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CON.UMIR. LIrE INSUIWfCIl I IN THE COURT or COMMON PLIAS
cOMPAJlY, I CUMBERLAND COUNTY, PENNSYLVANIA
plaintiff I
I
v. I NO. 7 ;j'f, (, lu~,-Q nqy.
I
GERALDINE NAPOLITANO and I
GENARO NAPOLITANO I
Detendant. I CIVIL ACTION - LAW
.0'1 I a .
YOU HAVE BEEN SUED IN COURT. It you wi.h to defend aClain.t
the olai.. eet forth in the followinq page., you mu.t take aotion
within twenty (20) deya atter thil complaint and Notioe are
.Mrved, by enterinq a written appearence per.onally or by
attorney and tiling in writinq with the Court your defen.ee or
objeotion. to the claim. .et forth aqainat you. You are warned
that it you teil to do eo the oa.e may proceed without you and a
judqment .ey be entered aClainet you by the Court without further
notioe tor any money claimed in the Complaint or for any other
oleim or reliet reque.ted by the plaintiffa. You may loee money
or property or other riClhte important to you.
YOU SHOULD TAXE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU
DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OffICI SET fORfH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Court Adminietrator
4th Floor, Cumberland County Courthouee
Carli.le, PA 17013
(717) 240-6200
IIO'fICI&
LI RAN DEMANDADO A USTED EN LA CORTE. si u.ted quiere
d.t.nder.e de e.ta. demanda. expueeta. en la. paqina. .iquientea,
u.ted tiene viente (20) dia. de plaza al partir de la teoha de la
de.anda y la notificacion. U.ted debe pre.entar una apariene!a
e.orita 0 en peraona 0 por aboqado y archival' en 18 oorte en
torma e.orita au. defen.a. 0 eu. objecione. 8 lae demendae en
eontra de au per.cne. Sea avi.ado que ai u.ted no ae ~etiende,
la oorte tomara medida. y puede entrar una orden oontra u.ted .in
previo evi.o 0 notiticacion y pOl' cualquier quaja 0 alivio que e.
pedido en la petioion de demanda. Ueted puede perder dinero 0
.ue propiedade. 0 otroe derecho. importante. pare U.tad.
v.
I IN THI COURT or COMMON PLIAS
I CUMBERLAND COUNTY, ,INNSYLVANIA
I
I
I NO.
I
l
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l CIVIL ACTION - LAW
CONSUMIRS LIF. INSURANcl
COMPANY,
Plaintiff
GIRAIDIN. NAPOLITANO and
GINAltO NAPOLITANO
Defendant.
a~.L&ln
AND NOW, oome. Plaintitf con.umer. Lite In.uranae
coapany by ite attorney., Eck.rt Seaman. Cherin , Mellott, and
tile. the tOllowinq complaintl
1. Plaintitf ie Con.umere Lite In.urano. coapany
(hereinatter "Coneumer."), a Penneylvania oorporation, with it.
prinoipal plaoe ot bu.ine.. at 1200 camp Hill By-pa.., Ce.p Hill,
cuaberland county, penn.ylvania 17011.
2. Detendant. are Geraldine Napolitano (hereinafter
"Napolitano"), and aenaro Napolitano, her hu.band, who reeide,
upon intor.ation and belief, at 7822 oakdale Ave., Baltimore,
Marylend, 21237.
3. Pureuent to a Speoial Aqent'. Contraot dated April
3, 1"1 (hereinafter "contract"), Napolitano wa. appointed a
.peoiel agent of Plaintitf Con.Umer. to eolicit, bind, write and
adaini.ter in.uranoe on behalt ot Plaintift. A true and correot
oopy ot the co~t~aot 1. .ttaoh.d h.r.to and ..d. . part h.~.ot a.
Ixh1b1t "A".
4. pur.uant to .n A9.nt'e Loan A9~....nt .nd Note,
dat.d April 3, 1991, (h.r.in.ft.r "Loin Aqr....nt"), coneum.re
and D.t.ndante .q~.ed th.t Napolitano could r.o.iv. oaeh loane to
be r.p.id out of tutur. ooaaie.ione whioh .h. would ..rn pureuant
to h.~ Contr.ot with Coneu..re. A true .nd oo~r.ot copy ot the
Loan A9r....nt ie attach.d h.r.to and m.d. a part h.r.ot a.
Exhibit "I".
