Preview
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: 47E9590F-1C0C-4CEC-A032-3333CD161844
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Account ID: 2119480
PURCHASE CONTRACT
(NEW YORK)
This is a Purchase Contract (“Contract”) for the sale of structured settlement payments between
Christin Ewing (You, Your), and Stone Street Originations, LLC (We, Us, Our) 1200 Morris Drive, , Chesterbrook, PA 19087.
GENERAL INFORMATION
A. In connection with the resolution of a personal injury claim, You or someone acting for You, signed a Settlement
Agreement that entitles You to receive certain future payments (“Settlement Payments”), according to a set schedule.
B. Those Settlement Payments are being paid to You from an annuity policy (“Annuity Policy”) purchased by the Person
responsible for making the Settlement Payments to You (“Obligor”).
C. Rather than wait for the Settlement Payments to be made to You in the future, You want to sell all or some of those
Settlement Payments (“Purchased Payments”) to Us now for a lump sum.
D. For additional definitions, see Section 3 of this Contract.
You and We agree as follows:
1. SALE OF THE PURCHASED PAYMENTS
A. Upon the signing of this Contract and subject to certain conditions including Court Approval, You sell, transfer and
assign to Us the right to receive the Purchased Payments specifically identified in the Disclosure Statement.
B. We will pay You the Net Purchase Price as agreed to in the Contract Documents, subject to certain conditions,
including meeting Our underwriting requirements, Court Approval and satisfactory completion of the Closing
Documents. We will do this in exchange for You:
selling the Purchased Payments to Us;
changing the beneficiary of the Annuity Policy to Your estate and not changing it again until We have been
paid all of the Purchased Payments;
having any current beneficiaries waive their rights to the Purchased Payments; and
fulfilling Your promises under this Contract.
C. If We are buying only a portion of Your payments, this will have no effect upon Your rights in the unsold portion. You
will continue to receive the unsold portion unless You have already sold or encumbered that portion. However,
sometimes the Issuer, the Obligor or the court may require Us to receive the entire amount of Your payment. If so,
We will then forward the portion of the payment still due to You and You hereby agree to this payment servicing
arrangement.
PURCHASE CONTRACT FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: 47E9590F-1C0C-4CEC-A032-3333CD161844
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Account ID: 2119480
2. PURCHASE PRICE
A. The Gross and Net Purchase Prices are shown on the Disclosure Statement and are fair and acceptable to You and Us.
B. We will pay You the Net Purchase Price in the manner You designate for Us.
C. Before we pay You, You agree that We will adjust for the following amounts, if applicable:
Purchased Payments Owed to Us – The Issuer may have already paid You some of the
Purchased Payments before We have paid You for them. If that happens, We will deduct the
amount of those Purchased Payments.
Holdbacks – Due to possible delays in the Issuer beginning to make the Purchased Payments to
Us instead of You, We will hold back an amount equal to any Purchased Payments that the
Issuer owes Us post Court Approval, that are due within 90 days of the Funding Date. If We
subsequently receive those particular Purchased Payments directly, We will return the amount
of any related holdback to You.
Payment of Debts Owed – If You owe any past due child support, bankruptcy payoffs or taxes,
or have any judgments or liens against You or Your assets, We may pay those amounts and
deduct them from the amount We pay You, and You hereby provide Us with specific authority to
take such action. We will provide You with notice of the amounts that We are going to pay,
prior to actual payment.
D. If any Purchased Payments are mistakenly sent to You after We have paid You for them, You will immediately contact
Us. If We then determine that any deductions or holdbacks as set forth above are not enough to reimburse Us, We
will advise You of the amount You owe Us. You agree to immediately send that amount to Us by bank or certified
check.
3. DEFINED WORDS
Certain words used in this Contract have the specific meanings shown below.
Affiliate
An entity controlled by, controlling, or under common control with, another entity.
Annuity Policy
The policy purchased by the Obligor to ensure that the Settlement Payments are made to You as required by the
Settlement Agreement.
Closing Documents
Any documents necessary to carry out the purchase of the Purchased Payments, other than the “Contract or Contract
Documents” as defined below.
Contract or Contract Documents
Collectively, only this Contract and the Disclosure Statement.
Contract Date
PURCHASE CONTRACT FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: 47E9590F-1C0C-4CEC-A032-3333CD161844
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Account ID: 2119480
The date Your signature at the end of this Contract is notarized. However, if You happen to sign this Contract before the
number of days stated at the end of Your Disclosure Statement for waiting has passed, You will have no obligation under
Your Contract until that time has passed.
