HomeMy WebLinkAbout06-1155
F'J;ILESIDA TAF1LE\DonegaI30SOICurrentIJ621362.comlemm
Created: 1:.'-129103 S24At\1
Revised: 2/21/06 90lAM
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
JONATHAN LISS and
ANDREA LISS,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs
v.
NO. :2001.. .- tlsS'"
JESSICA 1. PETERS,
Defendant
CIVIL ACTION - LAW
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 ajudgment may be entered against you by the court without furthernotice 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 THlS PAPER TO YOUR LAWYER AT ONCE, IF YOU DO NOT
HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW, THIS OFFICE
CAN PROVIDE YOU WITH INFORMA TlON ABOUT HlRING A LAWYER.
IF YOU CANNOT AFFORD TO HlRE A LAWYER, THlS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE:
Cwnberland County Bar Association
32 South Bedford Street
Carlisle, PA 17013
(717) 249-3166
JONATHAN LISS and
ANDREA LISS,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs
v.
NO. 0&- //'O'S {j;J I~
JESSICA 1. PETERS,
Defendant
CIVIL ACTION - LAW
COMPLAINT
I. Plaintiffs, Jonathan Liss and Andrea Liss, are adult individuals residing at 1050 Oakdale
Drive, York, Pennsylvania 17404,
2. Defendant, Jessica 1. Peters, is an adult individual residing at 706 West King Street, 151
Floor, York, Pennsylvania 17404.
3. On or about February 23, 2005, Plaintiffs were the owners and Plaintiff Andrea was the
operator of a 1998 Honda Civic that was traveling northbound on Richland Avenue in West Manchester
Township, York County, Pennsylvania.
4. On or about February 23, 2005, Defendant was the owner and operator of a 1996 Ford
Taurus preparing to enter onto Richland Avenue from a business driveway in West Manchester Township,
York County, Pennsylvania.
5. On or about February 23, 2005, Defendant made a left hand turn onto Richland Avenue
and collided with Plaintiffs' vehicle.
COUNT I - Negligence
Jonathan Liss and Andrea Liss v. Jessica L. Peters
6, Plaintiffs hereby incorporate by reference the averments contained in Paragraphs I through
5 of this Complaint.
7. The accident was directly and proximately caused by the negligence, recklessness and
carelessness of Defendant in that she, among other things:
a. Operated her vehicle in a careless, reckless, and negligent manner;
b, Failed to keep her vehicle under proper control;
c, Failed to keep a proper look-out;
d. Failed to use due care under the circumstances;
e. Made a left hand turn into oncoming traffic;
f. Operated an uninsured vehicle; and
g. Failed to abide by the rules ofthe road, the ordinances of the local municipality,
and the laws of the Commonwealth of Pennsylvania.
8. At all times material hereto, Plaintiff Andrea acted with due care and was not contributorily
negligent.
9. As a result of Defendant's negligence, the Ford collided with the Plaintiffs' vehicle causing
the damages hereinafter set forth.
10. The collision caused damage to Plaintiffs' vehicle in the amount of$4,235.39. A true and
correct copy of the repair estimate is attached hereto as Exhibit "A."
WHEREFORE, Plaintiff demands judgment against Defendant in the amount of$4, 185 .39, plus
attorneys' fees in the amount of $500.00, costs, interest, and any other relief that the court deems
appropriate.
COUNT II - Breach of Contract
Jonathan Liss and Andrea Liss v. Jessica 1.. Peters
11. Paragraphs 1-10 are incorporated herein by reference.
12. Defendant agreed to settle the case with Plaintiffs.
13. Plaintiffs, by way of their insurer, Donegal Mutual Insurance Company, forwarded a written
settlement agreement dated August 15,2005, to Defendant for execution. A true and correct copy of the
agreement is attached hereto as Exhibit "B."
14. Defendant signed and returned said agreement and began to make payments.
15. As of October 4,2005, Defendant has failed to make any further payments under the
written agreement.
WHEREFORE, Plaintiff demands judgment against Defendant in the amount of$4, 185.39, plus
attorneys' fees in the amount of $500.00, costs, interest, and any other relief that the court deems
appropriate.
MARTSON DEARDORFF WILLIAMS & OTTO
By (!J.. J.,vL ? K-.
