judgment against schaller couple in the amount $3.990.87.pdf

8/10/2019 Judgment against Schaller couple in the amount $3.990.87.pdf

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K9080

IN THE IOWA DISTRICT COURT FOR SAC COUNTY

HAWKEYE ADJUSTMENT SERVICE,

Plaintiff, CASE NO. SCCV

v. ORIGINAL NOTICE & PETITIONFOR A MONEY JUDGMENT

MICHELE L KOLPIN 309 S MAIN ST #126 PO SCHALLER IA 51053THOMAS KOLPIN

Defendant(s)

TO DEFENDANT(S):

1. YOU ARE HEREBY NOTIFIEDthat the Plaintiff demands from you the amount of$3,715.07,plus court costs, basedon accounts with PIERCE STREET SAME DAY SURGERY, $350.31PRAIRIE PEDIATRICS/ADOLESCENT $365.50 ANESTHESIA CONSULTANTS $2,999.26

2. Judgment may be entered against you unlessyou file an Appearance and Answer within 20 daysof the service of the Original Notice upon you. Judgment may include the amout requested plus interestand court costs.3. You must electronically file an Appearance and Answer using the Iowa Judicial Branch ElectronicDocument Management System (EDMS) at http://ww.iowacourts.state.ia.us/EFile, unless you obtainfrom the court an exemption from electronic filing requirements.

4. If you Appearance and Answer is filed within 20 daysand you deny the claim, you will receiveelectronic notification through EDMS of the place and time for hearing on this matter.5. If you electronically file an Appearance and Answer, EDMS will serve a copy of the form onPlaintiff, unless Plaintiff is exempt from electronic filing, or on the attorney for the Plaintiff. The Noticeof Electronic Filing will indicate if you must mail a copy of your Appearance and Answer to Plaintiff.

6. You must also notify the clerks office of any address change.

VAKULSKAS LAW FIRM, P.C.

/s/Molly Vakulskas Joly

MOLLY VAKULSKAS JOLY AT0003980

1721 Jackson StreetP. O. Box 1661Sioux City, Iowa 51102(712) 252-4344

(712) 252-5003 FAXEmail: [email protected]

E-FILED 2014 SEP 23 11:48 AM SAC - CLERK OF DISTRICT COURT


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HAWKEYE ADJUSTMENT SERVICE, CASE NO.

Plaintiff, VERIFICATION OF ACCOUNT,

IDENTIFICATION OF JUDGMENTv. DEBTOR AND CERTIFICATE RE

MILITARY SERVICE

MICHELE L KOLPIN

THOMAS KOLPIN FOR DEFENDANT THOMAS KOLPIN

Defendant(s).

1. I, Daniel P. Vakulskas, am the attorney for the Plaintiff, whose claims are shown in the attached statements. Ihave personal knowledge that the attached statements are a true copy of the original creditors records showing thebalance due is true and correct. I further state that the sum of $3,715.07 is the balance due and owing as of todayfrom the Defendant(s) to the Plaintiff and any interest amount owing is accurately stated in the Petition or OriginalNotice.2. I further state that the Defendant, THOMAS KOLPIN resides at 309 S MAIN ST #126 PO SCHALLER IA51053 is employed at and the Defendants occupation is laborer.3. Defendant is not in the Military forces of the United States Government. I, or a fellow employee, verified this

fact by checking the Defense Manpower Data Center (DMDC),http://www.virec.research.va.gov/Non-VADataSources/DMDC.htm.4. I also state to the best of my knowledge Defendant(s) is/are not under any legal disability or confined in anyreformatory, jail or penitentiary.

I certify under penalty of perjury and pursuant to the laws of the State of Iowa that these facts are true and correct.

Dated: Tuesday, September 23, 2014VAKULSKAS LAW FIRM, P.C.



1721 Jackson StreetP. O. Box 1661

Sioux City, Iowa 51102(712) 252-4344(712) 252-5003 FAX

Email: [email protected]



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HAWKEYE ADJUSTMENT SERVICE, CASE NO.

Plaintiff, VERIFICATION OF ACCOUNT,

IDENTIFICATION OF JUDGMENTv. DEBTOR AND CERTIFICATE RE

MILITARY SERVICEMICHELE L KOLPINTHOMAS KOLPIN

FOR DEFENDANT MICHELE L KOLPINDefendant(s).

1. I, Daniel P. Vakulskas, am the attorney for the Plaintiff, whose claims are shown in the attached statements. I

have personal knowledge that the attached statements are a true copy of the original creditors records showing thebalance due is true and correct. I further state that he sum of $3,715.07 is the balance due and owing as of todayfrom the Defendant(s) to the Plaintiff and any interest amount owing is accurately stated in the Petition or OriginalNotice.2. I further state that the Defendant MICHELE L KOLPIN, resides at 309 S MAIN ST #126 PO SCHALLER IA51053 is employed at unknown PYLE TRANSPORTATION and the Defendants occupation is unknown.3. I further state that the Defendant(s) is/are not in the Miliitary forces of the United States Government. I, or afellow employee, verified this fact by checking the Defense Manpower Data Center (DMDC),http://www.virec.research.va.gov/Non-VADataSources/DMDC.htm.4. I also state to the best of my knowledge Defendant(s) is/are not under any legal disability or confined in anyreformatory, jail or penitentiary.

I certify under penalty of perjury and pursuant to the laws of the State of Iowa that these facts are true and correct.

Dated: Tuesday, September 23, 2014VAKULSKAS LAW FIRM, P.C.



