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HomeMy WebLinkAbout94-06192 I', \ ,.,', 11.1 "I .'" ." ", , ' ',1'1, " ;r d 'I ." i.. " ,; '" " 1,1' ,i.: 'I' " !,' I', , " -"\', " 1'- , " "I, It) p l~ -1~ .3t6: ii' , . I, , , , ,., , , , '" , , .. " " " " 'I,' , , ' t t- j It, I,'; , t'l 0- "., Ii. . nST SHORE TEACHERS FEDERAL I IN THE COURT OF COMMON PLEAS CJUl:DIT UNION, I Plaintiff I CUMBERLAND COUNTY, PENNA I NO. q4- <..0 /q ~ V. I _ CIVIL 1994 SCOTT T. POLLY and CARLA S. CIVIL ACTION . LAW POLLY, Defendant JURY TRIAL DEMANDED MOTIe. YOU HAVE BEEN SUED IN COURT. IF YOU WISH TO DEFEND AGAINST THE CLAIM SET FORTH IN THE FOLLOWING PAGES, YOU MUST TKKE 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 RE~UEST!lD 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 pELOW TO FIND OUT ~ERE YOU CAN GET LEGAL HELP. DISTRICT COURT ADMINISTRATOR COURT.OUI. - OMl COURTIOUI. IgUARI CARLIILI, P.NNIYLVARIA 17013 (717) 2.0-6200 . NH~ PLDGS2 DIRI 20886 COMPLAINT I 09/30/94 - REV. 10/03/94 3. The Defendant, Carla S. Polly, Is an adult Individual residing at 30 Miller Street, Apt. C-4, Lemayne, Cumberland County, Pennsylvania 17043. . Not. No. 018 4. On September 10, 1992, the Defendants made, executed and delivered to the Plaintiff a Note In the amount of EIGHT THOUSAND FOUR HUNDRED NINETY-FIVE DOLLARS AND SEVENTY-EIGHT CENTS ($8,495.78), a copy of which Is attached hereto as Exhibit "A" and made a part hereof. 5. Having delivered the said Note to the Plaintiff, the Defendants became liable for the payment of said Note In accordance with the terms thereof. '. 6. The Defendants have failed to make regular payments on said Note and has since become in default 01 the payment of said Note and the entire balance according to the terms and conditions thereof Is due. . 3 NHK PLDGS2 DIR. 20886 COMPLAINT. 09/30/94 - REV. 10/27/94 7. The outstanding balance as of September 20, 1994, on said Note II SIX THOUSAND SEVEN HUNDRED TWENTY-EIGHT DOLALRS AND SIXTY-FIVE CENTS (S8,728.ee), as shown on Plaintiff's Statement of Account, attached hereto as Exhibit '8' and made a part hereof, 8. Due to Defendants' default In payments, Interest has been added In the amount 01 ONE HUNDRED SEVENTEEN DOLLARS AND THIRTY-EIGHT CENTS ($117.38) to which Defendants are additionally liable. 9. In ac(:ordance with the terms and conditions of said Note, Defendants promised to pay to the Plaintiff reasonable attorneys' fees and. accordingly, now Is additionally Indebted to the Plaintiff in the amount of ONE THOUSAND THREE HUNDRED EIGHTY-EIGHT DOLLARS AND NINETY-NINE CENTS ($1,388.99). . 10. Plaintiff has frequently demanded payment from Defendants 01 sald amount due and owing as aforesaid, but Defendants have refused and neglected and stili refU18 and neglect to pay said amount of any part thereof. . 4 BHR PLDGS2 DIR. 20886 COMPLAINT. 09/30/94 _ REV. 09/30/94 WHEREFORE, Plaintiff demands Judgment against the Defendants In the sum of EIGHT THOUSAND TWO HUNDRED THIRTY-FIVE DOLLARS AND TWO CENTS ($8.235.02) along with Interest thereon at a rate of thirteen and nine-tenths percent (13.9%) from September 20. 1994. . ~~:;d2 Robert O. Kodak 407 North Front Street Post Office Box 11848 Harrisburg, PA 17108-1848 (717) 238-7151 Attorney 1.0. No, 18041 Attorney for Plaintiff DATED: / fJ/lfj9'/ I . i""c: NHK .LDG.2'DI1. 2011. COMPLAINT. 0'/30/'4 . lEV. 10/05/'. . WE8T 8HORI! TeACHER8 FEDERAL. : IN THE COURT OF COMMON PLEAS CReDIT UNION, : PlllntIff : CUMBERLAND COUNTY, PINNA v. . . ; NO. CNlL 1884 SCOTT T. POLLY and CARLA 8. POLLY. Otftndlnt . . : CIVIL ACTION - LAW . . : JURY TRIAL DEMANDED ~ . I, MlII1lyn 8. Mllllr, Operlllone Mlnlg.r, verity thlt the facti lit forth In the foregoing Complaint are trUland correct to the bllt Of my knowledg., Information, WId belief. ,I und.1'Itand that faIM ltat.menta herlln Ire IUbJICt to Iht penlltl.. Of 1. P..C.8. 14804, relating to un.worn fal,lflcatlon to luthorltl.. . . 7/hhn ./ ~/ Marilyn . MOI.r OperltlO/'ll Mlnager DATED:, /r~h,yi . . ............................~............................................................................ ""1 ICMIINII. Application HOW 10 APPLY 2 APPLICANT INFORMATION 3 IMPLOYIlENT INFORMATION _TAllY 4 REFERENCES PItt,.JU lnC/uClv SltM', City, Sr4l'" _Zip 'ft WEST SHORE TEACHERS FEDERAL CREDIT UNION 1213 Slale Hill Road Camp HIli, PA 17011 '. . (117) 131-4152 " PiealIe COInpiOlle r~lllillC~Ollli I lIlroU\l~ e. a.. ~urU lu c~IlC" allllllphcablu bU"'5. " Sign lllC~on Il " R.lurn I~I~ apphcahon 10 mu erell,t Unl()ll Check th. approptl.1a boloa. to lodlcala th. type 01 account(.) and type 01 credit lor which you are applying. Married AppIlcanla may lIIlPIY lor a Mjlara account .. LOANUNIR. AIlcounl/ Loan o CfNIt Car'lI Accounl o IncIlvlcl.... CNdIl: Campi... AppII08IItlac:llon. Compl'" Co-AppllcarIl, lpou... Gueranlot (referred to.. "Other") MClIon: (1) about your 'POUM II you Ilveln a community property IIata (Al, CA,ID, LA, NM, NV, TX, WA, WI). or (2) II your 'POUM will UM the Account. or (3) 11th... I. . guarantor on thl. account Pl.... check box to Indlcat. whom th. Inlormatlon I. about o Joint CNdlt: Provld.lnlormaUon about both 01 you by compl.tlng Applicant and Oth.r .actlon. 'IlIu AlQUIST AN ADVANCE 01' . Purpoaa: (,~II"'''': Ilapaymant: n Payroll Deduction [l C..h [1 Automallc Paymanl D MlIllary AIIOIm.nt [l ~ CredIt Oll~ablhly In!iurJ.nctJ ChijCk cO'ltilraQI:t(s) dtlslutu The ChlU11 union Will dlICIOS6 Ihtt ~:OI$I ollhui voluntury 1,1surance to you A stJpara!o Insurance clechon whICh C11'iC10&8slhelermli and tondlllonu rTluSl be sIgned lor CO"tHuya 10 become eNech..,. APPLICANT ",.... pnnIln In/( Of rypa. ~ii~"-SCotr -r. DIWlf'" II NU....JIlIITR~ ~43 J4B rA- T HUM.A ISOC.... IICUAITY NUUIIR 20(r liB -1'1'50 Il""H QQI HOME PHONl IU$lNlas PHONE/Dr. ~'2HZI717113H3'JIif> 17/11 efI"O-ZZ7L ......NTAOOAlM 1_-""'-_'ZJp, U"""" I)I("N' 1~(, Hu.mmd Avtnllf #'3 Y...... 3 em e "Pit 17043 ~ _.~ 1--",~.--ZJpI Dc.... 0....' 311 Ne~ "D~ AVUlue. YIAR. ;.~ . n 110/ AI 'HI. "J I ADOAE~ COMII\.ITI JOINT C"1041, SlCURlDCRIDlT OR 11 'lO.J UVIIN A COMMUNITY '!JOPIfn'V STAn fi WAMIIO 0 81PARATIO 0 UNMARRIED ISlnQI. ~ Ot~ 4 w~ UIT M3U Of DlPlNOlHTI NOT UlTIO IV OJKl APM.lCANT CIUIMIe_ ~MUW(?;:h':tmat'\ t Son, '~I.C, .0. fX. q~ . /I.s..~e n IQMOI IVI'IFlVIIOA ~~fl?rnan ,,;a!'~'~~l~~~r.l" ~b. 3 ''l'12. ., IWlO'tID IN CUMINT I'OIlTION L.IU THAN 'IVI vllNl& COMP\.ITI l'N:VIOUlI"l'\.O't~.. ~I_AND AOOItI.. ST"''''INQ CATl.~ (l W.mer.rni.ler . lune. ~ 2..~ ~tNe 17C4~ '.e'~~. .IOVT'lITAJ' TMNIUIAb,.crIOOUA,NGNIXTVlAA b~1S 0 NO ...... INOINGIIIMRATIONCWI 'ILlPHONI 1fJ3./Ij'iJ ~i6NSHiji- r~~_ 7~i~s~ HdiliPHON~ 7/i1-S<l20 ...." \" ..,,"" """N'" 10<,," 'IOlII .. .... ." ,.." "'.,,,,, IIIRIBI., "A" o Co-APPLICAHT IX! SPOUSE 0 GUARANTOR U... "SA)I" rl mlorm.1JOn II "Slim. A. Applk;anl': ~O"'-'''-lrMI.a, S. ~IlN""Il",1W1 ~ ---1qq(ol.j :57e r A ACCOUNT HUM"" ISOCW, IICURlTY NU""A Z01-:51r4l?k BIRTH DATl HOWl PHONE IUSlNlS4 PHONI/lXT. Jc1-U3(/r71131-~t.J(,2 m1:~~!.'- r~ 'L 'RISlN' AOORI8$ I...... CI~ - _ - Zlpl 0 _ 011 AlN' ~AA ,..... 3 MTHIS ADOfllISS PAEVIOY8 AODRISl, tllr.. ~ CIf'r . SIIIe -l)p) U OWN 0 "INT '~~ j4\ 1?~d- ::r.~ G /70/ I AllORlM ~ COUPlET. OR JOINT CAlOIY, IICURlD CAWT OR " 'IOU LWIINACOUMUNlTV tplRTY STAll: ZL"!.AAAIIO [J S(PAMTIO n UNWAAAIID (dingle ~ 0l'iOl'~. W~I L.IIT AClIS Of DlI'lNOlMTS NOT LlSTIO IV AmICANT (1IIlIIIIdehlf) otab 1 1 ~l C~r~5~SOfl -r: JlI;tt~ STARTINQ DATI III SlL.' I"PlO'fI~ TYPI 01 lUll .,Matcl1 1.. ,tJqz I' .MPlC7fID IN CUl'U'IINT POSITION lllS THAN IlIV. vlNll& CClIlMtL.IlI lI'AlV.IOUIIMI'I.OY "HAM ANQADDf'ISS ~NG 21m t.I' II ~" . '" .1~ , 0 I ~ ~. rJ'i:Z. 18 DUTY ION TRANSfER IXHCTID DURING HUT '11M [] VIS 0 NO WHEAl INelNO / IIIIWWION 0IlU'1 711 AND ADOfIIISS 01 CRIDtlOAtSI Of DEBTS "AlD Of' TILl,",*" Af'~~~(l 1>.04 (chdr'fe) NAMI AHDAOORIss 01 NIARIST AILAlIV' ~ ~~~IT". .~I lQeu; il ~. f. H-II ~~}tI' HAMI AND AD ISS 01 "A8ONAL 'RIINO ~10~ tJ'at~'tl~d~, '1~8 -t1i'11 Ot:>:s.uv31o -i.I<O.. UWI~er I->A 170~ EVERSE SIDE ASTin L.LIN INCOMf INfORMATION AaaETS o..c~ Do.< lor AppIIcenllO/Mt. UIId_ MId IICcounI ~.;- A/laCh 0IIw ."..,'/ nece.-y. , DE81'S In _/Jon to RenIlMolfg.ge ..,.11__' (/01 a.umpIa. oulO _.. CtedlI ,1IlII.-.d IIIOtlgIQt, - .uoc:. dua.. ~ '1NId fUPPOIl. 'hild 'n _ai, u/J/i_ oulO In..ranlJl, ""') PItI... u.e . _.11 hne /01 ....'h 'redll catd _.ulO loan. AII'''''_ ."...11 nec:....wy; 11 FINANCIAL INfORMATION Tha.. quail""" Ipp/y 10 /loIII AppIlctlfll_ Olh" AI'PLlCANT OTHER tLU .