Court Order
A legally binding ruling issued by a judge or properly empowered administrative officer, approving the sale of the
Purchased Payments to Us (“Court Approval”).
Disclosure Statement
The document which identifies for You, the Purchased Payments, expenses, Purchase Price and various other disclosures.
Encumbrance
Any claim, right, lien, policy loan, or restriction. In addition, this includes any limits on rights of ownership (such as the
use, voting, transfer, receipt of income, etc.).
Funding Date
The date We pay You the Net Purchase Price.
Issuer
The insurance company that issued the Annuity Policy.
Obligor
The Person who is obligated to make payments to You under the Settlement Agreement.
Party
One of You or Us. Parties means both You and Us.
Person
Any natural person or legal entity.
Purchased Payments
Only those certain payments that We are purchasing from You under this Contract.
Purchase Price:
Gross Purchase Price
The amount shown as the “gross amount payable to the seller (You)” on the Disclosure Statement. This is the
sum We have agreed to pay You before any deductions as setforth in the Contract Documents.
Net Purchase Price
The amount shown as the “net amount payable to the seller (You)” on the Disclosure Statement. This is the sum
We have agreed to pay You after any deductions as set forth in the Contract Documents.
Settlement Agreement
The agreement that You and the Obligor signed to resolve Your personal injury claim.
Settlement Payments
All of the payments that the Obligor has agreed to make to You in the Settlement Agreement.
We, Our, or Us
PURCHASE CONTRACT FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: 47E9590F-1C0C-4CEC-A032-3333CD161844
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Account ID: 2119480
Stone Street Originations, LLC, along with any of its successors, assigns, and designees. Some of the Contract Documents
or Closing Documents may refer to Us as the purchaser.
You or Your
The Person named on this Contract’s first page. Some of the Contract Documents or Closing Documents may refer to You
as the seller.
4. YOUR REPRESENTATIONS AND WARRANTIES
You represent and warrant to Us the following:
A. You understand that THIS IS A SALE AND NOT A LOAN.
B. The Annuity Policy is in full force, You are the sole and undisputed recipient of the right to the Purchased Payments
have the right to sell them free and clear of any Encumbrances and have not previously sold any of the Purchased
Payments to any other Person.
C. You understand that Court Approval is required for this purchase; and You agree to fully cooperate with Us to obtain
that approval.
D. You gave Us all requested information and signed all documents necessary to complete the purchase. Every
statement made by You in the Contract Documents and Closing Documents is true and complete.
E. No law, divorce decree or other legal obstacle:
requires You to keep the Purchased Payments for the benefit of a current or former spouse, dependent
children, or other person; or
legally prevents You from contracting with Us, selling the Purchased Payments or changing the Annuity
Policy’s beneficiary.
F. Either:
You have never filed for bankruptcy, will not do so before the Funding Date and there are no lawsuits or
efforts by any of Your creditors to put You into bankruptcy or take any of the Purchased Payments; or
If You filed for bankruptcy, the Purchased Payments were not subject to the claims of Your creditors. You will
give Us a copy of any of Your bankruptcy documents that We request including evidence of a final
bankruptcy payoff or case closing, if any.
G. We can rely on Your representations, warranties, and promises in this Contract. These representations, warranties,
and promises are for Our benefit and the benefit of any future owners of the Purchased Payments. You understand
that Our reliance on any intentional misrepresentation by You may result in Our enforcing Our rights against You in
court.
PURCHASE CONTRACT FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: 47E9590F-1C0C-4CEC-A032-3333CD161844
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Account ID: 2119480
H. You had enough time to consider the sale of the Purchased Payments, understand the terms of the Contract
Documents and Closing Documents, are of legal contracting age and sound mind, not under the influence of drugs or
alcohol, and freely and voluntarily, enter into this Contract and agree to all of its terms.
I. You were advised by Us to obtain independent legal advice and professional tax advice about the sale of the
Purchased Payments and to have those advisors review the terms and legal, tax and other effects of this Contract with
You prior to Your execution of this Contract. You have also explored all appropriate financial options before entering
into this transaction.
J. We did not provide tax, financial, or legal advice to You about this Contract and have advised You that We may not
refer You to any specific attorney for such purpose.
K. If You are married, Your spouse understands all of the terms and conditions of this Contract including, but not limited
to the fact that, after the Funding Date, You (and Your spouse) will not receive the same amount of money on the
same payment schedule as You would have received under the Annuity Policy. Your spouse has been provided with all
information relating to the transaction and has had every opportunity to review the terms of the transaction and to
seek any advice relating thereto. Your Spouse also understands that he or she will be giving up any property or
contract rights that he or she may have in the Purchased Payments.