1721 Jackson StreetP. O. Box 1661

Sioux City, Iowa 51102(712) 252-4344(712) 252-5003 FAX

Email: [email protected]



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E-FILED 2014 OCT 08 12:55 PM SAC - CLERK OF DISTRICT COURT


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IN THE IOWA DISTRICT COURT IN AND FOR SAC COUNTY

Plaintiff(s), SMALL CLAIMS DIVISIONHAWKEYE ADJUSTMENT SERVICE2300 PIERCE STSIOUX CITY IA 51105

Case: 02811 SCSC015506

vs.

JUDGMENT ENTRYDefendant(s),

THOMAS E KOLPIN309 S MAIN STSCHALLER IA 51053-0

MICHELE LYNN KOLPIN309 MAIN STREET BOX 126SCHALLER IA 51053

The court file shows that the defendants have received proper notice and have failed to answer. Therelief is readily ascertainable from the Original Notice. Pursuant to Iowa Code Section 631.5(6), thedefendant is in default and judgment should enter accordingly.

It is therefore Ordered that judgment is entered in favor of the plaintiff and against the defendants,jointly and severally, in the amount of $ 3715.07 with interest at the rate of 2.11 % from the 23rd dayof September, 2014 and court costs.

YOU ARE HEREBY NOTIFIED that you have a right to appeal the decision to the District Court bygiving written notice to the Small Claims Office within 20 days of the filing of this order. Filing Fee forappeal is $185.00. Appeal Bond is set in the amount of: $3,800.00

1 of 2

E-FILED 2014 OCT 21 9:56 AM SAC - CLERK OF DISTRICT COURT


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State of Iowa Courts

Case Number Case TitleSCSC015506 HAWKEYE ADJUSTMENT SERVICE V MICHELE L KOLPINType: ORDER FOR JUDGMENT

So Ordered

Electronically signed on 2014-10-21 09:53:49

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E-FILED 2014 OCT 21 9:56 AM SAC - CLERK OF DISTRICT COURT


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K9080

HAWKEYE ADJUSTMENT SERVICE, NO SCSC015506

Plai!i"",

#$% RE&UEST FOR 'ENERA( E)ECUTION

*PRAECIPE+

MICHE(E ( KO(PIN

THOMAS KO(PIN

D"-a!*$+%

T. !/ Cl ." !/ a2.#3a4- C.! Pla$ i$$ a 7i! ." 'al E!i. !. !/ S/i"" ." SAC C.!:,I.7a, a;ai$! MICHE(E ( KO(PIN ". !/ 2ala .7i; . !/ ?=>01@E""!i# ".4

0%>>?0I!$! a4.! -i4>%11BI!$! a! a4

?,990%8Total amount due10=>1=>01@I!$! a- !.

6%0>A4.! ." i!$!

a-

0Oi;ial a4!% ." a!!: "$

0%00ala - . a!!: "$159%8Oi;ial a4!% ." .$!$

>69%8ala - . .$!$?,15%0Oi;ial a4!% ." 01@Da! ." J-;4!

I !i": - al!: ." 1, >01@

VAKU(SKAS (AW FIRM, P%C%

=$=M.ll: Val$a$ J.l:

MO((Y VAKU(SKAS JO(Y AT000?9801>1 Ja$. S!!

P% O% . 1661

Si. Ci!:, I.7a 5110>*1>+ >5>3@?@@

*1>+ >5>3500? FA)

ATTORNEY FOR P(AINTIFF



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HAWKEYE ADJUSTMENT SERVICE

Plaintiff/Petitioner

vs.

THOMAS E KOLPINMICHELE LYNN KOLPIN

Defendant/Respondent

Case No. 02811 SCSC015506

General Execution

Docket Event Code: EGEN

TO THE SHERIFF OF SAC COUNTY, IOWA:

YOU ARE HEREBY COMMANDED TO LEVY ON THE FOLLOWING JUDGMENT DEBTOR(S):

Issued against MICHELE L. KOLPIN as described in the "Dictation for Execution".

Date of Judgment 10/21/14 Balance Due on Judgment $3715.07

Original Amount of Judgment $3715.07 Balance Due on Court Costs $269.78

Original Amount of Costs $159.78 Balance Due on Attorney Fees $0

Original Amount of Attorney Fees $0 Interest Accrued to 10/21/14

Interest Rate Per Annum 2.11%

Effective From 9/23/14

Total Interest Due $ 6.02

Interest Per Diem $ .2230

Pre-judgment Accrued Interest0

Dated: October 21, 2014 /s/ Brenda McClure

Clerk of Court/Designee

SAC County

Requested by: Molly Vakulskas Joly

Said money to be returned to clerk after one hundred twenty days from date of issuance of this writ.

Return to clerk at:

100 NW STATE STREET, SUITE 12SAC CITY IA 50583



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HAWKEYE ADJUSTMENT SERVICE

Plaintiff/Petitioner

vs.

THOMAS E KOLPINMICHELE LYNN KOLPIN

Defendant/Respondent

Case No. 02811 SCSC015506

Return of Service of

General Execution

Under Iowa Code 626.12

Docket Event Code: RSEX

Execution Issued by Clerk

October 21, 2014

Issued Against Michele L. Kolpin

Date Served ______________________

Amount Collected _______________

Who Served _______________________

Amount Retained ________________

Where Served ______________________

Amount to Clerk _________________

Date Received______________________

Sheriff, ___________________________ County, Iowa

By _______________________________ Deputy


judgment against schaller couple in the amount $3.990.87.pdf

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