-.t'l'llCANJ. !W()UQL. UUA~IOftI NOTal ~'":'~ !~NId IUi)Ol)l1, Of '8IMII'1t. malnaenanc. Income need no& be I ._1 YUUdo'~chooM-lohl""J1..S2DJ~JIL . .....LJl'~T INCOU' _ Of HI" INCOME . Iii., Pl. nO<Jf' . ... o NIT GAOa$ ISOUACI HOT. tel: Allmon~'i~ :='~tf:" "'..Il-.n..u II'll;;~nMd nut 1M ~__.I,,_..lfIlH 1X'.II.~___ iMP OYt.llNT INCON" .. ___ul~ OTHI"/HCCIM1 30,00... D'.W- $ Pl. HIT rl-oMO&l IOUMCI IHAAI DfIWl OR CHiCKWG AMOUNT $ WINO' AMOUNT NMlI AND AOORI81 Of DlP06lTORV SHARI DRM"T OH NAMI AND ADONI. 01' DllI'OtIl'OM' H~; It on CCc Ie> CHICKlN.,.M""N' ,~ .J1 A Ba.NL _ L_________.!.La,_..______ H =;,~B:t&:~*) ...,~.=_N' .....~fF).'~DI"*:_ UlT",*, AND AU. OTHIII YOU OWN AND LOCATtON Of! ~ ......, w..uI PUDQlD AI COLL.A1'IML ,......' At-......... ...... c.n,....... Geode. MNl ~ .. fOIl AMOTNUI UMN q8:3 ~rl ~'5ulffa.. $ Z,OO.OO YII X NO . YII NO . YII NO $ VI' NO 1= I PM..", IIOflIT*,y ~ . "LAIOCI MYIIINT DIll" $ . $ v v" UIT N4V NAMII UNDlIII WHICH 'ItlUR C"IDlT RI'I"lHCU AND CRICMl' HISTOAV CAN II CHIC KID T AL $ $ $ $ . A "YH" AMlWP" QIVIUt TOA ouaITION.IDLAIN OH AN ."ACHIO.....T _NT 'yes' NO OT"," ['1'111 NO HAVI YOU N4Y OUTSTN4D1HO JUDGMlHTS? HAVI YOU l'WlR 'ILID FOR BANKPlUPTCY OR HAD A DEIT ADJUSTMENT PLAN CON'IPlMEO UNDER CHAPTI!P113? HAVI YOU HAD PROPlRTY POAlCL061D UPON OR R1POsalS51D IN THI LAST 7 YEARS? ARI YOU A PARTY IN A LAWSUIT? -- AllIE YOU OTHIR THNf A U.S. CITIZIN OR PIRMANENT litiS/OiNT ALIEN" IS YOUPlINCQWII.IKEL Y TO OEClINllN THE NIXT TWO YIARS? .ME YOU A CO>WJ(EA, CO>SIOHIA OR GUARANTOA ON ANV LOAN NOT LI~TlD Aaovl1 ~WHOM tN.,...otan.-.ObllQel4tdanLo&nI: - TOWHOM IName01 Crtdltorl; You understand th.. when applicable. a Personal Identification SIGNA TURfS Numt>a' (PIN) may tla IllOUad. Thl. PIN, wh.n .alldalad Will allow you. " ~ lhe co-applicant and any authorized UHr., to ICC... your credit import':::'.t.IJ'l' unlon'l CREDIT CARD/ATM Iccounllth,ough partlclp.llng Aulo- 11/ l/y . malad Tlllar Machin. (ATM) n.tworkl, lubjact to Ih.tarml .nd ~~;r,'n;o~m:. dlsclosur.. 0' the Credit Card Agr..m.ntlnd the ElectroniC Funds .IIIy y II T'anllar Dlltlolura 10' CREDIT CARD/ATM Aceel. Cord. You 'grN t~ot,s,; u. und.ratlnd that UN 0' your credit card wIll conslilul. acknowl. 01 any CIIItlge In adgm.nt 01 'K'lpl and ag'Hm.nlto tlla tarm. of th. CREDIT _ n_ ._.. CARD/ATM Acee.. Card dlacloilUral. ':1=..."::._ X ,ck~t .::' h?/i LIt).. ]'.;l IHne """'''er. APri..1I"..AH"SIHlNATUfIIIl ~ DATI You .Iso p,oml..that..arythlng you h... statad In Ihl. .ppllcallon II corrKtlo lhe baol of)tOUr knowIadga and IlIalthe lIbov.lnfot'mallon Is a complelellsting of all your deblS and obllgaUons. You authorize the ctldil union to obtain credit reports in connection with thil application tor credit and tot anV update. renewal Of I)ltlnlion at the credit received. If you requ'II, the credit union will tell youlh. name and address of any cr~it bureau 'rom wh~h It tec:elved a credie report on you. You understand Ihat It I' a federa' t;rime to WillfUllY Ind dellbarately provIde incomp'ell or incorrect In'ormalion on loan appllcallono modato F_a1 C'adIl Union. Of Stall Charto'ad C'odll ~Ion.,n'rr o;:t;:.\:S. ,p~ OTHER $lGNA~1 OATI 10 CRIDIT UNION INFORMATION Do //Of .,1IIa In 11I,.-- /01 ~ union u.. 0tI/y. CIIec.IJl6llIc_ fJoM(lI). A/>'.O.'O $ $ $ . 0"'-1----- LIMIT:S SKiNAru..-E------- LINE Ofl C"10I1---- -. orHER- --- -..- OTHIA--~---....---.- DiITAATlO UI..OMOI.tea" ADVANCE APPptOV(D: LIYIS UNO l'JCOUNTEA OFFER WILl. BE MADE. IF ACCEPTED, ADVANCE APPRQ\lID []CMDI1'COIIIIMnu O"OTl'tI" UOUT8IDE IN'ORMAnON CONSIDIRID: LIVES UNO I' VIS, ATTACHADOtTIOtW. ..HIlT ANDoueRII. AUIAAIO TQlRIASOHiS)'OR AE'EARAI.; tlISC"II. COUNT." OP'.R: -------,~.,_.._.'-_._--.--' ,---- .--~-_. ,,'(CI'IC RIAfiONt$J'OFI REJICTION ~t ---- l.-ILOANO".CEA K..____ -.- lJcRIDlfcOMMlnll X __.__ o ICOA NOTICI AND RIASON'OR FlIJICTION SENT OR DELI'WERID ON DATI ~o.m-- DA --n-- lL.