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Home My WebLink About02-3026CYNTHIA J. HAUGHT, Plaintiff v. SHEILA GROSS, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No. CIVIL ACTION - LAW 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 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 MAY GET LEGAL HELP. CUMBERLAND COUNTY REFERRAL SERVICE Court Administrator Cumberland County Courthouse Carlisle, PA 17013-3387 (717) 240-6200 NOTICIA LE HAN DEMANDADO A USTED EN LA CORTE. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita o en persona o por abogado y archivar en la corte en forma escrita sus defensas o sus objeciones a las demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso o notificacion y por cualquier queja o alivio que es pedido en la peticion de demanda. Usted puede perder dinero o sus propiedades o otros derechos importantes para usted. LLEVE ESTA DEMANDA A UN ABODAGO INMEDIATAMENTE. SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA O LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. CUMBERLAND COUNTY REFERRAL SERVICE Court Administrator Cumberland County Courthouse Carlisle, PA 17013-3387 (717) 240-6200 CYNTHIA J. HAUGHT, : Plaintiff : : v. : : SHEILA GROSS, : Defendant : IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW COMPLAI~ AND NOW comes the Plaintiff, by her attorneys, Wix, Wenger & Weidner, and sets forth the following: 1. The Plaintiff is an adult individual residing at 31 Bellaire Avenue, Carlisle, Pennsylvania 17013. 2. The Defendant is an adult individual residing at 57 Waterside Drive, Carlisle, Pennsylvania 17013. 3. The facts and occurrences hereinafter related took place on or about Nogember 18, 2001, at approximately 2:00 p.m. at the intersection of Longs Gap Road and North Middleton Road in North Middleton Township, Cumberland County, Pennsylvania. 4. At the time and place aforesaid, Plaintiff was the owner and operator of a 1999 Chevrolet Cavalier, which was then and there stopped on Longs Gap Road waiting to make a left hand turn onto North Middleton Road. 5. At the time and place aforesaid, Defendant was the owner and operator of a 1990 Volkswagen proceeding on Longs Gap Road and struck the rear of the Plaintiff,s stopped vehicle, causing the damages hereinafter set forth. 6. The aforesaid accident and damages resulting therefrom were caused by the negligence of the Defendant in that she: a) failed to keep a proper look out for other vehicles; b) operated her vehicle too fast for conditions then and there existing; c) operated her vehicle at a speed so as to be unable to stop within the assured clear distance ahead; and d) operated her vehicle in such a manner that she was unable to avoid striking the rear of the Plaintiff's stopped vehicle. 