so.
17. Defendant Johnson knew or should have known that Defendant Daniels did not have
automobile insurance.
18. At all times material hereto, Plaintiffs acted with due care and were not contributorily
negligent.
WHEREFORE, Plaintiffs demand judgment against Defendant Johnson in the amount of
$4,391.25, plus costs, interest, and any other relief that the court deems appropriate,
MARTSON DEARDORFF WILLIAMS & OTTO
Date:
crjQ//W
/f ~? _
BY~~ S r~
Christopher E. Rice, Esquire
LD. Number 90916
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Attorneys for Plaintiffs
ST ARSINIC APPRAISAL SERVICE, INC.
AlIIO - Heavy Equipmenf- Home
P.O. Box 7tl62- 638 So. 2nd Street
Sleelton, P ^ J 7113-0462
COMPLETE THIS I"ORMFOR ALL TOTAL LOSSt:S
OWNERE1uL~~~:~i~II~::~l'f; IllsurallccCo.Cla oPItf,.OSY('6~~() __ OorfileH~ZI3-.R1
Year_q__'f. MakO_~_~ _ MOdcl~ Body Style ,;J.,t....__ TrDI"missiollA1L_ Engine ~~ 3.~L
Serial n){;!fJV~ 15LZ,Jl/".J 7SIl~ Mileage ~ Liee"se No. ~::1~ Color lnspcelilln Slicker
Officc (717) 939-9891
[<'(IX (717) 939-1992
o /'lmMISSION TO MOVE FOR SAFEKEEPING (check jf requested)
Prnni5slon to Jl)l)vt is r~'llIcsretllu !ltol' the. 8eenml of nt1Urcessllry (hargl's where the motor vehicle iJ
scWng fhll'iJlg the 5ttucmeu' process. O\vllersb!)) righ15 rennin with the owner ""HI a CrrtHicatt: of
S)lh'Jf~e ur Cel,tifiufe urOwl1crsllJI' hu he en trllnsrcrrttl.
o \'E~
By Whom _ ____~_.._ __ OK lo m....wc 01\
r....lllve (0
PhoJle__
SIOl,.:k" NUlIIhr:r
o Nt) HCll<;un:_,.___ _~___' _. _._____,_____~__
(^ddWonal charges for rowing null/or S'()rH~e ,fill hecmnc Ihe rcs'JUltsfbility uf the
\)\Vntr if the '\-'(hide i:!l Iwl movrd l't'hhill 48 bunTS (If .he com'lle-linn date of this .ppnlilU&t.)
o OWN~:H I Nn;/II,Sn:1IIN MMNTAININGIiALVAG.:
(AllY t1ddifional 'uu'ing Holl/or ~tl)rlIge chRrgC! become the rUpGu3ibilily of the owner liS of
the tla~e uf compleHun of lhl~ apl'nlisJlI.)
SA LV AGE U10S (ir rClJ lICS tell)
I. Bidder
Conlncl_ '_ ____ Phone
Amt $
2. Bi""er
Cout.act__ ___Phone
Ami $_.___
)., Uilltlcr
COrlI3CI_____ __ _1'11()11C__ _A"ll $_____
BETTII;ItMENT - Description of old or unrelated damage
Lhl" Rate
ParIS
Total
Qty
Dmnagc
IIrs.
o GUIDE BOOK METHOD
OEALEU GUIlU; IJOOK
\lASE VAI.lIf.
AIR llAGS: l)rivcrSi~e 17l'assenger 0 Si~" Impact 0
Am CONDITIONING: I'aclmy C1^""-(ln 0 Dunl AI(.'D
NADA
z.. ~ ls. {Y/
,
REDUOOK
3 8's~ Pd
J
~
_.H0!..<1.<L
AN1'ENNA: POWl~r 0
fJRAKES: 1'1Iwer Ilmkcs" 4 Wheel Disc 0 AilS 0
OOORS; Power Locks"'!1l'owcr Windllws J:r Kcyks~ Entry 0
GLASS: 'yjntcJT1 Henr Dc{'ro~t'"PJO
PI fONJ:: Cur Phune 0
11I\1)1l.l: AM rt I'M ~ Slere" nzSeek ~Cll 0
C~asscllc tj7COlllpuct Disc 0
ROOF: Vill'yID '.andoll 0 T-Top 0 hloet (jlass 0 Man Ula."
SEATS: I\nvcr Dl'ivcr ~"o\Ycr Passcllger 0
~"ECI^( ,: Security Syslem 0 Na...igBt\ol\ Sysl~!1l 0
5'rEFRiNU: r~owcr S-lccril,g)i Cruise COJ1lruftr Tilt WhcdlJ
TRANSMISSION: AUlllIlI"Ii"O Munual 0 _. _._ spd.
\)}'IIOIXrERY: Clolf, ~ Lea/her 0
WHEEl.';: Sleel 0 Alloy Wheel;t;r Special Covers 0
Mlse:.1 WheellJrlv. 0 AWS 0 Towing I'acknge 0
---
__~!i().tM _
---
.~.~-
---
--<.---- ---
-.:I:~--
PICKIII'TltUCKS:
Wiled lIase
Slcpl hUl1pcr 0 Cap 0 PLow Packil~c 0
_:t!Jgg.fJ2.
MIU,AUI; I-i lIr-)
------
TOT.'\L (;1111)1'; VhUJES
$
~I/,
~
Dale:
Appraiser:
1'1\ ^flprai.~crs Liccnse Nfl. ______ ./3(, 1J~
EXHIBIT
Ins. Co. D~
Address
Adjuster ~ C.
Vthlclel,()c.tl()n:~____
(;ornmcnts:
CIIAIlGES:
Tn\.\' Charges _.~ ---
Storage Ch.'ges --- per day frulll __
PRE-ACCIDENT CONDITION
F,xc (iuod F"ir J'oor
Uumpers &. Chrome 0 i 0 0
Sheet Me18~ 0 0 0
Point 0 0 0
Interior 0 0 0
Mechnnkal 0 0 0
General Coodition 0 0 0
TillES IlRANU
LlF ~32 rCJ11ailling ---t:lU-~
R/F _132 remalniJlg_----r- _,,____
UR ,j!JJ2 rom.iniog ___ ,
IVR----1J2 remaining____
REMARKS
o AI,TERNATIVE BOOK METHOD
o A.DJ'.
o c.c.c.
o Other
Date evaluation slIbm ittetl
Iflhis method of valuing has been checked. all illfonuation
pertaining to tilts vehicle including pre-loss condilil>n hus been
fonvardcd 10 Ute selected Coml'luny. Theil response is sent
tlirectly lu the insurance COmpi111Y. The insurance ~(llt\lHltly is
resptmsib'e for maKing Slife yuu ~Irc aware of Uu:: results or
the vehicle cv.duat;ou Itrior to mi\king seUlement
o DEALER QUOTATIONS
l. NAME
A])DRESS_._
PHONEU
2. NAMA
AUDRESS
PHONE U
J. NAME
ADDRESS____
PHONE ~
AVERAGE
<.~ 950, 0 0
l.F.5S lIF,TrERMt:NT
39so.,'tJo
d 37,00
TOTAL 41 C7. 00
Cupy to owners/71P.A:i~(,?J.J1T'f~i 7/o.j-
, 9'2.. V '
"A" ~ J ,c
SUIlTOTAL
SALES TAX
05/17/2005 at 08: 03 AM File ID: FE-0213-01
95926
STARSINIC APPRAISALS
Starsinic Appraisal Serv., Inc.
Auto - Heavy Equipment - R.V.- Motorcycles
P.O. Box 7462
638 So. 2nd Street
Steelton, PA 17113-0462
(717) 939-9891 Fax: (717) 939-1992
Written By: Nicholas V. Starsinic #136710 05/17/2005 08:03 AM
For: DONEGAL - MARIETTA
(800)877-0600 Fax: (717)426-7023
Adjuster: ANGIE C.
ESTIMATE OF RECORD
Insured: MARK & YVONNE SERSCH
Owner: MARK & YVONNE SERSCH
Address: 1802 SAINT CLAIR RD.
NEW CUMBERLAND, PA 17070
Day: (717) 774 -3860
Claim #PAE0546664-80
Policy #
Date of Loss: 05/12/2005
Type of Loss: Collision
Point of Impact: 15. Total Loss
Inspect RESIDENCE 05-16-05
Location:
OTHER
Repair
Facility:
TOTAL rmT,L\ lJ I.JOSS
Days to Repair
License #
1994 BUle REGAL CUSTOM
VIN: 2G4WB15L2R1437542
Air Conditioning
Cruise Control
Tinted Glass
Dual Mirrors
Power Steering
Power Locks
FM Radio
Search/Seek
4 Wheel Disc Brakes
ReCline/Lounge Seats
Aluminum/Alloy Wheels
6-3.8L-FI 2D CPE GREEN Int:
Lie: DKZ-7430 PA Prod Date:
Rear Defogger
Intermittent Wipers
Body Side Moldings
Custom Interior
Power Brakes
Power Driver Seat
Stereo
Anti-Lock Brakes (4)
cloth Seats
Automatic Transmission
Odometer: 57774
Tilt Wheel
Theft Deterrent/Alarm
Bumper Guards
Clear Coat Paint
Power Windows
AM Radio
Cassette
Driver Air Bag
Split Bench Seats
OVerdrive
-------------------~-----------------------------------------------------------
NO.
OP.
DESCRIPTION
QTY EXT. PRICE LABOR
PAINT
-------------------------------------------------------------------------------
1 FRONT BUMPER
2* Repl LKQ bumper assy +25% 1 312.50 1.5 2.8
3 Add for Clear Coat 1.1
4 Repl RT Impact bar mount bracket 1 16.53 1.0 0.3
5 Repl LT Impact bar mount bracket 1 16.53 1.0 0.3
6 GRILLE
7* Repl LKQ Header panel +25% 1 312.50 2.5 1.8
a Add for Clear Coat 0.7
9 Add for Edging 0.5
10 FRONT LAMPS
1
05/17/2005 at 08:03 AM
95926
NO.
11
12
13 *
14
15
16
17*
18
19
20*
21
22
23
24
25#
26#
27
28
29
30
31
32
33
34
35#
36#
37#
38#
39#
40#
41 #
42#
File 10: FE-0213-01
ESTIMATE OF RECORD
1994 BUIe REGAL CUSTOM 6-3.8L-FI 2D CPE GREEN Int:
R&I
R&I
R&I
Repl
Repl
Repl
Repl
Repl
Subl
Rpr
Rpr
OP.
DESCRIPTION
QTY EXT. PRICE LABOR
0.6
Repl
Aim headlamps
HOOD
Hood 2 door
Overlap Major Adj. Panel
Add for Clear Coat
FENDER
RT Fender 2 door
Overlap Major Adj. Panel
Add for Clear Coat
LKQ LT fender assy +25%
Overlap Major Adj. Panel
Add for Clear Coat
Deduct for Overlap
Refn fender edges
Set-up,pull & square frt
uni-body
Repair frt lower frame rails
after pull
RT Body side mldg 2 door
black & chrom
LT Body side mldg 2 door
black & chrom
FRONT DOOR
LT Outer panel
LT Body side mldg black &
chrome
LT Mirror outside manual
LT Handle, outside
LT R&I trim panel
Hazardous Waste Removal
Cover vehicle for overspray
Restore Corrosion Protection
Stripe
Flex additive
Two Wheel alignment
Repair rad supt & align frt
sheet metal
Recon. Ikq parts
1
1
156.25
2.0
2.0
2.0
-0.4
6.0 F
3.0
0.3
0.3
0.3
0.3
0.3
0.4
0.2
0.6
2.0
2.0
PAINT
3.0
-0.4
0.5
2.0
-0.4
0.3
2.0
-0.4
0.3
0.5
1.0
1.3
1.0
-------------------------------------------------------------------------------
18.2
Rpr
Rpr
Repl
Rpr
Rpr
R&I
R&I
BInd
R&I
Subtotals ==>
1
1
1
1
1
1
3.00 T
5.00 T
18.00 T
12.00
6.00
49.95
27.9
-~-----------------------------------------------------------------------------
Estimate Notes:
LKQ PARTS LOC. @ NEWBERRYTOWN A/S (ROGER) - 938-8211
UNDER HOOD COMPONENTS - OPEN
2
908.26
05/17/2005 at 08:03 AM
95926
File ID: FE-0213-01
ESTIMATE OF RECORD
1994 BUIC REGAL CUSTOM 6-3.8L-FI 2D CPE GREEN Int:
Parts 882.26
Body Labor 21. 9 brs @ $ 40 . 00 Ihr 876,00
Paint Labor 18.2 hrs @ $ 40.00/hr 728.00
Frame Labor 6.0 hrs @ $ 42.00/hr 252.00
Paint Supplies 18.2 hrs @ $ 20.00/hr 364.00
Sublet/Misc. 26.00
----------------------------------------------------
SUBTOTAL
Sales Tax
$ 3128.26
$ 3128.26 @ 6.0000% 187.70
----------------------------------------------------
TOTAL COST OF REPAIRS
$ 3315.96
ADJUSTMENTS:
Deductible
0.00
-------------------~--------------------------------
TOTAL ADJUSTMENTS
NET COST OF REPAIRS
$ 0.00
$ 3315.96
SUPPLEMENTAL CHARGES DISCLAIMER: Any supplemental repair charges may be
rejected unless otherwise approved by the appraiser or the insurance company
prior to the completion of such repairs
All appraisals are subject to review by the assigning insurance company and or
their affiliates.
