HomeMy WebLinkAbout06-5191
~
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
DISCOVER BANK
Plaintiff
No: C:>(. - Srql
Q'lu~L'-r~
VS.
COMPLAINT IN CIVIL ACTION
JEFFREY D KAUFFMAN
Defendant
FILED ON BEHALF OF
Plaintiff
COUNSEL OF RECORD OF
THIS PARTY:
James C. Warmbrodt,42524
WELTMAN, WEINBERG & REIS CO., L.P.A.
436 Seventh Avenue, Suite 2718
Pittsburgh, PA 15219
(412) 434-7955
FAX: 412-338-7130
05371604 C A Pit WLG
\
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
DISCOVER BANK
Plaintiff
vs.
Civil Action No
JEFFREY D KAUFFMAN
Defendant
COMPLAINT AND NOTICE TO DEFEND
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 an attorney and filing in writing
with the court your defenses or objections to the claims set forth
against you. You are warned that if you fail to do so the case may
proceed without you and a judgment may be entered against you by the
court without further notice for any money claimed in the complaint or
for any other claim or relief requested by the plaintiff. You may lose
money or property or other rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET
FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE
TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
LAWYER REFERRAL SERVICE
CUMBERLAND COUNTY BAR ASSOCIATION
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
(717) 249-3166
.
COMPLAINT
1. plaintiff, is a corporation with offices at 6500 NEW ALBANY ROAD
NEW ALBANY , OH 43054 .
2. Defendant is adult individual(s) residing at the address listed
below:
JEFFREY D KAUFFMAN
329 W PENN ST
CARLISLE, PA 17013
3. Defendant applied for and received a credit card issued by
Plaintiff bearing the account number 6011002060501491 . A copy of
Plaintiff's Statement of Account s attached hereto, marked as Exhibit
"A" and made a part hereof.
4. Defendant made use of said credit card and currently has a balance
due and owing to Plaintiff, as of August 22, 2006 , in the amount of
$11330.77 .
5. Defendant is in default by failing to make payments when due.
6. Plaintiff avers that the Agreement between the parties provides
that Defendant will pay Plaintiff's attorneys' fees.
7. plaintiff avers that such attorneys' fees will amount to $1500.00
,I
8. Although repeatedly requested to do so by Plaintiff, Defendant has
willfully failed and/or refused to pay the balance due to Plaintiff.
Wherefore, the Plaintiff prays for Judgment in its favor and
against Defendant, JEFFREY D KAUFFMAN ,INDIVIDUALLY, in the amount
of $11330.77 with interest at the legal rate of 6.000% per annum from
date of judgment plus attorneys' fees of $1500.00 , and costs.
James, armbrodt,42524
WELT~ WEINBERG & REIS CO., L.P.A.
436 Sev nth Avenue, Suite 2718
Pitisbu gh, PA 15219
(412) 34-7955
FAX: 4 2-338-7130
05371 04 C A Pit WLG
This law firm is a debt collector a~te
our client and any information obtaf d
to collect this debt for
be used for that purpose.
payment due date
July 21, 2006
$1 r"""') :'j li
, ;: '":' ',I /. '..:J~ .'
Please make check payable to Discover Platinum
Card. Minimum payment due includes a past due
amount of $2,596.00.
22 SOSN6AOl 0005294
JEFFREY KAUFFMAN
329 W PENN S1.
CARLISLE PA 17013-2249
Schedule payments in advance up to your
due datel To find out about our flexible
and convenient online payment features,
visit Discovercard.com/payments
Acttress, e-mail or telephOl18 change? Print change;n space above, or
go to Discovercard.com. Print your ft.-maJl address to receive important
Account information and special offers.
PO BOX 15251 11I",11",..1,1..1,1,11..1
WILMINGTON DE 19886-5251
1,,,111.1.,1,,1,1,,1.,11,,,1,1,,,1,1,1,1,,,,11,1,1,,,,111.1,,1
000006011002060501491113307700000001133077
. -------...-------.--------.......