Christopher E. Rice, Esquire
1.0. Number 90916
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiffs
Date: J ~ Z.8~ 0 r,
DONEGAL MUTUAL INSURANCE COMPANY
1195 RIVER ROAD P.O. BOX 302
MARIETTA, PA 17547-0302
(717) 426-1931 FAX: (717) 426-7023
CD LOG NO 1264 -0
ESTIMATE
DATE 03-02-05
CLAIM INFORMATION
CLAIM # PAE-0494769-83
COMPANY DONEGAL MUTUAL
FAX (717) 426-7023
INSURED LISS
CLAIMANT N/A
FILE HNDLR DENISE SHEARER
LOSS PAYEE NONE
2ND PAYEE N/A
POLICY #
CLAIM REP
WORK PH#
LOSS DATE
LOSS TYPE
FILE #
ACCT #
N/A
4748
(717) 426-1931
02-23-05
COLLISION
N' /A
N/A
INSPECTION
TYPE
PRIMARY POI
APPRAISER NAME
LICENSE #
WORK PHONE
ADDRESS
CITY STATE
ZIP
FIELD
FRONT END RIGHT
DAVID MICKLEY
133454
(717) 259-5668
P.O. BOX 545
EAST BERLIN
17316-
SECOND POI
FAX
INSP DATE
LOCATION
CITY STATE
(717) 259-5682
03-02-05
SANG & SONS
YORK
PA
PA
OWNER
LISS, ANDREA W. & JONATHAN
1050 OAKDALE DR.
YORK PA 17403-
WORK#(717) 851-2613
HOME#(717) 854-9180
REPAIR
VEHICLE
1998 HONDA CIVIC OX 2 DR COUPE
4CYL GASOLINE 1.6
OPTIONS
TWO-STAGE - EXTERIOR SURFACES TWO-STAGE - INTERIOR SURFACES
POWER STEERING
CONDITION VIN IHGEJ6126WLI08895
LICENSE # CODE H025
REMARKS:
OP CODES:
* = USER-ENTERED VALUE E =
EC REPLACE ECONOMY UC
EU = LIKE KIND & QUAL.PRT EP
PM PXN REMAN/REBUILT TE =
IT PARTIAL REPAIR I =
REPLACE OEM
RECONDITIONED PRT
REPLACE PXN
PARTL REPL PRICE
REPAIR
NG = REPLACE NAGS
UM = REMAN/REBUILT PRT
PC = PXN RECONDITIONED
ET = PARTL REPL LABOR
L REFINISH
-1-
EXHIBIT "An
DATE 03-02-05
LOG 1264 -0
.1998. HONDA CIVIC DX 2 DR COUPE
CLAIM # PAE-0494769-83
CG = CHIPGUARD
RI = R&I ASSEMBLY
RP = RELATED PRIOR
BR BLEND REFINISH TT = TWO-TONE
SB = SUBLET N ADDITIONAL LABOR
P CHECK AA = APPEAR ALLOWANCE
UP UNRELATED PRIOR
OP GDE MC DESCRIPTION MFR. PART NO.