5. Th. LOin Aqr..m.nt provid.e, int,r alia, that "the
.qr....nt .hall b. .nforo.d in the common Pl.a_ Court ot
cu.berland county, P.nn_ylvania, or at the .l.otion ot company,
wh.r. the Aq.nt r..id... Th. Aq.nt, wh.r.v.r h. may b., .ubait.
hi...lt to the p.reonal juriediction of the oourt. of
P.nneylvania. It ie aqr..d by the Aq.nt thlt the In.urano.
Co..ieeion.r of the .tlt. in whioh the Aq.nt ie lioen..d with the
company ehall b. the a9.nt for vllid eervic. ot proc..e upon III
PlrU.e tCi thll .qua..nt." [Sea Exhibit liB", !11.]
6. On Auqu.t 13, 1992, Con.u..re .x.roie.d ite option
to t.rminat. Napolitano'e Contraot pur.uant to plraqrlph 22
th.r.ot .nd her LoanA9r..mant pur.ulnt to parlqraph 4 th.r.ot.
[8.. Ixhibit "A", , :a:a, S.. Ileo Exhibit "B", '4.] A true and
-2-
January )1, 1"4 , attornay tee., oo.t. ot euit, and .uch other
turther r.11et a. thi. Court may d.em appropriate.
.a..aT ..~. a..al. I ..LLOTt
~~
Jam.. J. ~ut., lequ1re
supreme ct. 1.0. 121589
Mark D. Bradlhaw, I.quire
supreme ct. 1.0. 161975
One South Market square Buildin9
213 Market Street
Harri.burq, PA 17101
(717) 237-6000
Attorney. tor Plaintitt
Con.umera Lite Ineurance Company
DATED I 'ebruary/~ 1994
51756
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VDIPICA!I'ION
I, J.... C. Robart.on, .n .uthori.ed r.pre.entativ. of
con.ua.r. Lit. In.ur.no. co.pany, hereby verity and .tate that
th. taot. .et torth in the torevoinq docuaent ar. true and
corr.ot to the beat ot .y intora.tion, knowledq. and baliet. I
under.t.nd th.t tal.e .tate..nt. h.r.in are ..de aubj.ot to the
pen.ltie. ot 18 Pa. C.B.A. 14904 r.l.tinq to unaworn v.ritication
to a",thorith..
,{
J.. C. Rober
Pl'~ ident
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CONSUMERS UFE INSURANCE COMPANY OF NORTH CAROUNA
And
CONSUMERS LIFE INSURANCE COMPANY
EXIcunVE OI'F1018: t200Camp HIIIIy'P.., ~.., Pennlyttlllie t701I
SPECIAL AGENT'S CONTRACT
THIS AGREEM~NT made on the,__lrd
, dey 01 _ April I qqL belWeUn
_Chl'btoDherliapol1J;M1!L___.. Generel Agent who h.. oHlo...t
4300 HI dQe Road, :illilILlOIL,_-!li1lUmtJrf>. Mn ?17,16 (her.ln.fter
rel.rred to ..the "General Agent"l, perty of the firet pert, endG?,IAldlllL, l'l'III!t1//'I--41f~
Sp.cl., Agent (herelneller referred to as the "Speclel Agenq, p.rty 01 Ihe .econd pert, end CONSUMERS LIFE
INSURANCE COMPANY end CONSUMERS LIFE INSURANCE COMPANY OF NORTH CAROLINA (her.ln.fter
relerred to jointly e. the "Company'), perty of the third pert,
WITNESSETH: Purauentto reQuast thet the underwriting I.cllltlee end other services 01 the Gen.r.1 Agent
.nd of th. Comp.ny be me de evellebla to the perty 01 thel8cond part el Special Agent and for the con.lderlllone
h.reln.fter eMprulld, It Is egrAed by ell pertln herein u lollowI:
1, That the Speclel Agent Is hereby euthorlud to procure end trenamlt to the Generel Agenteppllc.tlon.
