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As budget cuts
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9120
,
Case No. 2012LM356P
vs.
ERIC M. MUATHE,
Defendant,
Attorney for Plaintiff: Mark A. Werner KS# 11302
to note that around mid January I had previously filed a motion (and affidavit)
to
disqualify Judge Kurtis Loy because I felt he could not afford me a fair trial given that I had already
disqualified the previous Chief Judge Andrew J. Watcher (his boss) in the same case. This affidavit for
disqualification
* Judge
by the Governor for the recent judicial vacancy in Crawford County. See Page Two of Exhibit "J".
* I feel that Judge Oliver Lynch should have made another judge decide on my affidavit to disqualify
Kurtis Loy due to possible conflict of interest between the two judges.
Moving on ...
After that on January 24th, 2014 at 2:30 PM CST I went to court for a scheduled pretrial conference after
the previous attorney
interest.
Plaintiff was represented
THE QUESTION I ASK THIS JUDICIAL COMPLAINT COMMITTEE PRIMARILY RELATING to rule 1.2
Promoting Confidence in the Judiciary, Rule 2.2 Impartiality and Fairness and Rule 2.4 External
Influences on Judicial Conduct is as follows:
What confidence in the judiciary can anyone have when the Judge assigned to their case;
(1) Does not disclose that the opposing attorney is his long time buddy and former business partner,
(2) Had at some point in the past teamed up with the same opposing attorney to defend the Judge's
own father in a law suit that went to the United States District Court for the District of Kansas,
(3) Along with the opposing attorney make campaign contributions
(4) Refuses to recuse himself when the above issues are raised in a motion to disqualify himself (not
withstanding
that neither the Judge nor the opposing attorney disclosed the above issues to the
person).
I believe that Judge Kurtis Loy is not promoting
and fairness
and should have recused himself according 2.11(A) "A judge shall disqualify himself or herself in any
proceeding in with the judge's impartiality
IF the committee does not find anything wrong with the issues raised above then you can stop reading
right here and continue promoting
disgust for the judiciary, bais and unfairness while letting external
influences destroy whatever little faith the people of Kansas might have in the judicial system.
to acknowledge his
father was the defendant who he and opposing attorney Mark A. Werner defended)
.., and somehow I am supposed to believe that he can be fair and impartial. Really???
Btic..- (Y\\V~
By: Eric M. Muathe
Chambers of
KURTIS I. LOY
District Judge
Administrative
(620) 2313570
(620) 2310584 FAX
Assistants
Court Administrator
Mac Young
(620) 2310310
February 7, 2014
Hon. A. J. WadI er
Chief Judge/
602 N orth-Locust
Pittsburg, KS. 66762
,/
I Re:
Agreed.
2.
Do not agree, as I do not believe I have any conflict through a business
relationship with Mark Werner that ended in November, 1994.
3-4.
Although I am not familiar with the website, Mark Werner was a partner
in the firm of Lay, Tomassi & Werner, P.A. The members of that firm were Kenneth 1.
Lay (K.I. Lay); Kurtis I. Lay, Robert S. Tomassi, Jr., Mark A. Werner, Reina 1. Holtman,
and C. Mark Cole.
5.
Is not accurate. Kenneth I. Loy, was a defendant in the case Mr. Muathe
references, not Kurtis I. Lay.
6.
I did not feel any obligation to disclose a business relationship which has
not existed for almost 20 years. There is no present or recent business or financial
dealing.
7.
present case.
The response to No.7 would have to be gleaned from the pleadings in the
8.
Is not accurate as to Kurtis 1. Loy. Kurtis 1. Loy was not a defendant in
the Deere & Co. lawsuit, although Kurtis 1. Loy was involved in the defense of the
lawsuit in 1994.
9-11.
Not addressed.
12.
On September 16,2010, Kurtis 1. Loy, among many, made a $250.00
contribution to the candidacy of Terry Calloway.
13.
I disagree. I believe under a reasonable person standard there should be
no perception that my ability to carry out judicial responsibilities with integrity,
impartiality and competence is impaired.
14.
I disagree and reference the response above in answer to 13. Under a
reasonable person standard there should be no issue.
15, 16, and 17.Again a reasonable person standard should not prevent me from
hearing Mr. Muathe's case, or any other case in which Mr. Werner is an opposing
attorney.