7. Solely as a result of the aforesaid accident, Plaintiff,s vehicle was a total loss resulting in damages in the amount of SEVEN THOUSAND FOUR HUNDRED FORTY and 50/100 ($7,440.50) DOLLARS. WHEREFORE, Plaintiff demands judgment against the Defendant in an amount not in excess of mandatory arbitration limits. Respectfully submitted, WIX, WENGER & WEIDNER Dated: Richard H. Wix, Esq., ID# 07274 Attorneys for Plaintiff 4705 Duke Street Harrisburg, PA 17109-3099 (717) 652-8455 VERiFiCaTiON I, Cynthia Haught, have read the foregoing Complaint which has been drafted by my counsel. The factual statements and/or denials contained therein are true and correct to the best of my knowledge, information and belief. I am authorized to make this verification. This verification is made only as to the factual averments contained therein and not to legal conclusions and averments authorized by counsel in his capacity as attorney for the party or parties hereto. This verification is made subject to the penalties of 18 PA. C.S. Section 4904, relating to unsworn falsification to authorities which provides that, if I knowingly made false averments, I may be subject to criminal penalties. CYNTHIA HAUGHT, : Plaintiff : : v. : : SHEILA GROSS, : Defendant : IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO: 02-3026 PRAECIPE TO ENTER DEFAULT JUD~RNT AGAINST DEFENDANT SHEILA GROSS TO THE PROTHONOTARY: Please enter Default Judgment against Defendant Sheila Gross in the amount of Seven Thousand Four Hundred Forty and 50/100 Dollars, ($7,440.50), plus interest and costs of suit. Respectfully submitted WIX, WENGER & WEIDNER Date: 8/5/02 Ri6hard H. Wix, Esq.,~l~.D. #07274 Attorneys for Plaintiff 4705 Duke Street Harrisburg, PA 17109-3099 (717) 652-8455 CYNTHIA HAUGHT, : Plaintiff : : v. : SHEILA GROSS, : Defendant : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 02-3026 Civil Term CIVIL ACTION - LAW TO: IMPORTANT NOTICE Sheila Gross 57 Waterside Drive Carlisle, PA 17013 DATE OF NOTICE: July 26, 2002 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 (10) 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 NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GOT TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP: CUMBERLAND COUNTY REFERRAL SERVICE Court Administrator Cumberland County Courthouse Carlisle, PA 17013-3387 (717) 240-6200 WIX, WENGER & WEIDNER BY'Richard H. Wix, ~sq.~D# 07274 Attorneys for Plaintiff 4705 Duke Street Harrisburg, PA 17109-3099 (717) 652-8455 CERTIFICATE OF SERVIC~ AND NOW, this 26th day of July, 2002, I, Richard H. Wix, Esquire, of the firm of Wix, Wenger & Weidner, attorneys for Plaintiff, hereby certify that I served the foregoing Notice of Default on this date by deposition a copy of the same in the United States mail, postage prepaid, in Harrisburg, Pennsylvania, addressed as follows: Sheila Gross 57 Waterside Drive Carlisle, PA 17013 WIX, WENGER & WEIDNER BYRi~ard h. Wix, Esq., ~.D. Attorneys for Plaintiff 4705 Duke Street Harrisburg, PA 17109-3099 (717) 652-8455 #07274 CYNTHIA HAUGHT, : Plaintiff : SHEILA GROSS , : Defendant : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 02-3026 CIVIL ACTION - L~W JURY TRIAL DEMANDED COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS Personally appeared before me, a notary public in and for said commonwealth and county, RICHARD H. WIX, ESQUIRE, of the firm of Wix, Wenger & Weidner, attorneys for the Plaintiff, who being duly sworn according to law deposes and says that he mailed notice