lor In.ur.nce In the Compeny within the territory wherein the Gene,el Agent hu received euthorlty .nd th. Com-
p.ny h.. the right to r.to bUllnell, end to collect .nd to pey over to the Generel Agent the llrat premium. on
.uch bu.ln...,
2, Th. Generel Agent.hell puy to the Speclel Agent, end the Speclel Agent shell sccept from th. G.ner.1
Ag.nt .. full compenutlon for .lIurvlces par/ormed by the Speclel Agent, a commlulon b..ed on bu.ln,"
IIcured by him .nd wrlllen by the Compeny pay.ble on the premlumsuthey become due by the uprellterm. 01
the policy, end.re collected In cnh end peld to the Gener.1 Agent or to the Compeny, computed on the bill. 01
the Sch.dule 01 Commlulone eulgned to the Speclel Agent by the Generel Agent, alleched hereto, which .h.1I
be .ublectto ch.nge upon wrlllen notice by the Generel Agent
3, The Speclel Agent .hell have no clelm lor commllllonl on eny Insurence unlell his neme epp..ra on
the .ppllc.tlon lor .uch Inaurence, All buelnell .ecured by more th.n one Sp.clel Agent .hell be con.tru.d ..
joint bu.ln... .nd credit therefor .hall be divided equ.lly bllwaen or .mong the Specie I Agent. who.. n.m..
.pp..r on the .ppllc.tlon,
4, lithe Comp.ny .hell return the promlur\1s on eny policy .nd c.ncelll lor .ny reason whll.oever, the
Specl., Agllnt .grellto repey to the Generel Agent on dem.nd, the .mount of commllllon or .dvence comml.-
.Ion received on premiums .0 returned or on the policy,
II, Th. Sp.cl., Ag.nt shall pay end be rupon.lble lor thll lull psyment 01 .11 aMpenses 01 the Specl.,
Agllnt,
8, All monlll, properties orucurltlu received foror on behslf of the Comp.ny orthe General Agent, while
In the cUllody of th. Specl., Anent, shell bA held by him ea a flduclery !rust They shell not be used by him lor .ny
purpo," wh.Uoever, butl/A to be reported upon end tren.mllled to the Compeny or 10 the Generel Agent In
.ccordance with Instructions,
( (
7, The Spaciel Agent shell, whenever the Compsny or tha Ger,eral Ag.1ll ra'l'mes, lranlmil to th. Com-
peny QrlO the General Agent or to StIch olher oHice 08 Ihlll be dellgnaled by Ihe Company, accordmo to Ih. ruin
end InltrUCllonl Qf the Company, a report in dele II, over hie own lignature, ambraclno a true et81emenl 01 III
policlu, Itceipll or notel in hil hondl, held over lor due end proper delivery (Jr coliection, and 01 pollcln or
Itceipll returned therewllh IQr cancsllallon, every I..m 01 buelllell done by him, and of all monie. cQllec..d lor
the Compeny or Ihe Oenerel Aoenl and therewith pay over to the Company or the General Agent the emount 01
mOl1lu due the Compeny or the Oenerel Agent notth.retolore trenlmllled and pallJ over,
9, The Speciel Agent Will not deliver eny policy illued by the Compeny unl.ullle person on whonllleth.
policy il iasued i. etthe time In good hllllth .nd will nOlln .ny c8le deliver to any person 'my policy or renew.1
rec.lpt 01 the Compeny until the p'lmlum due thlllton hu been ectuelly peld,
9, The Specl.1 Agent h81 no .uthorlty to mek., .llIr or dl.cherge eny contrect, or to welve lorfelture. <lr to
....nd the time 01 peyment 01 eny pramlum, or to ..t.nd thetlm. or .Ilerthe condition. In re.pect 01 the m.klng
01 e cl.lm eg.ln.t the Compeny, or to w.lve p.yment.ln cllh, or to contract debllln the neme 01 the Comp.ny or
the Gen.r.1 Agent, or to receive eny money due or t<l become due to the Compeny except Ilrll premium p.yment.
on .ppllc.tlon. IIcured by or through him In exchenge lor condltionel recelpta or form. lurnl.hed by th.
Comp.ny,
10, The Special Agent ahall notlneert eny edvertl.lng l8Ipecting the Compeny or the Oenerel Agent or any
other company In eny publlcetion whet ever without wrlllen aUlhorlty of the Company, nor shell he luue .ny clr.