I
Mr. Muathe had asked that Ibe disqualified before Mark Werner entered his
appearance. The request
Mr. Muathe is very broad in that he is asking in paragraph 9
that Ibe disqualified from all cases now and forever involving allegations of forged,
altered or fraudulent promissory notes or retail installment contracts or Mark A. Werner
as an attorney.
or
I
Istill believe that there is no valid reason to disqualify me from hearing this case.
Because an affidajit has been filed, Iam forwarding for your consideration and
decision.
Yours truly,
tl~W8~--Kurtis 1. Loy
District Judge
KIL:maf
Ene.
ce:
~~M.
Muathe
Mark A. Werner
Flt.ED
IN THE DISTRICT COURT OF CRAWFORPfOnwlB
~~
)
vs.
Division
K.S.A.Chapter 61
ERIC M. MUATHE,
Affiant,
County: Crawford
)
) SS
State: Kansas
I, Eric Muathe, Affiant herein, declare under the penalty of perjury under the laws of the
United States of America, that Affiant is competent to be a witness and that the facts
contained herein are true, correct, complete, and not misleading to the best of Affiant's first
hand personal knowledge.
Statement of Facts
1. On January 24th, 2014 at 2:30 PM CSTAffiant went to court for a scheduled pretrial
conference.
2. * An obvious conflict of interest between Judge Kurtis Loy and Plaintiffs new attorney
Mark A.Werner was established and this was NO'I'revealed to the Affiant.
3. Judge Kurtis Loy is being unethical because between 1993 and 1995 Mark A.Werner was a
fellow partner with Judge Kurtis Loy at "Loy, Tomassi & Werner, P.A.,Pittsburg, KS".
4. Exhibit "M" is a print out from attorney Mark A. Werner's own website home page - aka his
bio. On top of page three of this print out (Exhibit "M") shows that Mark A.Werner
acknowledges that he was a business partner and colleague of Judge Kurtis Loy.
5. Not only were Judge Kurtis Loy and Plaintiffs attorney Mark A.Werner business partners,
Mark A.Werner was (at least in one incident) Judge Kurtis Loy's own defense attorney as
Mark A.Werner represented Judge Kurtis Loy in Deere & Co. v. Kurtis I. Loy, 872 F. Supp. 867
(D. Kan. 1994) - SEE EXHIBIT"D", Representing Kurtis Loy other than himself were Mark A.
Werner, and Reina J. Holtman from the law firm Loy,Tomassi & Werner, P.A.
6. This is a conflict of interest for Mark A.Werner to even go in front of Judge Loy and both
Mark Werner and Judge Loy know this is a conflict of interest as well. Neither Judge Kurtis
Loy nor Plaintiffs alleged attorney Mark A.Werner disclosed to Affiant their past and/or
present business or personal relationship(s).
7. This case also involves allegations by Affiant of a falsified and forged retail installment
contract and security agreement produced by Plaintiff or Plaintiffs previous Attorney
Pendleton and Sutton LLC.Compare signatures and parties at the bottom of pages one and
two of EXHIBIT"R".
8. Affiant feels he will not get a fair trial given the fact that Judge Kurtis Loy is presiding over
this case which has to do with an alleged fraudulent
agreement
Promissory
and Kurtis Lois son-in-law (?) - Stan Gavin - stole close to a million dollars as
seen in Deere & Co. v. Loy, 872 F. Supp. 867 (D. Kan. 1994) Stan Gavin, during the course of
If
operating the dealership, executed and caused Deere to accept numerous false and fraudulent
promissory notes and retail installment contracts. These notes and contracts bore forged
signatures, including the forged signature of KI. Loy. The submission of these fraudulent
notes
violated the terms of the dealership agreement and security agreements with Deere." Judge
Kurtis Loy was a defendant
case.
promissory
contracts
notes.
11. Affiant does not believe he can get a fair trial in front of a Judge whose brother in law (?)
and who the judge was the guarantor
Deer Corporation
contracts and
note.
12. There is a conflict of interest that arises also from the fact that Judge Kurtis Loyand
Plaintiffs attorney Mark A. Werner both made campaign elections contributions
to the
'~ judge shall disqualify himself or herself in any proceeding in with the judge's impartiality
might reasonably be questioned, including but not limited to the following circumstances: (1)
The judge has a personal bias or prejudice concerning a party or a party's lawyer, or personal
knowledge of facts that are in dispute in the proceeding.