of default judgment and notice of assessment of damages to Sheila Gross in accordance with Pennsylvania Rules of Civil Procedure 237.1 and 1037. Richard H. Wix, Esquire Sworn to and subscribed before me this ~'~ day of ~ , 2002 Notary Public My Commission Expires: Notarial Seal Gaye Cost, Notmy Public South Hanover 'r_w~., Dauphin County My Commission Expires Apr. 18, 2005 Member, pe~'~yivani~ Asso(~tton o~ Notaries Haught Gr~ss I)e I~en¢Innt IN Tile COUnt OF COHHON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA C[VIb ACTION - Law HO. 02-3026 To Sheila Gross , Defendant(s)' Yo. are ,,ereby notified t',at o. 19__, the fo~[ow[ng (O~der) {Decree) (Judgment) has been entered against you ill the above- capt [one~t case. Default 9ud~ment a~aln~ eh~ m=~=~t ~'~ ~_ amount of $7..~o_qh: p]~ in~est a~ co,ts / ' Prothonotary - I heceby certify that the name and address of the i~oper person(s) to receive th[~ notice Sheila Gross 57 Waterside Drive Carlisle, PA 17013 A De If en~! De f e .d i. do.~ / a s Po~ est. e med[o se te esta notkficando que el de del 19 el/ia 8Jguiente (orJe,,-7,-~--, ~nec~etoT, {Fa[lo) ha s[do a,iokado en contra suya en el caso menc[onado en e~ ep[grafe. FKCIIA: Certiflco que la algutente direccion es la del defendido/a segun Indicada en el certificado de res~dencia~ Abogado del Demal~da:~te CYNTHIA HAUGHT, V. SHEILA GROSS, Plaintiff Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 02-3026 Civil Term CIVIL ACTION - LAW NOTICE OF ASSESSMENT OF DAMAGES TO: Sheila Gross 57 Waterside Drive Carlisle, PA 17013 You are hereby notified that in ten (10) days from the mailing of this Notice, damages will be assessed against you in the amount indicated in the attached Repair Bill in connection with the judment which will be entered against you in the above-captione~ action unless, prior to the date of assessment, you request a trial on the issue of damages by filing a written Praecipe with the Prothonotary. WIX, WENGER & WEIDNER Richard H. Wix, Esq., ~# 07274 Attorneys for Plaintiff 4705 Duke Street Harrisburg, PA 17109-3099 (717) 652-8455 Dated: 7/26/02 II. ~/01 11-2:06 ADP/AUTOSOURCE INSTANT VALUATION Page Via: MULTIPLE Request Number: '7669571 ADP Version: ADMINISTRATIVE DATA Daniel Coons State Farm Insurance Harri sbu~g Branch ~i5 Limekiln Road New Cumbe~land PA 17070 Claimant: Claim: Loss Date: Loss Type: Policy: Other: License Number: AVW-7050 License State: PA Inspection Location: SUBWAY A/B Claim Rep Name: Ramsey, James HAUGHT, C'YNTHIA 38-J822-33701 11/18/0l EOLL_ I S 1 01'4 NONE VALUF-iTI QN SUMMAR'f 99 [!-ICVPOLE EAgAL iER !S[D ,~[) SEDAIq N. A,D. A, Retail ,:See N.F~.D.A. Ua'[ue Section) Engine Odometer. -125 IL~-'E', AU i-QSOIJRCE F:dJ '.-O:BOURCE/ (See Val,.tation t,Liq. D. A. Der :~.i 1 Section) Average - 36. 0 -24 0 0 9a]ue Before Condit:,on l:ldjust~enbs Suggesteci -FobaL Cc, ndition Ad u. st~en.