culer. or writ. .ny lelle.. to any publlcetlon re.p.ctlng the Comp.ny or the Generel Agent or eny other comp.ny
wlthoutllret obtslning the wllllen approval 01 the Comp.ny,
", The Speclel Agent shell not elllgn thl. .graem.nt or the compenntlon eccruing thereunder or .ny
In..rut therein, ucept with the pnor wrlllen conasnl 01 the Compeny,
12, The Compeny or the Generel Agent shell heve the ,Ightll all times to offsel cgelnat eny .um due the
Spec ill Agent hereunder any debt, obligetion or liability now due or which may become due et eny lime by the
Specl.1 Agent 10 the Compeny or Oenerel Agent, end th8le debt. .hell be e f1rat lien ellelnst the companllUon
due the Speclel Agent under thiS egreement,
13, The Specie I Allent ehall not pey or ellow, or olferto pey or ellow, e. en inducement to eny pere<ln to
In.ure, .ny reblle of premium or any Inducem.nt wh.lloever notlpeclfled In the policy, nor .h.1I he m.ke .ny
ml.replt.enlltion or Incomplete comperllon lor the purpolI 01 Inducing e policyholder In thle or .ny other c<lm.
p.ny to conv.rt, lep.e, lorfelt or ourrender hll IneurancI therein; nor ehell he endeevor l<llnduce Inother rep.
r.aent.tlve 01 Ihe Compeny or Iha Oener.1 Agent to leeve It. IIrvlce,
14, Thl. Igreemenl end all modlflcetion.thereof, Ih.1I have no lorce except e. they ere 8xpre.lld In writ-
Ing, end duly executed by the Gene rei AQent, the Comp.ny .nd the Speclel Agent
I II, The failure olthe General Agent orthe Complny to ex.clend require .trlct compllence on the pert 01 the
SPlclal Agent with the term. end condltlona 01 thl. egreement, or eny pert of It, or the fellure or neglect by the
Genaral Agent or the Compeny to declere auch def.ult or lellure to perform, when the ume .hell become known
to II, Ihell not opare.. 81. w.lver of .uch term. .nd condition. or 81 a releeu of the Speclel Agent from hll obllg.-
tlon. thereafter 10 perform .uch .greement Itrlctiy In eccordence With It I terma end condition.,
18, Thl. egreement sh.1I ebrogat. .nd .nnul any rel.tion heratolore held by the Special Agent with tho
Company or G.nar.1 Agent, ae agent, broker or otherwl..; but .hall not alfecl any bond given thereunder,
17, Thla agreement mey be terminated:
(e) 9y the withdrawal of the Company Irom the territory In which Ihe Specie I Agent I. operetlng;
(b) 9y either party upon thirty (30) deys' notice In writing to the other.
(C) By the death 01 the Speclel Agent;
(d) II the Specl.1 Agentlh.1I viol... or bller.h any of the covenent. herein provided for, thl. contrect
.h.1I forthwith termlnete end the Specl.1 Agent.h.1I not be entitied to any commltllonl wh.tever
under thl. egreement
1 B, The Special Agent, within the te"ltory pre.crlbed, ahell be Ireeto exercl.e his own good ludgment'l to
the pI..one Irom whom he wlll.ollclllneurance contracll, snd Ih.time and piece of .ollcltetion, orthe collection
01 pr.mluma: butth. Gener.1 Agent or the Comp.ny may, Irom time to time, preecrlbe the rulea .nd regulations
relpectlng the conduct 01 the bUllneas covered ther.by, which rulel end reguletiona ehall be conformed to by th.
Specl.1 Agent, The Specl.1 Agentlhall endeavor to promote the Intereste of the Generel Agent end the Comp.ny
.. contemplllld by Ihl. .greemlnt, end shall so conduct himself es nOlto affect edver..ly Ihe bu.ln.... good
atandlng or reputation 01 hlmllll or of the Generel Agent, or of Ihe Company, Nothing herein contllned In thl.
egraement .hall b. con.trued to create the l'elatlonshlp of employer .nd employee between Ihe Speclel Agent
end the aeneral Agent or the Compeny, SpeCial Agentla hereby conaUtuted and el ell time. ehell continue to be
an Independent contractor,
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Ill, The Special Agent oUrul thai ho aha II abide by all 01 tha Iowa, lulu, dnd ,ouulatlolla 01 .ny F',d.re',
Stell, City Qovarnment, Oepartm.nt or Buraau, having juriadlction, ond lallllre 1<) cOlTlply Wllh any 01 uld I.we,
rljl.. or r"gulallonllllcludlnu olllpalllloll or cancellation 0' the Spaclol Agonflllconlu hy action 01 Iny IPpllco
.bll govornmanlal oll1honty, ohlll conltllUle 0 violallon Ind breoch 01 Iho cuntracl.
