Preview
BER-L-005730-22 04/03/2023 9:07:16 AM Pg1lof4 Trans ID: LCV20231105391
JAVERBAUM & % WURGAFT
HICKS KAHN WIKSTROM & SININS PC
Certified Trial Attorneys
505 MORRIS AVENUE
SPRINGFIELD, NJ 07081
TEL: 973-379-4200
David L. Wikstrom, Esq. FAX: 973-379-7872
Partner www.lawjw.com
Certified Civil Trial Attorney
We Encourage email correspondence at
dwikstrom@lawjw.com
August 4, 2021
Via eCourt Filing
Bergen County Courthouse
Superior Court Law Div.
10 Main Street
Hackensack, NJ 07601
Re: Estate of Marko Guberovic by Admin Ad Pros Nina Prall
Docket No.: BER-L-005730-22
Our File No.: 21-000934
Dear Sir or Madam:
In connection with the above matter, I am enclosing herewith an original
copy of the Plaintiffs Request to Enter Default. Kindly file same, charging our
account #95807 for the appropriate filing fee, if any.
Thank you for your attention to this matter.
Very truly yours,
JAVERBAUM WURGAFT
HICKS KAHN WIKSTROM & SININS
Lo
By: vid L. Wikstrom, Esq.
DLW/ve
Enclosures
Ce: Richard M. Tango, Esq. - Via eCourt Filing.
Thomas A. Morrone, Esq. — Via eCourt Filing.
Michael D. Camarinos, Esq- Via eCourt Filing.
Christian Reyes- Via Certified-R.R.R. & Regular Mail
Ardian Hoti- Via Certified-R.R.R. & Regular Mail
Julio Pena- Via Certified-R.R.R. & Regular Mail
AllState Insurance Company- Via Certified-R.R.R. & Regular Mail
BER-L-005730-22 04/03/2023 9:07:16 AM Pg2of4 Trans ID: LCV20231105391
JAVERBAUM WURGAFT HICKS
KAHN WIKSTROM & SININS, P.C.
505 Morris Avenue, Suite 200
Springfield, NJ 07081
Telephone: (973) 379-4200
Facsimile: (973) 379-7872
Web: www.lawjw.com
Attorney: David L. Wikstrom, Esq.
Bar No. 015821994
Attorney for Plaintiff
ESTATE OF MARKO GUBEROVIC SUPERIOR COURT OF NEW JERSEY
BY HIS ADMINISTRATOR AD
PROSEQUENDUM NINA PRALL LAW DIVISION: BERGEN COUNTY
Docket No.: BER-L-005730-22
Plaintiff(s)
CIVIL ACTION
Vv.
REQUEST TO ENTER DEFAULT
BRYAN WOOD, ABC BAR 1-10
AND CERTIFICATION
(Fictitious bar and owners of bar
where Bryan Wood was overserved),
JOE BARKEEP 1-10 (Fictitious
server of alcohol), SATIN DOLLS,
XYZ BAR OWNERS 1-5 (Fictitious
Entity owning Satin Dolls); JANE
BARTENDER 1-10 (Fictitious server
of alcohol at Satin Dolls); FERO
HOTI, ARDIAN HOTI, JULIO PENA,
KEVIN AGUEDELO & CHRISTIAN
REYES (I will get their addresses);
ALLSTATE INSURANCE COMPANY
(UM and/or UIM
Coverage /Purposes), ABC Insurance
Company 1-10 (Names being
fictitious companies)
Defendant(s)
To the Clerk of the above-named Court:
Bergen County Courthouse
Superior Court Law Div.
10 Main Street
Hackensack, NJ 07601
Please enter upon the Docket the default of the Defendant(s), Christian
Reyes, Ardian Hoti, Julio Pena and AllState Insurance Company, in the
BER-L-005730-22 04/03/2023 9:07:16 AM Pg3o0f4 Trans ID: LCV20231105391
above-entitled action for failure to plead or otherwise defend as provided by the
rules of civil practice or by an order of this Court, or because the answer(s) of
Defendant(s) has been stricken.