(2) The judge knows that the judge, the judge's spouse or domestic partner, or a person within
the third degree or relationship to either of them, or the spouse or domestic partner of such a
person is:
(b) acting as a lawyer in the proceeding;
(3) The judge knows that he or she, individually or as a fiduciary, or the judge's spouse,
domestic partner, parent, or child, or any other member of the judge's family residing in the
judge's household, has an economic interest in the subject matter in controversy or in a party
to the proceeding."
14. The pure simple fact that Mark Werner and Kurt Loy were business partners violates the
following "RULES RELATING TO JUDICIAL CONDUCT" RULE 1.2 Promoting Confidence in
the Judiciary, Rule 2.2(1)(2) Impartiality
Harassment,
Rule 2.4(B) External Influences on Judicial Conduct, Rule 2.6(A) Ensuring the
Right to Be Heard. Last but not least due to the simple fact that Judge Loy definitely
violated Rule 2.4(B) which says "Ajudge shall not permit family, social, political, financial, or
other interests or relationships to influence the judge's judicial conduct or judgment". Affiant
believes other interests
or relationships
partners.
to Decide says "Ajudge shall hear and decide matters assigned to the
16. Affiant alleges and believes that the judge to whom this action is assigned to cannot AND
HAS ALREADY FAILED TO afford Affiant a fair trial AND DUE PROCESS in this action.
17. The pretrial conference held on January 24th, 2014 at 2:30 PM CST was a violation of
Affiants due process.
How could affiant get a fair trial when the judge's own former
The above facts will most definitely raise in an objective mind the issue of a major conflict of
interest.
Further Affiant says not.
day of t'\2:f\J~y
&ncNVJ~WU
\~\t.-(\~\'NvJ [ltEAffiant
<Itexecuting
2014,A.D.,a man appeared with
the foregoing AFFIDAVITby
I, therefore,
set forth my hand and seal in affirmation thereof of the execution thereof.
NOTARYPUBLIC
My commission
expires on
Date
Q t/ 10 d II
7
T'
..
~
L_._~:.~Y
9 yo Y:::S:
Appt.
Expires
WHEREFORE, Affiant respectfully request that the Court grant its Motion for
Disqualification
in this matter.
-:
/'
CERTIFICATE OF SERVICE
I certify that on February 6th, 2014 the foregoing was mailed to the following address:
LAw OFFICE OF MARK
A. WERNER
66762
I certify that on February 6th, 2014 a copy the foregoing was personally delivered and
dropped off at Judge KURTIS LOY'soffice.
By:~~
~\L~dv~
WITHOUT PREJUDICE
\NITIi ALL RIGHTS RESERVED 1-207(K.S.A. 84-1-207), UCC 1-308 (K.S.A 84-1 ..308)
Eric M. Muathe BSc.; M.s., Sui Juris
MarkA. Werner
2i6l2014
I Law Office
of Mark A. Werner
I Crawford
County, Kansas
Mark A. Werner
Sole Practitioner
Location:
Pittsburg, Kansas
Phone: '
620-206-4082
Fax:
620-232-2994
Email:
E-mail Me
Mark Werner is an attorney licensed to practice law in the State of Kansas, and before the U. S. District Court
for the District of Kansas, as well as the lOt h U. S. Circuit Court of Appeals. Mark graduated from Kansas
State University with a Bachelor of Science degree in 1979, and from the University of Kansas School of Law in
1982 with a Juris Doctor degree. Mark moved to Pittsburg in 1982, where he started his law practice,
specializing in estate planning, business and connnerciallaw, employment law, and insurance defense litigation, as
well as a general civil and criminal practice.
In 1995, Mark joined City National Bank of Pittsburg (now Connnerce Bank) as Vice President and Trust
Officer and served as legal counsel to the Bank, and in 1999 took on the responsibilities of Vice President of
Commercial Lending. In 2004, Mark was named the Pittsburg Market President of Citizens Bank, N. A
Throughout his time in banking, Mark continued his private law practice part-time in the areas of estate planning
and connnerciallaw.
In 2011, Mark returned to the full-time practice of law, opening his own law firm. He practices in the areas of
estate planning, connnerciallaw and litigation, business formation and planning, real estate, and general trial
practice. He also advises clients on business finance matters and local government relations.
