E-FILED - SC Superior Court E-Filing
E-FILED - SC Superior Court E-Filing
E-FILED - SC Superior Court E-Filing
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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