APPRAISER: ~rJ. ~ ~: LIC. # (HUb DATE: 5,/J,QS
APPROXIMATE DAYS TO REPAIR ., L DRIVBEABLE (Y or N) J./
COpy TO: INS. Co, E.. -""- n... '0 OWNER r....~ REPAIRER
3
__~ n~lllal Management System (Patent Pending)
Page 1 of 1
.d/7 dJ-Z4J
';;T7~7 / to /t-4/_
@ARM$ Donegal Insurance
Rental Company: ENTERPRISE RENT-A-CAR
Invoice: 0170334-5713
Bill To:
DONEGAL INSURANCE
ATTN: ANGIE CHEVAUX
P. O. BOX 302, ROUTE 441
MARIETTA, PA17547
Billing Detail:
Rental Period: 5/12/05 to 5/26/05 (15 days)
Billed Period: 5/12/05 to 5/26/05 (15 days)
Description
15 DAYS@
15 TRANSTAX
1 SALES TAX%
Rate:
$28.99
$2.00
%8.00
Amount
$434.85
$30.00
$34.79
RENTER INFORMATION:
Renter: SERSCH, MARK
RENTAL INFORMATION:
Rental Branch location:
ENTERPRISE RENT-A-CAR (5713)
3401 HARTZDALE DRIVE
CAMP HILL, PA 170117200
(717) 975-5586
TOTAL CHARGES: $499.64
Less Amount Received: $49.64
AMOUNT DUE.......... $450.00
ADDITIONAL CLAIM INFORMATION:
Claim Number :PAE054666480
Claim Type: Insured
Vehicle Condition: Unknown
Date of Loss: 4/26/05
Insured Name:
Owner's Vehicle:
Additional Driver: SERSCH* YVONNE*
Repair Facility:
PENDING SHOP
(717) 795-0900
VEHICLES RENTED
Effective Date and Time Year Make Model VIN
Mileage
5/12/05 4:34 PM
2005 PONT GRAM 1G2NE52F05M252874 213
Rental Invoice
Please Return This Portion with Remittance
Make Payment To:
ENTERPRISE RENT-A-CAR (5799)
2625 MARKET PLACE
HARR!SBURG, PA 17110
FederallD: 52-1690665
14v\
Total Charges: $499.64
less Amount Received: $49.64
_...~..~
Total Amount Due...................~450.00 .'" .
~iFF
.~. ___ ~of~
~. ~
Please include on your check:
Invoice: 0170334-5713
3:1 Iwww.enterprise.com/armsweb/payinvoi ce
VERIFICATION
The foregoing Complaint is based upon information which has been gathered by my counsel
in the preparation of the lawsuit. The language of the document is that of counsel and not my own.
I have read the document and to the extent that it is based upon information which I have given to
my counsel, it is true and correct to the best of my knowledge, information and belief. To the extent
that the content of the docwnent is that of counsel, I have relied upon counsel in making this
verification.
This statement and verification are made subject to the penalties of 18 Pa. C.S. Section 4904
relating to unsworn falsification to authorities, which provides that if I make knowingly false
averments, I may be subject to criminal penalties.
~~
y
Mark Sersch
0 {Q
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SEP 2 0 2005
MDwr
~.----
SHERIFF'S RETURN - OUT OF COUNTY
CAsE NO: 2005-04913 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SERSCH MARK ET AL
VS
DANIELS MICHAEL ET AL
R. Thomas Kline
, Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
, to wit:
DANIELS MICHAEL
but was unable to locate Him
in his bailiwick. He therefore
deputized the sheriff of DAUPHIN
County, Pennsylvania, to
serve the within COMPLAINT & NOTICE
On October
6th , 2005 , this office was in receipt of the
attached return from DAUPHIN
Sheriff's Costs:
Docketing
Out of County
Surcharge
Dep Dauphin Co
Postage
18.00
9.00
10.00
35.25
.37
72.62
10/06/2005
MDW&O
S~/ff
R. Thomas KliJZ!"e
Sheriff of Cumberland County
Sworn and subscribed to before me
this
..<o$? day of (f,rrJ.,.
2"~ ~.,...., .
~ P~ . not y
In The Court of Common Pleas of Cumberland County, Pennsylvania
Mark Sersch et al
VS.
Michael Daniels et al
SERVE: Michael Daniels
No.
05-4913 civil
Now,
September 22, 2005
, I, SHERIFF OF CUMBERLAND COUNTY, P A, do
hereby deputize the Sheriff of
Dauphin
County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
~~~J
Sheriff of Cumberland County, P A
Affidavit of Service
Now,
,20_, at
0' clock
M. served the
within
upon
at
by handing to
a
copy of the original
and rnade known to
the contents thereof
So answers,
Sheriff of
County, PA
Sworn and subscribed before
methis_dayof ,20_
COSTS
SERVICE
MILEAGE
AFFIDAVIT
$
$
@ffite of tfre ~4eriff
William T. Tully
Solicitor
Charles E. Sheaffer
Chief Deputy
Mary Jane Snyder
Real Estate Deputy
Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 780-6590 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania
SERSCH MARK ET AL
vs
County of Dauphin
DANIELS MICHAEL
Sheriff's Return
No. 1676-T - -2005
OTHER COUNTY NO. 05-4913
I, Jack Lotwick, Sheriff of the County of Dauphin, State of
Pennsylvania, do hereby certify and return, that I made diligent
search and inquiry for DANIELS MICHAEL
the DEFENDANT named in the within NOTICE & COMPLAINT
and that I am unable to find him/her in the County of Dauphin, and
therefore return same NOT FOUND, September 30, 2005
HOUSE IS EMPTY, POSTED FOR SHERIFFS SALE #186, WINDOWS BUSTED OUT, METER
RED TAGGED, HOUSE IS TRASHED, NOTIFIED CITY POLICE
Sworn and subscribed to
So Answers,
?f~
before me this 4TH day of OCTOBER, 2005
Sheriff of Dauphin County, Pa.
~~
By
NOTARIAL SEAL
MARY JANE SNYDER, Notary Public
Highspire, Dauphin County
My Commission Expires Sept 1,2006
Deputy Sheriff
Sheriff's Costs:$35.25 PD 09/27/2005
RCPT NO 210874
SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 2005-04913 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SERSCH MARK ET AL
VS
DANIELS MICHAEL ET AL
R. Thomas Kline , Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
, to wit:
JOHNSON TYRA
but was unable to locate Her
in his bailiwick. He therefore
deputized the sheriff of DAUPHIN
County, Pennsylvania, to
serve the within COMPLAINT & NOTICE
On October
6th , 2005 , this office was in receipt of the
attached return from DAUPHIN
Sheriff's Costs:
Docketing
Out of County
Surcharge
6.00
.00
10.00
.00
.00
16.00
10/06/2005
MDW&O
so~ .~//
R. Thomas Kline ~
Sheriff of Cumberland County
Sworn and subscribed to before me
this ,10.g day of (fJ~
~"f~.C.', .
Pro.t: onot ry
In The Court of Common Pleas of Cumberland County, Pennsylvania
Mark Sersch et al
VS.
Michael Daniels et al
SERVE: Tyra Johnson
No.
05-4913 civil
Now,
September 22, 2005
, I, SHERIFF OF CUMBERLAND COUNTY, P A, do
hereby deputize the Sheriff of
Dauphin
County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
.../7/ /~
~~"7-~
Sheriff of Cumberland County, PA
Affidavit of Service
Now,
,20_,at
o'clock
M. served the
within
upon
at
by handing to
a
copy of the original
and rnade lmown to
the contents thereof.
So answers,
Sheriff of
County, PA
Sworn and subscribed before
me this_day of ,20_
COSTS
SERVICE
MILEAGE
AFFIDAVIT
$
$
@iiitt of tlp~ ~4e~iff
William T. Tully
Solicitor
Charles E. Sheaffer
Chief Deputy
Mary Jane Snyder
Real Estate Deputy
Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 780-6590 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania
SERSCH MARK ET AL
vs
County of Dauphin
DANIELS MICHAEL
Sheriff's Return
No. 1676-T - -2005
OTHER COUNTY NO. 05-4913
AND NOW:Septernber 28, 2005 at 11:30AMserved the within
NOTICE & COMPLAINT
upon
JOHNSON TYRA
by personally handing
to TYRA JOHNSON, DEFT
1 true attested copy(ies)
of the original
NOTICE & COMPLAINT and making known
to him/her the contents thereof at 49 I HALL MANOR
HARRISBURG, PA 17104-0000
Sworn and subscribed to
J 7;Jfi.L
before me this 4TH day of OCTOBER, 2005
NOTARIAL SEAL
MARY JANE SNYDER, Notary Public
Highspire, Dauphin County
My Commission Expires Sept. 1,2006
Sheriff~f Dauphin C~ty, Pa.
-~ - /" ~L~
/';""'1 ~"'-- J:'.;;~. /1""-'<.
BY~,H; tV.- -" ,~
Deputy Sheriff
Sheriff's Costs: $35.25 PD 09/27/2005
RCPT NO 210874
~A/
BH
F \1' I LES\D A T AFl LE\Don~gan050\rllrrenl\3 (, 5\3 6$. com\had
Crealcd.6IS/0J S.31.16PM
Revised <)114/05 1 729PM
Christopher E. Rice, Esquire
MARTS ON DEARDORFF WILLIAMS & OTTO
l.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05 - .1./91..]
CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
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 faij 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 INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MA Y BE 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, PA 17013
(717) 249-3166
tRUE COpy FROM RECORO
lr1hH.lll!)()f!'j Vi~er.lot, i tlfll" linl(\ !;Q( ~ illl-nJ
eNl t!W\ Sliill of ;;;,1(1 1.. ;\1 Car1lsle. PI.
Ih: J+- .daY
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 05-
CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
COMPLAINT
I. Plaintiffs, Mark Sersch and Yvonne Sersch, are adult individuals residing at 1802 St.
Clair Road, New Cumberland, Pennsylvania 17070.
2. Defendant, Michael Daniels, is an adult individual residing at 1926 Forester Street,
Harrisburg, Dauphin County, Pennsylvania 17104 ("Defendant Davis").
3. Defendant, Tyra Johnson, is an adult individual residing at 49 I Hall Manor,
Harrisburg, Dauphin County, Pennsylvania ("Defendant Johnson").
3. On or about May 12,2005, Plaintiffs' were the owners and Plaintiff Mark was the
operator of a 1994 Buick Regal.
4. Plaintiff Mark was stationary in the Buick while waiting to exit the Hess Express
parking lot in the 200 block of Lowther Street in the Borough of Lemoyne, Cumberland County,
Pennsylvania.
5. On the same date, Defendant Johnson was the owner of a 1991 Acura Legend
automobile.