JAVERBAUM WURGAFT
HICKS KAHN WIKSTROM & SININS
Dated: March 31, 2023
CERTIFICATION
1 I, David L. Wikstrom, Esq., am a Partner of the firm of Javerbaum
Wurgaft Hicks Kahn Wikstrom & Sinins, P.C., attorneys for the Plaintiff(s) in the
above-entitled action.
2 The Summons and a copy of the Complaint in this action was served
upon the Defendant(s), Christian Reyes on December 7, 2022, via Status, L.L.C.
process server. See copies attached hereto as Exhibit A.
3 The Summons and a copy of the Complaint in this action was served
upon the Defendant(s), Ardian Hoti on December 7, 2022, via Status, L.L.C.
process server. See copies attached hereto as Exhibit B.
4 The Summons and a copy of the Complaint in this action was served
upon the Defendant(s), Julio Pena on December 7, 2022, via Status, L.L.C.
process server. See copies attached hereto as Exhibit C.
5 The Summons and a copy of the Complaint in this action was served
upon the Defendant(s), AllState Insurance Company on November 28, 2022, via
Status, L.L.C. process server. See copies attached hereto as Exhibit D.
BER-L-005730-22 04/03/2023 9:07:16AM Pg4of4 Trans ID: LCV20231105391
6 The time within which Defendant(s) may answer or otherwise move
as to the said Complaint has expired, has not been extended or enlarged, is less
than six months from today, and no Defendant named herein has answered or
otherwise moved.
7 A copy of this Request to Enter Default has been sent to
Defendant(s), Christian Reyes, Ardian Hoti, Julio Pena and AllState
Insurance Company via Regular and Certified Return Receipt Requested Mail
at the addresses of service.
I certify that the foregoing statements made by me are true. I am aware
that if any of the foregoing statements made by me are willfully false, I am subject
to punishment.
JAVERBAUM WURGAFT
HICKS KAHN WIKSTROM & SININS
Dated: March 31, 2023
BXHIBIT A
BER-L-005730-22 04/03/2023 9:07:16AM Pg2of2 Trans ID: LCV20231105391
BER-L-005730-22 12/19/2022 3:53:03 PM_Pg 1 of 1 Trans ID: LCV20224275587_
BY —Pizintiif Se ee ee
ESTATE OF MARKO GUBEROVIC
NINA PRALL
Dedeet
un BER-L-005730-22
Number:
BRYAN WOOD, etal Defendant
AFFIDAVIT OF SERVICE
Berson to be gorwed (Name & Adéwoa}:
ugg 0
(For Use by Private Service)
12 E WINANT AVENUE ~
APT.1
RIDGEFIELD PARK, NJ 07660
David L. Wikstrom, Esq.
Cost of Service pursuant to R. 4:4-3(c)
8.
Papers Served: ‘Summons, Complaint, Demand For Trial By Jury, Notice Of Trial Counsel, Certification As To Redaction of
Required Personal identifiers,Demand for Fs to Uniform and
Permitted Pursuant To Rule 4:17-1(b}(|), Certification, Track Assigntvant Notice avd Lawyers Retarral Uist
Service Data:
Served Successtuly_X NetServed____ Date: 12/7/2022 ss Tima:2:1Spm
_ Atempts:___
_—____._ Delivered a copy to him / her personally Name of Person Served and relationship
/ titte:
—X___ Leftacopy witha
‘over 14 years of age residing
ATH ER
—_— Left a copy with a person authorized to
‘eccept eg. sgent,
registered
Description
of Person Accepting Service:
SexM__ Age:48__ Height. 87° _ Ten lor
Weight189_ SkinCo Heir Color: Slack
‘Comments
er Remarks:
‘Server Data:
‘To Be Used Where Electronic Signature Not Availablo HalloSign Approved E-Signature
‘Served Data: Subscribed and to before moon
eee 1, Morayma Zonrilla, was at the time of service a
competent sduit net having a direct Interest in the
fitigation. | declare under penelty of perjury that the
foregoing 12/09/2022
NOTARYPUSLIGO
Tignature of Process Garver Bate
STATUS, LLC.
