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
504 54 75-M566-207 4/8/2010 54 1 Always Ultra-thin pads Actual Cash Value 12.05 0.00 0.0% -
505 54 75-M566-207 4/8/2010 55 1 Up and Up regular tampons Actual Cash Value 4.60 0.00 0.0% -
506 54 75-M566-207 4/8/2010 56 1 Foot brush Actual Cash Value 5.49 3.66 66.7% 2.0
507 54 75-M566-207 4/8/2010 57 1 Everyday Living Auto Bowl tabs Actual Cash Value 13.17 8.78 66.7% 2.0
508 54 75-M566-207 4/8/2010 58 1 Box of Kleenex Tissues Actual Cash Value 2.51 0.00 0.0% -
509 54 75-M566-207 4/8/2010 59 1 10" Plastic hair comb Actual Cash Value 5.49 1.09 19.9% 1.0
510 54 75-M566-207 4/8/2010 60 1 30x20 Plastic framed poster Actual Cash Value 9.87 1.48 15.0% 2.0
511 54 75-M566-207 4/8/2010 61 1 Pantene Pro-V Conditioner Actual Cash Value 8.54 0.00 0.0% -
512 54 75-M566-207 4/8/2010 62 1 Up and Up Theraputic dandruff
shampoo
Actual Cash Value 3.99 0.00 0.0% -
513 54 75-M566-207 4/8/2010 63 1 JR Watkins Hand soap Actual Cash Value 8.22 2.74 33.3% 1.0
514 54 75-M566-207 4/8/2010 64 1 Pantene Pro-V shampoo Actual Cash Value 7.55 0.00 0.0% -
515 54 75-M566-207 4/8/2010 65 1 Renaissance America Bath Towel Actual Cash Value 32.93 21.95 66.7% 2.0
516 54 75-M566-207 4/8/2010 66 1 Plastic bucket w/ handle Actual Cash Value 9.88 7.90 80.0% 4.0
517 54 75-M566-207 4/8/2010 67 1 Travel bar soap container Actual Cash Value 3.29 0.00 0.0% -
518 54 75-M566-207 4/8/2010 68 1 Travel size Colegate Actual Cash Value 1.06 0.00 0.0% -
519 54 75-M566-207 4/8/2010 69 1 Herbal Essence Shampoo Actual Cash Value 1.06 0.00 0.0% 1.0
520 54 75-M566-207 4/8/2010 70 1 Toothbrush holder / Travel by
Design
Actual Cash Value 1.09 0.00 0.0% -
521 54 75-M566-207 4/8/2010 71 1 Secret Women's deodorant Actual Cash Value 1.06 0.00 0.0% -
522 54 75-M566-207 4/8/2010 72 1 Pantene Pro-V Hairspray Actual Cash Value 1.06 0.00 0.0% -
523 54 75-M566-207 4/8/2010 73 1 CVS Pharmacy moisturizing Actual Cash Value 3.28 0.00 0.0% -
524 54 75-M566-207 4/8/2010 74 1 Crest toothpast Actual Cash Value 4.65 0.00 0.0% -
525 54 75-M566-207 4/8/2010 75 1 Target brand facial cleaner Actual Cash Value 4.21 0.00 0.0% -
526 54 75-M566-207 4/8/2010 76 1 Clear Pore cleanser/mask /
Neutrogena
Actual Cash Value 6.57 0.00 0.0% -
527 54 75-M566-207 4/8/2010 77 3 Dove Women's deodorant Actual Cash Value 11.98 0.00 0.0% -
528 54 75-M566-207 4/8/2010 78 1 Suave Max Hold Hairspray Actual Cash Value 2.40 0.00 0.0% 1.0
529 54 75-M566-207 4/8/2010 79 1 Anti-blemish toner/ Boots brand Actual Cash Value 9.88 0.00 0.0% -
530 54 75-M566-207 4/8/2010 80 1 Swiffer dister Actual Cash Value 27.44 5.48 20.0% 1.0
531 54 75-M566-207 4/8/2010 81 1 Target-brand Disinfecting wipes Actual Cash Value 4.32 0.00 0.0% -
532 54 75-M566-207 4/8/2010 82 3 Lipstick tubes Actual Cash Value 21.95 7.31 33.3% 1.0
533 54 75-M566-207 4/8/2010 83 1 Crest glide cool mint floss Actual Cash Value 6.57 0.00 0.0% -
534 54 75-M566-207 4/8/2010 84 1 Comet disinfectant and cleanser Actual Cash Value 1.06 0.00 0.0% 2.0
535 54 75-M566-207 4/8/2010 85 1 Heart-shaped Mirror Actual Cash Value 21.95 0.00 0.0% -
536 54 75-M566-207 4/8/2010 86 1 Metal fingernail scissors Actual Cash Value 8.78 0.00 0.0% 2.0
537 54 75-M566-207 4/8/2010 88 1 Rimmel Eyeshadow Actual Cash Value 8.78 0.00 0.0% -
538 54 75-M566-207 4/8/2010 89 1 Sterilite plastic tray Actual Cash Value 19.76 7.90 40.0% 2.0
539 54 75-M566-207 4/8/2010 90 1 Old Navy star shimmer powder Actual Cash Value 6.59 4.39 66.6% 2.0
540 54 75-M566-207 4/8/2010 91 1 NYC Smooth skin face powder Actual Cash Value 8.78 2.92 33.3% 1.0
541 54 75-M566-207 4/8/2010 92 1 Great Lash mascara Actual Cash Value 4.93 0.00 0.0% -
542 54 75-M566-207 4/8/2010 93 1 NYC Liquid eye-liner Actual Cash Value 5.49 0.00 0.0% -
543 54 75-M566-207 4/8/2010 94 1 Revlon eye shadow Actual Cash Value 8.78 0.00 0.0% -
544 54 75-M566-207 4/8/2010 95 1 Face make-up brushes Actual Cash Value 21.95 0.00 0.0% -
545 54 75-M566-207 4/8/2010 96 1 Leather bracelet Actual Cash Value 13.17 1.31 10.0% 1.0
546 54 75-M566-207 4/8/2010 97 1 Clinique eye-shadow Actual Cash Value 16.46 0.00 0.0% -
547 54 75-M566-207 4/8/2010 98 1 Maybelline Shine free loose
powder
Actual Cash Value 5.42 0.00 0.0% -
548 54 75-M566-207 4/8/2010 99 1 Cover girl clean make-up Actual Cash Value 6.41 0.00 0.0% -
549 54 75-M566-207 4/8/2010 100 1 Clinique Sheer powder blush Actual Cash Value 20.85 0.00 0.0% -
550 54 75-M566-207 4/8/2010 101 1 NYC Color wheel mosiac Actual Cash Value 5.48 0.00 0.0% -
551 54 75-M566-207 4/8/2010 102 2 Orthodonic Teeth retainers Actual Cash Value 576.19 230.47 40.0% 2.0
552 54 75-M566-207 4/8/2010 103 1 Make-up bag Actual Cash Value 18.66 0.00 0.0% -
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