6. On the same date, Defendant Daniels was operating Defendant Johnson's Acura, with
her permission, traveling at a high rate of speed on Lowther Street in the Borough ofLemoyne when
he collided with the Plaintiffs' vehicle, which was stationary.
7. The collision caused damage to the Plaintiffs' Buick in the amount of$4,391.25. A
true and correct copy of the repair estimate and rental car invoice is attached hereto as Exhibit "A."
COUNT I - Negligence
Plaintiffs v. Defendant Daniels
8. Paragraphs 1-6 are incorporated by reference as if fully set forth below.
9. The collision was caused as a result of the negligence, recklessness, and carelessness
of Defendant Daniels in that he, among other things:
a. operated the vehicle in a careless, reckless, and negligent manner;
b. failed to properly operate and control the vehicle;
c. driving the vehicle at a high rate of speed;
d. failed to avoid colliding into Plaintiffs' vehicle;
e. failed to operate the vehicle under the proper control so as to prevent striking
Plaintiffs' vehicle;
f. operated the vehicle while his driving privileges are under suspension;
g. operating a vehicle without proper automobile insurance; and
h. failed to abide by the rules of the road, the ordinances of the local
municipality, and the laws of the Commonwealth of Pennsylvania.
10. Defendant Daniel's negligence, carelessness, and recklessness was the direct and
proximate cause of the damage to the Plaintiffs' Buick.
II. At all times material hereto, Plaintiffs acted with due care and were not contributorily
negligent.
12. Plaintiffs have demanded compensation for the losses they sustained and Defendant
Daniels has failed to pay.
WHEREFORE, Plaintiffs demand judgment against Defendant Daniels in the amount of
$4,391.25 plus costs, interest, and any other relief that the court deems appropriate.
COUNT 11- Negligent Entrustment
Plaintiffs v. Defendant Johnson
13 Paragraphs 1-12 are incorporated by reference as if fully set forth below.
14. Defendant Johnson negligently entrusted Defendant Daniels with her Acura.
15. Defendant Johnson's negligent entrustment was the direct and proximate cause of the
damage to the Plaintiffs' Buick.
16. Defendant Johnson failed to properly insure her Acura and was negligent in doing so.
17. Defendant Johnson knew or should have known that Defendant Daniels did not have
automobile insurance.
18. At all times material hereto, Plaintiffs acted with due care and were not contributorily
negligent.
WHEREFORE, Plaintiffs demand judgment against Defendant Johnson in the amount of
$4,391.25, plus costs, interest, and any other relief that the court deems appropriate.
MARTSON DEARDORFF WILLIAMS & OTTO
Date:
qj21/uf
/1 t' I ,'-
By LA~~) K--
Christopher E. Rice, Esquire
LD. Number 90916
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Attorneys for Plaintiffs
om~e (71?) 939-9891
F:u . (717) ~J9"-11)1)2
I.s. Cu. t)/YY'r../
Address
Adjuster ~J r:
STARSINIC APPRAISAL SERVICE, INC.
AlIlo - Heavy R{juipmell(- Home
P.O. 80x 7/162 ~ 63& So. 2nd Street
Sleel!on,PA 17113-0462
COMPLF.TE THiS I?ORM FOR ALL TOTAL LOSSt<:S
OWN.EJ(~~~. ~:~i~~::~~. ,,,,",,,,wC,,.C,,, "PI'r!-OSY/'6,'Y'd>"17 ._ (J",Fil,,~U3-"?/
"em -q,v- M;lkl.l_~_~ MUdcl~ no;lYStYle~ __ TrlUWminlll\lt!ll1.L_ Eng"mc~.i"L
S"i"Vtr.!t'PLB/S/..Z~/'I.J15/("L .fil,""~ UCI:IlSl:N().~~~ Color_;'; ._- InspeClinnSlicktr
o 'i'lmMISS10N TO MOVE trOlt SAF[KEI<~PING (check if requested) Vehide I,oullon: -1J#1//i1t",&(
PfrmlulOlllO mOVf b reflllufetlln ltolllhc accnllllllfullll~CC~51Iry c~aqlu where Ihe nrolnr vehiele is
Icltlnild"J'inglhcsetlienltllll1ruCc.'l5, OWlItrSltJ!lrlglllsrenlllnwl1hllocoWlltrnnlilll ('"rCifiuCeof Commc:ols; ---_..- --'--'- ..---.--'.-
SlllvlI~e ..r CerWinlC "fOwllenllJII hu btt" trll.lIsCr.Htll.
CIIARGES:
0 YES IlyWlwUl_ _____~..___ llK\o l1lUVC 011 -----
"'\(W~to l'hUll<: SlockNumher Tow Charges __.-:-:::.... ---
-'._'-~~ -- --- -,'~'-~-
0 NO \{elt~\l1l: ShlugcCharges ---pudayrrulll_. ".
_..-- -----' -- _._.._--_..._-_.~
\Atlditltm.1 chargu for lowing 1I1JlJJor $lurll~c ITill hri'OIllt l~e re$pullsibilily ufllle PRE.ACCIIlENT CONDlnON
IIWller jf lilt nllldc il nul mailed Yl"ilt\ill 4!l ""lIlTS ;,f lbe toOllllelinn ll':Ile of thls IPpntl!lIl.) :IT.n (;n1]11 "'air }'f1ur
0 C)\VNlm.INTf'~ln:Sflm IN MA\NTAlmNG~"I..\'Ala.: UllmjlCf\1& Cl\{()me 0 r 0 0
(1\tly Mldi\illllll \lrwing anti/or !IUrilge dlltrilu beeome the rupon.ibilily or tilt owner IU of SheclM<:tal 0 0 0
Ihctl.ltllfC""'IIlclionnflhhIIlPpntlul.l
l'll.il1l 0 0 0
SALVAGE lllDS (irrClluested)
Interior 0 0 0
\.lli,hh:t. ~__" _. ~_-------",_C(IllIPCf_,_____ J'IHmc~._ArHt s._ -_. 0 0
MecJllIlli<.:al 0
1. Hhlllcr --~--'~--- COtltact_____J>hllIlC._____^mIS_._._
General Condition 0 0 0
), !)j(Jtkr . COlllllcl rhmle A1111S_ -
nETTIW.MEN'r - Description of old or unrelated damage -
11IUJS' ImANU
Qly ()lllnas.e 1In. LbeR.ate Parts Total ur~/J'].rel11nilling au ~
---.
- IVr_IJ'].lclllllnin&_~ _. ..~
- UR-rJ?!:.I3ZJtrtlllining
IVR ---1]2 ttlllaining
IUtMARK..<{
"-1\'. ll./T'I T ,TI"'~ ~ .
III . .. " ,. I'l II ) 1...1\ 'I. D AT,TERNATIVE BOOK METHOD
TarAL $ ~ . DA.D.1~.
D GUIDE BOOK METHOD DC.C.C.
Di':ALEn Gum": BOOK NAOA 1tEDlJ,OOK 0 Other
HASt: VAI.llr. l, 12';. O!) ~ 8'<.<( tZ7 Date evaluation Sllbmutetl
A[RU1\G:\; lkivcrs'ille 'r7"MollengCT 0 Shllllrtlpal,OtD , I
-----. Iflhis method ofvaJlling has Ito:en ehecktd,aflillfontlatiol\
AII~ t.:Ol'mrnONINO: i'ncloJy C1 Add-(11l 0 nunl Me [] ~ ~.H'2!'d;L perlaining 10 Ihls vehicle 'IlCllldi!1~ pre-I'I'Iss \:l)I\lljlim.. hlll been
ANTnt'n4f1: \'owl.rO ---- _..~~ forwarllcd to \he selwc.J C<.'f\\jw."~. TheiJTcsponscissenl
nn^Kc5: l'tllV\:rllnlkcs11 4 Wheel UilWD AilS D ~~-- ~"-'- uirr.cUy lu 1m:. ill:mrnm:e- tomplll'lY. The il\SUr811CC Cllllllllllty i~
I)OOR.'L l'uwer l.ocl;.sl1l'ower Willd"w. J:f Kc}'l~u EIllr}' D -- ..rSq.a1 respOluihlc for rnaking sure you lite ~wllreofUlere!u)t! or
----
GI.ASS' y!nlc"q J(ellr Defro~l~ ----- ~._,_._.~ theyehiclec:valllationpriorlflmllkingsellh:fllent.
l'II0NI : C;lr111t111e 0 ---.---.+ .~'-- D
ItAlJl(): AM rfl'Mpt Stcre"OZ'Seek~CnO ---- .~.#I>- DEALER QUOTATIONS
._,--,-'''-
C1t~ctlc 17CulllpilC( nisc D I. NAME ---- .--...-----'-------
-.-.- .---'~-
JU)()I': VinytO I.;mdnu 0 T-Top 0 ElcctUlnss D "-lan,Ulus\ AlmR\.'..0;8_,_ ___ --~.-------:...
SEATS: 1'\lIVer l)ri"'c;r i:?l'ulVcr I'tlsclj~er 0 --"- - "HOlm"
.~-- ~Yw22__ --,.--...-.
SI'Et:IAI.: Security Syslem 0 NlIvlg.o.liun. Syr.te\\\ 0 -~--- -- 2.NAMR
STErRINu: Power Steerillg)1 Cr\li5.\: CU\U"Ii'p' Till Wheel'll -'--
.---. ._. -.--'-- AOI)RESS__+______
l'HANSMfSSION: AUlIlUlitlicO M\:lI'l\IIlID __spd.
lll'l KlL:->.TER '<: t.:lrAh ~ Lcnlhcr 0 I'HONEIJ
~-'-
WBEm~,>: Stecl 0 Al1oyWhccr;t;r' Spl.'dalCllVCrS0 3. NJ\M~i
-'" -- -
MISe:.) Wheel Privl: 0 AWS 0 Towing I'llckngll 0 --.-- --. - ADDRESS
-.-- ..-' ~-~..__.~-- --'.- ------ -- r'HONEII
---- ..-._- -.'- -'---'~-- .-'--- ---
l'ICKIJl' 'l'l{tJCKS: Wilt-illUMe -- AVEIlAGE ,~9,.,o, 0 0
-"'--- --".-
Slqlllllll1per o Ca\lO j'k'w 1'lIcklll;C 0
~._~.- -.- ---'-- 1,F-SS ntTrERM)~NT -
MII.I:AUE (-I uf ".\ :t.3Jlg"J2f. -----
-'- 39so,<Q0
SUnTOTAL
TOT"L {i\\I\)\':: V/ll.\m.s $ <::l P-". ('" $ 40 7,," SALES TAX ,.;l,~ 7. 00
Appraisel.: ~~v. ~C> Dale: 5-/7-05 TOTAL l/I &>7-00
~. ~V
EXHIBIT
CUI') lu Own" Sf' ;fiA."i.' fj"r'j",,!si ~.j~
"A" ~ 9"3 ,Q
PA ^ppnlisrrs License Nil. _~._~. ./~, 7}(?
05/17/2005 at 08~03 AM File 1D: FE-0213-01
95926
STARSINIC APPRAISALS
Starsinic Appraisal Serv., Inc.
Auto - Heavy Equipment - R.V.- Motorcycles
P.O. Box 7462
638 So. 2nd Street
Steelton, PA 17113-0462
(717)939-9891 Fax: (717)939-1992
Written By: Nicholas V. Starsinic #136710 05/17/2005 08:03 AM
For: DONEGAL - MARIETTA
(800)877-0600 Fax: (717)426-7023
Adjuster: ANGIE C.
ESTIMATE OF RECORD
Insured:
Owner:
Address:
MARK & YVONNE BERSCH
MARK & YVONNE SERSCH
1802 SAINT CLAIR RD.
NEW CUMBERLAND, PA 17070
(717)774-3860
Claim #PAED546664-80
Policy #
Date of Loss: 05/12/2005
Type of Loss: Collision
Point of Impact: 15. Total Loss
Day:
Inspect RESIDENCB 05-16-05
Location:
OTHER
Repair
Facility:
TOTAL rroT.L\ IJ LOSS
Days to Repair
License #
1994 BUIe REGAL CUSTOM
VIN: 2G4WB15L2R1437542
Air Conditioning
Cruise' Control
Tinted Glass
Dual Mirrors
Power Steering
Power Locks
FM Radio
Search/Seek
4 Wheel Disc Brakes
Recline/Lounge Seats
Aluminum/Alloy Wheels
6-3.8L-FI 20 CPE GREEN Int:
Lie: DKZ-7430 PA Prod Date:
Rear Defogger
Intermittent Wipers
Body Side Moldings
Custom Interior
Power Brakes
Power Driver Seat
Stereo
Anti-Lock Brakes (4)
Cloth Seats
Automatic Transmission
Odometer: 57774
Tilt Wheel
Theft Deterrent/Alarm
Bumper Guards
Clear Coat Paint
Power Windows
AM Radio
Cassette
Driver Air Bag
Split Bench Seats
OVerdrive
-------------------------------------------------------------------------------
NO.