----------- ------------
PRICE AJ% B% HOURS R
7.2 4
REFINISH
6.0 Surface
1.2 Two-stage
EU 0619 07 SECTION,FRONT BODY RT LIKE KIND & QUAL. 1,500.00* +25
>>Located Aumillers 1-800-692-7463 Quote # 45275
0006 COVER,FRONT BUMPER REFINISH
2.5 Surface
0.6 Two-stage setup
0.5 Two-stage
1910lP2AOOO
REPAIR
R&I ASSEMBLY
R&I ASSEMBLY
REPAIR
REFINISH
0.7 Surface
0.1 Two-stage
17230P2FAGO
R&I ASSEMBLY
R&I ASSEMBLY
BLEND REFINISH
0.9 Blend
0.5 Two-stage
RT R&I ASSEMBLY
RT R&I ASSEMBLY
RT R&I ASSEMBLY
RT R&I ASSEMBLY
RT R&I ASSEMBLY
ADDITIONAL LABOR
ADDITIONAL LABOR
ADDITIONAL LABOR
ADDITIONAL LABOR
ADDITIONAL LABOR
ADDITIONAL LABOR
ADDITIONAL LABOR
ADDITIONAL LABOR
ADDITIONAL LABOR
SUBLET
REPAIR
REPAIR
REPAIR
REPLACE ECONOMY
COMPLETE FRONT END
0623
L
14.8*1
3.6 4
L
0.2 1
2.0*1
0.2 1
0.2 1
3.0*1
0.8 4
30.10
TANK,COOLANT RECOVERY
FENDER,FRONT LT
MLDG,FENDER SIDE L/R
MLDG, FENDER SIDE R/R
SIDE MEMBER ASSEMBL RT
SIDE MEMBER ASSEMBL RT
E 0764
I 0103
RI 0124
RI 0125
I 0514 07
L 0514
0.1 2
0.5 1
0.5 1
1. 4 4
40.60
RESONATOR,AIR CLEANER
MLDG,ROCKER PANEL LT
MLDG,ROCKER PANEL RT
PNL,FRONT DOOR OUTE RT
E 0808
RI 0141
RI 0142
BR 0210
INC 1
0.3 1
0.3 1
0.3 1
0.5 1
1*
1*
1*
0.5*1*
0.4*1*
0.1*1*
0.1*1*
0.1*1*
1*
1*
2.0*1*
2.0*3*
1.0*3*
0.1*1*
RI 0232
RI 0238
RI 0267
RI 0132
RI 0228
N
N
N
N
N
N
N
N
N
SB
I
I
I
EC
PNL,INNER DOOR TRIM
MLDG,FRONT DOOR BEL
MLDG,FRONT DOOR SID
MIRROR,OUTER R/C
HANDLE,FRONT DOOR 0
R-134 REFRIGERANT
REFRIGERANT OIL
FLEX ADDITIVE
COLOR TINT
PINSTRIPES-TAPE
DISABLE AIR BAG
DISABLE BATTERY
CORROSION PROTECTION
2 WHEEL ALIGNMENT
HAZARDOUS WASTE REMOVA
UNIBODY SET-UP AND MEA
CORRECT FRONT SWAY
CORRECT RT FRONT SAG
WASHER FLUID
8.50*
1.00*
8.00*
12.50*
10.00*
49.95*
3.00*
2.50*
32 ITEMS
-2-
~998. HONDA CIVIC DX 2 DR COUPE
CLAIM # PAE-0494769-83
DATE 03-02-05
LOG 1264 -0
MC MESSAGE
07 STRUCTURAL PART AS IDENTIFIED BY I-CAR
FINAL CALCULATIONS & ENTRIES
PARTS
GROSS PARTS
OTHER PARTS
PAINT MATERIAL
$ 70.70
$ 1,592.45
$ 260.00
ADJUSTMENTS DISCOUNT MARKUP
LINE ITEMS $ 375.00
PARTS & MATERIAL TOTAL
TAX ON PARTS & MATERIAL @ 6.000%
$ 2,298.15
$ 137.89
LABOR RATE REPLACE HRS REPAIR HRS
I-SHEET METAL $ 40.00 17.9 8.2 $ 1,044.00
2-MECH/ELEC $ 45.00 0.1 $ 4.50
3-FRAME $ 42.00 3.0 $ 126.00
4-REFINISH $ 40.00 13.0 $ 520.00
5-PAINT $ 20.00
LABOR TOTAL
TAX ON LABOR
SUBLET REPAIRS
TAX ON SUBLET
TOWING
STORAGE
@ 6.000%
$ 1,694.50
$ 101. 67
$ 3.00
$ 0.18
@ 6.000%
GROSS TOTAL
LESS: DEDUCTIBLE
$ 4,235.39
$ 500.00-
NET TOTAL
$ 3,735.39
PXN No
ADP PENPRO W0410 ES LOG1264
(C) 1993 - 2004
-0 03-02-05 09:34:00 REL 4.10 SW12/04 DTOl/05
ADP CLAIMS SOLUTIONS GROUP, INC.
2.9 HRS WERE ADDED TO THIS EST. BASED ON ADP'S TWO-STAGE REFINISH FORMULA.
ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR
OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM
CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF
MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A
FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS SUCH PERSON TO A
CRIMINAL AND CIVIL PENALTIES.
