E-FILED - SC Superior Court E-Filing
E-FILED - SC Superior Court E-Filing
E-FILED - SC Superior Court E-Filing
- TAGS
- www.scefiling.org
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
The Doan v. State Farm General Insurance Company Appendix 5<br />
Analysis of Basis For Depreciation Used For Claim Settlement<br />
Analysis of Claimed Items Where Settlement Option is Actual Cash Value<br />
[a]<br />
Claim With Known<br />
Age Greater Than<br />
Zero Lit_ID<br />
Claimant<br />
ID Claim No. Date of CIS<br />
Per CIS Form<br />
Item<br />
No. Quantity Item Description Settlement Option<br />
Repair/<br />
Replacement<br />
Cost<br />
Depreciation<br />
Amount<br />
53 11 75-052K-095 2/28/2012 49 1 Binocular case Actual Cash Value 53.88 13.47 25.0%<br />
54 11 75-052K-095 2/28/2012 50 1 Bathroom Shelf- Metal Actual Cash Value 64.65 16.16 25.0%<br />
55 11 75-052K-095 2/28/2012 51 1 Bead wood curtains Actual Cash Value 10.78 2.69 25.0%<br />
56 11 75-052K-095 2/28/2012 52 1 Picture painting Actual Cash Value 16.16 4.04 25.0%<br />
57 11 75-052K-095 2/28/2012 53 1 In Congress picture Actual Cash Value 16.16 4.04 25.0%<br />
58 11 75-052K-095 2/28/2012 54 1 Suitcase Actual Cash Value 16.16 4.04 25.0%<br />
59 11 75-052K-095 2/28/2012 55 1 Wine rack Actual Cash Value 16.16 4.04 25.0%<br />
60 11 75-052K-095 2/28/2012 56 1 Quilt rack Actual Cash Value 21.55 2.15 10.0%<br />
61 11 75-052K-095 2/28/2012 57 1 Umbrella Actual Cash Value 10.78 2.69 25.0%<br />
62 11 75-052K-095 2/28/2012 59 1 Encyclopedia set Actual Cash Value 204.73 8.18 4.0%<br />
63 11 75-052K-095 2/28/2012 60 1 Wood chair oak Actual Cash Value 215.50 21.55 10.0%<br />
64 11 75-052K-095 2/28/2012 61 1 Coffee table Actual Cash Value 53.88 5.38 10.0%<br />
65 11 75-052K-095 2/28/2012 62 1 Acuvibe Massager Actual Cash Value 37.71 9.42 25.0%<br />
66 11 75-052K-095 2/28/2012 63 1 Folding table Actual Cash Value 53.88 13.47 25.0%<br />
67 11 75-052K-095 2/28/2012 64 1 Folding chair Actual Cash Value 26.94 6.73 25.0%<br />
68 11 75-052K-095 2/28/2012 65 2 Fishing poles Actual Cash Value 86.20 4.31 5.0%<br />
69 11 75-052K-095 2/28/2012 66 1 Baby crib Actual Cash Value 107.75 10.77 10.0%<br />
70 11 75-052K-095 2/28/2012 67 1 GPX stereo Actual Cash Value 215.50 53.87 25.0%<br />
71 11 75-052K-095 2/28/2012 68 1 Fisher compenent cabinet Actual Cash Value 107.75 26.93 25.0%<br />
72 11 75-052K-095 2/28/2012 69 1 Record player Actual Cash Value 107.75 26.93 25.0%<br />
73 11 75-052K-095 2/28/2012 70 1 Foot stool Actual Cash Value 91.59 22.89 25.0%<br />
74 11 75-052K-095 2/28/2012 71 4 Picture frames Actual Cash Value 172.40 17.24 10.0%<br />
75 11 75-052K-095 2/28/2012 72 1 Horse picture Actual Cash Value 70.04 7.00 10.0%<br />
76 11 75-052K-095 2/28/2012 73 1 River painting Actual Cash Value 70.04 7.00 10.0%<br />