OP.
DESCRIPTION
QTY EXT. PRICE LABOR
PAINT
-------------------------------------------------------------------------------
1 FRONT BUMPER
2' Repl LKQ bumper assy +25% 1 312.50 1.5 2. B
3 Add for Clear Coat l.1
4 Repl RT Impact bar mount bracket 1 16.53 l.0 0.3
5 Repl LT Impact bar mount bracket 1 16.53 l.0 0.3
6 GRILLE
.,. Repl LKQ Header panel +25% 1 312.50 2.5 l.8
8 Add for Clear Coat 0.7
9 Add for Edging 0.5
10 FRONT LAMPS
1
05/17/2005 at 08:03 AM
95926
File ID: FE-0213-01
ESTIMATE OF RECORD
1994 BUre REGAL CUSTOM 6-3.9L-FI 2D CPE GREBN Int:
NO.
-- - ---- - - ---- - - - - ---- --- ------ - ----- --- -- - -- - ------ ~-- - - -- -- --- -- ----- -- - -- ----
PAINT
OP.
DESCRIPTION
QTY EXT. PRICE LABOR
0.6
-----------------;------~------------------------~-----------------------------
11
12
13'
14
15
16
17'
IB
19
20'
21
22
23
24
25#
26#
27
2B
29
30
n
32
33
34
35#
36#
37#
38#
39#
40#
41#
42#
R&I
R&I
R&I
Repl
Repl
Repl
Repl
Repl
Subl
Rpr
Rpr
Repl
Aim headlamps
HOOD
Hood 2 door
Overlap Major Adj. Panel
Add for Clear Coat
FENDER
RT Fender 2 door
Overlap Major Adj. Panel
Add for Clear Coat
LKQ LT fender assy +25%
Overlap Major Adj. Panel
Add for Clear Coat
Deduct for Overlap
Refn fender edges
Set-up,pull & square trt
uni-body
Repair frt lower frame rails
after pull
RT Body side mldg 2 door
black & chrom
LT Body side mldg 2 door
black & chrom
FRONT DOOR
LT Outer panel
LT Body side mldg black &
chrome
LT Mirror outside manual
LT Handle. outside
LT R&I trim panel
Hazardous Waste Removal
Cover vehicle for overspray
Restore Corrosion Protection
stripe
Flex additive
Two Wheel alignment
Repair rad supt & align frt
sheet metal
Recon. lkq parts
1
1
156.25
2.0
2.0
2.0
-0.4
6.0 F
3.0
0.3
0.3
0.3
0.3
0.3
0.4
0.2
0.6
2.0
2.0
3.0
-0.4
0.5
2.0
-0.4
0.3
2.0
-0.4
0.3
0.5
1.0
1.3
1.0
-------------------------~---~-------------------------------------------------
18.2
Rpr
Rpr
Repl
Rpr
Rpr
R&I
R&I
BInd
R&1
Subtotals ==>
1
1
1
1
1
1
3.00 T
5.00 T
18.00 T
12.00
6.00
49.95
27.9
-------------------------------------------------------------------------------
Estimate Notes:
LKQ PARTS LOC. @ NEWBERRYTOWN A/S (ROGER) - 938-8211
UNDER HOOD COMPONENTS - OPEN
2
908.26
05/17/2005 at 08:03 AM
95926
File 1D: FE-0213-01
ESTIMATE OF RECORD
1994 BUIC REGAL CUSTOM 6-3.BL-FI 2D CPE GREEN 1nt:
Parts 892.26
Body Labor 21. 9 hrs @ $ 40.00/hr 876.00
Paint Labor 18.2 hrs @ $ 40.00/hr 728.00
Frame Labor 6.0 hrs @ $ 42.00/hr 252.00
Paint Supplies 18.2 hrs @ $ 20.00/hr 364.00
Sublet/Misc. 26.00
SUBTOTAL
Sales Tax
$ 3128.26
$ 3128.26 @ 6.0000 % 187.70
TOTAL COST OF REPAIRS
$ 3315.96
ADJUSTMENTS:
Deductible
O.DO
TOTAL ADJUSTMENTS
NET COST OF REPAIRS
$ 0.00
$ 3315.96
SUPPLEMENTAL CHARGES DISCLAIMER: Any supplemental repair charges may be
rejected unless otherwise approved by the appraiser or the insurance company
prior to the completion of such repairs
All appraisals are subject to review by the assigning insurance company and or
their affiliates.
APPRAISER, Yltl~"" Ii ~ ~~ LIe. # /'H7/b DATE, 5 -1745
APPROXIMATE DAYS TO REPAIR '7:70 DRIVBEABLE (Y or N) AI
COpy TO: INS. Co. E. _ OWNER .......... _ . 0 REPAIRER
3
ARMS - Automated Rental Management System (Patent Pending)
Page 1 of I
7,!/7 ;) :,~"('l
.:f7:Y71tT)/uv~
@ARM$DonegallnSUrance
Rental Company: ENTERPRISE RENT-A-CAR
Invoice: D170334-5713
Bill To:
DONEGAL INSURANCE
ATTN: ANGIE CHEVAUX
p, O. BOX 302, ROUTF. 441
MARIETTA, PA17547
Billing Detail:
Rental Period: 5/12/05 to 5/26/05 (15 days)
Billed Period: 5/12/05 to 5/26/05 (15 days)
Description
15DAYS@
15 TRANST AX
1 SALES TAX%
Rate:
$28.99
$2.00
%8.00
Amount
$434.85
$30.00
$34.79
RENTER INFORMATION:
Renter: SERSCH. MARK
RENTAL INFORMATION:
Rental Branch Location:
ENTERPRISE RENT-A-CAR (5713)
3401 HARTZDALE DRIVE
CAMP HILL. PA 170117200
(717) 975-5586
TOTAL CHARGES:
Less Amount Received:
AMOUNT DUE..........
$499.64
$49.64
$450.00
ADDITIONAL CLAIM INFORMATION:
Claim Number :PAE054666480
Claim Type: Insured
Vehicle Condition: Unknown
Date of Loss: 4/26/05
Insured Name:
Owner's Vehicle:
Additional Driver: SERSCW YVONNE'
Repair Facility:
PENDING SHOP
(717) 795-0900
VEHICLES RENTED
Effective Date and Time Year Make Model VIN
Mileage
5/12/05 4:34 PM
2005 PONT GRAM 1G2NE52F05M252874 213
Rental Invoice
Please Return This Portion with Remittance
Make Payment To:
ENTERPRISE RENT-A-CAR (5799)
2625 MARKET PLACE
HARRISBURG, Pi'. 17110
FederallD: 52-1690665
17fv\
Total Charges: $499.64
Less Amount Received: $49.64
Total Amount Due...................9450:0~,,'/r--
Please include on your check: . () r,
Invoice: 0170334-5713 1--'
\, _ ~of~
~. Dc
https:l/www.enterprise.eom/armsweb/payinvoice
5/27/05
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
avennents, I may be subject to criminal penalties.
:JtlA ~
"
Mark Sersch
03t\l
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- 1_'.-
F:\FILES\DA T AFILE\DonegaI3050\Current\3 65\365. pra rein\had
Created: 6/5103 5:31:16PM
Revised: 1218/05 0:23:26 PM
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
LD. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
PRAECIPE
To the Prothonotary:
Please reinstate the Complaint in the above captioned matter.
Date: December 8, 2005
MARTSON DEARDORFF WILLIAMS & OTTO
By C2~ ~ (?
Christopher E. Rice, Esquire
LD. Number 90916
10 East High Street
Carlisle, PAl 70 13
(717) 243-3341
Attorneys for Plaintiffs
F:\FILES\DA T AFILE\Donega13 050\Current\.165\365. pra rein
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SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 2005-04913 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SERSCH MARK ET AL
VS
DANIELS MICHAEL ET AL
R. Thomas Kline
, Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
, to wit:
DANIELS MICHAEL
but was unable to locate Him in his bailiwick. He therefore
deputized the sheriff of DAUPHIN County, Pennsylvania, to
serve the within COMPLAINT & NOTICE
On January
26th , 2006 , this office was in receipt of the
attached return from DAUPHIN
Sheriff's Costs:
Docketing
Out of County
Surcharge
Postage
18.00
9.00
10.00
.78
.00
37.78
01/26/2006
MDW&O
..~~:~~:::~
R. Thomas Kline
Sheriff of Cumberland County
Sworn and subscribed to before me
this ,1b~
)01)(/
day of( i'J.A,.,
~
A.~ '.
,J~?
In The Court of Common Pleas of Cumberland County, Pennsylvania
Mark Sersch et al
VS.
Michael Daniels
No.
05-4913 civil
Now,
December 12, 2005
, I, SHERIFF OF CUMBERLAND COUNTY, P A, do
hereby deputize the Sheriff of
Dauphin
County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
../'7./' y~'
~~~--?~~
Sheriff of Cumberland County, PA
Affidavit of Service
Now,
,20_, at
o'clock
M. served the
within
upon
at
by handing to
a
copy of the original
and rnade known to
the contents thereof.
So answers,
Sheriff of
County, PA
Sworn and subscribed before
me this day of , 20_
COSTS
SERVICE
MILEAGE
AFFIDAVIT
$
$
@iib:r of tlp~ ~1reJ:iff
William T. Tully
Solicitor
Charles E. Sheaffer
Chief Deputy
Mary Jane Snyder
Real Estate Deputy
Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 780-6590 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania
SERSCH MARK ET AL
vs
County of Dauphin
DANIELS MICHAEL
Sheriff's Return
No. 2105-T - -2005
OTHER COUNTY NO. 05-4913 CIVIL
I, Jack Lotwick, Sheriff of the County of Dauphin, State of
Pennsylvania, do hereby certify and return, that I made diligent
search and inquiry for DANIELS MICHAEL
the DEFENDANT named in the within NOTICE & COMPLAINT, REINSTATED
and that I am unable to find him/her in the County of Dauphin, and
therefore return same NOT FOUND, January 12, 2006
NO SUCH ADDRESS IN HARRISBURG, PA.
Sworn and subscribed to
before me this 12TH day of JANUARY, 2006
So Answers,
Jft/fPL
Sheriff of Dauphin County, Pa.
~~
By
NOTARIAL SEAL
MARY JANE SNYDER, Notary Public
Highspire, Dauphin County
My Commission Expires Sept I, 2006
Deputy Sheriff
Sheriff's Costs: $29.25 PD 12/16/2005
RCPT NO 213107
F\FILES\DA T AFILE\Donegal3 050\Current\:l65\365. pra. rei n\had
Created 6/51035:31:16PM
Revised 2/10106236:09 PM
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
I.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
PRAECIPE
To the Prothonotary:
Please reinstate the Complaint in the above captioned matter.
MARTSON DEARDORFF WILLIAMS & OTTO
Date: February 10,2005
BY~~ ) fC.---
Christopher E. Rice, Esquire
I.D. Number 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiffs
F :\FILES\DA TAFILE\DonegaI3050\Current\:l65\:l65. pra. rei n
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F:\F ILES\DA T AFILE\Donegal3050ICurrentI3651365. pra rein.3lhad
Crealed:6/5!035:31:16PM
Revised 3/2&/064:33:47 PM
Christopher E. Rice, Esquire
MARTS ON DEARDORFF WILLIAMS & OTTO
J.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
PRAECIPE
To the Prothonotary:
Please reinstate the Complaint in the above captioned matter.