20, IItha Special Agenl oholl ot any tlmalnduca any pollcyholdor 01 Ihe Company 10 t.rrnlllate hlalnlur.nce
wilh Ihe Company or 10 reploce II Wllh dny olhor Inlurer, then Ihe S,l.Cldl Allellf6 Intnruot In and righlllo .ny
r"newal commlnlonl or UNlce faol Ihalllmmedialely cee.. and termll1otl),
21, Th. Company may maka cortaln comminion advanceo to Ihe Generol Agent from tlmo 10 time .nd th.
G.n.ral Agenl may In lurn make limllar commlnlon advanc8lto tha Special Agont, Allho raquaat 01 tha Gener.1
Agent, the Company ha. agreed to facilltala paym"nt of luch advanCeD by making paymant dlractly to tho Specl.1
Agenll how.v.r, any luch .um.ahall be deemaQ to b" 'Irlla d.bl owed by Ihe Ganeral Ageflllo tha Comp.ny, .nd
..condly . d.bl owed by the Spacial Agantto the Ganar.1 Agenl.
22, The Comp.ny shall hava no obligation 10 psy .ny commlnlon or r.nowal commlaalon dlr.ctly to the
Specl.1 AQent but may do ao, Irom lime to tlma at the rique.. 01 Iha Genaral Agent, marely to lacllltlt'lhe p.y.
ment 01 commlulon dua the Spoclal Agent Irom tha Ganeral Agant Aa batwaen the Company and thl Specl.1
Agllnt, there shall be no veetlng of renewal commllllon. whalsoever. howevor, the General Agent mlY. by
..per.1I 'gre"m"nl, agree to veDtlng of r"nawal commllllon. Wllh Iha Speclol Agenl. The Comp.ny Ihallln no
w,y b. ,..ponllbl. lor payment of any such V8llld comml8l10n. and aha II 1101 be bound by any .uch Irrlnge'
ment, II .ny. mad" betwe.n tha Gonaral Agant and Iha Sp"cl.1 Agant,
23, In th. avant 01 the termination 01 thla Agreamlntlfor allY ra8l0n, Including death or diublllty), the Sp.cla,
Agent or hi. legal rapruantatlve shall pay to tha Ueneral Agant or Iha Company 88 tha caae may b". on d.m.nd,
.ny debit b.lance carrlad on tha SpaCial Aganfs account,nd any olher Indebtedness due Iha Ganerul Ag.nt or
th. Comp.ny, lithe Special Aganlls a Corporation, Partne,lhlp or other enllty, all prlnclpala who er.llc.n..d
with the Company ahall be lorntly and aaverally liable 10 the General Agant or Iha Company to thalSm. axt.nt..
th. Spacl,1 Agent,
"
G. rei A
It j l' ax4;7 -:2':.
,;/d.u<.It- , (< #t.. , 'c-_
Specl.1 Agent
::,N'UME~.~F~,1t:i~y
CONSUMeRS LIFe INSURANce COMPANY uF
NOIlTH CAROLINA
By:
S82AC
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C::~>C1NOlJMI~JtH ~
CONSUMERS LIFE INSURANCE COMPANY OF NORTH CAROLINA
And
CONSUMERS LIFE INSURANCE COMPANY
EXECUTIVE OFFICES: 1110 F.,nwood Avenuo, C.mp 11I11, PA 17011
AGENT'S LOAN AGREEMENT AND NOTE
HilS ACiRfEMENT CREATes A SECURITY INTeREST
AND lieN ON AGENrS COMMISSIONS
THIS AGREEMENT i. .ntortd ,nlO on Ihf
3rd
d.y 01
AprIl
, '9..il-.
bV ond btlwoon CONSUMERS LIFE INSURANCE COMP,\NV ", CONSUMERS LIFe INSURANCE COMPANV OF NORTH CAROLINA,
Comp Hili, Ponn.ylvtOl' ("Comp.ny'l.nd __.,.G'tl',fA!~tVl! 4, A/r4d/4L'" (.nd .pou..