____._ OATI __L_______ tD~fI) IV lINI'tIALSI elllOtT AGMIMINT AND TRUTH IN LENDING DlICLOlURI ConI/IIued, 4 elllDIT UNION IN'ORIUaION Do not IOn" In III'- _lIOn- lot oNdI union u.. only. C/Iec" applicable flolr(N~ . MYMDTS - The emounl of peymenla 10< en Illvlnce 1.1 daletmlnad ACCO/dl"ll to Ihe plymenl achadule In Ihl Ad</undum. Paymanta III due on thl 111I day of lach monlh 'unll" IlllNerenl d... II lat by Ihl cradll union etlhe lime 01 In advlnce, II Ihe Addendum hel no perment achedule for I subeccount, thl amounland due dllll 0 plymenla will ba delermlned Illhe lime 01 aach advllloe, Paymenla mUll Include any amounl pul due and any Imounl by which yClII have e""eaded any credllllmll you have baln given 101 a lubaccounl. You mlY p,ep"y all 0/ pa,1 of what you owe aI any lime wllhout any prepeymlnl penelty, COlT 0' CRIDIT - The dollar amount you pay tor mon..,. borrowed II callad a finance char~e, and begins on Iha dele of IKh advance, To COMpIlte the IInllllCl charge. the unpaid belance 10< each dey since you, lelt payment (or Ilnce an edvlncell you have nOl yaI mede a payment) II mulllpllad by Ihe applicable dally pe,lOdlo rate, The lum 01 thele amounla Islhe Ilnlnce charge owed. ThI balance ulld to oompule the IInanoe chllga II Ihe unpaid balance each day alia, peymenla end cradlll to thai balance hive baan IUblractad IIId any new advancel hive b"n added. A flnanc:e charge wlli be computed ..paralely for each ..parate balance under Ihla PIIII. IECURITY INTlRIIT - You ag'" thai all advanoel unde, Ihll Plan will be lacured by the Ihar.. and depollla In alllolnl and Individual v.counla you hive ",lIh the credll union now and In the fulu,e, Addlllonlllacu,11y will be requl,ad depending on the lub. accounl under which an advance Is requelted. For example, a lubaccounl called "New Car Advancel" meanslhe ,ac:u,lty will be a naw car. Sharel and depo,11a In III Individual Alllrement AcCO\lnlllld any olhe, accounl thai would 10le IpecllllaX "eal. menl unde, ltate or tade,all... II given u _urlly are not lubjKl to thl _urlly Intereat yClII hava given In you, ahare' and deposita, Property given u _urlly unde, Ihls Plan or for any other loan will _u,e all amounta you owe Ihe credit union now Ind In the lUlure, However, Ihe credll union ,peclllcally walveslny ,ecurlty Inlereatll may heve In your dwelllngl given through Iny other mortgagel 0< ..curlty agreementa, DE'AULT - You will ba In default II you do nol make I paymenl of the amounl ,equlred when 1111 due. You will be In derlultll you b,eak any p,omlle you made under thll Plan 0< II anyone Is In defeult under any ,acurlly agreemenl made In connaotlon with an edvanoe under thll Plan. You wilt be In delaulllt you die, lIIe 101 blllk/upk:y, become Insolvent, II you make any lal,e 0' mls. leading ltatementa In any c,edltlppllcallon 0' update of c,edlt InlOlmallon, or II something happens which Ihe c,edll union ba. IIeWI may lubstl/lllelly raduce you, ablllly to repey what you owe. When you a,eln defeultlhe credit union cen damend Immedlale paymenl of the enllre unpaid balance under this Plan wlthoul .' ..,. , . 1. . . IlIvlng you Idvence nOllce, IIlmmadlate peymenlll delllandlld. you ..III conllnue to pey Inte,ell. ellhe appIloable Int~r..' ratee In etlaot under Ihll Plan, unlll whit you owe hu been ,epald, II e demlnd to, Immlldlile peyment hiS baan made, the ,harelllld depollll g"en U security for Ihll Plln can be Ipplled \OWarda whal you owe. The credit union CIII also e..,ol.. any OIhaf r\gIlta glvln by Ilw when you are In deflull. PROPIRTY INIURANCE - You will be ,equlrad to purch.. properly In,u,ancI on cerlaln Iypel of ..cu,lty Ihet yClII give for IdvancII. You may purch... Ihe property Inau,anc:. from Mlyon. you choo,. thai Is acceptable to the credll union, CANCILLING OR CHANGING THII PLAN - The cradll union hal Ihe right to chlnge thl te,ml of thll Plan from lime to lime lIter giving you any edvanc. nOllc. ,equl,ed by law, Any chlnge will apply 10 fulur. advanc.l, and allh. dlacrellon of Ihe c,edlt union, Ind ,ublecllo any requlrem.nla of Ihe appllcabl. law. will also apply 10 unpaid ballnc... An Incr.... In Ih. dillY pe,lodlc: rlt. und.r I variable Interelt ,ate II nOl conlld.rad a chane- In larm' undl' Ihll Plan, The cradlt union can canclllh. Inllre Plan or any part oIlhll Plan It any lime. You cln cancel Ihls Plen al any lime. You, obligation \0 pay the unpaid ballllClI unde, thl terml oIlhll Plan conllnual whelh.r you or th. c,edll union canclllhll Plan 0< lilY part of Ihls Plan. ITATIMINTS AND NaflCEI - On a ,egular balll you will "IClIVl I _menl ahowl"ll a1ll1an_lIOns under thll PlIII du,l"ll the period covered by th. 