In addition to his professional duties, Mark has served as the Mayor of Pittsburg twice, while serving 10 years
on the Pittsburg City Commission, He is a part-time instructor in law-related topics at Pittsburg State University,
and has served on a number of community and philanthropic boards and fundraising efforts. Mark is a graduate
of Leadership Pittsburg and Leadership Kansas. He is also past president of the Crawford County Bar
Association and the Southeast Kansas Bar Association
Areas of Practice
Estate Planning
Business & Connnercial Law
Real Estate Law
Employment Law
http://WMN.marWoiernerlaw.comlAttorney.Mark-A-Werner.shtmi
1/3
MarkA Werner
21612014
Werner
I CravJord
County, Kansas
Litigation Percentage
20% of Practice Devoted to Litigation
Bar Admissions
Kansas, 1982
U.S. District Court District of Kansas, 1982
U.S. Court of Appeals lOth Circuit, 1995
Education
University of Kansas School of Law, Lawrence, Kansas
o J.D. - 1982
Kansas State University, Manhattan, Kansas
o B.S. - 1979
o Major: Political Science & Pre-Law
Published Works
Trial Tactics & Verdicts, Journal of Kansas Trial Lawyers Association, VoL 6, No.2,
1982
Classes/Seminars
Professional Associations
and Memberships
http:/Mvvw.marlllM9rnerlaw.comlAttorneVMar~A-Werner.shtml
2/3
MarkA
2/612014
Werner
I Law Office
of MarkA
Werner
I Crav.ford
--
County, Kansas
~
LOy,TomaSS1&Werner,
. A., AttorneyZPartner, [993 - 1995
White, O'Connor & Werner, P. A., Attorney/Partner, 1983 - 1992
Wheeler & Mitchelson, Chtd, Attorney, 1982 - 1983
Fraternities/So ro rities
Delta Upsilon
Phi Sigma Alpha
Contact Infonnation
Law Office of Mark A. Werner
201 S. Broadway Street
SuiteC
Pittsburg, KS 66762
Phone: 620-206-4082
Fax: 620-232-2994
Map and Directions
Copyright 2014 by Law Office of Mark A. Werner. All rights reserved. Disclaimer I Site Map
http://w.\.w.markwernerlaw.com'AttorneYMar~A-Werner.shtml
3/3
Deere & Co. v, Loy, 872 F. Supp. 867 (D. Kan. 1994)
officer
in
and
of Stan Gavin.
5. On December
1, 1975, Loy executed
an
unconditional guaranty of the debts of Southeast in
favor of John Deere Company. The guaranty provided
that Loy would "unconditionally guarantee payment of
whatever sum Southeast shall at any time be owing
Deere, whether heretofore or hereafter contracted."
Deere
II
E~\\o\-\-' D
Casetext
10f4
Deere & Co. v. Loy, 872 F. Supp. 867 (D. Kan. 1994)
guaranty.
11. From July 24, 1985 until April 1993, John Deere
Company and its successors acted and treated the
guaranty of Kl. Loy as having been revoked.
12. From July 24, 1985 through December 1992, John
Deere Company and its successors extended new
credit to Southeast and entered in to new contracts
with Southeast without relying upon any guaranty by
KI. Loy of Southeast's debts.
13. Stan Gavin, during the course of operating the
ea1ership, executed and caused Deere to accept
numerous false and fraudulent promissory notes and
-retail installment contracts. These notes and contracts
bore forged signatures, including the forged signature
of K.I. Loy. The submission of these fraudulent notes
violated the terms of the dealership agreement and
security agreements with Deere.
F
Casetext
20f4
Deere & Co. v. Loy, 872 F. Supp. 867 (D. Kan. 1994)
C.Agency
Agency is defined under Kansas law as a contract by
which one of the parties delegates to the other the
authority to act on his or her behalf. Turner and
Boisseau v. Marshall Adjusting Corp., 775 F.Supp.