Discover Platinum Card Account Summary
Closing Date: June 22, 2006
page 1 of 1
$11,330.77
0.00
+ 0.00
+ 0.00
+ 0.00
+ 0.00
= $11,330.n
account number
payment due date
minimum payment due
credit limit
. credit available
cash credit limit
, cash credit available
previous balance
payments and credits
purchases
cash advances
balance transfers
FINANCE CHARGES
new balance
6011 0020 6050 1491
July 21, 2006
$11,330.77
$9,800.00
$0.00
$0.00
$0.00
EXHIBIT
.'A "
Cashback Bonus.
Opening Cashback Bonus Balance
New Cashback Bonus Earned
Cashback Bonus Balance
Avellable to Redeem
$
+
0.00
0.00
0.00
0.00
$
$
Cashback Bonus8 Anniversary
Date: May 22
Transactions
: CongratulaUons to the 20()6 NaUonaJ Discover(R) Card Tribute Award(R) Scholarship winners: Jacqueline Bavier,
Stephen Carlsen, Winter Downing, Tyler Fortney, Bethany Lyon. Monika Mackow, Desiree Nelsen, Seth Robinson.
WiHlam Stone, and Tess Stoops. Each won $27,500 for post high-school education or training. Visit
Discovercard.com/tribute
: Discovercard.com provides you with the easiest online seff-service options that put you in control of your account.
.Make a paymenUoday-Of -SCtlecIuJaone.in advance.. -Sign.up for Umely-8-ma# <eminde,. Jo.IlQ/p ,"ou a""'d fees. ~y
account management is just a click away! Register or log in to Discovercard.comlregister
Nominal ANNUAL Transaction
Average Daily ANNUAL Periodic Fee
Daily Periodic PERCENTAGE PERCENTAGE FINANCE RNANCE
Balances Rates RATES RATES CHARGES CHARGES
current biHlng period: 3 t days
Purchases $0 0.07668% 27.99% V 27.99% $0 none
Cash AdvarlC8S $0 0.07668% 27.99% V 27.99% $0 $0
previous bitting period: 22 days
. Purchases $0 0.07600% 27.74% V 27.74% $0 none
The rates thal8QfJ/v to your Account are either fixed (F) or they may vary (V) as noled above.
VERIFICATION
The undersigned does hereby verify subject to the penalties of 1 g P A.C.S. ~4904 relating to
Accounts Manaeer
(Title)
Robert Adkins .
(Name)
of Discover Financial Services. LLC., plaintiff herein, that
(Company)
unsworn falsifications to authorities, that he is
he is duly authorized to make this Verification, and that the facts set forth in the foregoing Complaint
in Civil Action are true and correct to the best of his /her knowledge, information and belief.
~~~~
( ignature)
;....
WWR # 5371604
JEFFREY D KAUFFMAN
6011002060501491
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
DISCOVER BANK
Plaintiff
No. 06-5191 -CIVIL-TERM
VS.
PRAECIPE FOR DEF AUL T JUDGMENT
JEFFREY D KAUFFMAN
Defendant
FILED ON BEHALF OF
Plaintiff
COUNSEL OF RECORD OF
THIS PARTY:
WILLIAM T. MOLCZAN, ESQUIRE
PA I.D,#47437
Weltman, Weinberg & Reis Co" L.P.A,
2718 Koppers Bldg,
436 Seventh Avenue
Pittsburgh, P A 15219
(412) 434-7955
WWR#05371604
Judgment Amount $ 12830.77
THIS LAW FIRM IS ATTEMPTING TO COLLECT THIS DEBT FOR ITS CLIENT AND ANY
INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE.
..
IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
DISCOVER BANK
Plaintiff
vs.