'latemlnt. 5lalem.nta and nOllcel will be mlllld to you ellhe most racenl addre" you have given Ihe credit union In w,lllng. NOIICI \0 lilY onl of yClII will be notlca III all. JOINT ACCOUNTI - 11 thll II I jolnl account, aac:h 01 you aulllOllzl'thl OIh1'(lllll gal adVl/lClllndlvldually under thl.l Ptlll. Thlt mlan' an advance can be made upon the requell 01 only one of you Ind Ihallh. check can b. Illued to only one 01 you. 11 you glva Inconslst.nllnslrucllons, the tredlt union can ,.Iu.. to fOllOW your Inllrucllonl. Each oIlho.. who Ilgn Ihll P1111 will be Individually and lolnlly reaponslbfe to, paying the enllr. amounl owlld undlr Ihls Plan. That meanl th. credll uRlon can Inforce Ita rlghll under Ihll Plan again" anyone 01 yClIIlndlvldually 0< agllnat III 01 you togeth.,. IJPOATING IN'ORMATION - You proml.. Ihat you will promptly give Ihe credit union wrlllln notlc:e" you move. cha"lll your nama or employment, 0' II any olhe, Intormallon you provided to Ihe credit union chang.s. You also ag'N to p,ov'dethe credit union updlted Ilnlnclallnlo,mallon about yourlell upon requesl. The C,adlt union can d.lay Inlo,clng any of Ita ,Ighla Iny numbe, 01 IImll wllhoutlollng III rlghta. lithe law makel Iny le,mel) 01 this Plan unenfo,ceabla, Ihe olhe, lerml will remlln In effect. L.__.___ ""TI _""VIO . . . I.IMITI SjGNATUAi-- IoINIO"",Di1--- ,U,tolllJ ..jl)1"'''' Oil" RATIO 0..0... Of,tCIJI ADVANCI APPAOVIiD: DYES ONO CICOIJNTlA O,'IR WII.L I. MADE, I' ACCI"ID, ADVANCE APtDAOVIO 0..., COMMIn.. 011 (JITHI.. OUTIiDlIN'OfWATICN CONIIDIRID: OVII ONO I' VI'S, An.-cH ADQ4'flONAL IHIIT AND 0I1CR1U1 ",'.RMO T04NAIONIGI '0flI R.'IRM!.: otIC"I" COUNTlfIII (W'.A: PlCI'1C nlAION(S) mill REJECTION: .....,fIMIl o.OM Ol"ICI" ll_ DeNCK" COWMInIl X o ceCA NOTlCI AND "RASON ,Oflt PlIJ!CTION SINT 0fI' C.LIIi.WID ON ""II ""11 GAil !L- X ""TI IOAf.I'IV IINITIALI, ,,,aft a tu:\';Util. y """HEEM':'NT In Ihl~ "UIUIHlllml41IIl,l!tilIUII.:t:!) lu . I.:ftlu~1 LJfIIUlI" nu:.UI mu I.:It;Ulll.llIIlJII ....Jllj!,C ndlllu "''''!M'''/) un Ihl$ .JU'lIl1l1l1mt Jllu Jn~UIIU Iu 'r\iIIOI1l UIU l.:/tIlJllUIIIOIl .J:),'lIIJII~ Ihlt LOANLINEftl CUld11 ~Ilumtml. AU ll.:hIlUIIl.:t~ 10 '.lllt! JIJV.Jtll.:U" IIIU...111/11/ "muulII in th, blJllliJblfhld "Nu'h ~Jlance" All ,ul~tl!Ill.:U' to "~lJU" IllltJ/l":"'l;h I>UI:W1l Wlllj tJlijlHi IllU~ agfl.'llrlll!nl THI SI~URlTY fOR THI LOAN - By "U'llnU Ihlb ',,"/lIY "JIU"/I,"IIII "" 'iIIJIlJIUIlI "'II" 01 UIl~Uf Itlll !ildhHMtml flllllHUUJ 10 Wis JijlUemufll 'hluen IS 011 Uw b"c~ ut lIul Clll;ll;~ yuu IUl,;UIIlU 101 lllu Jl.llJi.lfll;U, ~uu ijl';U Ihu CIU!JIIIJlIIUn Whdllb k!IOWll Jl)" !iUL'Utlly mll/rllb! In Ihu I>rulJllrty dllscnbt!~ In lhu "StICUllty OMurlld" bllctllJn, Th' tiilCUllly 1/1111'.51 yUU gIve IllclutJltb 1.111 aet:u!)litllll~ ~clt,~un~ alII tfllng~ whIch iUlI auachild 10 ur I/1SlaUuiJ In Ihll prupcfly nuw Ulln lhe futur,. Thll :$Icunty InbtrlJ5t aIbIJ II1CluiJlt~ any rllplaclllllcllb fUI UIU IHUlW'~ whICh yuu buy '.'Wlthlll 10 l.1ay!) ollne .1l.1'1Jnt.:e Of an~ I!kllltlblOntl. rt!llltwah:i or lululi.UlClllij ollhll ad'1dllCII II JI~o 1I11.:1ul.l(j!) al1~ rIllJHlt~ ~ou ItU;CIVU l,ulII slllhnu lIut I>rOJ,lIHly ur hurn IIl~ur.1111.:l: you IIlIvl: l)fI t.no yrOptHIV 1I1111l 1J,IIuc ullhu plOpl!r1~ iJl:cllul!!) you ~lornlr.U 10 lJlVO thl! w!tJlllJlll\Jn mOil: plopefly ;I!i 'il!LUflly II .lilkuiJ 10 do !)O WHAT THI SE~URllY INlERIST COVERS -- Th. ,."""ly 1111"..1 "'"'" Iii. JiJlJ.111t.:l:! .lnLJ .lflY C),ltlll~luns, It:tllJW.llh or rCIiI1,'lh;HI!J~1 ul 11m ,UJ\lJIILU II ,11~1J ~t)(';UIWi .lny UHUH Jl.lYJfll.:t!~ wUU !lJYl: lIU~ Uf II:LCI\l1: 1111111: lutulC ullllt:t 1111: LOANlINll{. CIl.lUII AUh!CIIICllI JIIlJ iJflw ulllel .lItU)UlII~ you Uiotl UllI LfI~IJII Unll!lI lur Jlly ICi1:)llfl HUWlll In lIw lulull! 