372, 377-78 (D.Kan.1991); Professional Lens Plan,
Inc. v. Polaris Leasing Corp., 238 Kan. 384, 390, 710
P.2d 1297, 1303 (1985). The party relying on the
agency to establish his claim or demand has the burden
of establishing the agency's existence by clear and
satisfactory evidence. Turner and Boisseau, 775
F.Supp. at 378; Rodgers v. Arapahoe Pipe Line Co.,
185 Kan. 424,430,345 P.2d 702,707 (1959).
"It is fundamental that absent statutory requirements,
no particular formalities are needed to establish the
principal-agent relationship." Ocrant v. Dean Witter &
Co., Inc., 502 F.2d 854, 858 (10th Cir.1974). The
agent's authority to do an act can be created by written
Casetext
30f4
Deere & Co. v. Loy, 872 F. Supp. 867 (D. Kan. 1994)
v, Kansas
City Aviation
IT IS SO ORDERED.
Casetext
40f4
Seller
-._
Buyer
.....,
.. .. '
,
'.'
No.
Dare
"
." ..
'We" and 'us' mean the Seller above, its
SALE: Vou agree to ourcnase from us, on a ~me basis, Sllblect to the tenns and croditlOns of this contract ami secunly agreement (Contract), the
Molor Vehicle (Veh;cJa)and services dosctibed below. The Vehlc!e is sold in its present cond11ion.together wirll Ihe usual accessor.eSand attachmenl$.
Description of
Motor Vehicle
Purchased
Year
--:.~.'\;'
Make
Model
':,,';,:,,".',.,:
Oescription of
Trade-In
VIN
-rr
_.J
,,~~Ht..j..';"
~t~tll"',"
_I.
-'
Other:
Lie. NoNear
New
Used
"'"
r -
_'}
SECURITY: To secure your payment and performance under the terms of this Contract, you give U3 a security interest in the Vehicte. all
accessions, attachments, accessories, and equipment placed in or on the Vehicle, together called Property, and proceeds of the Property. You also
assign to us and give us a security Interest In proceeds end premium refunds of any insurance and service contracts purchased with this Contract
PROMISE TO PAY AND PAYMENT TERMS: You promise to pay us the prinCipal amount of S .
. ..
. plus finance
charges accruing on the unpaid balance at the rate of
.
% per year from today's date until pald in lull. Finance charges accrue on
a
.;~
day basis. You agree to pay this Contract according to the payment schedule and tate charge provisions shown in
the TRUTH IN LENDING DISCLOSURES. You also agree to pay any additional amounts according to the terms and cond~ions af this Contract,
MINIMUM FINANCE CHARGE: You agree to pay a minimum finance charge of S
.~ if you pay this Contract in full
before we have earned that much In finance charges.
DOWN PAYMENT: You also agree to pay, or apply to the Cash Price, on or belore teday's date, any cash, rebate and net trade-in value described
in the tTEMIZATION OF AMOUNT FINANCED. 0 You agree to make deferred payments as pan 01 rne cash down payment ae renecteo In
your Payment Schedule.
RETURNED CHECK CHARGE: If you make any payment required by this Contract with a check or negotiabte instrumentlhat is returned
or dishonored. you agree 10 pay the actual charges for processing the check or negotiable instrument, pius a fee of
' .,
TRUTH IN LENDING DISCLOSURES
TOTAL SALE PRICE
ANNUAL
FINANCE
AMOUNTFlNANCED
ITOTALOFPAYMENTS
The amount of credit
The amount you wiUnave The total cost of your purchase on
PERCENTAGE
RATE
CHARGE
provided to you or on paid \'Alen you have made credit.indudingyoordoMl paymentof
The cost of your credit as
The dOllar amount the
your behalt.
i all schedtAedpayn-.ents. $
a yearly rate.
credit will cost you.
"',
,
:s,:.. :~)
% S
$
Vour payment schedule will be
Amount of Payments
"
Payment Schedule:
Number 01Payments
..
. ..
I
j
'-f'"
'.;".::'.. ';1
is
':'.
.'
<>:
r.-: :.:
!-';~G:::J; .;;
.-.
.,
Security: You are giving a security Interest In the Moror Vehicle purchased.
Late Charge: If all or any portion of a payment is not paid within 15 dar,s ot its due date, you will be charged a late cnarge 01 5% 01 the
payment cue, or 5% 01 the minimum payment due, or $25, whichever is ess, minimum $10. When the installment due is $25 or less, you
will be charged $5.
Prepayment:
If you payoff this Contract eariy, you 0 may 0 will not have to pay a Minimum Finance Charge.