PO Box 370
(808) 688-14"
Doc ID: Sfda088d885207287edetdO3daSScaSasioS4bit
Ls
dq LIGIHXa
BXHIBIT B
BER-L-005730-22 04/03/2023 9:07:16 AM Pg 2of2 Trans ID: LCV20231105391
BER-L-005730-22 12/19/2022 3:53:03 PM Pg 1 of 4 Trans 1D: LCV20224275587
—Piaintiff Superior Court of New Jersey
ESTATE OF MARKO GUBEROVICBY
HIS ADMINISTRA’ AD.
PRALL Donen cena
Docket Number: BER-L-005730-22
BRYAN WOOD, et el. Defendant
AFFIDAVIT OF SERVICE
Lee enn
Hen
(For Use by Private Service)
S00 HOI
PARK, NJ 07680-1722
RIDGEFIELD PARIC
David L. Wiketrom,
Esq.
Cost of Service pursuant to R. 4:4-3{c)
%,
Papers Served: Summano, Complaint, Demand For Til By tu, Notice OF Tia! Counsol, Catfcaion As To Radactin of
Rent en
jatories PermittedA an Ta Rae eile ae Centfeaton G Tack Asatgnetont Notice aed Lawyers Referral List
Service Data:
Served Successfully_X _ Not Served. Date:12/7/2022_ Time:_1:42.pm_ Attempts:__
—__X___ Delivered a copy to him / her personally Name of Person Served and relationship
/ tite:
—_— Left a copy witha
Ba cotati
—__ Ueh.a copy tis a pareon avthorteed
soceptservice, 0 managing agent,
registered ag!
Deseription
of Person Accepting Service:
__
Light Tan r:
Sex.M__ Ags: 25__ Height 6'8*_ Weight 140_ SkinColo Dark Brown _
Hair Color,
Comments
or Remarks:
Server Data:
To Be Used Where Electronic Not Available HelloSign Approved E-Signature
‘Sesved Data: Subscribed
and Swom to before me cn
by the affiant who fs personally’ |, Morayma Zorrilla, was at the time of sarvice a
me. adult not having a direct interest in the
litigation. | declare under penalty of perjury that the
NOTARY PUBLIC 12/09
/ 2022
‘Signature
of Process Server Data
STaaa Lic.
Baye a ae
(808) 688-14:
uj Soil Number: STS-2022043623
6b76
1108285! 1bS37ba014
Doo 1D: d70331fd3778210127
(a
BRXHIBIT C
BER-L-005730-22 04/03/2023 9:07:16 AM Pg2of2 Trans ID: LCV20231105391
BER-L-005730-22 12/19/2022 3:53:03 PM_Pg 1 of1 Trans ID: LCV20224275587
ESTATE OF MANO SUBEROVIC BY Pratntiff ‘Supertor
Court of New Jersey
PROSERUENDUMA NINA
(A PRALL
Docket Number, BER-L-005730-22
BRYAN WOOD, etal Defendant
AFFIDAVIT OF SERVICE
Person to be served (Name & Address):
ug
Jul (For Use by Private Service)
RIDGEFIELD
PARK, NJ 07660
DavidL. Wikstrom, Esq.
Cost of Service pursuant to R. 4:4-3(c)
$.
Papers Served: Summons, Compint, Demand Far Tal By uy, Notice Of Teal Counsel, Cariicain As To Redan of
Required Personal Identifiers, Cemand. to Uniform
Pennitted SE oor A a etoation, Ce Trark Assignieant Notoe and Lawyers Refer List
Service Data:
‘Served Successtully_X_ Not Servad, Date: 12/7/7022 = Time: 139m Attempts;__
xX Detivered a copy to him / her personally Name of Person Served and relationship
/ tite:
—_— Left a copy witha
oe eae
Left a copy with a person authorized to
service,e.g. managing egent,
Description
of Persen Accepting Service:
SexM Age: 24_ Height 57" Welght145_ Skin Color: DarkTan___ ‘Hair Color, Black __
Comments
er Remarks:
‘Server Data:
oe eae Not Availabta HeltoSign Approved &-Signature
to before me on
oa i the altant who fa personaly known to |, Morayma Zanilla, wes at the time of service a
competent adult not having a direct Interest in the
{itigation. | declare under penatty of perjury that the
NOTARY PUBLIC 12109
/ 2022
Signature
of Process Server Bate
STATUS, LLC.