~s 0 il/23/0i 12:06 ADP/AUTOSOURCE INSTANT VALUATION Page 2 .Jia: MULTIPLE Request..' Number: 7669571 ADP Version: I ,)INSOURCE ANALYSIS ~!IN: 1G!JC5241X7188983 Decodes as: ].999 Chew~olet Cavalier STD 4D Sedan Accuracy: DECODES CORRECTLY History: NO ACTIVITY WAS REPORTED N.A.D.A. VALUE i'.].A~D.A, values are as of November, 2001 BASE REFAIL VALUE :2NE, INE: 4c,i1 Gasoline '!RANS~di:BSJ:Ohi: 3opeeo~ ' Autoleatic ~:~QU [ PMENT: Ant i-lock Brakes Air Conditioning i::'ow e ~. Sheering Equi p,~ent Subb, ot al Ocizmeter :451 99 CHEVROLET CAVALIER STD 4D SEDAN from the Eastern Edition. ~350 0 Included I n c I ,..id ed -1~:5 82,:25 ll/c-,~/Ol 12:06 dj.a: MULl' IPLE ADP/AUTOSOURCE INSTANT VALUATION Page 3 Request Numbe~-: ',76695'71 ADP Version: I VALUATION DETAIL 99 CHEVROLET CAVALIER STD 4D SEDAN The TYPICAL VEHICLE represents the average mileage, conditiom, equipment level amd estimated selling price o~ a vehicle of the same year, make, model, doo~s, editllon, body and fuel type as the LEoS VEHICLE in your LOCAL MARKET. Loss Vehicle Ad ~ustments Typical Vehicle VEH£CLE DESCRIPTION City Carlisle Carlisle Price $8,585 '~8, 585 Yea~- 1999 1999 Make Chevrolet Chevrolet Hode 1 Cavalier Cavalier Ed ~t ion STD STD Door 4D 4D Body Sedan Sedan Dr ~ v e 2WO 2WD Size Wot Applicable Not Applicable Engine 4cyl Gasoline 2.2 4cyl Gasoline~ 2. 2, . Transmissio~ 3 Speed Automatic 3 Speed Automatic Co[or No't Applicable Not Specified Odo,~eter 3~.591 1,1~ (typ~cai,, 45, 110 Mi (actual) -36,Z~ ~OLJ I ]OI'IVI%I,IIENCE OP'FIFJ A~r Cond ~ t i on ing ~lir~ Cond i t i oming Rem Trunk/Liftgt Releas Rear' Window Deft~oster Rear Window Defroster r)THER OR~[[ONAL. EO Anti-lock Brakes Anti-lock Brakes ~ [n~:ermitben~: WLpers Interattten~ wi, pets Dual Air =~L~<-I R,~straints Dual Ai¥~ Ba.g F'estrair, t~ J'inted G~ass ]'in'te,zJ Glass J::'ObJ~ ACCESSORIES Po,,,;er ~,rakes Power' Brakes Po,,~et' Steer:L~g Power Steering RADIO/PHONE/ALARId AN/FM Stet'eo Tape AM/FM Ster'eo Tape SE{AT OPTIOi'iS Velour/Cloth Seats Ve~ou¥"/Cioth Seats VaL ~e i}efo~ e Condition ~;d)ustments: ]:NTI£RIOR Average 'Seat s Good Good Ca..'pe t s Go od Go od Da sh Good Good G lass Good Good Heacii ~ r. er Good Good E~X-FERIOR Average Body Good Good F'ai. nt Good Good Tr. i ~ Good Good NECHAH [CAi Average Engine We~l Maintmined Well M~:~nta~r+ed Trans~.ssion Well Maintained Well hlaJnt~ined T I PEG · Av erag e 11/23/01 12:06 V ia: MULTI PLE ADP/AUTOSOURCE INSTANT VALUATION Page Request Number: 7669571 ADP Version: VALUAI' ION DETAIL Front Tires Rear Tires (CONTINUED) 99 CHEVROLET CAVALIER STD 4D SEDAN Typical Vehicle Loss Vehicle Adjusbments Good (3~'-79% Of Tread) Good (30-'79% Of Tread) Good (30-79% Of Tread) Good (.30-7':)% Of Tread) To~al Condition wdJu~ted Markeb Value: $8,225 Applicable Tax: 6.000% $493.50 Title Fee: Transfer Fee: NET Deductible:-__ ADJUSTED VALUE: Salvage/Other:- 11'/23/01 12:06 ADP/AUTOSOURCE INSTANT VALUATION Page 5 Via: IdULTIPLE Request Number: 7669571 ADP Version: TYF'ICAL CONDITION STATEMENT 1999 Chew-olet Cavalier SYD 4D Sedan Odometer, equipment, trim level and condition must all be con_=idered care- Fully on this vehicle. The average miles driven For this vehicle ]~8,591. The expected vehicle condition would oe as follows: Component Description of Tvp~ical Condition Good Slight wear. Soil removed with detail. No 'Fading/discoloring Good No damage. Soil removed with detail. No fading. No