MARTSON DEARDORFF WILLIAMS & OTTO
Date: March 29, 2006
By &~ <7 . fL-
Christopher E. Rice, Esquire
J.D. Number 90916
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Attorneys for Plaintiffs
F:\F ILES\DATAf ILE\Donega13050ICurrentI3651365. pra. rein, 3
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Christopher E. Rice, Esquire
MARTS ON DEARDORFF WILLIAMS & OTTO
LD. 90916
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
PRAECIPE
TO THE PROTHONOTARY:
Enter default judgment in the above-captioned action in favor of Plaintiffs and against Defendant,
Tyra Johnson, in the amount of $4,391.25, plus interest and costs of suit as prayed forin the Complaint,
for failure to file an Answer to Plaintiffs' 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 October 20,2005, which date was subsequent to the date default
occurred and at least ten (10) days prior to the date of the Praecipe.
MARTS ON, DEARDORFF, WILLIAMS & OTTO
By CJz~ '1 ~
Christopher E. Rice, Esquire
LD. Number 90916
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiffs
Dated: 5-/2. -<9 Y
, ,
..
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
J.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
v.
: NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
IMPORTANT NOTICE
TO: TYRAJOHNSON
DATE OF NOTICE: OCTOBER 20, 2005
YOU ARE IN DEF AUL T BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN
APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITTEN 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 MAYBE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
DAMAGES WILL BE ASSESSED AGAINST YOU IN THE AMOUNT OF THE REPAIR
ESTIMATE UNLESS YOU FILE A WRITTEN PRAECIPE WITHIN TEN (10) DAYS
REQUESTING A TRIAL ON DAMAGES.
Cumberland County Lawyer Referral Service
Cumberland County Bar Association
32 South Bedford Street
Carlisle, P A 17013
Telephone: (7 I 7) 249-3166
MARTSON DEARDORFF WILLIAMS & OTTO
Bye' (',{'I ( "I',
Christopher E. Rice, Esquire
I. D. Number 90916
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiffs
, .
Christopher E. Rice, Esquire
MARTS ON DEARDORFF WILLIAMS & OTTO
!.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
A ttorn"ys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 05-
CIVIL TER.\1
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
AFFIDAVIT OF APPRAISER
I do depose and state that I am a licensed appraiser; that the appraisal of $3 ,3 15.26 attached
hereto is true and correct and accurately sets forth the damages to the value of the 1994 Buick Regal
owned by Mark and Yvonne Sersch and; that I have been engaged in the appraisal business for 2.L
years and am qualified and capable to evaluate the appraisal as attached; and the repairs were
necessary and the value indicated thereon was the amount by which the damages to this automobile
would fairly and reasonably have been evaluated.
This statement and appraisal 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.
ndi~ ~.
Signature
M~I+ot..,.n (/. S1'ktt~ 1U1L-
Print Name
omce (717) 939-9891
FrlX (717) 9J9-1992
Ins. Cu. Dh'Jl-/
Address
Adjuster 4ye;' c.
STARSINIC APPRAISAL SEnVICE, INC.
Auto ~ Heavy Equipmenl- Home
P.D. Box 7'162 - 638 Sol. 2ud Slreet
S..eeltoll, PA 17113-0462
COMPLET~ THIS I'OHM FOR ALL TOTAL LOSSES
(JWN!i"~~~. ~:~i::::::'~ "",..",C".CI ofltf-OS'lt.6t~jJ?_ ""ril,,~U3-.P'1
'Ytlll'~q_r Mnkl,\___~ Ml)dcl~ HudySLylc ).,,!..._ Tr~lI~missi(Jn.t!J:1r.~ En~jn': b"'" 3.8'L
",;" V/;-f/!LB /SI.-z.!./ I; J 751('1. Mil"" .,~ ?? 'I License No. ~~'tl2 Color. A....~A. InspcclinuSlid.cc
o PI1HM1SSJON TO MOVE Fon SAFRKEIWING (cJ,lcck if requested) YChldc l.11c.'llm: .--f}#\//Jt1reI
I'u'mlsslonto move Is rttlU~Jled Instol' flu: ntcrunl ofunlleu,.unry chlrJl,CI where the Illolnr "drid~ i,
srUlOJ( dllrillg We nU!c/Ilclll "rOcess. (.hl'ucnltllll'JghlS nnuin willi tile owner until. Ccr/lficlItc of Comlllents, ~- .------------- '--'--
:illl....Ili:C nr Cerlifinlc ..(Ownership hlu lIeen tnnsfcrrc....
C1IAlWES:
0 no:.,; ily Wit"m__~_ ___.._~_ OK l(lIIl(IV~llrl --~---
"'l"v~ Iv I'll/me Stuck Numb<;t Tf'lwC!lIugc:s_.~ -
-- --- ---- ------~- -
0 N" 11t:ll'iUll SIOTageChllrgtS --perdayrrolll_. .-
--.--. ----- -- -----.__._._~-_.-
(i\ddlClollll<;.hargu for towilllllllllllur Sl\lr~t willllttnMt Ille rnpllllsibililY or Iht PRE-ACCIIlENT CONDITION
Illflltrirlllevcllh:leilllCllmovedwilbin"8 hlll.nllftllccDIIIIIIl.'Ii"D I IIleorlhiJAllflrtisIII.) R:lI: (;"od lillir J'nnr
0 OWNf:j( INTlml~sn:j) 1N Mr\INTi\lNINGHALYA<;Jo: UumpC(~ & Chrome 0 1 0 0
fi\lly olhlilion..1 11lWI", 1I.lll/or SII""'C chArget beCOUle Iht rUIIOII,ibility IIf Ille Dwner ItS or SlicetMel.: 0 D 0
IIltllllle nrCO/lllJltlllJn "rlhIIIlJlllrlliul., ..-
I'aint 0 0 0
,ALY AGE IlIDS (if rCfJlre~ted)
Inlcrior 0 0 0
I. Bilhlcr_______ __~._Conlllcl_._ ___"holl<.:_.._Amt$._.__ Mechnnilllll 0 0 0
2.flillllllr -_._-~------ COlllllCt_____ l'htlfJC --~- r\mIS_.___
Genera/Condition 0 0 0
J.llilldcr .. ._~.. .. - ('M.IICI l'1\\mc AmlS
IIEl'TJmMENT. Description or old or unrelated damage -
TIllES BRANU
Qly Damage Jlrs_ LbrRA1e I}art! TlllsI L/j:.::j-.l32teIllDillintc au ~
--
- -- Rlr-_f32tell\"loIMII_~_..__
UR--,j!:IJ2rellllinillll___
1vn._JJ'lremli'linl_~__
IUiMARKS
'.'I~rJ'I T r, .1,"'" - .n
II'" .,-,*""../ 1...1\ o Al,TERNATIVE BOOK METHOD
_. TOTAL $- o A.D.P.
o GUIDE BOOK METHOD o C.c.c.
Dl<;Al.ER CHlDl:: nOOK NADA JUDUOOK 0 Other
lJA,sEYAUlr. z.. '1Zs.. O? V'~<H(6 l>ate evaluaUop snbmUtetl
I>rivI:I"SiLlc?:fi'as'lengcrO SitlelmplctO ,
AIR Ur\OS: ----...-- Irllds lIlethod ofvallling lias been checkctl, III JIl(onullion
Atl{ CONDITIONING: Ilnc.IDIY C7'Adtl.un 0 Ollnl Mea ~ _:tl~!L pi:rlljlininlt to Ihls vehicle Includina rm:-~s lloRdil>>>>1 Iw" be~n
^N1.HNNIl: l'uwcrD -.- - -..-- forwarded to UloC selcc.llld c.umpllny. Theirn:srl)lIscisscnl
ImAKCS: !'llWCrllmkcs'" 4 Wheel [)isl;O AilS 0 -- --.. -_.~.- t1im:tly 10 \ht ill:mtallt:c: company. .n'e: insurlllCC ~~JlIIl)UIIY is
1>0011..'1: "UIVc.r l.ucI;S'lJ I'owcr Wiulluws ~ Keyless filltr}' 0 -- ...:tsa.~ _ (C$flonsible fOl'"lUllking ~\Ire yuu Ire aWJIrc crlhe rC!lult! "r
--
{JI.ASI;: :rJnll'''tT J{cur DCI'rO~I'P'=> -.--..-.--.- ---~,_.- Ihevchlclccvllluatiollpfjt)rll'lnakjIl8~c:ltlcmeh\.
I'IIONli:Cnrl'hllllcO ---~'--'-- -.-- 0 DEALER QUOTATIONS
1{I\IJIO: AM r:tI'Mpl ~lefll..OZ'Stek P"'CU 0 - .~,p-
.- .--.-..-
C:ml'lIc'1'CUnlIWlIlIDi,c[J I. NAMe: - -- ---.--.--'-------
- -.- .--...---
RO()F:VillyIO l.llntlnu Q -r.Tap 0 I~lect (jlns, 0 Mall. U1\lo.~~ A\)nRliSS_.~ -- ._..~--------
---.- -,--
SEAT,';: 1'\I\Vllr nl'iver ~'llwer Puscngc:r 0 .~.- +ZS.O'._ PHONfl /I ----
~i'Ef.:I^I.: SCCllfily S-y~I.C1\\ 0 Na"lilmiun S~\cm C - -- 2.NAMR
STEF.RINU: l}o\V~rSlct,\rJng)'J Cruise Clltllwij7 Tilt Wheel" - ._-~_.
.---. --. ~_._--- AOI1!U".SS
TI\AHSM1SS10N: ALlltllUllt'ltJD MlIrmul D __ .___ spd. ----~-
llJ'IIOI,,"tTliItY: Clulll ?8'"Lcather 0 r'HONliN -
-~..-
WHJ:f!l.S: .~lccl 0 A/IllY WhCllI;'Cr SpllcialCllvc:rs0 :l.NAMH
-. -- .-
MISe: " Wiled Drive 0 AW:i 0 TOW/nil P~Ckll"1l 0 -.-- -- - r\DDllf>.SS____
~._~ _.~. ~-~---'--- ---.- ----- -"-- I'HONEII
---,--...- .-- -"- --._----~-- .-.-,- ---
J'leKI)!' TRUCKS: Whcc:lllilSe -- AVEIlAGE <'i 9, "0. 0 0
----- --..--
Slclll\UII\llCf o CallO \'I\IW \'llt:knSe 0
--.--.-.- ---'-- I,ESS Ilf:TTEnMI~NT -
MtLEAUH l")ur-_) _:t.!i1l4...U2. ~
-'--- 3 9...so.'~o
SUIlTOTAL
TOTAL (;011)1<: Vi\I,Illi:S $ '2 "" ,~407c" SALES TAX ...;l~ 7, 00
Apllriliser: f?'#v. ~-= Dutc; 5-/7-05 TOTAL l.../ l,f 7. 00
- :-0 -
PA Appnliscrs License Nu_ _______ I~' 11t?
Cupy to Own'.. '0 J 1P.Afi.~'"?J.'''Y' rf 7/0,5
'-A9.3 ,ct.J '
.
" .
05/17/2005 at 08:03 AM File ID: FE-021]-Ol
95926
STARSINIC APPRAISALS
Starsinic Appraisal Serv., Inc.
Auto - Heavy Equipment - R.V.- Motorcycles
P.O. Box 7462
638 So. 2nd Street
Steelton, PA 17113-0462
(717) 939-9891 Fax, (717) 939-B92
Written By: Nicholas V. Starsinic #136710 05/17/2005 08:03 AM
Par: DONEGAL ~ M..~..RIETT.1!;
(800)877-0600 Fax: (717j426-7023
Adjuster: ANGIE C.
ESTlMATB OF RECORD
Insured:
owner:
Address:
MARK & YVONNE SERSCH
MARK & YVONNE SERSCH
1802 SAINT CLAIR RD.
NEW CUMBERLAND. PA 17070
(717)774-3860
Claim #PAE0546664-80
policy ,.