ABBREVIATION LEGEND:
LKQ = LIKE KIND IN QUALITY, A/M = AFTERMARKET, RECOND = RECONDITION, O/H=
OVERHAUL, REPL = REPLACE, RPR = REPAIR, REFN = REFINISH, SECT = SECTION,
R & I = REMOVE AND INSTALL, ALGN = ALIGN, SUBL = SUBLET, BLND = BLEND, ASSY=
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August 15, 2005
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Ms. Jessica Peters
706 West King Street, )" Floor
York, PA 17404
RE: Jonathan & AH\.ii~a Liss
Our File No. 3050,362
Dear Ms. Peters:
As you stated via our telephone conversation, you are willing to pay $25.00 each month until the
remainder of your balance is paid in full. This oral settlement agreement was approved by my client. [am
sending this letter to memorialize the agreement between Donegal Mutual Insurance Company and you. The
total amount owed as of to day's date is $4,210.39 (damages plus cost of suit). After we receive your initial
payment of$25.00 (remaining balance of $4, 185.39), your balance will accrue interest at 6%. Enclosed is
a calculation of the amount of interest you will incur.
We ask that you please acknowledge that you accept this agreement and are willing to pay the
installment payments of $25.00 each month by signing this letter below and returning it in the envelope
provided on or before August 31, 2005, along with your initial check of$25.00. Please remember, before
the end of each month you must provide our office with a certified check or money order for at least $25 .00
until the entire balance is paid in full. All checks can be made payable to MDW &0 and sent to the address
stated above.
[fyou fail to make any payments, you agree to pay all reasonable attorney's fees, costs, and interests
in the collection of this debt. You have also agreed that you will increase the amount when your financial
situation improves and you provide Donegal with the right to increase their demand at any time.
Very tru Iy yours,
MARTSON DEARDORFF WILLIAMS & OTTO
t~4L r ~
Christopher E. Rice
6-
/"
'bve.
-'--~
I agree to make payments and abide by the terms of this agreement as s
CER/mmp
Enclosure
cc: Mr. Alfred K. Myers (P AE 049 47 6968)
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EXHIBIT "B"
AD\' () C i\ (' Y ."\1
VERIFICATION
The foregoing Complaint is based upon information which has been gathered by our counsel in the
preparation of the lawsuit. The language of the document is that of counsel and not our own, We have
read the document and to the extent that it is based upon information which we have given to counsel, it
is true and correct to the best of our knowledge, information and belief. To the extent that the content of
the document is that of counsel, we 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 we make knowingly false averments,
we may be subject to criminal penalties.
)~~iPVJ
Jo~athaP Liss
'-1
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Andrea Liss
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SHERIFF'S RETURN - OUT OF COUNTY
CASE NO: 2006.01155 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
LISS JONATHAN ET AL
VS
PETERS JESSICA L
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:
PETERS JESSICA L
but was unable to locate Her
in his bailiwick. He therefore
deputized the sheriff of YORK
County, Pennsylvania, to
serve the within COMPLAINT & NOTICE
On March
21st , 2006 , this office was in receipt of the
attached return from YORK
Sheriff's Costs:
Docketing
Out of County
Surcharge
Dep York County
Postage
So
18.00
9.00
10.00
24.78
.78
62.56
03/21/2006
MDW&O
tR.. Thomas Kl ine
Sheriff of Cumberland County
Sworn and subscribed to before me
this
/7 e. day of 7h;
J.OD ~ A . D .
