E-FILED - SC Superior Court E-Filing

The Doan v. State Farm General Insurance Company Appendix 5
Analysis of Basis For Depreciation Used For Claim Settlement
Analysis of Claimed Items Where Settlement Option is Actual Cash Value
[a]
Claim With Known
Age Greater Than
Zero Lit_ID
Claimant
ID Claim No. Date of CIS
Per CIS Form
Item
No. Quantity Item Description Settlement Option
Repair/
Replacement
Cost
Depreciation
Amount
Per PPIF Form
Depreciation
% Age
303 40 05-M517-927 9/26/2011 68 1 Phone chargers Actual Cash Value 242.00 0.00 0.0% - [c]
304 40 05-M517-927 9/26/2011 69 1 Phone accessories Actual Cash Value 143.00 0.00 0.0% - [c]
305 40 05-M517-927 9/26/2011 70 1 Watch batteries Actual Cash Value 197.00 0.00 0.0% - [c]
306 40 05-M517-927 9/26/2011 71 18 Durby hats Actual Cash Value 142.00 0.00 0.0% - [c]
307 40 05-M517-927 9/26/2011 72 8 Clear eyes Actual Cash Value 180.00 0.00 0.0% - [c]
308 40 05-M517-927 9/26/2011 73 11 Krazy glue Actual Cash Value 22.00 0.00 0.0% - [c]
309 40 05-M517-927 9/26/2011 74 13 Oragel Actual Cash Value 48.00 0.00 0.0% - [c]
310 40 05-M517-927 9/26/2011 75 9 Lotrimin Actual Cash Value 33.00 0.00 0.0% - [c]
311 40 05-M517-927 9/26/2011 76 202 Lighters / Big Light Actual Cash Value 238.00 0.00 0.0% - [c]
312 40 05-M517-927 9/26/2011 77 12 Underwear Actual Cash Value 47.00 0.00 0.0% - [c]
313 40 05-M517-927 9/26/2011 78 9 fruit snacks Actual Cash Value 7.00 0.00 0.0% - [c]
314 40 05-M517-927 9/26/2011 79 18 Pregnancy tests Actual Cash Value 88.00 0.00 0.0% - [c]
315 40 05-M517-927 9/26/2011 80 176 Incense Actual Cash Value 30.00 0.00 0.0% - [c]
316 40 05-M517-927 9/26/2011 81 23 Dog leash Actual Cash Value 29.00 0.00 0.0% - [c]
317 40 05-M517-927 9/26/2011 82 108 Tums Actual Cash Value 23.00 0.00 0.0% - [c]
318 40 05-M517-927 9/26/2011 83 29 Combs Actual Cash Value 20.00 0.00 0.0% - [c]
319 40 05-M517-927 9/26/2011 84 30 Car air freshener Actual Cash Value 78.00 0.00 0.0% - [c]
320 40 05-M517-927 9/26/2011 85 1 Cash register Actual Cash Value 645.00 225.75 35.0%
321 40 05-M517-927 9/26/2011 86 1 Screen Actual Cash Value 175.00 72.91 41.7%
322 40 05-M517-927 9/26/2011 87 2 Video camera Actual Cash Value 350.00 218.75 62.5% 4.0 [c]
323 40 05-M517-927 9/26/2011 88 21 Chapstick Actual Cash Value 38.00 0.00 0.0% - [c]
324 40 05-M517-927 9/26/2011 89 11 Disposable cameras / Kodak Actual Cash Value 92.00 0.00 0.0% - [c]
325 40 05-M517-927 9/26/2011 90 14 Single medicines Actual Cash Value 128.00 0.00 0.0% - [c]
326 40 05-M517-927 9/26/2011 91 41 Halls Actual Cash Value 258.00 0.00 0.0% - [c]