disco~o~ing. Good No ob,~ious damage. Vet.,/ slight wear on close i~soec~;ion. Good 1-3 very small pits. Light scratches or, ~lo~e.inspection. Good Soil removed wi~h de,ail. No fading/discoloring. Ho tear-s. Good No obvious damage, l-J small ~ngs on c~ose ~nspec~ion~ Good 1-3 small chips./scra~ches. Swivel mar. ks~ can be bLuFf:ed Good Well Maintained Clean/good condition. Maintenance perfo~-med Well Maintained Clean. No leaks. Haintenance perFormed~ Se~v~ce Gooo Good (30-79% Tires are of tread) good condition. of tread) go~d condit ~on. INTERIOR Seats Carpe ~ s Dasi~ Glass Headline? q] X T E R ~ 0 ~ !::' a i n t Eng [ne ~;aving e clean, well maintained vehicle will ad,J to, ~:s market value. :Jeci-"ease th9 m}.i'ket value of this vehicle. Client Ent;ered Comments - COLOR OF CAR IS AQUA. TOWING $40.0Q. STORFtGE ~10.00 PER [',~]r F:RCq,~ i I -20 -mZ~ l. ~ 11/23/01 12:06 ?ia~ MUI_T I PLE ADP/AUTOSOURCE INSTANT VALUATION Page 6 Request Number: 7669571 ADP Version: 1 ~:4djustments of Special Note - No special adjustments were made for this velnicle. Information Providecl By State Farm Insurance -- Loss Vehicle description was provided by State Farm Insurance. Ali. values are in U.S. dollars. ,qDP/AUTOSOURCE Production Steps Over 1,500,000 vehicles are er~tered weekly into the database used researching this value.. This database includes dealer inspected, dealer inventory, deale~- advertised, phone veri¢ied and advertised private party vehicles. The originating search area ~o~' this valuatlon was Carlisle, Pennsylvania. The VIN decoded correctly. The tax was calculated based on a date of loss of 11/18/2001 using 17013, in Carlisle, P'e;~nsylvania. (The c~ty may vary ~rom search area bo reflect corr'ect tax location. ) 'Uther Ad)ustments or Com;~ents !i'~:(s report contains proprJ, eta?!/ infof*matJon of ADP ar, al'snell nob be ;Jisc~osed to any third party (ct:ne? than the insured or claimant) wit'hcuc ;::~DP" s prior wrier;eh consent. If you are the i;'~sured or claimant a~d have (]?_~stioils r*egar*ding the descf'ip~ion of your veh~cie, please cor,~ac~ tho :f/~Lt',*afICe company that is handling your claim. Information );[Hsoc. rc(~/NICB ~s provided solely to lOercbifv potential duplica{;kve ~]tivitv. tJse~' agrees to use sucin infor~nation solely ¢'or taw~u] ~LAIM~38-J822-33701 ADP/AUTGSOURCE REQ~ 7669571 Body: New Goo~. <* Dings Dents Major Paint: New Good<* Minor Moderate Major Trim: New Good <* Minor Moderate Replace ~echanical Condition: Above Average Average<* Below Average Engine: New Well maint. <* Shows wear Minor work Major Work Trans: New Well maint. <* Shows wear Minor work Major Work 'ecent Receipbs: ire Condition: Above font :New(over 80%or7/32 "> ~ear: New(over 80%or7/32") Average Average <* Below Average Good (30-79%or4/32-7/32"> <* worn (under 29%or4/S2"; Good(30-79%or4/32-?/32") <* worn (under 29%or4/32") iISCELLANEOUS INFORMATION: alvage Title: NO SALVAGE TITLE ALUATION COMMENTS: ]_F3R OF' CAR iS AQUA. TOWING $40.00. STORAGE $10.00 PER DA~ FROM 11-20-0i. Printed : ADP/AUTOSOURCE Total Loss Pre-Damage Appraisal Sheet ~DMINISTRATI VE DATA: equest Number: 7669571 · :equest Status: Delivered 4ompany: State Farm ~ppraiser: DAN COONS _oss Date: 11-18-01 _oss Type: COLLISION n:p Date: l!