Prothonotary
0~
:r '
COUNTY OF Y$RK
OFFICE OF tHE SHERIFF
SERVICE CALL
(717) 771-9601
45 N. GEORGE ST., YORK. PA 17401
SHERIFF SERVICE
PROCESS RECEIPT and AFFIDAVIT OF RETURN
2 COURT NUMBER
06-1155 civil
4 TYPE OF VVRIT OR COMPLAINT
Civil CaT(plaint C I CA
21)06-1155
1 PLAINTIFFI$I
Jonathan Liss and Andrea Liss
3 DEFENDANT/51 T ' L P te
uess1ca . e rs
SERVE { . NAME OF INDIVIDUAL, COMPANY. CORPORATION. ETC TO SERVE OR DESCRIPTION OF PROPERTY TO BE LEVIED, ATTACHED, OR SOLO
...... Jessica L. Peters
..". 6 ADDRESS (STREET OR RFO VJITH BOX NUMBER. APT NO. CI'TY, BORO. TWP . STATE AND ZIP CODE)
AT 706 West King Street, 1st Floor, York, PA 17404
1 lMD'CA1E SERVICE- Q, PERSOMAl Q PERSON IN CHARGE XIloEPUTIZE o~~~n Ll1ST CLASS MAJl U POSTED !..J OTHER
NOW March 1 ,20~ I, SHERIFF OF YORK COUNTY, PA, do hereby deputize the sheriff of
York COUNTY to execute th~~ake retu~n t ccording
to law This deputization being made at the request and risk of the plaintiff. r ~~< uP
, . . SHERIFF OF YO COUNTY
I. SPECIAL INSTRUCTIONS OR OTHER IN FORMA nON THAT IMLL ASSIST IN EXPEDITING ffll"fEo F CO U NT Y CUnber land
ADVANCE FEE PAID BY ATTY.
Please mail return of service to CUnberland County Sheriff. Thank you.
NOTE: ONLY APPUCAllLE ON WRIT OF EXECUTION: M.B. WAIVER Of WATCHMAN - Any deputy lohenft levying upon Of attaching any property under withm wrIt may leave same
without a w.u:hmln, '" CU$IOdy 01 whomever is found in possession. after notifying person of leVy or attachment. WIthout liabitity on the part of such deputy (Jt the sheri" to any plaintiff
herem for ant Iou. deItruc:tion. or removal oIlny property before sheriffs sale thereof.
9. T'(fE NIIM!' OIlllAOORESS of I\TTORNEY I ORIGINATOR and SIGNATU 7
Chnstopher E. Rice, 10 East High St.
Carlisle PA 1701
12. SEND NOJlCE OF SERVICE COPY TO NAME AND ADDRESS BELO area sl be completed If notice IS to be mailed)
Chr1Stopher E. Rice, Esq., Martson Deardorff williams & otto
10 East Hi h Street Carli 1
10 TELEPHONE NUMBER
11. DATE FILEO
717-243-3341
2/2B/2006
13. I~recetptoflhewrit
Olccmpoinl..__ MJ MCG ILLY 0
1.. HOW seRVED PERSONAL~ RESIDENCE~ POSTED ( J POE ( J SHERIFF'S OFfICE ( ) OTHER ( SEE REMARKS BELOW
17. 0 I hereby certifY' and return _ NOT FOUND beCause 11m unable to locale Ihe tndividual. compIny. etc. named above. (see remarks beJow.)
t8. NAME AMO'TlTL \. SERVED lUST A.DDRESS HERE 'F NOT SHOYM-'BOVE (Re\lltionshipto Oetendanl) 19. 0.1e or $ervic:e 20. Time of Service
j2;cr3
2 A
Dale Twne Miles Int
41. AFFIRMED
42 day 01
of
<-
NO AR AL~K' NOTARY
LISA L. BOWMAN, NOTARY PUBLIC
CITY OF YORK, YORK COUNTY
MY COMMISSION EXPIRES AUG. 12,2009
..=-~ C]?~ t-<.
FOR:WILL A~M HOSE, SHERIFF
48 ,.~~~~~Ofeign
3/16/06
49 DATE
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Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OITO
J.D. 90916
10 East High Street
Carlisle, PA 17013
(7 \ 7) 243-3341
Attorneys for Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
JONATHAN LlSS and
ANDREA LlSS,
Plaintiffs
v.
: NO. 2006-1155
JESSICA L. PETERS,
: CIVIL ACTION - LAW
Defendant
PRAECIPE
TO THE PROTHONOTARY:
Enter default judgment in the above-captioned action in favor of Plaintiffs and against Defendant
in the amount of$4, 185.39, 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 tothe Defendant
at the address indicated thereon, on May 16, 2006, 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
~~r (1.-:
Christopher E. Rice, Esquire
I.D. Number 90916
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiffs
Dated: July 13,2006
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
1.0. 90916
10 East High Street
Carlisle, PAl 70 \3
(717) 243-3341
Attorneys for Plaintiff
JONATHAN LlSS and
ANDREA LlSS,
: IN THE COURT OF COMMON PLEAS OF
; CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs
v.