PO Box 370
lle, NJ 08721
Our Job Serial Number: STS-2022043824
Doc 1D: c2e3 20 1062
BXHIBIT D
BER-L-005730-22 04/03/2023 9:07:16 AM Pg2of2 Trans ID: LCV20231105391
BER-L-005730-22 01/03/2023 11:52:58 AM Pg1of1 Trans ID: LCV202311627
ESTATE OF MARKO GUBEROVICBY —Pieintiff ‘Supertor
Court of New Jersey
HIS ADMINISTRATOR AD.
PROSEQUENDUM NINA PRALL
Docket Number BER-L-006780-22
BRYAN WOOD, et al. Defendant
AFFIDAVIT OF SERVICE
Person to be served (Name & Address):
ALLSTATE INSURANCE (For Use by Private Service)
TION TRUST COMPANY, RA
BEAR TAVERN ROAD
AOA
avid L. Wikstrom,
Esq.
Cost of Service pursuant to R. 4:4-3(c)
8
Papers Served: Summons, Complaint, Demand For Teal By Jury, Notice Of Til Counsel,sean Ae eee
ee to Uniform and Sy;
Permitted Pursuant To Rute 4:17-1(b}{|), Certification, CIS, ‘Tack Assignont Notice and oan Referral List
Service Data:
Served Successfully_X NotSeved_____ Date:11/28/2022_ ss Tima:_10:57em_ Attempts:__
Cefivered a copy to him / her personally ‘Name of Person Served and relationship
/ titfe:
—_— Left a copy witha househotd
momber over 14 years of ago rsiting
enti naging A nt ALR
x Left a copy with a person authorized
to
249, managing agent,
registered
Description
of Person Accepting Service:
SexE__ Age,22__ Height. S7"_ Weight170_ Skin Coter: Brown ___ Hair Color, Black
‘Comments
or Remarks:
‘Serer Data:
TOO ee an ‘Signature
Not Available HelloSign Approved E-Signature
and Swom to before meon
pate 22 by ihe affant who ls paraonally known tO Le
, ee ee ae nee ea
‘adult not ‘a direct Interest In the
ttgetion. { declare under penalty of perjury that the
foregoing
is tye ah
NOTARY PUBLIC 12/21/2022
Signature
of Process Server Date
STATUS, LLC.
(808) 688-1414
‘STS-2022043629
Doc ID: 84afféb16457e85fe708e2d4ea808803
12062029
Preview
BER-L-005730-22 04/03/2023 9:07:16 AM Pg1lof4 Trans ID: LCV20231105391 JAVERBAUM & % WURGAFT HICKS KAHN WIKSTROM & SININS PC Certified Trial Attorneys 505 MORRIS AVENUE SPRINGFIELD, NJ 07081 TEL: 973-379-4200 David L. Wikstrom, Esq. FAX: 973-379-7872 Partner www.lawjw.com Certified Civil Trial Attorney We Encourage email correspondence at dwikstrom@lawjw.com August 4, 2021 Via eCourt Filing Bergen County Courthouse Superior Court Law Div. 10 Main Street Hackensack, NJ 07601 Re: Estate of Marko Guberovic by Admin Ad Pros Nina Prall Docket No.: BER-L-005730-22 Our File No.: 21-000934 Dear Sir or Madam: In connection with the above matter, I am enclosing herewith an original copy of the Plaintiffs Request to Enter Default. Kindly file same, charging our account #95807 for the appropriate filing fee, if any. Thank you for your attention to this matter. Very truly yours, JAVERBAUM WURGAFT HICKS KAHN WIKSTROM & SININS Lo By: vid L. Wikstrom, Esq. DLW/ve Enclosures Ce: Richard M. Tango, Esq. - Via eCourt Filing. Thomas A. Morrone, Esq. — Via eCourt Filing. Michael D. Camarinos, Esq- Via eCourt Filing. Christian Reyes- Via Certified-R.R.R. & Regular Mail Ardian Hoti- Via Certified-R.R.R. & Regular Mail Julio Pena- Via Certified-R.R.R. & Regular Mail AllState Insurance Company- Via Certified-R.R.R. & Regular Mail BER-L-005730-22 04/03/2023 9:07:16 AM Pg2of4 Trans ID: LCV20231105391 JAVERBAUM WURGAFT HICKS KAHN WIKSTROM & SININS, P.C. 505 Morris Avenue, Suite 200 Springfield, NJ 