Date of Loss: 05/12/2005
Type of Loss: Collision
Point of Impact: 15. Total Loss
Day:
Inspect RESIDENCE 05-16-05
Location:
Repair
Facility:
TOTAL tJ10T A r,LOSS
1994 Bure REGAL CUSTOM
VIN: 2G4WBlSL2R1437542
Air Conditioning
Cruise- Control
Tinted Glass
Dual Mirrors
Power Steering
Power Locks
FM Radio
Search/ Seek
4 Wheel Disc Brakes
Recline/Lounge Seats
Aluminum/Alloy Wheels
6-3.8L-FI 2D CPE GREEN Int:
Lie: DKZ-7430 PA Prod
Rear Defogger
Intermittent wipers
Body Side Moldings
Custom Interior
Power Brakes
Power Driver Seat
Stereo
Anti-Lock Brakes (4)
Cloth Seats
Automatic Transmission
OTHER
Days to Repair
License #
Datal Odometer~ 57774
Tilt Wheel
Theft Deterrent/Alarm
Bumper Guards
Clear Coat Paint
Power Windows
AM Radio
Cassette
Driver Air Bag
Split Bench Seats
Overdrive
NO.
OP.
DESCRIPTION
-------------------------------------------------------------------------------
PAINT
QTY EXT. PRICE LABOR
-------------------------------------------------------------------------------
1 FRONT BUMPER
2"" Repl LKQ bumper aasy +2'5%
3 Add for Clear Coat
4 Repl RT Impact bar mount bracket
5 Repl LT Impact bar mount bracket
6 GRILLE
7. Repl LKQ Header panel +25\
8 Add for Clear Coat
9 Add for Edging
10 FRONT LAMPS
1
1 312.50 1.5 2..
1.1
1 16.5] 1.0 0.3
1 16.53 1.0 0.3
1 312.50_ 2.5 1..
0.7
0.5
.
" >
05/17/2005 at 08:03 AM
95926
ESTIMATE OF RECORD
1994 Bure REGAL CUSTOM 6-3.8L-FI 2D CPE GREEN Int:
File rD: FE-0213-01
-------------------------------------------------------------------------------
NO.
OP.
DESCRIPTION
1
QTY EXT. PRICE LABOR
PAINT
- - - - - - - - - - - - - - - -- -- --- -- - - - - --- - - - - - ----- - - -- -- - -- -- -- - -- - - --- --- ------ ------ --
11
12
13*
14
15
16
17 *
18
"
20*
21
22
23
24
25#
26#
27
28
2.
30
Jl
32
33
34
35#
36#
37#
38#
3'#
40#
41#
42#
Repl Aim headlamps
HOOD
Rpr Hood 2 door
Overlap Major Adj. Panel
Add for clear Coat
FENDER
Rpr RT Fender 2 door
Overlap Major Adj. Panel
Add for Clear Coat
Repl LKQ LT fender assy +25%
Overlap Major Adj. Panel
Add for Clear Coat
Deduct for Overlap
Refn fender edges
Rpr Set-up,pull & square frt
uni-body
Rpr Repair frt lower frame rails
after pull
R&I RT Body side mldg 2 door
black & chrom
R&I LT Body side mldg 2 door
black & chrom
FRONT DOOR
BInd LT Outer panel
R&I LT Body side mldg black &
chrome
LT Mirror outside manual
LT Handle, outside
LT R&I trim panel
Hazardous Waste Removal
Cover vehicle for overspray
Restore Corrosion Protection
Stripe
Flex additive
Two Wheel alignment
Repair rad supt & align irt
sheet metal
Rpr Recon. lkq parts
R&I
R&I
R&I
Repl
Repl
Repl
Repl
Repl
Subl
Rpr
1
156.25
2.0
2.0
-0.4
6.0 F
3.0
0.3
0.3
0.3
0.3
0.3
0.4
0.2
0.6
2.0
2.0
0.6
2.0
3.0
-0.4
O.S
1
1
1
1
1
1
3.00 T
5.00 T
18.00 T
12.00
6.00
49.95
2.0
-0.4
0.3
2.0
-0.4
0.3
0.5
1.0
1.3
1.0
-------------------------------------------------------------------------------
18.2
Subtotals "'''">
908.26
27.9
-----------------------------------------------------------------------------.-
Estimate Notes;
LKQ PARTS LOC. @ NEWBERRYTOWN A/S (ROGER) - 938-8211
UNDER HOOD COMPONENTS - OPEN
2
.
, .
05/1'//2005 at 08,03 AM
95926
File 1D: FE-0213-01
ESTIMATE OF RECORD
1994 BUIC REGAL CUSTOM 6-3.8L-FI 2D CPE GREEN Int:
Parts 662.26
Body Labor 21. 9 hrs @ $ 40.00/hr 876.00
Paint Labor 18.2 hrs @ $ 40.00/hr 728.00
Frame Labor 6.0 hrs @ $ 42.00/hr 252.00
Paint Supplies 18.2 hrs @ $ 20.00/hr 364.00
Sublet/Misc. 26.00
SUBTOTAL
Sales Tax
~ i iI.A)F;
$ 3128.26 @ 6.0000% 187.70
TOTAL COST OF REPAIRS
$ 3315.96
ADJUSTMENTS:
Deductible
0.00
TOTAL ADJUSTMENTS
NBT COST OF REPAIRS
$ 0.00
$ 3315.96
SUPPLEMENTAL CHARGES DISCLAIMER: Any supplemental repair charges may be
rejected unless otherwise approved by the appraiser or the insurance company
prior to the completion of such repairs
All appraisals are subject to review by the assigning insurance company and or
their affiliates.
APPRAISER, Y1r,~..I.II. ~~A LIe. # /3 (,11 /) DATE,
APPROXIMATE DAYS TO REPAIR .-:::. '; DRIVBEABLB (Y or N)
COPY TO: INS. Co. E....- OWNER ~ REPAIRER
5 -/J-r;s
AI
3
" .
CERTIFICATE OF SERVICE
I, Mary M. Price, an authorized agent of MARTS ON DEARDORFF WILLIAMS & OTTO,
hereby certify that a copy of the 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:
Ms. Tyra Johnson
491 Hall Manor
Harrisburg, PA 17104
MARTSON DEARDORFF WILLIAMS & OTTO
By~il.G~
Mary M. rice
Ten East 19h Street
Carlisle, P A 17013
(717) 243-3341
Dated: S JI:uJ IJ 6
F:\FILES\DA T AFILE\Donegal3050\Current\J65\365.pra.def
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Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
I.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
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 of the United States of America, that he has
knowledge that the said Defendant is now living at: 491 Hall Manor, Harrisburg, PA 17104. Said
Defendant's place of employment is unknown.
CR~<;,<-
Christopher E. Rice, Esquire
swod and subscribed before me
this day of 1::) ot. t ' 2006.
~~(8w
Not bhc
COMMONWEALTH OF PEN'"SYLVANIA
Nolarial Seal
Mal)' M. Price. Notal)' Public
Carlisle Bora, Cumberland County
My Commission ExpirasAug. 18. 2007
Member. Pennsylvania Association of Notaries
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Christopher E. Rice, Esquire
MARTS ON DEARDORFF WILLIAMS & OTTO
I.D. 90916
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
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 forthe Plaintiffs in the above
captioned matter and that pursuantto theprovisions of the Pennsylvania Rules of Civil Procedure, anotice
of intention to enter default judgment against the Defendant was given to her by mail on October20, 2005.
f!-fJ ~ s /Z
Christopher E. Rice, Esquire
Sworn to and subscribed
before me this Way of ~ 0. t ' 2006.
COMMONWEALI"f1 Or PENNSYLVANIA
Notarial Seal
Mary M. Price. Notary Public
CarliSle Boro, Cumberland County
My Commission Expires Aug. 18, 2007
Member. Pennsylvania ASSOCIation of Notanes
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Created:6/5f035:31:16PM
Revised:5f23f064:6:12PM
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
l.D. 90916
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Attorneys for Plaintiff
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
v.
: NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
PRAECIPE
To the Prothonotary:
Please reinstate the Complaint in the above captioned matter.
MARTS ON DEARDORFF WILLIAMS & OTTO
Date: May 24, 2006
By C-/:.~ f ~
Christopher E. Rice, Esquire
I.D. Number 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiffs
F :\FILES\DA T AFILE\Donegal3050\Cunent\365\365.pra.rein. 4
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SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 2005-04913 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
..
SERSCH MARK ET AL
VS
DANIELS MICHAEL ET AL
R. Thomas Kline
, Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
, to wit:
DANIELS MICHAEL
but was unable to locate Him
in his bailiwick. He therefore
deputized the sheriff of DAUPHIN
County, Pennsylvania, to
serve the within COMPLAINT & NOTICE
17th, 2006 , this office was in receipt of the
attached return from DAUPHIN
On March
Sheriff's Costs:
Docketing
Out of County
Surcharge
Dep Dauphin County
Postage
18.00
9.00
10.00
29.25
1. 06
67.31
03/17/2006
MDW&O
S~~
R. Thomas KIlne
Sheriff of Cumberland County
Sworn and subscribed to before me
this {{-fI1 day of ~
d-O~ ~~
r Pr otar
. ,
In The Court of Common Pleas of Cumberland County, Pennsylvania
Mark Sersch et al
YS.
Michael Daniels
No.
05-4913 civil
Now, FebruarY 13, 2006 .
, I, SHERIFF OF CUMBERLAND COUNTY, P A, do
hereby deputize the Sheriff of
Dau~in
County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
" '- rK ~.,<~
Sheriff of Cumberland County, PA
Affidavit of Service
Now,
.20-, at
0' clock
M. served the
within
upon
at
by handing to
a
copy of the original
and made !mown to
the contents thereof.
So answers,
Sheriff of
County, PA
,
COSTS
SERVICE .
:MILEAGE
AFFIDAVIT
$
Sworn and subscribed before
methis_dayof ,20_
$
@ffite of tfr~ ~1r~:riff
William T. Tully
Solicitor
Charles E. Sheaffer
Chief Deputy
Mary Jane Snyder
Real Estate Deputy
Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 171 0 1
ph: (717) 780-6590 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania
SERSCH MARK AND YVONNE
vs
County of Dauphin
DANIELS MICHAEL
Sheriff's Return
No. 0245-T - -2006
OTHER COUNTY NO. 05-4913
I, Jack Lotwick, Sheriff of the County of Dauphin, State of
Pennsylvania, do hereby certify and return, that I made diligent
search and inquiry for DANIELS MICHAEL
the DEFENDANT named in the within REINSTATED COMPLAINT & NOTICE
and that I am unable to find him/her in the County of Dauphin, and
therefore return same NOT FOUND, March 14, 2006
NINE ATTEMPS, LEFT NOTES AFTER SIX TRIPS NOTE GONE WILL NOT ANSWER DOOR
LEFT SEVERAL MORE NOTES. COMPLAINT EXPIRED.
Sworn and subscribed to
before me this 14TH day of MARCH, 2006
So Answers,
Jf~
Sheriff of Dauphin County, Pa.
~
By
NOTARIAL SEAL
MARY JANE SNYDER, Notary Public
Highspire. Dauphin County
My Commission Expires Sept 1,2006
Deputy Sheriff
Sheriff's Costs: $29.25 PD 02/14/2006
RCPT NO 214866
.
SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 2005-04913 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SERSCH MARK ET AL
VS
DANIELS MICHAEL ET AL
R. Thomas Kline
, Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
, to wit:
DANIELS MICHAEL
but was unable to locate Him
in his bailiwick. He therefore
deputized the sheriff of DAUPHIN
serve the within COMPLAINT & NOTICE
County, Pennsylvania, to
On April
26th , 2006 , this office was in receipt of the
attached return from DAUPHIN
Sheriff's Costs:
Docketing
Out of County
Surcharge
Dep Dauphin County
Postage
18.00
9.00
10,00
29.25
1.17
67.42
04/26/2006
MDW&O
'~
R. Thomas Kline_
Sheriff of Cumberland County
Sworn and subscribed to before me
this It 4t... day of ~I
1
02DO~t~
P not y
In The Court of Common Pleas of Cumberland County, Pennsylvania
Mark Sersch
VS.
Michael Daniels
05-4913 civil
No.
Now,
April 4. 2006
, I, SHERIFF OF CUMBERLAND COUNTY, P A, do
hereby deputize the Sheriff of
Dauphin
County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
. r~~<~
Sheriff of Cumberland coUnty, PA
Affidavit of Service
Now,
,2D_,at
o'clock
M. served the
within
upon
at
by handing to
a
copy of the original
and made known to
the contents thereof.