Co~~ract Provisions:
Vou can see the teJ~;rOf this Contract \0rk~n~ additional inlormalion about nonpayment, default. any required
repa ment before the scheduled date, and pre a ment refunds and
na ties.
.
CREDIT INSURANCE:
Credrt life, credit disability (accldent and
health), and any other insurance coverage quoted below, are not
required to obtain credit and we will not provide them unless you sign
and agree to pay the additional premium. If you want such insurance,
we win obtain it for you (if you qualify lor coverage). We are quoting
below ONLY the coverages you have chosen to purchase.
Credit Life: Insured
Single DJoint
Prem.$
Credit Oisablllty: Insured
Single OJoint
Prem.S
-r-v-r-
~.,_-
'_'_' Term
Term
"_"_' __
...,.,.-:"""
__
'_,_'__
Your signature below means you want (only) the insurance coverage(s)
quoted above. If none are quoted, you have dedined any coverages we
offered.
Buyer
diM> Buyer
diM>
PROPERTY INSURANCE: You must insure the Property secur1ngthis
Contract. You understand thal you BIB free to insure your Property with
whatever ticensed company, agem. or broker you may choose: that you
ITEMIZATION
OF AMOUNT FINANCED
Vehicle Price (inel. sales tax o! $
) $ __
Service Contract, Paid to:
' S
Cash Price $
Manufacturer's Rebate S
_
Cash Dewn Payment
S
-r-r'Deferred OOY>'llPayment S
_
a. Total Cash/Rebate Down
$
b. Trade-In Allowance
$
':"\1, \.
c. less: Amount !,-v;ing S
_
Paid to:
.;,.,
d. Net Trade-In (b. minus c.)
$
o. Net CashfTradeln (a. plus d.) S
Down Payment (e.; disclose as SO if negative)
Unpaid Balance of Cash Price
~.,.....--,_
-.,---::_
--.,-
$ __
~. ,"
....,-.,-__
-,_
-,,_: ,"':-'-,
Insurance Premiums'
Amount to f'jIlance line e. (if e. is negalive)
To:
. "1. ";
S ---c=-.-:~
. ,:-:."
$ _-._'_
..._.,.,,_.
may do so at any time after Ihe date of this loan; that you have not
canceled any existing insurance on your Property ff you owned ~ before
. ,.
$~
__
..,
.--.this loan: and that tNs loan cannot be denied you simply because you did To:
To:
l,'
$
,,-:-:not purchase your insurance through us. YOU MAY NOT NEED TO
To:
.' :.
S
-,
PURCHASE PROPERTY INSURANCE, AND YOU MAY HAVE
Total Other Charges/Amounts
Pd. to Others
S
';-,-;:-.
-:OTHER INSURANCE
WHICH WE WIll
ACCEPT WHICH
COVERS THE PROPERTY
SECURING THIS LOAN. YOU
less: Prepaid Finance Charges $ ---_
,:-,
":.:::-~
.-:':.'1
Amount
Flnanced
$
_
SHOULD
EXAMINE
ANY OTHER INSURANCE
WHICH
'We may retain or receive a portion of this amount.
YOU HAVE
IN ORDER
TO DETERMINE
IF THIS
COVERAGE
IS NECESSARY.
The colilsion coverage
OSERVICE
CONTRACT:
With your purchase of the Vehicle, you
agree 10 purchase a Service Contract to cover
_
deductible may not exceed S
. ,- '.
. If you get
insurance from or through us you will pay S
.
for
-:--"'01coverage.
___________
-.,-:-=
. -Thj~r~e":'ice
Contract will be in effect for
"_"
'_.'_'_'_,_,<_. _._
This premium is calculated as follows:
OS
:J '" Deductible,CollisionCoverage
$
-'."'1,.,.."
The Annual
Percentage
Rate may be negotiable
S
.. \ Deductible, Comprehensive Cov. S
. H
with the Seller, The Seller may assign this
Fire--Theft and Combined Add'1. Coverage
S -----:,C"'7.
Contract and retain ita right to receive a part of
$
_
the Finance
Charge,
NOTICE TO THE BUYER
Liability insurance coverage for bodily InJury and
DO
NOT
SIGN
THIS
AGREEMENT
BEFORE YOU READ IT
prOf)!lrty
damage caused to others is not included
in
OR IF IT CONTAINS
ANY BLANK SPACES.