07081 Telephone: (973) 379-4200 Facsimile: (973) 379-7872 Web: www.lawjw.com Attorney: David L. Wikstrom, Esq. Bar No. 015821994 Attorney for Plaintiff ESTATE OF MARKO GUBEROVIC SUPERIOR COURT OF NEW JERSEY BY HIS ADMINISTRATOR AD PROSEQUENDUM NINA PRALL LAW DIVISION: BERGEN COUNTY Docket No.: BER-L-005730-22 Plaintiff(s) CIVIL ACTION Vv. REQUEST TO ENTER DEFAULT BRYAN WOOD, ABC BAR 1-10 AND CERTIFICATION (Fictitious bar and owners of bar where Bryan Wood was overserved), JOE BARKEEP 1-10 (Fictitious server of alcohol), SATIN DOLLS, XYZ BAR OWNERS 1-5 (Fictitious Entity owning Satin Dolls); JANE BARTENDER 1-10 (Fictitious server of alcohol at Satin Dolls); FERO HOTI, ARDIAN HOTI, JULIO PENA, KEVIN AGUEDELO & CHRISTIAN REYES (I will get their addresses); ALLSTATE INSURANCE COMPANY (UM and/or UIM Coverage /Purposes), ABC Insurance Company 1-10 (Names being fictitious companies) Defendant(s) To the Clerk of the above-named Court: Bergen County Courthouse Superior Court Law Div. 10 Main Street Hackensack, NJ 07601 Please enter upon the Docket the default of the Defendant(s), Christian Reyes, Ardian Hoti, Julio Pena and AllState Insurance Company, in the BER-L-005730-22 04/03/2023 9:07:16 AM Pg3o0f4 Trans ID: LCV20231105391 above-entitled action for failure to plead or otherwise defend as provided by the rules of civil practice or by an order of this Court, or because the answer(s) of Defendant(s) has been stricken. JAVERBAUM WURGAFT HICKS KAHN WIKSTROM & SININS Dated: March 31, 2023 CERTIFICATION 1 I, David L. Wikstrom, Esq., am a Partner of the firm of Javerbaum Wurgaft Hicks Kahn Wikstrom & Sinins, P.C., attorneys for the Plaintiff(s) in the above-entitled action. 2 The Summons and a copy of the Complaint in this action was served upon the Defendant(s), Christian Reyes on December 7, 2022, via Status, L.L.C. process server. See copies attached hereto as Exhibit A. 3 The Summons and a copy of the Complaint in this action was served upon the Defendant(s), Ardian Hoti on December 7, 2022, via Status, L.L.C. process server. See copies attached hereto as Exhibit B. 4 The Summons and a copy of the Complaint in this action was served upon the Defendant(s), Julio Pena on December 7, 2022, via Status, L.L.C. process server. See copies attached hereto as Exhibit C. 5 The Summons and a copy of the Complaint in this action was served upon the Defendant(s), AllState Insurance Company on November 28, 2022, via Status, L.L.C. process server. See copies attached hereto as Exhibit D. BER-L-005730-22 04/03/2023 9:07:16AM Pg4of4 Trans ID: LCV20231105391 6 The time within which Defendant(s) may answer or otherwise move as to the said Complaint has expired, has not been extended or enlarged, is less than six months from today, and no Defendant named herein has answered or otherwise moved. 