Civil Action No. 06-5191-ClVIL-TERM
JEFFREY D KAUFFMAN
Defendant
PRAECIPE FOR DEFAULT JUDGMENT
TO THE PROTHONOTARY:
Kindly enter Judgment against the Defendant, JEFFREY D KAUFFMAN above named, in the default of an
Answer, in the amount of $12830.77 computed as follows:
Amount claimed in Complaint
$11330.77
Interest from date of judgment
at the legal interest rate of 6% per annum
Attorney's fees
$1500.00
$12830,77
TOTAL
I hereby certify that appropriate Notices of Default, as attached have been mailed in accordance with P A
R.C.P. 237.1 on the dates indicated on the Notices.
WELTMAN, WEINBERG & REIS CO., L.P.A.
By:
WILLIA T. MO CZA
PA I.D.#47437
Weltman, Weinberg & Reis Co., L.P.A,
2718 Koppers Bldg.
436 Seventh A venue
Pittsburgh, P A 15219
(412) 434-7955
WWR#05371604
Plaintiffs address is:
c/o Weltman, Weinberg & Reis Co., L.P.A., 2718 Koppers Building, 436 7th Avenue, Pittsburgh, PA 15219
And that the last known address of the Defendant is: 329 W PENN ST CARLISLE,PA 17013
..
IN THE COURT OF COMMON PLEAS BEAVER COUNTY, PENNSYLVANIA
CIVIL DIVISION
DISCOVER BANK
Plaintiff
Case # O&-5J 9/- C II/It, - TelZ/rJ
JEFFREY D KAUFFMAN
Defendant(s)
IMPORTANT NOTICE
TO: JEFFREY D KAUFFMAN
329 W PENN ST
CARLISLE,PA 17013
Date of Notice:
WWR#: 05371604
lollI/OW
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN
APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE
COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU.
UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A
JUDGMENT MAY 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 FOLLOWING OFFICE SET FORTH BELOW. THIS OFFICE CAN
PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
Lawyer Referral Service of Beaver
788 Turnpike Street
Beaver, PA 1.5
(724) 728-4888
County
BY:
JAMES W
PA 1. D
WELT
2718 0
PITT B GH, PA
(412) 434-7955
?i
ESQUIRE
IN THE COMMON PLEAS COURT OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
DISCOVER BANK
Case no: 06-5191-CIVIL- TERM
Plaintiff
NON-MILITARY AFFIDAVIT
vs.
JEFFREY D KAUFFMAN
Defendant
The undersigned, who first being duly sworn, according to law, deposes and states as follows:
That he/she is the duly authorized agent of the Plaintiff in the within matter,
Affiant further states that the within Affidavit is made pursuant to and m accordance with the
Servicemembers' Civil Relief Act (SCRA), 50 U.S.C. App, S 521.
Affiant further statl~s that based upon investigation it is the affiant's belief that the Defendant, JEFFREY D
KAUFFMAN is not in the military service.
Affiant further states that this belief is supported by the attached certificate from the Defense Manpower Data
Center (DMDC), which states that the Defendant, JEFFREY D KAUFFMAN is not in the military service.
Further Affiant sayeth naught.
iJL"flt{:r
, AFFIANT I I
SWORN TO AND SUBSCRIBED in my presence this~fJit.
of b-eY .aooCo COMMONWEAI.TI-I OF PENNSYLVANIA
Notarial Seal
Wayne A. Jones, Notary Public
City Of Pittsburgh, Allegheny County
My Commission Expires June 29, 2010
Member, Pennsylvania Association of Notaries
~
This law firm is a debt collector attempting to collect this debt for our client and any information obtained will be
used for that purpose.