-23-0i Claim ~: Policy ~: File ~: Insured: Claimant: 38-J822-33701 HAUGHT, CYNTHIA ~EPORT DESTINATIONS: ~0. ID/Name Device l) 76837/Coons, Daniel PENPRO 2) 77402/Harrisburg, 'FAX Address/Phone (717) 774-2i13 ALUATION PARAMETERS: ;arket Area: 171 - HARRISBURG Search Ext./Days: LOCAL EXT 2 /90 n~lne: o~y Color: :~i.ilCI_~ INFORNATION: l~: 1G1JCS~4iX7i88983 Accu~acy/Reason: esc: 1999 CHEVROLET CAVALIER STD 4 DR SEDAN 2 WD GASOLINE 4CYL GASOLINE 2.2 'Transmission: Blue M~leage: Actual Mileage: EHiCLE PACKA!SES/EQUIPMENT: VIN deceded 3 SPEED AUTOMATIC 45,110 Yes :;uipmer t Package~: At'I/FM STEREO TAPE CENTER COi'iSOLE iNTERMITTENT WIPERS P'QWE ~'~ S I"',E ;i.--i I~ REI'I TRUNK/LiFTGT RELEAS2] VELOUR/CLOTH SEATS Typ Sto S t ci Sbd S~d ~f:ermarket Equipment: Cost Age Equipment Age COi'.ID i ] I Ol".~: denotes the selec:ed condibion denotes the typical c2_OndlU~.of/ .n:erior Condition: Above Average Seats: New Good <* Minor Carpets: New Good <* Mino~- Dash: New Good <* Glass: New Good <* Minor Hea:~iiner: l'~ew Good <~. ::xterior Condition: Above Average Average <* Moderate Moderate Repair Ploderat -: Below Average Replace Replace Replace Replace Below Av e.~-ag e STATE FARM MUTUAL INSURANCE COMPANY HARRISBURG CLAIM OFFICE 115 LIMEKILN ROAD - P.O. BOX 257 NEW CUMB[--RLAND~ PA 17070-0257 (7i7) 774-9049 (R) CD LOG NO 1276 -0 EST' I MATE 11-;~3-01 1Ei:z~3 Pivl ]LAIM INFORMATION CLAIM ~ 38-J~22-33701 COMF'AN¥ S~ate Farm FAX iNSURED HAUGHT, CYNTHIA CLA I MANT POLICY $~ CLAIM REP Ramsey, James WORK F'H~ (717) 774-9074 LOSS DATE 11-18-01 LOSS TYPE COLLISION NSPEC T I ON TYPE F I ELD APPRAISER NAME DAN COONS LICENSE ~ i44938 ADDRESS C)~ 'F f 'STATE INSP DATE LOCATION SUBWA/ A,'~ HAUGFI'I, C¥'NTHIA 31 BEL_LAIRE AVE E:ARL ISL.[~] PA 1701Z~--gB99 CAR OUT REPA [ P DA'~ S REG, FE: 2S L999 C~iEVROLET CAVALIER STD 4 DR 4CYL GASOLINE 2.2 ]P T T OI'IS r k;O --ST'AidE EXTERIOR SURFAC, ES HEAi'ED BACK GLASS AI)rC)ifiAI'IC TRANS -f'WO-S]"AGE - [NI'ERIOF¢ SURFACE~:, i?ODf COLOR Blue COi'tD [ T' £ ON t.[CENS£ $~ AVW-7050 I.. [Ct'ENSE STATE PA id ]: LEAGE CO[)[{ UEFI [¢.iS1:' ~ L.,I~.23 ~ ::<ENARKS: }P CODES "- USCR--EI".ITEPED VALUE E = RE:PLACE OEId ;Et]: ~-~ QU';"d._I:T'r' REiZ'L F-'ARF EU = QL'I'Y REC"rCLED PAR] TiC = PAR'I'L REPL. PRICE ET = PARTL REPL LABOR :[ ',;:EPA I R L = REFINISH 1999 CHEVROLET CAVALIER STD 4 CLAIM ~ ,~,8-J8,:.,2-~,._'.701 DR SEDAN LOG 1276 -0 1-,-_..701 FT = TWO-TONE CG = q = ADDITIONAL OPERATION RI = ~--:P = RELATED PRIOR UP = CHIPGIJARD R&.I ASSERIBLY UNRELATED PRIOR SB = SUBLET P = CFIE~J4 O GDE MC DESCRIPTION SERVICE FIRST SHOP ESTIMATE IS ESTIMATE OF RECORD MFR. PART NO. SUBLET SUBLET' SUBLET PRICE 6,080.60* 0.00* 0.00* AJ% B% HOURS S t ]"EIdS :INAL CALCULATIONS 'ARTS GROSS PARTS OTHER PARTS PAifIT IfiATERIAL & ENTRIES , C, J U!S"]' i~tEN7 S PARTS TOTAL -FA)( ON PARTS D t SCOUN T MATERIAL I~l 6. 00tZ!% REPLACE MARKUP HRt'S REPAIR HRS 6. EnZpZr% 3ROSS TOTAL LESS: DE-'DLICTIBLE ~.~ I' '[ [) ]'~:i L_ $ 6, 485. 250. 