7 A copy of this Request to Enter Default has been sent to Defendant(s), Christian Reyes, Ardian Hoti, Julio Pena and AllState Insurance Company via Regular and Certified Return Receipt Requested Mail at the addresses of service. I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. JAVERBAUM WURGAFT HICKS KAHN WIKSTROM & SININS Dated: March 31, 2023 BXHIBIT A BER-L-005730-22 04/03/2023 9:07:16AM Pg2of2 Trans ID: LCV20231105391 BER-L-005730-22 12/19/2022 3:53:03 PM_Pg 1 of 1 Trans ID: LCV20224275587_ BY —Pizintiif Se ee ee ESTATE OF MARKO GUBEROVIC NINA PRALL Dedeet un BER-L-005730-22 Number: BRYAN WOOD, etal Defendant AFFIDAVIT OF SERVICE Berson to be gorwed (Name & Adéwoa}: ugg 0 (For Use by Private Service) 12 E WINANT AVENUE ~ APT.1 RIDGEFIELD PARK, NJ 07660 David L. Wikstrom, Esq. Cost of Service pursuant to R. 4:4-3(c) 8. Papers Served: ‘Summons, Complaint, Demand For Trial By Jury, Notice Of Trial Counsel, Certification As To Redaction of Required Personal identifiers,Demand for Fs to Uniform and Permitted Pursuant To Rule 4:17-1(b}(|), Certification, Track Assigntvant Notice avd Lawyers Retarral Uist Service Data: Served Successtuly_X NetServed____ Date: 12/7/2022 ss Tima:2:1Spm _ Atempts:___ _—____._ Delivered a copy to him / her personally Name of Person Served and relationship / titte: —X___ Leftacopy witha ‘over 14 years of age residing ATH ER —_— Left a copy with a person authorized to ‘eccept eg. sgent, registered Description of Person Accepting Service: SexM__ Age:48__ Height. 87° _ Ten lor Weight189_ SkinCo Heir Color: Slack ‘Comments er Remarks: ‘Server Data: ‘To Be Used Where Electronic Signature Not Availablo HalloSign Approved E-Signature ‘Served Data: Subscribed and to before moon eee 1, Morayma Zonrilla, was at the time of service a competent sduit net having a direct Interest in the fitigation. | declare under penelty of perjury that the foregoing 12/09/2022 NOTARYPUSLIGO Tignature of Process Garver Bate STATUS, LLC. PO Box 370 (808) 688-14" Doc ID: Sfda088d885207287edetdO3daSScaSasioS4bit Ls dq LIGIHXa BXHIBIT B BER-L-005730-22 04/03/2023 9:07:16 AM Pg 2of2 Trans ID: LCV20231105391 BER-L-005730-22 12/19/2022 3:53:03 PM Pg 1 of 4 Trans 1D: LCV20224275587 —Piaintiff Superior Court of New Jersey ESTATE OF MARKO GUBEROVICBY HIS ADMINISTRA’ AD. PRALL Donen cena Docket Number: BER-L-005730-22 BRYAN WOOD, et el. Defendant AFFIDAVIT OF SERVICE Lee enn Hen (For Use by Private Service) S00 HOI PARK, NJ 07680-1722 RIDGEFIELD PARIC David L. Wiketrom, Esq. Cost of Service pursuant to R. 4:4-3{c) %, Papers Served: Summano, Complaint, Demand For Til By tu, Notice OF Tia! Counsol, Catfcaion As To Radactin of Rent en jatories PermittedA an Ta Rae eile ae Centfeaton G Tack Asatgnetont Notice aed Lawyers Referral List Service Data: Served Successfully_X _ Not Served. Date:12/7/2022_ Time:_1:42.pm_ Attempts:__ —__X___ Delivered a copy to him / her personally Name of Person Served and relationship / tite: —_— Left a copy witha Ba cotati —__ Ueh.a copy tis a pareon avthorteed soceptservice, 0 managing agent, registered ag! Deseription of Person Accepting Service: __ Light Tan r: Sex.M__ Ags: 25__ Height 6'8*_ Weight 140_ SkinColo Dark Brown _ Hair Color, Comments or Remarks: Server Data: To Be Used Where Electronic Not Available HelloSign Approved E-Signature ‘Sesved Data: Subscribed and Swom to before me cn by the affiant who fs personally’ |, Morayma Zorrilla, was at the time of sarvice a me. adult not having a direct interest in the litigation. | declare under penalty of perjury that the NOTARY PUBLIC 12/09 / 2022 ‘Signature of Process Server Data STaaa Lic. Baye a ae (808) 688-14: uj Soil Number: STS-2022043623 6b76 1108285! 