111I11~ PIUIJUfty lltl~[f!IJIIIJII 1'1 IIIoUllclJ Wllh l'hO !)IJr~ (../ UI HIlt IIfO[JcIIV I~ 11I)uwl:IJlu IJlJOlh ..lh IJclllll!lJ by tlll1 CI~lhl PI..lt:ULC .luh:, 1111' ptopclly ;'illl 'lCllJle !Jill') tilt! .lIIIJ,jlILL: .UlIllhJI ollwI ,lIIlllUflh ~1I11 ij""U OWNERSHIP Of THE PROpunV - VIJU lI'nllll',I) III,Jl you ll'hll IIII! ~,UU/lIIIIV Ufllllll:i...IJIJ..lIIL;t:I.slollllylIl,:PfU!JClly ')IJUIJI\J/IU',IlYUlJI'.i1lu',l!UIlJJIIY,IIlLC lur lIlilllJuqlU:J1t Vuu ~rUtlll:le 111.11 ilL) ullc d~1: h,\'. ..lily lI11ctc~1 Ifl Uf (/.11111 "Oillll~t lhlt Prullcfly IhJI you Iluve lIul .1lrualJy hJhJ 111C CICUII UllUJlI Jboul You ~rUBUbu 1101 III ~ulllJr 1Il..l~III/lu PlufJl:lty 01 II) Uhllll J'i ~I~'ll/ll~ hit ,lllJ.ln ....IUl .;Iwthllr !:rtn,hlol ullllllhll.wVdliU Ib rUIJJ/u You IJ'I)IIM~ ~UtJ ....IU ,llIuw IIU ~t;t:Ulll~ IlIlurtJsl or hUll 10 altdch 10 Un: 1J/fJ~I!II', l:lt11l:1 by yuur JC1IlJIl'i UI b~ U~.ll!I.lllOn ull.l"" PROllClING THE SECURITY INTERlST - II 'I'"' ,I,,,, ".'uc> J "II' lu, II'" prop~rly, you IJramlS! Ii) hrlv, Ihlt crf11!1 umon'~ ,econly interest snown on lilt! fltle Thl! crclJll union may n.l'if~ 10 Ille 'Ah,ll lfi C,IIII!I.I a 111l;jt\l;ml'J sfall!tTll!fH III I.lfllll.:d !h ~Ul:un!y lI11ert!:jr fr011l tl1I: L1.jIfll:} or Ultll./l~ It .l:J~I!\J III tlo $U Yl,lj IJ/UllllflU lu Slun ..I 11n,lne1f1Q ~,t.HCfI\IJnt Yuu al:,1) prunllst! III 1.10 hl1.JII!~I~r 1:1~1J 1111: CfCtlllulllun 1I1Ulk!; IS tlcec~,~Jry lu jl/IJlt:t;llh 'i1~CI,rIlY mlerC')1 III lIflJ 1l1\1!Jl,;lly USE Of PROPERTY.- Utllrlllll: .ItllJ,Il!L.I; tl,I'> Ut:I:IIIJJld ult, ~ljU plUIIlI!ie yuu \'ilil II) U~1/ lilt! pfl)IJIHt~ c;lfl~llIlly ,ilia AIlCIJ II in ljoo\3 fCIJ.W (21 UblJIII W/lllull v,:rnll:;~IUU rll)!n till' W:Jll ulllon bll:UIU ll1akllHJ tll.I]I)r dlJfHJ':510 Ow ~IOlJllft~ (:Ji III t LJj III II h~ Lf t: UI I UI\IIJ1lII1 hlllll H IlJl!t I)! I: I 1'.111' jilllj 'r" III ,Jdlj( 1)',', \Jf !lIt! .IIJiJI I!:,'. /,lo:I,! !tIC ~lul.h~rty I', IICljl (<1/ Altu"i tlic flU}I! UfllUlllO lfI~pl:r.llI11: IJ!lllJlirlV Irj) Pr0rnplly nlillly till; w.IJII ulHolllf Hll: jjILJ!H:r!'/I'; d,JllI,I(jI:IJ_ ',llllefl 1,1 dlJlj:,cd 101 {I,\01 u~tt thl1 VruPl1fly lor any UI1lilWlul lJUIIJIJ~tI PHOt'fRfV INS\JHANCf. TAXES AND 'US - '(1)U nliJIl'I',I~ !<I P,IY ,11l1,1~WI ...'.. '....~ \,,,... ''''\j,~IIJIJ''I' 11.1...) JL", "" II". ". "'1<";1:, ,II." t" r''''''I' 11 ,,: ,;ltJ..,1'11i InSlJrlld .Igallltil IOfiS, aniJ darnaqlt The amoonl and cO~urJfle 01 Ihe property IIr'ljr..llllll IlIU:,[ Ill: ,u;LupIJlJlt.t llJ till! crclllll1l1lUIl You IIlay lJrovujl! tnc pwpmry liI:,ul..lfh.1,! 1I1hJUljh .l llfjllL;~ yuu oJlfL.ld, h.I"I:, Uf [hrUUIjIl ..I llulIl.:J ,OU !Jur ..lfl(j ~"Y lur You IJrlJITWitllO Ill.Ik~! fllc Hl:;urillll;l: POliCY 1j,j'jJOle 10 Ihlt crctll: UIl(OIl oJIIIJ lu llt;!lvcr Itll~ j)lllle, Of llwulul !;U'/i,!r.I\lC tll lilt;! CII!I,1I1 U1l1un II i}:,kL:cJ 10 do ',0, FOR TENNESSEE CREDIT UNIONS ONLY - USE WHEN AUTOMO!llLE IS PURCHASED NOTICE: II YlJu IjlJ 1101 ~Url.:nJ:itJ lhlJ IIl~u:.llh.:e nl~ulr~d UII lilt! JuWOlolllle and ttlrJ CfI:ull U!uun purCl).l~U5 !1m U1SlJrJIICl!, IhlJ Itl.surallce puraliJ:)cd lly tht! creult uman /ill! ClJlJlH unl~ thl: crlJull uruon'.s l/lltm:l!il III lhu ~HOIJt!rty Thll mSorilnce will not bd liability Hl50ranc~ You 1'.JvlI rl!al.llhtl ~OOIJ1I5tJIIIf11lm( and .lcltnowh~llUt! IhJllh~ ereull uflIon hit.$ lI.cpiiilJlttlJ II 10 ~()U ','i:.NAIUiiE----------- -. -. -.--... -.. X :.o1.iNI\rUHl: X . ,_ ___ DO NOT WRITE IlELOW FOR CREDIT UNIONUsf ONLY ..."'lo'flOIJED $ $ LIMITS UAI~ UAII; DATi :31L,NArUHIi LINi 01' CRHJI r I:,"OAN O,P1C." ...UVANCE AtJPAt)\II!O ,YES '.NO l :'''.011 (:O....,HI. OA 01HII" OUr~:iIDE INFUHM...rloN CON~IOERE!D F!1!.'EAAIO TOIJ.U:"'SONI5j 1I0A A&II!HA"'L UI~A1il1l1. l,;uUNliH OfFiH, II ~\JLJ ~,JflLIII YllUf i1lt.I/f,UU':C <lllln)!!! ,J tI!luntJ, "lit tl..:dll uHIUIl h...~.1 nlllll fu Ihl! 1l!IUlh.l IIltlll IJIlJpl'tly I:, hnlllf l.1"III.1QI!U, \lIlt L:luiJll UIlIOII L./IIU::'L.: 1110 1tl~.ur.llll:d l'Ielllemcnllo rupiJlt thl! P'OPL'nv or applv It lowards what you 0iM! YL)IJ .UJIl1Wl/llltW fflHJlllJtlllllllu 1tl1,1IJ/W Jlly tJriJlt ut dll!t:k ",,'m;h tII<l~ lit 11oIliJhll: 10 you m WllI:1 ILlI 11111 (t1'UII ulllllll ILJ t;t.JlllJd ...t1~ fl'lund 01 bltfllll!h dOl: lJIhlul ~our U1~UI.lntll 1J0ht:y II Yl.'U till lIul p.ly Ihl! IMC:) l.Jf II!I!~, ullllll! IJIUIII:II~ wth:n llull or io.lI~1J II m~iull!lj ltlUl.'/CUII UIUOII fll.l~ IJJy ItIC"U ulJh\l...IIUII:), bl.lt I:. 