; NO. 2006-1155
JESSICA L. PETERS,
: CIVIL ACTION - LAW
Defendant
IMPORTANT NOTICE
TO: JESSICA L. PETERS DATE OF NOTICE: May 16,2006
706 West King Street, 1" Floor, York, PA 17404
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITIEN
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 JUDGMENTMA 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 LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. .THIS OFFICE
CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
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, PA 17013
Telephone:(7l7) 249-3166
MARTSON DEARDORFF WILLIAMS & OTTO
By ~4--L- 5; )(?
Christopher E. Rice, Esquire
Christopher E. Rice, Esquire
MARTS ON DEARDORFF WILLIAMS & OTTO
1.0. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
JONATHAN LISS and
ANDREA LISS,
; IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs
v.
; NO. 2006-1155
JESSICA L. PETERS,
Defendant
: CIVIL ACTION - LAW
AFFIDAVIT OF APPRAISER
I do depose and state that I am a licensed appraiser; that the appraisal of$4,235.39 attached
hereto is true and correct and accurately sets forth the damages to the value of the 1998 Honda Civic
owned by Jonathan Liss and Andrea Liss and; that I have been engaged in the appraisal business for .Lt
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 staternentand appraisaJ are made subject to the penalties ofl8 Pa C.S. Section 4904 relating
to unsworn falsification to authorities, which provides that if! make knowingly false averments, I may be
subject to criminal penalties.
jlv1,c/1/'r~ b' <fi'Nt.Le'{
Print Name
DONEGAL MUTUAL INSURANCE COMPANY
1195 RIVER ROAD P.O. SOX 302
MARIETTA, PA 17547-0302
(717) 426-1931 FAX: (717) 426-7023
CD LOG NO 1264 -0 DATE 03-02-05
ESTIMATE
CLAIM INFORMATION
CLAIM # PAE-0494769-83
COMPANY DONEGAL MUTUAL
FAX (717) 426-7023
INSURED LISS
CLAIMANT N/A
FILE HNDLR DENISE SHEARER
LOSS PAYEE NONE
2ND PAYEE N/A
POLICY # N/A
CLAIM REP 4748
WORK PH# (717) 426-1931
LOSS DATE 02-23-05
LOSS TYPE COLLISION
FILE # N'/A
ACCT # N/A
INSPECTION
TYPE
PRIMARY POI
APPRAISER NAME
LICENSE #
WORK PHONE
ADDRESS
CITY STATE
ZIP
FIELD
FRONT END RIGHT
DAVID MICKLEY
133454
(717) 259-5668
P.O. BOX 545
EAST BERLIN
17316-
SECOND POI
FAX
INSP DATE
LOCATION
CITY STATE
(717) 259-5682
03-02-05
SANG & SONS
YORK
PA
PA
OWNER
LISS, ANDREA W. & JONATHAN
1050 OAKDALE DR.
YORK PA 17403-
WORK#(717) 851-2613
HOME # (717) 854-9180
REPAIR
VEHICLE
1998 HONDA CIVIC DX 2 DR COUPE
4CYL GASOLINE 1.6
OPTIONS
TWO-STAGE - EXTERIOR SURFACES TWO-STAGE - INTERIOR SURFACES
POWER STEERING
CONDITION VIN IHGEJ6126WLI08895
LICENSE # CODE H025
REMARKS:
OP CODES:
* = USER-ENTERED VALUE E =
EC = REPLACE ECONOMY UC =
EU = LIKE KIND & QUAL.PRT EP =
PM = PXN REMAN/REBUILT TE =
IT = PARTIAL REPAIR I
REPLACE OEM
RECONDITIONED PRT
REPLACE PXN
PARTL REPL PRICE
= REPAIR
NG = REPLACE NAGS
UM = REMAN/REBUILT PRT
PC = PXN RECONDITIONED
ET = PARTL REPL LABOR
L = REFINISH
-1-
DATE 03-02-05
LOG 1264 -0
1998 HONDA CIVIC DX 2 DR COUPE
~IM # PAE-0494769-83
CG = CHIPGUARO
RI = R&I ASSEMBLY
RP = RELATED PRIOR
TT = TWO-TONE
N = ADDITIONAL LABOR
AA = APPEAR ALLOWANCE
BR = BLEND REFINISH
So = SUBLET
P = CHECK
UP = UNRELATED PRIOR
PRICE AJ% B% HOURS R
MFR. PART NO.