IAoon',
0' QUlrlnlOr If 10 .lIIcuUdl
WHEREAS. Aglnt has .n fo,ce ....."h Comp3ny an Agent s Contract which 'lJlhmius Agont 10 prCC'Jr1t applications 'Qr lI'e and ,nnulty
inlur.nc. which provld.s 'or n.ym.nt 01 scheduled commlulons II pr.mluml .r, paid to 0', Company on poliel" illuld pUr,l,I.nllo
'uch .ppllc.lion. lAgon!'. Conrrtcq; .nd
WHEReAS, Ag.nt do",.. 10 'fct..o Ctlh lo.n. 10 bo ucu,.d by .uch commlu,on. 'Chfdulod in th. Agont'. Contr.Cl;
NOW, THEREFORe, Comp.nv 'g'''o 10 I.nd 10 Ag.n.. .nd Ag.nt ~romi... to rop.y 10 Comp.ny, tho .um. d..c,lb.d In lhi.lo.n
Agr..m.ntlnd Not. subfl!C! to the 111m; and conditions contained h.,.ln:
,. Amount 0' lOlna. Svbj.ct to Ihe speCIfic understanding and .greem.nt thilt CQmpenSolllon or the Agent by 'he Comp.ny II
solely by oommlllion. .. op.clflld ,n Ih. Ag.n!'o Contracl, Iho Comp.ny h...by .g,... to I.nd Ih. und.r.lgnod .g.nl .n .mounl
not 10 eMCI.d $1.000,00 p.r UU, Subj,cl (0 such mUlmum Iimn'lions, 'he o1mOlJlll ot such luans ahlll b. del.rmin.d '1
rollows:
", Th. .mounl of uld lo.nashall be I p.rc.nr..g. or said commiuion, which percenug. Ih. comp.ny, in Ira 101. dl.cr..
lion, .h.1I dlllrm,n., Th. ,ni".1 percenlage .hell bo 0/75 b.ud on the planned pOrlodic prom'um up 10 and includ-
Ing t.rgOl promlum,
',2 Thl p.'c.nllg. fo, .dvtncu .hown .bove may b. changed by 'ho CQmpany by !'''''Il.n no",", Any ch.no. m.d. will
Ipply '0 .ub..qu.nt .dvtnCII,
,1,:) F,om .ny lo..n. h.reunder, the,. will be deducllons lIken 'or the commiulon colI.1I".1101' on ..ccount on 'i,.t Y'"
I.p..., .ppllel!lon. wllhd,awn, and pollcl.. ,"urnod 10 CQmpany IS "not'laken,"
1,4 Thl. lo.n Agrumont.nd NOle shall no. .pply to ,nsu,anco w,lll.n on th. lif. of Ihe Ag.n. or .ny m.mbor 0' Ag.nt'.
Imm.dl.ll r.mlly,
2, N.lutll)' LOln./R.pavment. Ag.nr 'Ur.es and undersrands that.1I monill advanced her.und.r ar. nellher ul,ry nor In uncon.
dlllonl' obllg.llon oWld by .h. Company for .ny pu,pou', .nd Ih. Ag.nl.h.1I rom. In uncondlllon.lIv bound to "p.y .uch .um. .Ith..
bV dlrlCl r'Plvm.nl or d".ct d.duClion f,om comml..lon.ln r"p.Cl.O p,.mium. p.ld '0 Company or bO'h, 5uch .um. .h.1I n," bl
ch.rg.d .g.lnOl and Inlllllly "p.y.bl. from Ag.nl'. eomm'UlOn.,
3, S.curlty, Th.lnd.blldn.u .yldenCfd'by thlo Aglnr.lo.n Agr..m.nt.nd NOli I. ucurod by. f"l! .nd ,up.rlor li.n In f,yor or
Compt"y upon ."v commiSSions or other comp.nullon or .ums or .ccounlS rec.lv.ble now due or h.,.."., .ccruing 10 Ag.nl f,om
Comp.ny 0' "om Iny oth...ou,c.to ..curo Ag.nl'. perform.nc. h...und.. .nd .h. r.poym.n. 0,.11 'Ulll. due "om Ag.nllo Comp.ny
II I r..ull or lo.n. m.do h.,.und., Or pursu.nllO .nv olh., NOli, lo.n, 0" o.h.. Igr..m.nl b.lWlln Agonl .nd Comp.ny,
4, TermlnOllon, Th. Company r...",.. tho rlgh.to IIrm,nll. .hlS loan .grum.nl II .nv 11m. upon w,illln nOlle. to Ag.n., The