1I0t IIJ4UlltliJ Iu Uu ~u Any 1111jfUIY Ihc ct~llll union !ipl!luJ!i IUf 1,1~I!i hJI!!\ UI 111~iUlalll:U wllIllll .lllu~t.llu Ihlt UlllJilltl bulilllLC III lilt! allvJIIU! ,lfllJ ~lJI" hili pay 1/llu,Ulvn llio:.c i1tllOUlltb ,jllhit !)JIIlIt liJlI: you d!JltltllILl!J"V Iffl !lIt: illjYillll;1t Illhlt unhl Ulllull ..tJub JrIlUlJnb Iur t..lAl:b, 11;1;'1 IIf !Il~,lJt,IIIU! Iu IIw lJlIl.ldlcJ bulilfll:l.: IJI )'IJ\If Jd'.''''ILU yuur PiJytlll.:llb 1I1,ly lw H11.11~,I:,I~d by 11I1) oJrllollnt mtCll/,~ary lor !Ill: .hlv,lIU;1! III bu PiJld olf III rrll~ 5JIIIlJ fHlllllJIJf ul 1110nll1'; ufl~UliJlty 5(hl:uul~tJ DEfAULT - Vou will be 111 dclJulIl1 VlJU ulCJk ally j)IU/llI:IU ylJu lIl..lkl; UtlUI;1 !Ill!) ...urccHlllnl YlJU Will ,I~~O Ill: III dt,;!<lull II 'Iuu ,IIC III l.lt:I,lIJIl Illlljl:f 1l1L: lOf\NlIMW ell'llil AIJII~L.:f'iCIII If Vl,JU <lrl! lJhlU'JUI\J IJrUpllIt~, but !li/YI! Ilul ~,IIIIit.;tJ Ihe LOANlINfR'" Crcdlt A\jrcwlI.:llf. you 'Mil bu III dt.;lilUlllt anyonu IS in IJdJlJl1 'hhu 11.IS ~1I111111J !Ill! lOANUN[fl Ctcdll Aljll.ll.lIlIIJlII WHAT HAPPENS IF YOU AHE IN DEfAULT - WIICH )')Il .UI~ III IlLl,I\.lil, lilt L1ll1JII UIlIIJ(1 (.111 'hI [llIJljI ,1lh,IIILt, lIullI.11 II) ylJU IC4lJlfU UlIlIlt!III,JIi.' P,I/IIII;III ul ~uur Ollhl.l/lIlllllj IiJ.1I11J,I:'IIHY Ijlllh~1 rtlt~ UJANltfJfH' CIL!tllt AIjIt:I;IIIl:111 ,IIIU 1<l'"I! jJU'>~'C:,'.llIIl ul 11111 /J1l1111~JIV VII!) ,HIli!\! !l111l.'t1~1JI1 ulIIl/l1 lid:} 1111: IlljtHlu 1.lke pIJ"~'l"'''ljll lJI [lIe l1'UlJtl1'j ,',I!tHIlJI 1,llllliJ hI ulull <lIlU 'iolllioul 1;1\11111; ,UII .IUIJ:lIU:U 1I1111l.:lJ It ~QU iI/C J:;kCU III iJu '.0 b~ thu ~fl:dll UllUJrl, YUII IlfUfllI:iU to 1J1:llvl!r till! ptulIUlly Jl .l tunl: .Jlld IIIJl'C 1)11; l.;fUlJllulllun I.:I1UOaCII 11111 L"ll!lJU \i1IIUIl will 1101 llt: (l~"I'IJ(I:,ll.Jhl IIlI ,III, III ,(;111 WIlICI lJflJlJerl', flul LlJ',t'll'lllf~ IIlt~t .JI)ft~CtlICIII, ItIJI yuu 11l,I\lC 1I1',lllt: !III: pIUpt:l!~ rh~ l.:r~UlllJlIllHI \',111 II t' III lulufll ItI,lll.HUlmrly 10 ~Oll IJI 111,,10.1: II d'."llliJllh! hH ~uu to (,;1,11I11 AIlt:r 1111) l:h:dll UlllljU II,,:; jJu~,:,l:~,',IIJIl ulllll) PIUpCfly, Ilt,1I1 sclI II ,lilll ,IPIJIY lIle 1I1U11t;y rl/t:ul~elJ 10 .lll~ dUhJUllh ylJU U'hC IIlu I:rl.iJII UIllOIl. rtlU l,;ll;lhl Ulllun .-'1111 IJI'i1! yUu 1l0'IO~ 01 'Ifly lJubhc ~.IIt; m lilt! uall! allllf which a 1.l11~,1111 !)Jh; "'Ill UI~ IU.d\3 Till' C~plHl',W) 011!1l~ LlCUII Wllon I,)f lalung pm:lSH5:Jon or Jnd 'll!UltllJ thl! propefl', Wilt bl! tlelJoclcd Irom Inll fIlOIWl rccclVelJ from the 'i;1lc Thn~u l.u!)lb 11I.1 1I1l,;lud. lIl. l:ual vI alulUl\j UIU PIOPllll'y, ja8~h"II1Q It IUI :idlll dlkJ ilflllrnLJY'~ It!!l!! 10 UIIl l:!dcllI jJt:flllllltlU Ulldl!1 !)Iiilll la..... or i,fwaldl!iJ Undl:f ~~lJltJ' ur IIIU U.H1k/IIIlICy CUlle 1111: It:,1 III \Ile 'I...h~ JlIOIWy will hc JIJIJlIlJjJ III wll.lt yuu OWl] Ulldl'f Iho! lUANUNlHI C/lHJIl A\J/lH!IIl~ot II you lIolyl! oIqWI:IJ lu IJ"''' tllu JdvJIILl!. J'l)lJ '/,111 JI',ll II,JIJIJ 10 !J,I, .111'1 ,1I111jUIiI IIiOlt ttllll.lIl1:j JIlIMIII <l11l:1 lilt: ~Jlc ltIUI1l!y lI,j:, lied I .IPIJIII:II 10 IIle UlllJ.Hlll),II,lIll.C 01 tilt) .hJ~,lllt:r~ .JIIIJ lu v,!l,11 yllU UJ.I~ UlilJ!:1 11i,:, ,J'J/m:!IleI11 YlJIJ alJI!.t III P,l'l HlllJrlJ~.1 on lIlat i1lllourll..1 till! t..JllIl' 1.lle "~i (Ilij atJvill1Ct: Ul1llll1liJ! .1I1lUIJIH IIoJ:) lJl;I~1l p.ilU DELAY IN ENFDllCING RIGHTS AND CIIANGES IN THE AGREEMENT.. In, l.:1l;(jllllIIlUIIl.:,Jlllll'I,IYllfl!lil(llllj"I'IUIII'J liljlll:, ulnkt tllI';JI.JILI!IIIt:fll.lI", II!..I"I,\:; OIIlrTll~:; WIIMIlIIf1';UlIl !hl! ,Ilillll'; !rJ C~I.'rCI~:IIIl'; (1IJllt"; IJfL~f rhl.' I.:fCiJ11 .II\1i.,111 I.dll tsf!IIJfLts 1I11~ <lljlt:l:lIlt.:I.1 dij<llll:il ~UUI Ilu'/:.i ul IllYdlltilJfij6l:sl11dh~u:" II lhu r fl;llll WllfJll cIlJIII)/"; t11~ 11;1(11:; ul 1t1i! LOANl.lNHI'" Cntllil "OllJt!ml!f11 yr'lI :1I1ri~l~ III.d Iid'"Jlllf:I:I"'llf '"Iii ",II11lh/1 IIJ!JII,II;Llllu'lr",Iot'dIIlJII CON "HUED IFflCTIVINUS - II illy Pillt ,)1 Ul/!I i1Qrlil3lnlml It; lk!.III1l1ll1U lJy ,I cnurt to blJ lJl1m1fofCI!,llJlt~ 1111; [Ii'll Will !l!tlldlll !IIl!lh:ll NOTICE -It JIJLi Ill) IIUt pUldltl:,1; [III; 11:<jI,Ul:d IJIUI'l'lly Ii!' UI,II'I,I:. [1,1: , "..",1: 1I11~ C1cdllurllllH '11111 lJur(llol~,I~ ,III1J