YOU ARE
thIs Contract
unless checked and Indicated.
ENTITl.ED TO AN EXACT COPY OF THE CONTRACT YOU
SINGLEINTEREST
INSURANCE:
You must purchase
singleinterest insurance as part 01 Ihis sale transaction. Vou may
purchase the coverage from a company of your choice. reasonably
OBTAff A PARTIAL REFUND OF THE FINANCE CHARGE.
acceptable to us. If you buy the coverage from or through us, you
o
o
o
~~ri~=~i
'f.t~~3~LH:~~~~
~grAt~p:6
.:_! _;__
for __
'__
ASSIG~~E~!:
to
--I, ~'.
-'r ,
~!.)
Buyer:
-;"
AGAEEJ.tENT
Signature
Signaturo
Seller: By
,"
-j'
":-t'---
-- :.:-," ..
~{.
Date
Date
(page' 012)
....""'
...
~.a::::"
.."n.Q"'n un ",.::
~_:_:_-----=..,.,.,.--
o
Premo $
Credit Disability:
Insured
o Single. 0 Joint Premo $
r-i" H
,,' h Term'
-:--:,'j
,,:
Term
-..,.~-N iH
!i, 1'\
h..f,
s.
Down
$
1';jf.M" iiM
i,l,
Paid to:
\'1, H
d. Net Trade-In (b. minus c.)
i-lf ~~
H
$
!:;,i;Ji;!1,
Your signature below means you want (only) the insurance coverage(s)
e. Net Oash/Trade-ln (a. plus d.) $
quoted above. If none are quoted, you have declined any coverages we
Down
Payment(e.; disclose as $0 if negative)
ciffered.
,Unpaid
Balance of Cash Price
Buyer
d1o/b
Bu~er
.d10~ "Paid to Public Officials _ Filing Fees
PROPERTYINSURANCE:You must Insure the Property secunng t~IS Insurance Preiniums*
Contract. You understand that you are free to Insure your Property With
.....
, whatever licensed company, agent, or broker you may choose; that you
Amount t?, F1!1ance hne e. (If e. IS negative)
may do so at a~y. time after the date of this lo~n; that 'you h.ave not
To:
',I ..;,
canceled any existinq Insurance on your Property If you owned ,It before
To"',
, i,
this loan; and that this loan cannot be denied you simply because you .did
:
i i'~
I':..;
not purchase your insurance through us. YOU MAY NOT NEED,TO
To.
'. .
PURCHASE PROPERTY INSURANCE, AND YOU MAY HAVE To:
., t,
OTHER INSURANCE WHICH WE WILL ACCEPT WHICH
Total Other Charges/Amounts
Pd. to Others
I, f;
. If you get
for
of coverage.
$
$
IV H
fJ fi
lH~,
tl",;
o SINGLE-INTEREST
INSURANCE:
ASSIGNMENT:
to
,oj.,!
for
!1'~~
i. G,)',' ,.;:~!
.fo';:; .,.This assignment is made
1 :i,,;lIi},cmi
J::\b /t~" it",
ii, I"~
iL i,
i' i" j i
$
.'
$~"11~1.
$
1;;-",
i: i:
fl'
$
$
$
i :,
I'"
"",,,'i.,
"!'
'.
.,~,,,. \.,,J
. ' t,. ;\
.~;t,,~:/b.l!;iti
s.: }:
__________
Contract will be in effect for
;,;0",
t' q ~,; ': ,.'
.. e-: ~"..,
. 1 \oJ .~ {,' t I'"
Prepaid
$
$
$
$
Finance Charges
$
AmountFinanced
$
*We may retain or receive a portion of this amount.
NJ A
o Fire-Theft
less:
;!jfb
I ;)W<i) , ~i!J
Signature
\k I/o'
r I'
.M1"
,,;"/\
'_
'~"'-ir.}
1.~.11 ~. '...' ',r
~t
1 i! 'HI \ ,;"
i 1/ t: :~;'~\;:v<e:t
Date
Signature
Date
; i !2.?I;~0l!..,r:
Seller: By
Date
;
t. ~
(page 10(2)
FOR MANUFACTURED
HOMES
. j
.
,..----.