L. We may sell, transfer, or assign Our right to the Purchased Payments in a sale, securitization, or other financing
transaction (resale). Any resale would involve disclosing certain information about You (including Your personal
information) to the parties to a resale.
M. Any future owner of the right to the Purchased Payments will have all of the same rights We have, including the right
to the duties You owe Us under this Contract. This includes the right to make a claim against You for violating any of
the representations, warranties, or promises You made in this Contract.
5. YOUR PROMISES TO US
Before and after the Funding Date:
A. You will tell us right away if Your address or telephone number changes and do everything necessary, including
completing and signing all documents to:
sell the right to the Purchased Payments to Us;
change the beneficiary as required by this Contract;
correct any documentation errors in the Contract Documents or Closing Documents.
B. You will also tell Us if any of the following occurs:
a violation of this Contract; or
anything that could negatively affect the Annuity Policy, the Purchased Payments, or this Contract.
C. You will not:
agree to sell the Purchased Payments to any Person other than Us;
PURCHASE CONTRACT FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: 47E9590F-1C0C-4CEC-A032-3333CD161844
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Account ID: 2119480
change the Annuity Policy’s beneficiary to any Person other than Your estate until We have collected all of
the Purchased Payments; or
withdraw cash from, borrow against, or change the Annuity Policy.
D. You will give Us information necessary to update Your representations, warranties, and promises in this Contract. You
will also update any documents and information so they will be true and complete on the Funding Date.
E. We are now, and will continue in the future, to rely on the representations and warranties You have given Us. We will
confirm the accuracy of Your representations and warranties. You must cooperate with this confirmation and provide
complete access to any information We believe necessary.
F. You agree that updating representations, warranties, promises, documents and other information will not cure a
breach of any representation or warranty made by You that was not true and complete.
G. You agree that Our obligation to You under this Contract is strictly limited to the requirement to pay You what We owe
You under the terms of this Contract, after receipt and approval of the Closing Documents, final underwriting approval
and Court Approval. Under no circumstances will We be liable for any consequential damages.
H. You hereby appoint Us and any of Our designees, with full power of substitution as your Attorney in Fact, to act in
Your name and place for the purpose of assigning and transferring ownership of any and all right, title and interest
that You have in the Purchased Payments and for Us to obtain all benefits contemplated by this transaction. You also
give Us full authority to act in any way proper and necessary to exercise this Attorney in Fact appointment including,
but not limited to: (1) negotiating, endorsing and executing checks, drafts and other instruments in Your name; and
(2) instituting, maintaining, compromising, settling and terminating any litigation or other proceedings related to the
Purchased Payments. This power of attorney is coupled with an interest and shall survive death or disability.
6. CANCELLATION BY US
We may cancel this Contract before the Funding Date if:
A. You breach any representation, warranty, or promise in any Contract Documents or Closing Documents.
B. The petition for the Court Order is contested, opposed, or not approved.
C. We are sued or threatened with a lawsuit about this Contract or the Annuity Policy.
D. There is any threatened, pending, or final action, or change in law or rule challenging the legality of, or negatively
affecting this transaction.
E. You file for, or are forced into bankruptcy.
F. You die.
G. Final approval has not been given by Our underwriting department.
H. The Purchase Contract is not signed by You and received back by Us by May 24, 2024.
I. A major rating agency downgrades the Issuer’s credit rating.
J. The Issuer is, or becomes insolvent, or under regulatory supervision.
PURCHASE CONTRACT FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: 47E9590F-1C0C-4CEC-A032-3333CD161844
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Account ID: 2119480
7. CANCELLATION BY YOU
A. YOU MAY CANCEL THIS CONTRACT WITHOUT PENALTY OR FURTHER OBLIGATION AT ANY TIME WITHIN
FIVE (5) BUSINESS DAYS AFTER THE DATE YOU RECEIVE PAYMENT HEREUNDER FROM US. IN ORDER FOR
THE CANCELLATION TO BE EFFECTIVE, YOU MUST SEND A NOTICE POSTMARKED AT ANY TIME WITHIN
FIVE BUSINESS DAYS AFTER YOU RECEIVE PAYMENT HEREUNDER FROM US (This is the rescission period).