t1IoJl(jl~ lUll lur NIIII'O\lUI 1)II~i lIle (1,:,:11,11110111 " ,l1ltlU:ilul IIhll.II(j~,jl:fly, lh. ihSUIiUIC' will flul b. liabllllV IllliUlim.... FOR NORTII DAKOTA CREDIT UNIONS ONLY - APPLIES ONLY WIlEN A MOTOH VnllCLE IS PURCHASED NOIICE IIIE MOTOII VlI11Cll111 1111:, IIIANSAClION Mt\Y III :;Uh JECT TO HlPOSSESSION If II l:d'L POSer SSED AND SOLD IU SUr.lEUNl llSE. AND All AMOUNIS DUE 10 nil: SlCUIIlD PAHTV MiE Nor RECEIVED IN HIM SALE. YOU MAY HAVE TO PAY HI' DIFflHlNCl THE PROPERTY OESCRIPTlON ON THE REVERSE SlOE IS PART OF THIS AGREEMENT, NOTICE: SIGN THIS AGREEMENT ON THE REVERSE SIDE. IHLI.t\ IlIo'Rl!1 All! f III )~lr'tI $ $ urHIHi Ol~ji:H [lilH AA flO CUUNIl:::F1 OFFER WILL ElE MAOE, I~ A\~Cl::...n:u, At)IJA"'Ci ...,..,-..HQVIiU 'Y!iS 'row III vF,<j, ATrilLH A()UITI(lNAL SHEEr "'NU UfH.iCHI!)!!: 51-'&:CII'IC AIfASONI5~ lion REJECTION SlQNATUii.-;----.--~.----~ - --_.~-.~. -'--0";-1--- ! lLOANOfljl'lCiFl x..,__.____._____.__.____..____.. :!~~~~.Ot.tM~_~!.._.x._.____.___,_.. _0." _..____._~...TE feo... NonCIl AND RUSON lI0A RiJfC'IUN ~IiNr OR UEl,lVIiRID ON l:lJ~" "",nu'l 1"!iullAtW. :\('f.I,'" "Itlll ~~ ". lllI ~!l 'Ml ,\( I. n'I:I.T~ "r~nlVrt1 11 X OM&. OAfI IOArll.j!:l'f tll'4lrIAL~. .. " . . . . 'teacberl Fecfe;rlf/ ~ oi,e _ tt~ ~~ 'I ~ ~~~ ~ca. STA'lDIEtfl' OF N::cOONr MTB'5eptember 20,1994 MAKER'Soott T. Polly CCJW<ERlearla S. Polly fDIE ADDRESS. 30 Miller Street Apt. C-4 lellDyne, PA. 17043 MAKER SOCIAL SECURITY It 206-48-7450 COMAKER SOCIAL SECURITY It 207-56-4136 * . I'rincipal Arrcunt Owed. S 6728.65 Interest Owed. S 117.38 Penalty (20' of Principal' Interest). S 1388.99 Total Arrcunt Clain'edl S 8235.02 *DISABILITY INSURANCE PRmILM THAT m1BER ELECTro AT START OF WAN IQl'l'S ro TIlE PRINCIPAL BAJ>>CE EVERY !OmI. 1.1181'1' -8- t2t3 SLATE HILL ROAD. CAMP HILL. PA HOt t.80t2. TEL: (717) 7~HtS2 . FAlC: (7t7) 737.0!8t ~ >-... ~ e. lor, ".~ if: ,". J" o<:;jl,{-., ""- ,.., \r) ~ ~ J' ;"~ ,. LI.o'~ '.., ~ ...::j- II.. ;:.1"". N "1_ ", '- . ~ ',1 """ () . . -"\ 0 = ' J-'"' ~ ....., "" .....y ~ 0 r<l , ~ \.)... ... .., ()c:) ~ ~ ...~.. "'1-- ......... (,) ~ - ''ll'- rw ~ --\.. '1) ........ <::; ~~ \30' _/ III .c "" . r.l .c III "" . llI: III . 1Io.c r.l roo .c E-t U z Q roo "" z A: ~ ! zz r.l ... 0: .c Or.l roo E-t .c Q . z i 1I:1Io Z U Z ~ ~ ~ ~ II: ., Q III ... r.l ~ ~ 0 -0\ 3r.l 0: .c 'tl ra. E-t' " =:I Z ~ U>tO\ .cQ r.l "" C r.l Z ~ . - . ..... ""z cc 1Io IV Q ... ~ Q :r ~ .. ~ ~~ .c u .c ! :.f Z i ~ I lI: .c . >t "" 0"" r.l r.l . > "" 1Io _ III i III Q ! E-tu", ZQ E-tZ "" :E i 0: > 0 0 0 0 :llo :r .: OQ... ..."" r.l... 1Io U 10 · z ozu E-t.c o:z ;, \I , u.c u.... 00 . Z .J .clll: cc E-t , f:l~ E-t 1IlE-t - c " .... :.f '-' - "" ... E-t>O .. " ~~ :~, ..1Il ....>0 E-tQ ~j ;: " Q 15 ::5 " II: .> llI: 1Ilr.l fl ." . ~ ~ w zoo'" 0 r.llll: uo ~ "- "- ...uzu '"J 3U 1Il1lo . . I ,-\w u,"e t~ tit KNt'.'.' A ...4111".... .'.('. C ""'ItN"," '\o''''''''''IU''Ii "u, "-IUNIIIIINU"Ijr ...IIU... P.". .fI'" 111U" 1I,-\........M4., p, "")I'IUII SHERIFF'S RETURN ca'foOMEAL'1li OF PENNSYLVANIA. COUNTY OF CLMBERLAND In The Court of Common Pleas of Cumberland County, Pennsylvania No. 94-6192 Civil Term Complaint in Civil Action Law and No~ice West Shore Teachers Federal Credit Union VS Scott T. Polly and Carla S. Polly Timothy Reitz ,lStHlUU Deputy Sheriff of CuOOerlMd County, Pennsylvania, who being duly sworn according to law, says, that he served the within Complaint in Civil Action Law and Notice uponScott T. & Carla S. Polly . , the defendant, at 7:00 o'clock p.M. EST / ~ on the 01 day of November , 19~at 30 Miller Street, Apt. C-4, Lemoyne , Cunberlend County, Pennsylvania. by handing to Carla S. Polly, defendant and adult in charge accepted for both a true and attested copy of the Complaint in Civil Action Law and Notic~ end at the 5arre time directing her attention to the contents thereof and the "Notice to Plead" endorsed thereon. Sheriff's Costs. Docketing Service Affidavit Surcharge 18.00 8.96 So answers: 7"'-'~:::/~;~"'d"':' /~~ ? .' R. Thomas Kline. Sheriff '/ by (J ~~:/. J%( -oep::~'e:iff ~ 4.00 30.96 Pd. by Atty. 11-02-94 Sworn and subscribed to before me this l '!:: day of /L..t'f!'''(~_ 19_:L1- A.D. ---~~{fi >tL<R~Ak Prothonotary