235.44 l'OlAi_ i A'4>q ~',~****e~.INFORt'IATION ABOUT YOUR ES-FIifiAFE********** i. 1-t-ilS TS I'I(]T AN Ai. ITHOR!ZAIlOI~i ]'0 REPAii:~. ::. F:Ait.[hFi I'D PREsEr, IT -PHIS '~;S'i'~PtA'iE TO 1HE REPA~R.[NG FACILll ~' ,;](.PF;:E~E,E(i'iTA] I VE. · ~, cc)pr OF THE FORM(S) WA T/GIVEN TO 'file CONSUMER ON: //' = ¢ . J.~99 CHEVROLET CAVALIER STD 4 DR SEDAN CLAIM ~I-, 38-J822-3370). LOG 1276 -0 HOTIFCE: REPAIRS TO THIS VEHICLE MAY REQUIRE SPECIF:IC WELDING 6~UIPMENT AS RECOMMENDED lB~ THE MANUFACTURER. 12: 43 ANY PERSON WHO KNOWINGLY AND WITH INTEN-F TO INJURE OR DEFRAUD Ably ~SURER FILES Ai,.I APPLICATIOi'4 OR CLAIi, I CONTAINING ANY FALSE, ,'iCOMP'LETE OR MISLEADI:NG INFORMATION SHALL UPON CONVIC]'ION BE SUBSECT IrflPRJ:SONMEiq[ FOR UP TO SEVEN YEARS Al'ID .oAYMENT OF A FINE OF UP TO YOU ARE UNDER NO REQUIREMENT TO USE ANY SPECIFIED REPAIR SHOE'. IF' ]'HIS APPRAISAL WAS PREPAIRED BASED ON THE USE OF AFTERMARKEF CRASH qRTS, AhlD THE USE OF AI'.I AF-TERrdARKET CRASH PART VOIDS THE EXIS"flNG WARRAIqTY Oi'~ qE: PART BEING REPLACED OR ANY OTHER PART, ]'HE AFTERi'flARKE-F CRASH PART F;VE A WARRANT~' EQUAL TO OR BETTER ThlAN THE REMAINDER OF THE EXiSTiNG 3~ AN AF]'E~hNARFET CRASH PART IS A NON-ORIGINAL EQUIPMENT. MANUEACTURER EPLACEiflEhlI' PAR], WITH NEW OR USED, FQR ANY OF THE NON-MECHANICPd_ PAR1-B THAT ,-:(I,E:RA._..Y CONS'flTU'[E ]HE E,xTER!OR O:' THE MOfOR VEHICLE, INCLUDING If',iHER ~AI,tE. 'UFE!:? PA!iELS. F' R '-' !:' R A r, I E: RE-REF I ~I ~,~ SHERIFF'S RETURN - CASE NO: 2002-03026 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND HAUGHT CYNTHIA J VS GROSS SHEILA REGULAR KENNETH GOSSERT , Sheriff or Deputy Sheriff of Cumberland County,Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT & NOTICE was served upon GROSS SHEILA the DEFENDANT , at 0935:00 HOURS, at 57 WATERSIDE DRIVE on the 28th day of June , 2002 CARLISLE, PA 17013 SHEILA GROSS by handing to a true and attested copy of COMPLAINT & NOTICE together with and at the same time directing Her attention to the contents thereof. Sheriff's Costs: Docketing 18.00 Service 3.45 Affidavit .00 Surcharge 10.00 .00 31.45 Sworn and Subscribed to before me this F ~ day of 2_ A.D. z o. Z P~othonotary- ' So Answers: R. Thomas Kline 07/01/2002 WIX WENGER WEIDNER CYNTHIA HAUGHT, Plaintiff Vo SHEILA GROSS, Defendant : IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA : : NO. 02-3026 : : CIVIL ACTION - LAW : AFFIDAVIT OF DAMAGES CAUSED BY A MOTOR VEHICLE ACCIDENT STATE OF PENNSYLVANIA : : SS. COUNTY OF DAUPHIN : I, Richard H. Wix, being first duly sworn, on an oath: 1. I am an adult individual. 2. I reside at 6490 Gallop Road, Harrisburg, Pennsylvania. 3. My occupation is attorney at law. 4. I am the duly authorized agent for the plaintiff in the this case and as such have full knowledge of the facts relating thereto. 5. With reference to the matter in issue in the above- referenced case, the damages sustained by Plaintiff were the result of a motor vehicle accident. Subscribed and sworn to before me this day of 1,1~ , 2003. Notary Public Richard H. Wix Notarial Seal Gaye Crist, Notary Public South Hanover Twp., Dauphin County My Commission Expires Apr. 18, 2005 IVlen13er, Penmy~anm ass0c~0~ ~ N0~es