Request for Military Status
Page 1 of2
Department of Defense Manpower Data Center
. Military Status Report
Pursuant to the Servicemembers Civil Relief Act
OCT-23-200608:23:22
< Last Name FirstlMiddle Begin Date I Active Duty Status I Service/Agency
KAUFFMAN Based on the information you have furnished, the DMDC does not
possess any information indicating that the individual is currently on
active duty,
Upon searching the information data banks of the Department of Defense Manpower Data Center, based
on the information that you provided, the above is the current status of the individual as to all branches
of the Military,
~y.\. ~-~
Mary M, Snavely-Dixon, Director
Department of Defense - Manpower Data Center
1600 Wilson Blvd., Suite 400
Arlington, V A 22209-2593
The Defense Manpower Data Center (DMDC) is an organization of the Department of Defense that
maintains the Defense Enrollment and Eligibility Reporting System (DEERS) database which is the
official source of data on eligibility for military medical care and other eligibility systems.
The Department of Defense strongly supports the enforcement of the Servicemembers Civil Relief Act
[50 USCS Appx, #167;#167; 501 et seq] (SCRA) (formerly the Soldiers' and Sailors' Civil Relief Act of
1940), DMDC has issued hundreds of thousands of "does not possess any information indicating that the
individual is currently on active duty" responses, and has experienced a small error rate, In the event the
individual referenced above, or any family member, friend, or representative asserts in any manner that
the individual is on active duty, or is otherwise entitled to the protections of the SCRA, you are strongly
encouraged to obtain further verification of the person's active duty status by contacting that person's
Military Service via the "defenselink,mil" URL provided below. If you have evidence the person is on
active-duty and you fall to obtain this additional Military Service verification, provisions of the SCRA
may be invoked against you.
If you obtain further information about the person (e,g" an SSN, improved accuracy of DOB, a middle
name), you can submit your request again at this Web site and we will provide a new certificate for that
query.
This response reflects current active duty status only, For historical information, please contact the
Military Service SCRA points-of-contact.
See: httP:L!}vW1Y,defeJ1Selil]k.lJ1ilLfaq!pis~C09SLDR,html
WARNING: This certificate was provided based on a name and Social Security number (SSN) provided
https:/ /www.dmdc.osd.mil/scra/ owa/ scra, prc _Select
10/23/2006
Request for Military Status
Page 2 of2
by the requester, Providing an erroneous name or SSN will cause an erroneous certificate to be provided.
Report ID:SSIBEAXPZE
https://www.dmdc.osd.mil/scra/owa/scra.prc_Select
10/23/2006
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IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY , PENNSYLVANIA
CIVIL DIVISION
DISCOVER BANK
Plaintiff
vs.
Civil Action No. 06-5191-CIVIL-TERM
JEFFREY D KAUFfMAN
Defendant
NOTICE OF JUDGMENT OR ORDER
TO: () Plaintiff
(xx) Defendant
( ) Garnishee
You are hereby notified that the following
Order or Judgment was entered against you
on c)~-I ~?C ~b
(xx) Assumpsit Judgment in the amount
of$12830.77 plus costs.
() Trespass Judgment in the amount
of $_ plus costs.
() Ifnot satisfied within sixty (60)
days, your motor vehicle operator's license and/or registration
will be suspended by the Department of Transportation, Bureau
of Traffic Safety, Harrisburg, PA.
(xx) Entry of Judgment of
() Court Order
() Non-Pros
() Confession
(xx) Default
() Verdict
() Arbitration
A ward
Prothonotary
)
JEFFREY D KAUFFMAN
329 W PENN ST
CARLISLE,PA 17013
Plaintiffs address is:
c/o Weltman, Weinberg & Reis Co., L.P.A., 2718 Koppers Building, 436 7th Avenue, Pittsburgh, PA 15219
1-888-434-0085
SHERIFF'S RETURN - REGULAR
CASE NO: 2006-05191 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
DISCOVER BANK
VS
KAUFFMAN JEFFREY D
MICHAEL BARRICK
, Sheriff or Deputy Sheriff of
Cumberland County,Pennsylvania, who being duly sworn according to law,
says, the within NOTICE
was served upon
KAUFFMAN JEFFREY D
the
DEFENDANT
, at 0020:42 HOURS, on the 14th day of September, 2006
at 329 W PENN STREET
CARLISLE, PA 17013
by handing to
JEFFREY KAUFFMAN
a true and attested copy of NOTICE
together with
COMPLAINT
and at the same time directing His attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
So Answers:
Sworn and
18.00
4.40
.00
10.00
.00
32.40./
/0/01.//6(, ~
Subscibed to
?"'~~~
R. Thomas Kline
day
09/15/2006
WELTMAN, WEINBERG & REIS
By, ---:7///7~/~
-:Y~rl1f
before me this
of
A.D.