'or.going nOlWlthsllndlng, thlt Ifcuflly,li.ns crUllld h,r'und.r Bnd AcJ4'nt's obligation hJ rl!p~y loans her'lJnd..r .hall survive .ny
.uch "rmln.lIon,
15, RiGhllUpon T.rminllu)n. Upon I.rmhuuon of Agen!'1 Contfllet or II'lIS loan A9re.m.nt o1nd Notf, for whlrev.r CiluS', the sum
.quiv.lent 10 th. .mOur'lt due Compolnv herlttwdl!t and llnri.r 311V other lo.n '9,,,,",er'lt b.tw..n Comp.nv .and AIJ"'U sholl!, upon such
l.rmlnIUt1n, becom. the Pnnclo.al Amounl owinlJ t)n thiS loaf' Aqr""mfnr.and sh.11! bltcoml! dl'It .:Ind pavable bV Ag,nllfnm'dl.rely
uPOl"lluch to,.,1In3110n. Ag"'lI ht!rfOV o1lJ,ellS h) "!I).IV I.) CI;f~\UJf\V, Ilr IJf(I~r 'lJr:h Pm\l:lpi)1 AI1l0Ilfll, WIth In''H~''It l':OmOlj!ltrJ rlr1 fh~ b..l~
of. 360 dey yu, hu rhu BellliJl fHl/nll.u III t 111 fJ.lch H1hmuH p.trlod on rhl! tJl1piio JlIllll;IP( 1.1111:" 11l1l:Ii,fhIlCj Jny and ...11 eccr'J''J
Inl"'.$1 Ihill may l'lJIH IIIJlII Il) 11111'1 t)/l .lclfhltJ lOll;'! ptl/lI;I,ItIIIl,JI.JIIce hlJ'Ul)I) "11111 lh. d.III' oj 1111'\ 1.0,1/1 AIJrlJtl,l1llnl .Jnd NtHtf I~nlll Po1llJ:':
Ih. "'lJ Qf I W" por nlOnHl on Itltl 1'''IhlUl h.ll.lnr:rl 'I'NUlI" pnndpiJl Jnd Illhltll,f shilll tlll '...',',Itlhl ,J! Ill!! Illhcll 1)lltlU COrl11J.JIlY, Cllmp hili.
P'"OlyIV"IlIi1. 0' 01 $II,;h ,)thar pl,I';" ,I'lllll! n'lIl~h':III'" lIl..y dltlSiUn,)I11 lJp/l1l 1/lIlI,uhHII1111t1l! AI)IHllll) P'Jllflflll ilny ()blllJJlhJ,llJndrJf I,. ,
Au,.lltmen.. Ihl CompJny m,IY dmplClY IHllj IH ill/Hit ,11111"'UY'5 h) dfl'f)Ir.lJ il" rll)l1l$ and IQr11IJilln'\. ,111,1 At.)I,,.1 tlUIUhy 1I0rOlllS It) p.y ,tJUI)/l,
,bl. .ltorn.y', "" phllS alllJlho, tfIoUIHI.lllllJ UIllIttl'JlHlIIH:lJHttd by Uw (CHlIlhJflY III U,,":IS11111 ,)IlY 1')' II~I f1UhU j)lld 1om.dlu h"ulJno,r
Comp.ny ,h.1I h.v. no QbliQoIlll)flll) 5IIltk lep,I','llInnlllt cllIIIlCI ,lilY Il),lfl!'j 110m ,~'IY f)lhm PIH~f)lllJr Illlllly hofo,u (011"1;lInO th.lull" hOM
lh.Aglnl. Oi,chlfg' 0' .nv olher fJUI$IJlltH lJIIllly ''')lIIII.111I11Iy 1m a IOJn \h,11I fH)I allucl Af.ltJIII $11.lllIllly IlndlJf IllIlI AQunr$loan Au'."
m.ne .nd No..,
e, RighI of p,.p.ym.l1I. Aoenl may prep.y Ih. prinCipal ,mOI,"1 otJl\landlJ1l,J In wholll 01 In pan, No prepo1ym.rH p.n.lry ,h.11
b. eh.rg.d,
7, Secu,lly .nd S.I.OIf, To UCU" Ih. "paymenllO Company 01 ,II amounts ou"landing and Ihe p..fo,manc. CI .11 Olhel
obllQ.lIon. of Ag.nlto Company, whllher now ''''Iing or her..h.. a,I,ing, Agenl aGknowledg.. and awe.. Ihal Comp.ny m,y ""'O~
.ny .nd .1I,"lllIng 0' 'utur. emounts aga,nllany ..mad comminlon, or olhor oum' payabl. 10 Agonl by Company, To 'unh.r IfGurt
.ueh rep.ym.nl, Ag.nt h.reby anign, and granlo loCompany a SlGUrllV Inurulln.1I Gommin,on. and any olh.. 'um, pavebl. wh"h
". now orm.y from Ilmlltlo 11m. her.afllt b. .arnld by I,)r owing to AOlnl "0m C~mp.ny 1tgardld!i1 whethe, luch Iljm, Ir. .,rn.d..