OP GDE MC DESCRIPTION
7.2 4
REFINISH
6.0 Surface
1.2 Two-stage
EU 0619 07 SECTION, FRONT BODY RT LIKE KIND & QUAL. 1,500.00* +25
>>Located Aurnillers 1-800-692-7463 Quote # 45275
L 0006 COVER, FRONT BUMPER REFINISH
2.5 Surface
0.6 Two-stage setup
0.5 Two-stage
E 0764 TANK, COOLANT RECOVERY 19101P2AOOO
I 0103 FENDER, FRONT LT REPAIR
RI 0124 MLDG,FENDER SIDE L/R R&I ASSEMBLY
RI 0125 MLDG,FENDER SIDE RIR R&I ASSEMBLY
I 0514 07 SIDE MEMBER ASSEMBL RT REPAIR
L 0514 SIDE MEMBER ASSEMBL RT REFINISH
0.7 Surface
0.1 Two-stage
l7230P2FAOO
R&I ASSEMBLY
R&I ASSEMBLY
BLEND REFINISH
0.9 Blend
0.5 Two-stage
PNL,INNER DOOR TRIM RT R&I ASSEMBLY
MLDG,FRONT DOOR BEL RT R&I ASSEMBLY
MLDG,FRONT DOOR SID RT R&I ASSEMBLY
MIRROR, OUTER RIC RT R&I ASSEMBLY
HANDLE, FRONT DOOR 0 RT R&I ASSEMBLY
R-134 REFRIGERANT ADDITIONAL LABOR
REFRIGERANT OIL ADDITIONAL LABOR
FLEX ADDITIVE ADDITIONAL LABOR
COLOR TINT ADDITIONAL LABOR
PINSTRIPES-TAPE ADDITIONAL LABOR
DISABLE AIR BAG ADDITIONAL LABOR
DISABLE BATTERY ADDITIONAL LABOR
CORROSION PROTECTION ADDITIONAL LABOR
2 WHEEL ALIGNMENT ADDITIONAL LABOR
HAZARDOUS WASTE REMOVA SUBLET
UNIBODY SET-UP AND MEA REPAIR
CORRECT FRONT SWAY REPAIR
CORRECT RT FRONT SAG REPAIR
WASHER FLUID REPLACE ECONOMY
COMPLETE FRONT END
0623
L
14.8*1
3.6 4
0.2 1
2.0*1
0.2 1
0.2 1
3.0*1
0.8 4
30.10
0.1 2
0.5 1
0.5 1
1.4 4
40.60
RESONATOR, AIR CLEANER
MLDG,ROCKER PANEL LT
MLDG,ROCKER PANEL RT
PNL,FRONT DOOR OUTE RT
E 0806
RI 0141
RI 0142
BR 0210
INC 1
0.3 1
0.3 1
0.3 1
0.5 1
1*
1*
1*
0.5*1*
0.4*1*
0.1*1*
0.1*1*
0.1*1*
1*
1*
2.0*1*
2.0*3*
1. 0*3*
0.1*1*
0232
0236
0267
0132
0228
RI
RI
RI
RI
RI
N
N
N
N
N
N
N
N
N
SB
I
I
I
Ee
8.50*
1.00*
8.00*
12.50*
10.00*
49.95*
3.00*
2.50*
32 ITEMS
-2-
1998. HONDA CIVIC DX 2 DR COUPE
''=U,IM # PAE-0494769-83
MC MESSAGE
07 STRUCTURAL PART AS IDENTIFIED BY I-CAR
DATE 03-02-05
LOG 1264 -0
FINAL CALCULATIONS & ENTRIES
PARTS
GROSS PARTS
OTHER PARTS
PAINT MATERIAL
$ 70.70
$ 1,592.45
$ 260.00
ADJUSTMENTS DISCOUNT MARKUP
LINE ITEMS $ 375.00
PARTS & MATERIAL TOTAL
TAX ON PARTS & MATERIAL @ 6.000%
$ 2,298.15
$ 137.89
LABOR RATE REPLACE HRS REPAIR HRS
I-SHEET METAL $ 40.00 17.9 8.2 $ 1,044.00
2-MECH/ELEC $ 45.00 0.1 $ 4.50
3-FRAME $ 42.00 3.0 $ 126.00
4-REFINISH $ 40.00 13.0 $ 520.00
5-PAINT $ 20.00
LABOR TOTAL
TAX ON LABOR
SUBLET REPAIRS
TAX ON SUBLET
TOWING
STORAGE
@ 6.000%
$ 1,694.50
$ 101. 67
$ 3.00
$ 0.18
@ 6.000%
GROSS TOTAL
LESS: DEDUCTIBLE
$ 4,235.39
$ 500.00-
$ 3,735.39
NET TOTAL
PXN No
ADP PENPRO W0410 ES LOG1264 -0 03-02-05 09:34:00 REL 4.10 SW12/04 DT01/05
(C) 1993 - 2004 ADP CLAIMS SOLUTIONS GROUP, INC.