"
~
JI
I
,I I ;'~ri
f ~ fj~~Oi
U j' 1!~li!
,1ft ! ~;II~m!l II ~~PHI; U III
I Ittf 1 ~I~~t
ti1ijl5-kfi
pi r r iI1(d
It !!it------4~:;.
III. I
"~~i$iIii
,:liJj '0 ~
It:t
II
Ie
'1
&
',-if !IJI I,
(Sf'
f,i
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(ill(
(II f""ifl~
.I!f
if II ill
If
~ n~;!f
II If ~
8
~~ II
~I
OctZZ-ZQ1Q 15:46
1-440
KANSAS GOVERNMENTAL
.
P.GQZ
H\6
ETHICS COMMISSION
ReCEIVED
OCT 25-l01O
~ame ofCandidiltc:
Address:
City
Terry Calloway ( ~
-'
. )3.
C.
Crawford
County:
District: _3_rcl
__
Amended Filing
__
---'-__
Termination Report
Summary (covering the period from July 23, 2010 thro~gh October 21, Z010)
7,964.44'
~..:
;.......~
22,640.00
30,604.44
17,100.57
13,003.87
.9n.53
5,200.00
D. "I declare that this report. including any accompanying schedules and statements. has been examined by me
.
and to .the best of my knowledge and belief is true, correct and complete. I understand that the intentional
failure to file this document or intentionally filing a false document is a class A misdemeanor,"
10/22110
.Date
?-."
~A~DL
mm
Oct-~2-2010 15:47
1453
SCBEDULEA
CONTRIBUTIONS AND OTHER RECEIPTS
Terry Calloway, State Representative
(Name cf'Candldarc)
& Industry or
lndividlllll Giving M~rf,!
Check
Occupation
Name IlCld Address
of Contributor
"Ode
9/9/10
Pam Henderson
818 E. 8th Street
Pittsburg, Kansas 66762
9/10/10
SanelY Mart
20th & 69 Bypass
Pittsburg, Kansas 66762
ThoCl 5150
C . .a.h
Crawford County
Republican Women;
Corporate Check
Chon
Am(l\llIlor
Box
Loa.
011.
.f
Phil
Minton
109 Crestwood Estates
Pittsburg. Kansas 66762
9/13110
Corporate Check
Caleb Farabi
Management!
PO Box 1924
Road Construction
Cash, Check,
toan or
Other Receipt
$400,00
.f
9/13/10
9/13110
Appropriate
,
$50.00
.f
$100.00
.f
$250.00
.f
$500.00
.f.
$500.00
Pittsburg, Kansas'66762
9113/10
Sherry Blatchley
9/15110
Corporate Check
.;
Kurtis I.oy
9/16/10
<t
"-POBox B
Lawyer
$50.00
..f
$250.00
9121/10
Betty Grisham
813 Lakeview Drive
Pittsburg, Kansas 66762
.f
$25.00
9/21/10
750 S.
Dee Hough
200th Street
Pittsburg. Kansas 66762
.;
$50.00
'PO Box 57
Arcadia, Kansas 66711
.f
$125.00
,
Su:ti.tOta.1 This ~nt!~
$2,300.00
Puge
5
of 19
---
O~t-22-2Ql0 15:47
620
1453
SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS
Terry Calloway, State Representative
(Na.me cf Candidate)
Than SISO
of Contributor
9/22110
Dean Mann
1031 205th Street
Fort seen, Kansas 66701
9/22/10
9/23/10
Charlie O'malley
3445 NE Scammon Road
Scammon, Kansas SSn3
9/23/10
PAC
Cach
Check
AmOunt or
Appropriate Bos
Cash, Check.
Check
1.0
Loan or
Othur
Other Receipt
.;
$125.00
.;
$250.00'
,f
$50.00
.;
$100.00
.;
$50.00
.;
$50.00
Corporate Check
9/24110
9/24/10
9124/10
Martin Barber
203 Crestwood Lane
Pittsburg, Kansas 66762
.f
$100.00
9127/10
.f
$100.00
9/27110
.;
$100.00
9/28/10
Joyce Draper
#2 Deer Run Lane
Pittsburg, Kansas 66762
.f
$100_00
,f
$500.00
9/29/10
Matthew Lowe
2711 South Rouse
.cr-
DDS! Dentist
$1.525_00
"
P3ge_6_of~