327 40 05-M517-927 9/26/2011 92 93 Shoe laces Actual Cash Value 187.00 0.00 0.0% - [c]
328 40 05-M517-927 9/26/2011 93 57 Stockings Actual Cash Value 321.00 0.00 0.0% - [c]
329 40 05-M517-927 9/26/2011 94 21 Trojan Actual Cash Value 83.00 0.00 0.0% - [c]
330 40 05-M517-927 9/26/2011 95 8 Band-aids Actual Cash Value 21.00 0.00 0.0% - [c]
331 40 05-M517-927 9/26/2011 96 38 Ear phones / Sony Actual Cash Value 128.00 0.00 0.0% - [c]
332 40 05-M517-927 9/26/2011 97 142 Kool-aid Actual Cash Value 355.00 0.00 0.0% - [c]
333 40 05-M517-927 9/26/2011 98 18 Eye drops Actual Cash Value 31.00 0.00 0.0% - [c]
334 40 05-M517-927 9/26/2011 99 93 Gum Actual Cash Value 139.50 0.00 0.0% - [c]
335 40 05-M517-927 9/26/2011 100 1 Candy Actual Cash Value 32.00 0.00 0.0% - [c]
336 40 05-M517-927 9/26/2011 101 1 Mints Actual Cash Value 38.00 0.00 0.0% - [c]
337 40 05-M517-927 9/26/2011 102 1 Socks Actual Cash Value 72.00 0.00 0.0% - [c]
338 40 05-M517-927 9/26/2011 103 1 Durag Actual Cash Value 108.00 0.00 0.0% - [c]
339 40 05-M517-927 9/26/2011 104 1 Neosporin Actual Cash Value 49.00 0.00 0.0% - [c]
340 40 05-M517-927 9/26/2011 105 1 Cortizone Actual Cash Value 21.00 0.00 0.0% - [c]
341 40 05-M517-927 9/26/2011 106 1 Playing cards / Bicycle Actual Cash Value 28.00 0.00 0.0% - [c]
342 40 05-M517-927 9/26/2011 107 1 Energy vit Actual Cash Value 51.00 0.00 0.0% - [c]
343 40 05-M517-927 9/26/2011 108 1 Trojan Actual Cash Value 118.00 0.00 0.0% - [c]
344 40 05-M517-927 9/26/2011 109 1 Battery Actual Cash Value 123.00 0.00 0.0% - [c]
345 40 05-M517-927 9/26/2011 110 1 Medicine Actual Cash Value 116.00 0.00 0.0% - [c]
346 40 05-M517-927 9/26/2011 111 1 Tobacco Actual Cash Value 55.00 0.00 0.0% - [c]
347 40 05-M517-927 9/26/2011 112 1 Drum tobacco Actual Cash Value 118.00 0.00 0.0% - [c]
1 348 42 05-M394-706 9/1/2006 1 1 Coffee table / Crate & Barrel ACV 610.42 61.04 10.0% 2.0 [c]
1 349 59 75-M564-724 12/3/2009 17 1 Desk w/ hutch Oak 3-drawer /
CostCo
Actual Cash Value 985.56 269.40 27.3% 8.0
350 59 75-M564-724 12/3/2009 18 1 Dresser/ Oak lateral Actual Cash Value 603.57 164.99 27.3% 8.0
351 59 75-M564-724 12/3/2009 19 1 Office Chair/ Office Star Actual Cash Value 207.43 56.70 27.3% 3.0
352 59 75-M564-724 12/3/2009 20 1 Drapery Rod / JC Penny Actual Cash Value 65.85 35.12 53.3% 8.0
353 60 75-M415-579 2/4/2005 1 1 Men's Jacket ACV 86.55 69.24 80.0%
1 354 60 75-M415-579 2/4/2005 2 1 Men's sport coat ACV 108.20 86.56 80.0% 5.0
355 60 75-M415-579 2/4/2005 3 1 Woman's sport suit ACV 54.07 36.05 66.7% 2.0
10/15/2012 7