2.9 HRS WERE ADDED TO THIS EST. BASED ON ADP'S TWO-STAGE REFINISH FORMULA.
ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR
OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM
CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF
MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A
FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS SUCH PERSON TO A
CRIMINAL AND CIVIL PENALTIES.
ABBREVIATION LEGEND:
LKQ = LIKE KIND IN QUALITY, AIM = AFTERMARKET, RECOND = RECONDITION, O/H=
OVERHAUL, REPL = REPLACE, RPR = REPAIR, REFN = REFINISH, SECT = SECTION,
R & I = REMOVE AND INSTALL, ALGN = ALIGN, SUBL = SUBLET, BLND = BLEND, ASSY=
-3-
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
!.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
JON A THAN LISS and
ANDREA LISS,
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYL VANIA
Plaintiffs
V.
: NO. 2006-1155
JESSICA 1. PETERS,
CIVIL ACTION - LAW
Defendant
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 706 West King Street, 1st Floor, York, P A 17404.
Said Defendant's place of employment is unknown.
~~).~
Christopher E. Rice, Esquire
Sworn to and subscribed before me
this 13tL day of~, 2006.
tij 1ft (~)
No ubhc
COMMONWEALlH OF PENNSYLVANIA
Notarial Sea'
Mary M. Price. Notary Public
Carlisle Boro. Cumberland County
My Commission Expires Aug. 18, 2007
Member, Pennsvlvanla Association of Notaries
Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
!.D, 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
JONATHAN LISS and
ANDREA LISS,
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs
V.
: NO. 2006-1155
JESSICA 1. PETERS,
: CIVIL ACTION - LAW
Defendant
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 & OITO, attorneys for the 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 the Defendant was given to her by mail on May 16,2006.
U-~ '7. tZ.,.'-
Christopher E. Rice, Esquire
Sworn to and subscribed
before me this ~ day Of~, 2006.
~~G~
Not ubhc
COMMONWEALtH OF PENNSYLVANIA
Notarial Seal
!1al)' M. Price, Notal)' Public
CarlISle Boro, Cumberland County
My Commission Expires Aug. 18, 2007
Member, Pennsylvania Association of Notaries
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. Jessica L. Peters
706 West King Street, I" Floor
York, PA 17404
MARTS ON DEARDORFF WILLIAMS & OTTO
By ~vtQ~
M . Price
Ten ast High Street
Carlisle, P A 17013
(717) 243-3341
Dated: 1/13)06
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Christopher E. Rice, Esquire
MARTSON DEARDORFF WILLIAMS & OITO
!.D. 90916
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
JONATHAN LISS and
ANDREA LISS,
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs
v.
: NO. 2006-1155
JESSICA 1. PETERS,
: CIVIL ACTION - LAW
Defendant
TO: JESSICA L. PETERS, DEFENDANT
NOTICE OF ENTRY OF DEFAULT JUDGMENT
You are hereby notified that on the I~ay of.. J~ ,2006, the following Judgment
was entered against you in the above-captioned action: jUd~ount of$4, 185.39, plus interest
and costs of suit as prayed for in the Complaint for failure to file an Answer to Plaintiffs' Complaint.
Date: ~ 1,_" lor.
+j I
I hereby certifY that the name and address of the proper person to receive this notice under Pa. R.
Civ. P. 236 is:
Jessica L. Peters
706 West King Street, I" Floor
York, 17304