So answers,
Sheriff of
County, PA
Sworn and subscribed before
methis_dayof ,20_
COSTS
SERVICE .
MILEAGE
AFFIDAVIT
$
$
@iiitt of tlrc ~4t:riff
William T. Tully
Solicitor
Charles E. Sheaffer
Chief Deputy
Mary Jane Snyder
Real Estate Deputy
Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 780-6590 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania
SERSCH MARK & YVONNE
vs
County of Dauphin
DANIELS MICHAEL
Sheriff's Return
No. 0587-T - -2006
OTHER COUNTY NO. 05-4913
I, Jack Lotwick, Sheriff of the County of Dauphin, State of
pennsylvania, do hereby certify and return, that I made diligent
search and inquiry for DANIELS MICHAEL
the DEFENDANT named in the within REINSTATED COMPLAINT
and that I am unable to find him/her in the County of Dauphin, and
therefore return same NOT FOUND, April 20, 2006
MADE SEVERAL ATTEMPTS, NOT FOUND
Sworn and subscribed to
before me this 20TH day of APRIL, 2006
j7:~
Sheriff of Dauphin County, Pa.
~~
By
NOTARIAL SEAL
MARY JANE SNYDER, Notary Public
Highspire, Dauphin County
My Commission Expires Sept I, 2006
Deputy Sheriff
Sheriff's Costs: $29.25 PD 04/06/2006
RCPT NO 216521
o
,
Christopher E. Rice, Esquire
MARTS ON DEARDORFF WILLIAMS & OTTO
I.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
TO: MICHAEL DANIELS, DEFENDANT
NOTICE OF ENTRY OF DEFAULT JUDGMENT
You are hereby notified that on the ) </ ~ day of ~ ,2006, the following Judgment
was entered against you in the above-captioned action: judgment in the amount of$4,391.25, plus interest
and costs of suit as prayed for in the Complaint for failure to file an Answer to Plaintiffs' Complaint.
Date:~ V.f, ~(.
I hereby certifY that the name and address of the proper person to receive this notice under Pa. R.
Civ. P. 236 is:
Michael Daniels - D51413
c/o Dauphin County Prison
501 Mall Road
Harrisburg, PA 17111
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
!.D. 90916
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05 - 4913 CIVIL TERM
M1CHAEL DANIELS and
TYRAJOHNSON,
Defendants
PRAECIPE
TO THE PROTHONOTARY:
Enter default judgment in the above-captioned action in favor of Plaintiffs lVld against Defendant
Michael Daniels in the amount of$4,3 91.25, plus interest and costs of suit as praye<l for in the Complaint,
for failure to file an Answer to Plaintiffs' Cornplaint.
I do hereby certify that a written noticeofintention to file this Praecipe was mailed to Defendant
Michael Daniels at the address indicated thereon, on June 29, 2006, which date was subsequent to the date
default occurred and at least ten (l0) days prior to the date of the Praecipe.
MARTS ON, DEARDORFF, WILLIAMS & OTTO
By (7 4~ <) re-
Christopher . Rice, Esquire
I.D. Number 90916
Ten East High Street
Carlisle, P A 17013
(717) 243-3341
Dated: 7~ J. 2. -b (,
Attorneys for Plaintiff(s)
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
I.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
v.
: NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
IMPORTANT NOTICE
TO: MICHAEL DANIELS. D51413 DATE OF NOTICE: June 29, 2006
c/o Dauphin County Prison
501 Mall Road, Harrisburg, PA 17111
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN
APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITTEN 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 MA Y BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY
LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS.
YOU SHOULD TAKE THIS PAPER TO YOUR LA WYER 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 MAYBE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
DAMAGES WILL BE ASSESSED AGAINST YOU IN THE AMOUNT OF THE REPAIR
ESTIMATE UNLESS YOU FILE A WRITTEN PRAECIPE WITHIN TEN (10) DAYS
REQUESTING A TRIAL ON DAMAGES.
Cumberland County Lawyer Referral Service
Cumberland County Bar Association
32 South Bedford Street
Carlisle, P A 17013
Telephone:(717) 249-3166
MARTSON DEARDORFF WILLIAMS & OTTO
By U~ 7' re.--
Christopher E. Rice, Esquire
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
!.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
v.
: NO. 05-
CIVIL TER.\1
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
AFFIDAVIT OF APPRAISER
I do depose and state that I am a licensed appraiser; that the appraisal of $3,315.26 attached
hereto is true and correct and accurately sets forth the damages to the value of the 1994 Buick Regal
owned by Mark and Yvonne Sersch and; that I have been engaged in the appraisal business for 2.L
years and am qualified and capable to evaluate the appraisal as attached; and the repairs were
necessary and the value indicated thereon was the amount by which the damages to this automobile
would fairly and reasonably have been evaluated.
This statement and appraisal are made subject to the penalties of 18 Pa. C.S. Section 4904
relating to unsworn falsification to authorities, which provides that if I make knowingly false
averments, I may be subject to criminal penalties.
n# V- ~-..:::=-.
Signature
,,-(/, ~IML.H (/. St'ktH Id 1 ~
Print Name
ST ARSINIC APPRAISAL SERVICE, INC.
AlIIo - Heavy Rquipmen/- Home
1'.0. [lox 7462 - 638 So. 2nd Street
51..lton. PA 17113-0462
COMPLETE THIS leORM FOR ALL TOTAL LOSSES
()WN",Ifvk.L~~~;~i:;:~I~ ~cl,",-,"lkj;.OS'lt,('~1f'f'Q o"fa..~1fl..P1
Y~ar,_q_r- Mak',:_~_~. MllrJcr~ 110dySlylc ..JL....__ Tru'l~lllinl\lt\A1..L~ engine (,~ 3,g'L
SCrlllJ ,)f;..!IAI..B '~Ll II flJ1S4''L Mjl~Age ~S"~ "If liceus.;No. ~~rl2 Calor InspcClinn Slickt:f
om" (717) 939-9891
"'fl], (717) 9J9-1992
o l'ImM1SS10N TO MOVE I?QR SA,FEKEf.;\J1NC (c)lct:k if requested)
Perll\lsslun tu move Is re'llltJlcll lll.tor llle Ilc:rrll" o(unllfCt,Sllf'Y ct..r,eJ. lY)lcrc rhe molor ...rl,Jtle is
"1lIna llminl: tilt JtllknlcII'IItD(tSJ. o,~llcnlllp '"'lilt, n.n\lin wilh Ibe OWIIU uom , CcrliOnlc or
S'~"lIJt1>r Ccrlintlle "tOwllcrlhJIIII'~ bten trllll~rt.rrc,j.
In'. Co. Dh'Jl",1
Address
Adjuster ~~, C,
Vehicle l,gcollg,,: ---f}JI1V'//IflL,II
C\ll1lmenl.$:~_;___ ,.'~______"__
{J Y.:S
CrIAUGF~<;:
llyWll\llll_ ______".___ (lKtl.l(tWV~\\I\_~___
MUIIClo __ ___"1\1>1\1:__ __.StocIcNlIlllbllf__ _~_
TC\wCllllf8el_"~
SIMile Chllrges ----- per day front ~
o N'll
Jll;llt"-lU:____. ____._. _, ____..__._..____
(Addllloll.1 t:hargu (or ltmllllj: lI..dllII'" IlllrllKe willllfe4ll1lC: Ihe rUI'""slllllity Dr lhe
<"Wiler ir Ute vellltlel1lllll moved wlfblll 411 bUllrJ j,r lhe (Omll'~ti"1\ "'I~ arilli. Ipprabll1.)
o UWN.:" IN'I'KRIt;Sn;IJ IN ,\oIAlN','AIMINGS"LV;\m:
lAIty luhUUUlllllllWll" Mild/Dr ~hmlJe dUlrcu bteome tile ru.poQ3I.b1l1ty IIr llle OWPtr II Df
UU\htrllrtllltIIJlel111lto(lhl.IIPprlllsal.,
.')ALVAGE IUDS (lfrequestet))
I Illddcr. ___ _ ___{;()JlIIlcl.__~__J>Jllme__Aft\tS_
2. Bilhle-r ~..~.___._COU11IC1___._l'\\\mc.__._""'mIS_"_.-
,1.IJidd..:r .,,:. COlll~1 P'lllQC And $
IJEl'Tlm.MEN'r - U~criptinll or old or IInrchltcd dRmllg~
QIY O>>llaj,e 1lr5. Lbr Rule l'MS
10\11I
s
o GUIDE BOOK METIlOO
O.:ALER GUIDF. BOOK
nASEYAI.lIF:
AIR U^(j~: l>rIver Side 17111lS~0Il&er 0 Sidl! Impact 0
AIlt CONDiTIONING: ill\CtGry I1Md-t'fl 0 1'>1IId All'D
AmJoiNNA: l>Uw('r 0
IJIL\KES: I'~!wu 1~lllkC1'" 4 Wb"el mSll 0 AilS 0
WOkS: I'II~r 1.000U"flI'u""$l' Wil\\k~ /ll\cylc" Hlllry 0
(iI.^S~: '.I"!ulcdTf J{enr DeI\'o..t'~
i'IIONH: C'w l'huuc 0
IlAI)IO: AM rtFMP stenmnz'Sedl.!?'CUO
1.~:tS!l'.:lte9't:OIllI)ac1lJlfcD
ROO"': \'ill)'IO I,llnlinu a To"I'up 0 t$ICGt 0111II 0 Man. UlIlS,'
Sf(A'I"!i; !'\lWllr nl'i,,~r i;P'J'IIWllr I-'USCnller 0
:'Wf.t:I^',~ ,')ccl,tlil~ SY$\em 0 Nnl'l1liull SYlIlc:tlI 0
S.Jl,fR INli: /'owtlr Slllcrin.)!f Crui$f:Culltflll'F Till WllI:ell!
m,ANSMISSIQN: AUlUIllllillC M,,"ulll 0.. _. s{ld.
IJl'llor.:'n'''RY: Clulh ~b:al1ll:1a
Wl-lllr:J,S: .'';lc~1 0 AIIIIY Whlle:lJ;r Sp\.':ci"'C\ll'efsO
MIS(~:" Whed l>ri,c 0 AWS 0 'fIlWIIlII'llcka~t1 0
NAOA
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.:1.!iJM.J1L
-----
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~
^wnlisCI.; n..~'1,,{ ~~ Ilatc:
I)A ^1111l.ui:'l.Cn.l.icclUuNfI,______ ./~'7}(i1
PRE-ACC/llENT CONDITION
F-xc (;nod 1i.1I'" l'tNll
IJUln()4:rll&:Chcomc a 0 a
:-'111:erMetIJ 0 rJ a
I'o.im. a 0 0
Inlcrillr a 0 a
MteNlIl\1l11 0 0 0
GrncrlllCan<l.ltion 0 0 0
111\HS URANU
UP .::]J31 "",,""'" Ill! ~
RIF_1J2rCflIIJnilll_---( -".-'-
WR-J!:::.fJ1.rel'lllininl___-j-
Itnt --.-112 remaminl
tUiMARKS
o AI,TERNA TIVE aOOK METHOD
DA..D.P.
o C.c.c.
o Other
Date evahultioD S1lbmlttetJ
lfttr.is mel.IIQu ohllllinll)w been Checlr.ed, 1IIlnfonnllion
pert.lninlj: 10 thi, vehicle ltwlwiint pn:.I(lSI f,:onc!iliotl bas been
forw.rded 10 Ihe sll'leclt:d CI..mptlny, Their f~llH is sent
direclly tu the illSllraIll..'e compony. The insUflllcc ClIJn(lllly it
res/llllwbl'll M lfttlkU\g MIfC youllTC 1lWII<<l or Ute teJUllJ (If
\bll' ~,hjc1e cIIlalulltkm prior III makin, seltlc:mtm"
o DEALER QUOTATIONS
I.NAMI::_.._ _..._.._........._.____
AUMliSS___ ___ ___.-,,"
PHONflll__ ..___
2, NAMR_.________.