Ag.nl comml..lon, or otherw,SI,
e. Documtnt.llon, Alth. IIQunl of Company. Agentwlll.."cute .nd dlli"er 10 Compony ItJct\ plorlliaaory nole.. or olh., ."Idlnets cl
Ind.bted"..., II Comp.ny may /lqu,", 10 lunher dacumenllhe "moun I au""nding, In 'ddll,on, Ag'/l' 'Ur..,lo ...~u.., d.llv." file
or record ."y .nd .11 nOlle.., financing '1eIem.nlS, ..eurllY .grum.nle, a..lgnm.nl' 0' anv olh.r docum.nl' which Comp."y mav
deem "."...ry or dulr.bl. 10 .IIIGI, prolecl, or p.rf'" lie rlghl of III.olf, ueurioy Inte"" and pa"mount .nd p,iar lI.n In Ih. com,
0111110"' h.r'ln.bov, .ulgn'd,
8. "'lIignmtnt. Comp..ny may u51gn Its rlgnrs under Ihi$ .ddendtJm, and Agent hereby COrlUnlS 10 50ch .uionmenl.
10. Wllv.r, Pr...nlmenr. notice of dishonor, ond protul are hereby waived by the ArJl!nf And any IIU,.ty, gUlranlor ,nd In.
do"., h"'of,
II. Jurl,dlctlon, Thl' Agr..m.n. II mad. 'n Camp H'II, P.nn.vlvani', and ,h.1I b. govern.d bV Ih. I.w, of Ihe Commonwullh 01
'.nnaylvlnil. This A9r..ment !Shall be ~,'fotcltU In the Cammon Fleu COllrl of CLJmberlolnd COlHlIY, Pennsylvania, or,t Ih. .Iecllon cf
th. Comp.ny, wh.r. Ih. Ag.nl r"id.., The Ag.nl, whl/aver h. mey b., oubmlll him..lllo Ih. pe"on.llurl,d,cllon of .h. counl of
P.nnlylv.nl., Ills ,greed by the Ar;cnllhdl thl! Iniurant:o CommlslSionfr 0' (he ~rale In whIch Ihrf ^glfnl is licensed with Ih. Comp.n',
. ,h.n b. ag.nt 'or v.lld urvice 01 procu, upon .11 part'., 10 Ihlo Ag,ument
IN WITNESS WHEREOF, Ihe under,lgned partl" have ...cul.d Ihl, Loon Agreem.nl .nd Note to b. .1f.Cliv. on the dll. 11m
.bov. .pp..rlng,
0( """M"""". "." "M~~
o CONSUMERS LIFE IN ~AN E Cp,~ ,\Y OF N~H CAROLINA
BY' ~ ~
AUlhorlzed 0 IIc.,
.
(SEALI
(SEAl!
AnlST
CORPORATE AGENT
secretary
Nam. 01 Corporation
BY:__
AUlhorlzed Officer
(SEALl
(SEALl
Wll"'"
Gu.r,nlor
(IndiVidu.1 gu..enlulng lo.n for Cllrpora.. Agenll
Wlt".U
GU'finlor
(Indl\lidlJo1l gIJ.1r,trlleeinq klt111 hH Corpmatlt AlJltnt)
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SU ABOGADO. SI USTED NO TI~NE UN ABOGADO 0 NO PUEOI PAGAR UNO,
VAYA 0 LLAME LA OFICINA ABAJO INDICAOA PARA QUE LE INfORMEN OONDI
PUEDE CONSEQUIR AYUDA LEGAL I
Court Admini.trator
Cumberland county courthou.e,
carli.l., PA 17013
(717) 240-6200
4th Floor
OATlllD I
64111
,t;;J. S-, 19!14
~"Y~~: . :.....
Mark O. Brad.haw, E.quire
Supreme ct. I.D. #61975
One South Market Square Buildinq
213 Market street
Harriaburq, PA 17101
(717) 237-6000
Attorney~ for Plaintiff
con.umera Lite In.urance company
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