? y i11
Li l l ar
RED
OCT 2 7 2011
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
DISCOVER BANK
Plaintiff
I S.
JEFFRLY D KAUFFMAT
Dcfe:.dant(s i
l4IEMP?%RS iST FC;U
Garnishee(i)
Civil Action No. 06-5191-CIVIL-TERM
ANs cA3e 4
INTERROGATORIES IN ATTACHMENT
F1 i,ED ON BEHALF OF:
Plaintiff
C(J:?NSEL OF RECORD OF
THIS PARTY:
Matthew D. Urban, Esquire
PA I.D. #90963
WELTMAN, WE NBERG & REIS CO., L.P.A.
1400 Koppers Building
436 Seventh Avenue
Pittsburgh, PA 15219
(412) 434-7955
WWR No. 5371604
11`i THF- COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
DISCOVER BANK
Plaintiff
vs.
Civil Action No. 06-5191-CIVIL-TERM
JEFFREY D'41-Al IN MAN
Dei'c lidant(s)
MEMBERS 1 ST FC.'.U
Garnishee(s)
TO: MEMBERS ; ST ICU, 1711 SPRING RD, CARLISLE, PA 17013
RE: JEFFREY 17 CAUFFMAN , 329 W PENN ST, CARLISLE, PA 17013
Suggested Ref:renc,, No.: XXX-XX-7935
XXX-XX-
IMPORTANT NOTICES TO GARNISHEE!
A. 'y'ou.-re required to file answers to the following interrogatories within twenty (20) days after
service upon you. Fai!ure to do so may result in Judgment against you.
B. I lerein, the word "defendant" means any one or more of the defendants against whom the writ of
Execution is i ;sued.
C. While service of Writ upon the Gar.:isjkcP attaches all property of the Defendant subject to
attachment which L, then in the hands of the garnishee, it also attaches all property of the defendant which comes
into the Garnishee's possession thereafter, until Judgment is entered against the Garnishee. For example, the
resultant liability of a Garnishee-Bank would not be measured by the balance in the debtor's account, either at the
time of service of the Writ or at the time of Judgment against the Garnishee, but rather by the amounts deposited
and withdrawn during, the intervening period.
W WR No. 5371604
INTERROGATORIES IN ATTACHMENT
!. At ?;.e time you were served or at any subsequent time did you owe the defendant any money or
were you liabie to hini on any negotiable or other written instrument, or did he claim that you owed him any money
or were flable to him for tiny reason (including funds on deposit for checking or savings accounts and certificates of
deposit)? TA-1
]a. ? f tl.,? answer to Interrogatory 1 is it the affirmative, state the following: the amount
of money you o«e ,):- owed to defendant, and, i1-such mmiey is in the form of a fund, the present location thereof,
the terms, face amount and amount you owe or owed to defendant on each of such negotiable or other written
instruments t,nd the prescat location of each of such inst1-ume11U'-L the am=ount or amounts that defendant claims or
claimed that you owe or roved to him; and the nature an:! ai0ount of each of such liabilities.
???4jq-OCW447U KKX479(vM
2. At the time you were served or at any subsequent time was there in your possession, custody or
control of yourself t nd one or more other persons any property of an;. nature owned solely or in part by the
defendant.
no
3. At ?.?le time you were served or at any subsequent time did you hold legal title to any property of
any nature owned sol.ay or part by the defendant or in which defendant held or claimed any interest?