77 11 75-052K-095 2/28/2012 74 1 Church picture/ frame Actual Cash Value 70.04 7.00 10.0%<br />
78 11 75-052K-095 2/28/2012 75 1 Little girl picture frame Actual Cash Value 70.04 7.00 10.0%<br />
79 11 75-052K-095 2/28/2012 76 30 Books Actual Cash Value 323.25 129.30 40.0%<br />
80 11 75-052K-095 2/28/2012 77 1 Flag foot rest Actual Cash Value 107.75 26.93 25.0%<br />
81 11 75-052K-095 2/28/2012 78 1 Lamp Actual Cash Value 91.59 22.89 25.0%<br />
82 11 75-052K-095 2/28/2012 79 1 Large picture frame Actual Cash Value 91.59 9.15 10.0%<br />
83 11 75-052K-095 2/28/2012 80 1 Blender Actual Cash Value 70.04 17.51 25.0%<br />
84 11 75-052K-095 2/28/2012 81 1 Lamp Actual Cash Value 134.69 33.67 25.0%<br />
85 11 75-052K-095 2/28/2012 82 3 Suit case Actual Cash Value 80.81 16.16 20.0%<br />
86 11 75-052K-095 2/28/2012 83 1 Fruit deco Actual Cash Value 16.16 4.04 25.0%<br />
87 11 75-052K-095 2/28/2012 84 1 Clock Actual Cash Value 21.55 2.15 10.0%<br />
88 11 75-052K-095 2/28/2012 85 1 Metal tin Actual Cash Value 3.23 0.80 24.8%<br />
89 11 75-052K-095 2/28/2012 86 1 Lamp with shade Actual Cash Value 26.94 2.69 10.0%<br />
90 11 75-052K-095 2/28/2012 87 1 Antique scale Actual Cash Value 269.38 26.93 10.0%<br />
91 11 75-052K-095 2/28/2012 88 1 Folding table Actual Cash Value 21.55 2.15 10.0%<br />
92 11 75-052K-095 2/28/2012 89 1 Rocking horse Actual Cash Value 215.50 53.87 25.0%<br />
93 11 75-052K-095 2/28/2012 90 1 Light Actual Cash Value 21.55 17.24 80.0%<br />
94 11 75-052K-095 2/28/2012 91 1 Painting oil Actual Cash Value 48.49 12.12 25.0%<br />
95 11 75-052K-095 2/28/2012 92 1 Painting Actual Cash Value 21.55 5.38 25.0%<br />
96 11 75-052K-095 2/28/2012 93 2 Rug Actual Cash Value 1,077.50 269.37 25.0%<br />
97 11 75-052K-095 2/28/2012 94 1 Kitchen items Actual Cash Value 323.25 80.81 25.0%<br />
98 11 75-052K-095 2/28/2012 95 1 New china boxes Actual Cash Value 1.08 0.27 25.0%<br />
99 11 75-052K-095 2/28/2012 96 100 Antique bottles Actual Cash Value 646.50 64.65 10.0%<br />
100 11 75-052K-095 2/28/2012 97 20 Antique milk bottle Actual Cash Value 1,077.50 107.75 10.0%<br />
101 11 75-052K-095 2/28/2012 98 50 Antique fruit jars Actual Cash Value 538.75 53.87 10.0%<br />
102 11 75-052K-095 2/28/2012 99 20 Antique cookie jars Actual Cash Value 484.88 48.48 10.0%<br />
103 11 75-052K-095 2/28/2012 100 60 Antique cut glass Actual Cash Value 1,939.50 193.95 10.0%<br />
104 11 75-052K-095 2/28/2012 101 1 Crystal Actual Cash Value 1.08 0.10 10.0%<br />
105 11 75-052K-095 2/28/2012 102 80 Depression glass Actual Cash Value 862.00 86.20 10.0%<br />
106 11 75-052K-095 2/28/2012 103 30 Carnival glass Actual Cash Value 808.13 80.81 10.0%<br />
Per PPIF Form<br />
Depreciation<br />
% Age<br />
10/15/2012 2
Change language