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
752 54 75-M566-207 4/8/2010 321 1 Nylon compact umbrella Actual Cash Value 10.98 2.19 20.0% 1.0
753 54 75-M566-207 4/8/2010 322 1 18x18 wool purse Actual Cash Value 38.41 12.80 33.3% 1.0
754 54 75-M566-207 4/8/2010 323 1 15x15 Old navy Cotton Purse Actual Cash Value 21.95 17.56 80.0% 2.0
755 54 75-M566-207 4/8/2010 324 1 Woman's leather purse Actual Cash Value 43.90 14.63 33.3% 1.0
756 54 75-M566-207 4/8/2010 325 1 Canvas backpack / North Face Actual Cash Value 65.85 26.34 40.0% 2.0
757 54 75-M566-207 4/8/2010 326 1 Rayon Scarf 5x4 Actual Cash Value 10.98 0.00 0.0% -
758 54 75-M566-207 4/8/2010 328 1 pair of mens snow gloves Actual Cash Value 65.85 26.34 40.0% 2.0
759 54 75-M566-207 4/8/2010 329 1 Wilson volleyball Actual Cash Value 16.46 6.58 40.0% 2.0
760 54 75-M566-207 4/8/2010 330 2 Greatland sleeping bag Actual Cash Value 137.19 27.43 20.0% 2.0
761 54 75-M566-207 4/8/2010 331 1 Cotton full-size blanket Actual Cash Value 65.85 26.34 40.0% 2.0
762 54 75-M566-207 4/8/2010 333 1 Pair of Scot Ski goggles Actual Cash Value 65.85 26.34 40.0% 2.0
763 54 75-M566-207 4/8/2010 334 1 Wook 8-hook wall mount hanger Actual Cash Value 21.95 2.92 13.3% 2.0
764 54 75-M566-207 4/8/2010 335 2 Old Navy denim shorts Actual Cash Value 32.93 21.95 66.7% 2.0
765 54 75-M566-207 4/8/2010 336 1 Apple keyboard Actual Cash Value 60.36 10.06 16.7% 1.0
766 54 75-M566-207 4/8/2010 338 2 Old Navy cotton shorts Actual Cash Value 32.93 10.97 33.3% 1.0
767 54 75-M566-207 4/8/2010 339 4 Cotton tshirts Actual Cash Value 87.80 43.90 50.0% 1.0
768 54 75-M566-207 4/8/2010 340 1 Canvas CD case Actual Cash Value 54.88 21.95 40.0% 2.0
769 54 75-M566-207 4/8/2010 341 1 Reusable grocery bag Actual Cash Value 12.07 0.00 0.0% -
770 54 75-M566-207 4/8/2010 342 1 Full size matress cotton sheet Actual Cash Value 32.93 13.17 40.0% 2.0
771 54 75-M566-207 4/8/2010 343 1 National Sleep products home Actual Cash Value 43.90 17.56 40.0% 2.0
772 54 75-M566-207 4/8/2010 344 1 6 cd-rom set Actual Cash Value 54.88 36.58 66.7% 2.0
773 54 75-M566-207 4/8/2010 345 3 G&G ink cartridges Actual Cash Value 49.39 0.00 0.0% -
774 54 75-M566-207 4/8/2010 346 1 Woman's braided leather belt Actual Cash Value 43.90 0.00 0.0% -
775 54 75-M566-207 4/8/2010 347 2 Woman's vinyl belt Actual Cash Value 27.44 13.72 50.0% 1.0
776 54 75-M566-207 4/8/2010 348 1 Woman's leather belt w/ silver Actual Cash Value 60.36 0.00 0.0% -
777 54 75-M566-207 4/8/2010 349 1 Wood framed ikea sofa chair Actual Cash Value 104.26 20.85 20.0% 2.0
778 54 75-M566-207 4/8/2010 350 1 20x16 canvas art board Actual Cash Value 16.46 1.64 10.0% 1.0
779 54 75-M566-207 4/8/2010 351 1 Pair of Uggs Actual Cash Value 170.11 113.40 66.7% 2.0
780 54 75-M566-207 4/8/2010 352 1 Plastic art bin Actual Cash Value 32.93 13.17 40.0% 2.0
781 54 75-M566-207 4/8/2010 353 1 Package drafting dots Actual Cash Value 4.39 0.00 0.0% -
782 54 75-M566-207 4/8/2010 354 1 Plastic container Actual Cash Value 5.49 1.09 19.9% 1.0
783 54 75-M566-207 4/8/2010 355 1 Package of prismatic colored
pencils
Actual Cash Value 16.46 5.48 33.3% 1.0
784 54 75-M566-207 4/8/2010 356 1 2.5x2.5 art pencil eraser Actual Cash Value 3.29 1.09 33.1% 1.0
785 54 75-M566-207 4/8/2010 357 1 2 lbs of misc beads Actual Cash Value 27.44 10.97 40.0% 2.0
786 54 75-M566-207 4/8/2010 358 1 14x10 metal baking pan Actual Cash Value 10.98 1.64 14.9% 3.0
787 54 75-M566-207 4/8/2010 359 1 Box of miniature quilt Actual Cash Value 16.46 2.46 15.0% 3.0
788 54 75-M566-207 4/8/2010 360 1 Plastic container Actual Cash Value 7.68 3.07 40.0% 2.0
789 54 75-M566-207 4/8/2010 361 1 Roll of blue scotch masking tape Actual Cash Value 8.78 0.00 0.0% -
790 54 75-M566-207 4/8/2010 362 42 Prismacolor premier large art Actual Cash Value 164.63 109.75 66.7% 2.0
791 54 75-M566-207 4/8/2010 363 1 Metal cup Actual Cash Value 10.98 1.09 9.9% 1.0
792 54 75-M566-207 4/8/2010 364 6 Containers of Seed beads Actual Cash Value 54.88 10.97 20.0% 1.0
793 54 75-M566-207 4/8/2010 365 1 18pc graphite set Actual Cash Value 32.93 10.97 33.3% 1.0
794 54 75-M566-207 4/8/2010 366 1 Stanley screwdriver Actual Cash Value 7.68 0.76 9.9% 2.0
795 54 75-M566-207 4/8/2010 367 1 Metal protractor Actual Cash Value 7.68 0.76 9.9% 2.0
796 54 75-M566-207 4/8/2010 368 1 Deck of artist trading cards Actual Cash Value 32.93 9.87 30.0% 3.0
797 54 75-M566-207 4/8/2010 369 1 Cotton apron Actual Cash Value 16.46 6.58 40.0% 2.0
798 54 75-M566-207 4/8/2010 370 1 LG Cell phone Actual Cash Value 54.88 21.95 40.0% 2.0
799 54 75-M566-207 4/8/2010 371 1 Boston paper cutter Actual Cash Value 76.83 7.68 10.0% 1.0
800 54 75-M566-207 4/8/2010 372 2 Art cubes Actual Cash Value 38.41 3.84 10.0% 0.5
801 54 75-M566-207 4/8/2010 373 1 6x6 Metal cup Actual Cash Value 10.98 1.09 9.9% 1.0
802 54 75-M566-207 4/8/2010 375 1 Palm One Communicator Actual Cash Value 60.36 24.14 40.0% 2.0
803 54 75-M566-207 4/8/2010 376 1 Stanley Bostich stapler Actual Cash Value 7.68 1.53 19.9% 2.0
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