AO\)\l..LCSS_~__~
/'HONfiU
lNAMli
ADDltESS_.__
l'HONK.
AVEllAGE
<~9,'lO, 0 0
1.'..S.'IIIr.'l"rERMt:NT
SUBTOTAL
SALF,S TAX
TOTAL
39-30,'60
,.;I~ 7, 00
L/U'7- 00
.r/n/oS"
V .
<
CUllY to Owner
05/17/2005 at 08,03 AM File IO, FE-0213-01
95926
STARSINIC APPRAISALS
Starsinic Appraisal Serv., Inc.
Auto - Heavy Equipment - R.V.~ Motorcycles
P.O. Box 7462
638 So. 2nd Street
Steelton. PA 17113-0462
(717)939-9891 Fax, (717)939-1992
Written By: Nicholas V. Starsinic #136?10 05/17/2005 08:03 AM
For: DONSGAL - MARIETTA
(800)877-0600 Fax: (717j426-7023
Adjuster: ANGIE C.
BSTlMATB OP RECORD
Insured, MARK & YVONNE SERSeR
OWner: MARK &. YVONNE SERSCH
Address I 1802 SAINT CLAIR RD.
NEW CUMBERLAND. PA 17070
Day, (7171774-3860
Claim #PAEOS46664-80
Policy #
Date of Los., 05/12/2005
Type of Lo..: collisicu
Point of Impact, 15. Total Loss
Inspect RESIDENCE 05-16-05
Location,
OTHER
Repair
pacilitYt
TOTAL LfOT At LOSS
Days to Repair
Licenee #'
1994 BUIC REGAL CUSTOM
VIN, 2G4WB15L2R1437542
Air Conditioning
Cruise Control
Tinted Glass
Dual Mirrors
Power Steering
Power Locks
FM Radio
Search/Seek
4 Wheel Disc Brakes
ReCline/Lounge Seats
Aluminum/Alloy Wheels
6-3.8L-FI 2D CPE GREEN Int,
Lie: DKZ..7430 PA Prod Datel
Rear Defogger
Intermittent Wipers
Body Side Moldings
Custom Interior
Power Brakes
Power Driver Seat
Stereo
Anti-Lock Brakes (4)
Cloth Seats
Automatic Transmission
Odoaeter* 57774
Tilt Wheel
Theft Deterrent/Alarm
Bumper Guards
Clear Coat Paint
Power Windows
AM Radio
Casset:te
Driver Air Bag
Split Bench Seats
overdrive
_________________..__________w_____________..________..___________________________
NO.
OP.
DESCRIPTION
QTY EXT. PRICE LABOR
PAINT
-----------------..------..-------..--..---------------..---..---------------------..-
1 FRONT BllMPER
2" Repl LKQ bumper assy +25% 1 312.50 1.5 2.8
3 Add for Clear Coat 1.1
4 Rep1 RT Impact bar mount bracket 1 16.53 1.0 0.3
5 Repl LT Impact bar mount bracket 1 16.53 1.0 0.3
6 GRILLE
.," Repl LKQ Header panel +25% 1 ~- hi 1.8
B Add for Clear Coat 0:7
9 Add for Edging 0.5
10 FRONT LAMPS
1
05/17/2005 at OS:03 AM
95926
File 10: FB-0213-01
ESTI>lATB OF RECORD
1994 BUIC REGAL CUSTOM 6-3.8L-FI 2D CPE GREEN Int,
NO.
---------~_.---~-----------------------------------------.---~-----------------
PArNT
OP.
DESCRIPTION
QTY EXT. PRICE LABOR
0.6
- - - - - - _ _ _ __~_ _ ___ _____ __ __ ___ _ __ __ w_ ___ ___ ~ __ ___ __ _ __ _ ____ ___ ~___________ __ __ __
11
12
13'
14
15
16
17'
18
19
20'
21
n
23
24
25#
26#
27
28
29
30
31
32
33
34
35#
36#
37#
38#
39#
40#
41#
42#
R&I
R&I
R&I
Rep1
Repl
Repl
Repl
Repl
Subl
Rpr
Rpr
Rpr
Aim headlamps
HOOD
Hood 2 door
Overlap Major Adj. Panel
Add for Clear Coat
FENDER
RT Fender 2 door
Overlap Major Adj. Panel
Add for Clear Coat
LKO LT fender assy +25t
Overlap Major Adj. Panel
Add for Clear Coat
Deduct for Overlap
Refn fender edges
Set-up,pull & square frt
uni-body
Repair frt lower frame rails
after pull
RT :Body side mldg 2 door
black & chrom
LT Body side mldg 2 door
black & chrom
FRONT DOOR
LT OUter panel
LT Body side mldg black &
chrome
LT Mirror outside manual
LT Handle, outside
LT R&I trim panel
Hazardous Waste Removal
Cover vehicle for overspray
Restore Corrosion Protection
Stripe
Flex additive
Two Wheel alignment
Repair rad supt & align frt
sheet metal
Recon. lkq parts
1
1
156.25
u
2.0
2.0
-0.4
6.0 F
3.0
0.3
0.3
0.3
0.3
0.3
0.4
0.2
0.6
2.0
2.0
3.0
-0.4
0.5
2.0
-0.4
0.3
2.0
-0.4
0.3
0.5
1.0
1.3
1.0
-----~-------------------------------------.---~-----------------._---~------.-
18.2
Repl
Rpr
Repl
Rpt..
Rpr
R&I
R&I
BInd
R&I
Subtotals .."";>
Estimate Notes:
LKQ PARTS LOC. @ NEWBERRYTOWN A/s (ROGER) - 938-8211
UNDER HOOD COMPONENTS - OPEN
2
1
1
1
1
1
1
3.00 T
5.00 T
18. 00 T
12.00
6.00
49.95
908.26
27.9
05/17/2005 at 08,03 AM
95926
File ID: FE-0213-01
Ba~IMA~. OF RECORD
1994 BUIC REGAL CUSTOM 6-3.8~-FI 2D CPE GREEN Int,
Parts 882.26
Body Labor 21. 9 hr. @ $ 40.00/hr 876.00
Paint Labor 18.2 hr. @ $ 40.00/hr 728.00
Frame Labor 6.0 hr. @ $ 42.00/hr 252.00
Paint Supplies 18.2 hr. @ $ 20.00/hr 364.00
Sublet/Misc. 26.00
ST]BTOT.~L
Sales Tax
$ 312B.2b
$ 3128.26 @ 6.0000% 187.70
TOTA~ COST OF REPAIRS
$ 3315.96
ADJUSTMENTS:
Deductible
0.00
~---------~--------------------~-~------------------
TOTAL ADJUSTMENTS
NBT COST OF REPAIRS
$ 0.00
$ 3315.96
SUPPLEMENTAL CHARGES DISCLAIMERs Any supplemental repair charges may be
rejected unless otherwise approved by the appraiser or the insurance company
prior to the completion of such repairs
All appraisals are subject to review by the assigning insurance company and or
their affiliates.
APPRAISER, nf"J'..t. II. ~i~ PA LIC. # tHUD DATE, 5 -/J-QS
APPROXIMATE DAlIS TO REPAIR .::;,,; DRIVBEASLE (11 or N) .JJ
COPlI ~O, INS. Co. E.- OWNIlR ~ REPAIRER
3
CERTIFICATE OF SERVICE
I, Mary M. Price, an authorized agent of MARTS ON DEARDORFF WILLIAMS & OTTO,
hereby certifY that a copy of the 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:
Michael Daniels - D51413
Dauphin County Prison
501 Mall Road
Harrisburg, PA 17111
MARTSON DEARDORFF WILLIAMS & OTTO
By
Mary
Ten E t High Street
Carlisle, PA 17013
(717) 243-3341
,
Dated:
1j~'fjtJh
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
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
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, Defendant Michael Daniels above named is not in the military service of the United States of
America, that he has knowledge that the said Defendant is now incarcerated at: the Dauphin County
Prison, 501 Mall Road, Harrisburg, P A 17111. Said Defendant's place of employment is unknown.
C-e~ <) rC
Christopher E. Rice, Esquire
Sworn to and subscribed before me
thi~ day of 0,1), ~ y , 2006.
~fL,~
No ubhc
COMMONWEALTH Of I'ENNSYLVANIA
Notarial Seal
Mary M. Price. Notary Public
Carlisle 8oro. Cumberland County
My Commission Expires Aug. 18. 2007
Member, Pennsvlvanla Association 01 Notaries
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
I.D. 90916
1 0 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
MARK SERSCH and
YVONNE SERSCH,
Plaintiffs
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05 - 4913 CIVIL TERM
MICHAEL DANIELS and
TYRA JOHNSON,
Defendants
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 forthe Plaintiffs in the above
captioned matter and that pursuant to the provisions of the Pennsylvania Rules of Civil Procedure, anotice
of intention to enter default judgment against Defendant Michael Daniels was given to him by mail on June
29,2006.
CR~ ~ rL
Christopher E. Rice, Esquire
Sworn to and subscribed
before me this ~ ~#J day of U(,(.l If , 2006.
n I
~)tfLl ~~~/
~blic
C""MONWEALlH OF I'ENNSYLVANIA
NotarialS.al
Mary M. Price. Notary Public
Cartlsle BolO Cumbertand County
My Commission ExpireaAug. 18, 2007
Member. Pennsylvania AMocml1on of Notaries
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SHERIFF'S RETURN - OUT OF COUNTY
f ..,
CASE NO: 2005-04913 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SERSCH MARK ET AL
VS
DANIELS MICHAEL ET AL
R. Thomas Kline
, Sheriff or Deputy Sheriff who being
duly sworn according to law, says, that he made a diligent search and
and inquiry for the within named DEFENDANT
, to wit:
DANIELS MICHAEL
but was unable to locate Him
ln his bailiwick. He therefore
deputized the sheriff of DAUPHIN
County, Pennsylvania, to
,~-
-
serve the within COMPLAINT & NOTICE
On June
13th , 2006 , this office was in receipt of the
attached return from DAUPHIN
Sheriff's Costs:
Docketing 18.00
Out of County 9.00
Surcharge 10.00
Dep Dauphin County 29.25
Postage 1.02
67.27,/
06/13/2 006 L)~ 1./30/0("
MDW&O
Sworn and subscribe to before me
this
day of
A.D.
{ .,
I In The Court of Common Pleas of Cumberland County, Pennsylvania
Mark Sersch et al
VS.
Michael Daniels
05-4913 civil
No.
Now,
May 29, 2006
, I, SHERlFF OF CurvrnERLAND COUNTY, P A, do
hereby deputize the Sheriff of
Dauphin
County to execute this Writ, this
deputation being made at the request and risk of the Plaintiff.
. r~~
Sheriff of Cumberland County, PA
Affidavit of Service
Now,
,20_, at
o'clock
M. served the
within
upon
at
by handing to
copy of the original
a
and made known to
the contents thereof.
So ariswers,
Sheriff of
County, PA
Sworn and subscribed before
methis_dayof ,20_
COSTS
SERVICE
WLEAGE
AFFIDAVIT
$
$
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(1\}Hitt llf tlp~ ~4~:riff
William T, Tully
Solicitor
Charles E. Sheaffer
Chief Deputy
Mary Jane Snyder
Real Estate Deputy
Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 780-6590 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania
SERSCH MARK AND YVONNE
vs
County of Dauphin
DANIELS MICHAEL
Sheriff's Return
No.0911-T - -2006
OTHER COUNTY NO. 05 4913
AND NOW:June 8, 2006
at 10: lOAM served the wi thin
REINSTATED COMPLAINT
upon
DANIELS MICHAEL
by personally handing
to DEFENDANT
1 true attested copy(ies)
of the original
REINSTATED COMPLAINT and making known
to him/her the contents thereof at DAUPHIN COUNTY PRISON - D51413
501 MALL ROAD
HARRISBURG, PA 17111-0000
Sworn and subscribed to
So Answers,
Jfp-
before me this 8TH day of JUNE, 2006
Sher'
~
By
NOTARIAL SEAL
MARY JANE SNYDER, Notary Public
Highspire, Dauphin County
My Commission Expires Sept. 1,2006
Sheriff's Costs: $0.00 PD 00/00/0000
RCPT NO
CANTREL
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