60
41. At th,: tim; you were served or at any subsequent time did you hold as fiduciary any property in
which the defendant had an interest?
no
At any t- me before or after you wer serve,:, did the defendant transfer or deliver any property to
you or tc any person or place pursuant to your directions or consent and if so what was the consideration thereof?
n b
6. At any time after you were served did you pay, transfer, or deliver any money or property to the
defendant or to any person or place pursuant to his direction or otherwise discharge any claim of the defendant
against you?
nb
If you are a bank or other financial institution, at the time you were served or at any subsequent
time die:: ;e defendant ha%,e funds on deposit in an account in which funds are deposited electronically on a
recurring basis and which are identified as being funds that upon deposit are exempt from execution, levy or
attachment under Pennsylvania or federal law? If so, Identify each account and state the reason for the exemption,
the amount being withheld under each exemption and the amount of funds in each account, and the entity
electronically depositing those funds on a recurring basis.
1n?
WWR No. 5371604
8. if you are a bank or other financial institution, at the time you were served or at any subsequent
time did the defendant have funds on deposit in an account in which the funds on deposit, not including any
otherwise exempt f. nds, did not exceed the amount of the general monetary exemption under 42 Pa.C.S. § 8123? If
so, identify each ac(.ount.
n?
9. If the answer to Interrogatory I is in the affirmative, state the date the sheriff served these
interrogatories on this institution.
1`01211 ?
10. If the answer to Interrogatory 1 is in the aft irmative, state the date the written instrument, checking
or savings acr;ount, cei-tificate of deposit, or other funds were frozen, restricted, or otherwise put on hold by this
institution.
I411 i I
H. If the response to Interrogatory 7 is in the affirmative, are other funds comingled in the account
which are not depos ted eicetronically on a recurring basis and which are identified as being funds that upon deposit
are exempt from executicn, levy or attachment under Pennsylvania or federal law?
no
12. If the response to Interrogatory 11 is in the affinnative, state the amount of non-exempt funds on
deposit n the .3ccow;t. f) O
WELTMAN, WEINBERG & REIS CO., L.P.A.
By
_.r
Matthew. D. Urban, Esquire
PA! D. 490963
WELTMAN, WEINBERG & REIS CO., L.P.A.
1400 Kopper.; Building
436 Seventh Avenue
Pittsburgh, PA 15219
(412) 434-7955
W WR No. 5371604
A
MEMBERS 1St
FEDERAL CREDIT UNION
October 26, 2011
Jeffrey D. Kauffman
329 West Penn Street
Carlisle, PA 17013
Review Dates (60 Days): August 28, 2011 - October 26, 2011
Total Writ of Execution: $16,736.81
Cumberland County Docket Number: 06-5191
File # WWR 5371604
Account Number: XXX479-0000
Name on Account:
Savings:
Jeffrey D Kauffman
Charise M Kauffman (Joint)
$52.68
-5.00 (Membership Fee)
$47.68
Payroll: Mechanicsburg Le - Charise Kauffman
Mechanicsburg Le - Jeffrey Kauffman
Account Number: XXX479-0011
Name on Account: Jeffrey D Kauffman
Charise Kauffman (Joint)
Checking: $2,210.96
-50.00 (Processing Fee)
$2,160.96
$300.00 Statutory Exemption was not taken out.
?p
tt?
?00/-
Tania S. Yourik
Deposit Operations Anal st
Rev: 06/11
5000 Louise Drive - P.O. Box 40 - Mechanicsburg, Pennsylvania 17055 - (800) 283-2328 - www.memberslst.org
VERIFICATION
The undersigned does hereby verify subject to the penalties of 18 PA. C.S. 4904 relating
to unsworn falsifications to authorities, that he/she is
Tania S. Young
(Name)
Deposit Operations Analyst of Members 1st Federal Credit Union
(Title) (Company)
garnishee herein, that he/she is duly authorized to make this verification, and the facts set
forth in the foregoing Answer to Interrogatories are true and correct to the best of his/her
knowledge, information and belief.
(SIGNAT )