1bS37ba014 Doo 1D: d70331fd3778210127 (a BRXHIBIT C BER-L-005730-22 04/03/2023 9:07:16 AM Pg2of2 Trans ID: LCV20231105391 BER-L-005730-22 12/19/2022 3:53:03 PM_Pg 1 of1 Trans ID: LCV20224275587 ESTATE OF MANO SUBEROVIC BY Pratntiff ‘Supertor Court of New Jersey PROSERUENDUMA NINA (A PRALL Docket Number, BER-L-005730-22 BRYAN WOOD, etal Defendant AFFIDAVIT OF SERVICE Person to be served (Name & Address): ug Jul (For Use by Private Service) RIDGEFIELD PARK, NJ 07660 DavidL. Wikstrom, Esq. Cost of Service pursuant to R. 4:4-3(c) $. Papers Served: Summons, Compint, Demand Far Tal By uy, Notice Of Teal Counsel, Cariicain As To Redan of Required Personal Identifiers, Cemand. to Uniform Pennitted SE oor A a etoation, Ce Trark Assignieant Notoe and Lawyers Refer List Service Data: ‘Served Successtully_X_ Not Servad, Date: 12/7/7022 = Time: 139m Attempts;__ xX Detivered a copy to him / her personally Name of Person Served and relationship / tite: —_— Left a copy witha oe eae Left a copy with a person authorized to service,e.g. managing egent, Description of Persen Accepting Service: SexM Age: 24_ Height 57" Welght145_ Skin Color: DarkTan___ ‘Hair Color, Black __ Comments er Remarks: ‘Server Data: oe eae Not Availabta HeltoSign Approved &-Signature to before me on oa i the altant who fa personaly known to |, Morayma Zanilla, wes at the time of service a competent adult not having a direct Interest in the {itigation. | declare under penatty of perjury that the NOTARY PUBLIC 12109 / 2022 Signature of Process Server Bate STATUS, LLC. PO Box 370 lle, NJ 08721 Our Job Serial Number: STS-2022043824 Doc 1D: c2e3 20 1062 BXHIBIT D BER-L-005730-22 04/03/2023 9:07:16 AM Pg2of2 Trans ID: LCV20231105391 BER-L-005730-22 01/03/2023 11:52:58 AM Pg1of1 Trans ID: LCV202311627 ESTATE OF MARKO GUBEROVICBY —Pieintiff ‘Supertor Court of New Jersey HIS ADMINISTRATOR AD. PROSEQUENDUM NINA PRALL Docket Number BER-L-006780-22 BRYAN WOOD, et al. Defendant AFFIDAVIT OF SERVICE Person to be served (Name & Address): ALLSTATE INSURANCE (For Use by Private Service) TION TRUST COMPANY, RA BEAR TAVERN ROAD AOA avid L. Wikstrom, Esq. Cost of Service pursuant to R. 4:4-3(c) 8 Papers Served: Summons, Complaint, Demand For Teal By Jury, Notice Of Til Counsel,sean Ae eee ee to Uniform and Sy; Permitted Pursuant To Rute 4:17-1(b}{|), Certification, CIS, ‘Tack Assignont Notice and oan Referral List Service Data: Served Successfully_X NotSeved_____ Date:11/28/2022_ ss Tima:_10:57em_ Attempts:__ Cefivered a copy to him / her personally ‘Name of Person Served and relationship / titfe: —_— Left a copy witha househotd momber over 14 years of ago rsiting enti naging A nt ALR x Left a copy with a person authorized to 249, managing agent, registered Description of Person Accepting Service: SexE__ Age,22__ Height. S7"_ Weight170_ Skin Coter: Brown ___ Hair Color, Black ‘Comments or Remarks: ‘Serer Data: TOO ee an ‘Signature Not Available HelloSign Approved E-Signature and Swom to before meon pate 22 by ihe affant who ls paraonally known tO Le , ee ee ae nee ea ‘adult not ‘a direct Interest In the ttgetion. { declare under penalty of perjury that the foregoing is tye ah NOTARY PUBLIC 12/21/2022 Signature of Process Server Date STATUS, LLC. (808) 688-1414 ‘STS-2022043629 Doc ID: 84afféb16457e85fe708e2d4ea808803 12062029