B. YOUR NOTICE IS TO BE SENT EITHER BY CERTIFIED OR REGISTERED MAIL (RETURN RECEIPT REQUESTED)
OR FEDEX OR ANOTHER MAJOR OVERNIGHT DELIVERY SERVICE. THE NOTICE MUST INCLUDE A BANK OR
CERTIFIED CHECK MADE PAYABLE TO US, IN THE FULL AMOUNT RECEIVED BY YOU. YOUR NOTICE MUST BE
SENT TO:
Stone Street Originations, LLC
Attention: Manager of Operations
1200 Morris Drive,
Chesterbrook, PA 19087
8. NOTICES
A. All notices about this Contract must be in writing.
B. All notices must be sent either by: (1) certified or registered mail (return receipt requested); or (2) FedEx or another
major overnight delivery service with a delivery tracking system and are considered given when delivered as follows:
If to You: to the most recent address for You listed in Our files. If to Us: to the address listed in Section 7(A) (2) of
this Contract.
9. EVENTS OF DEFAULT
You will be in default if You:
A. fail to comply with any terms or conditions of this Contract; or
B. breach any of Your representations, warranties and promises in this Contract.
If You are in default, We have the right to enforce Our rights against You in court to make You perform Your promises or to get
money from You.
10. MISCELLANEOUS
A. You give Us permission to conduct background checks on You, including obtaining information from the credit
bureaus, in order to verify Your legal residence, contact information, and any other information We deem necessary
for this transaction. We can also search records for UCC filings, bankruptcy filings, judgments, liens and child support
obligations against You.
B. This Contract is the entire agreement between You and Us.
C. If there is more than one of Us or You, this Contract applies to all of those people together, and to each of them on
their own.
PURCHASE CONTRACT FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: 47E9590F-1C0C-4CEC-A032-3333CD161844
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Account ID: 2119480
D. Both Parties must agree in writing to any change to this Contract or waiver of its terms.
E. If a court undoes any part of this Contract, the rest of the Contract remains valid.
F. You cannot voluntarily or involuntarily sell, assign, or transfer this Contract, or any of Your rights or duties under this
Contract. Any such action taken by You in violation of this section shall be void and of no effect.
G. Except as otherwise required by applicable law, the law of the state of Your domicile (where You regularly reside on
the Contract Date) will govern this Contract. The Parties must litigate any dispute arising under the Contract in the
courts of the state of Your domicile and the Parties agree to the jurisdiction of that state’s courts.
H. This Contract also holds responsible Your heirs, and executors. This Contract benefits only You and Us, and no one
else. However, if properly assigned by Us, this Contract will bind and benefit Our successors and assigns.
I. Failure to enforce any provision of this Contract is not a waiver of that provision.
J. The Parties may sign this Contract in one or more counterparts. Each counterpart will be considered an original. All
counterparts will form one Contract. A facsimile, pdf or other electronic copy of the signed Contract or any
counterpart will be considered an original and treated as such in any court proceeding.
K. We have investigated the proposed transfer of the Purchased Payments and, in light of information available to Us,
have identified no violation of any applicable state or federal law.
L. You will not receive an IRS Form 1099 from Us.
M. Titles and headings in this Contract are for convenience only. Do not use them to interpret this Contract.
N. Except as otherwise set forth in this Contract, You and We will pay our respective costs and expenses in carrying out
this Contract.
O. You give Us permission to request from our Affiliates information and documentation You have previously provided to
them which we deem necessary for this transaction, including, bankruptcy filings, judgments, settling documents,
annuity documents, liens, child support obligations, divorce documents.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
PURCHASE CONTRACT FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
D cuSign Envelope ID: 47E9590F-1COC-4CEC-A032-3333CD161844
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Account ID: 2119480
StoneStreet
Capital
You and We, intending to be legally bound, have signed this Contract as of the Contract Date below, and agree to all
of its terms and conditions.
By signing below, You also acknowledge that You were advised by Us in writing, that You should obtain
independent legal advice and pinfessional tax advice about the sale of the Puxhased Payments and to have those
advisom review with You, the terms and legal, tax and other effects of this Contract.
SELLER:
DocuSipedby:
7A5DO2FF8894446...
Christin Ewing
4/9/2024
Date
SELLER'S SPOUSE (if applicable)
Spouse
Date
US: Stone Stæet Originations, LLC
BY:
Mlchael Rodden, ce President
PURCHASE
CONTRACT
MRM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: D3281278-C7AB-47B0-BC23-8E1803F66797
NYSCEF DOC. NO. 2 RECEIVEDAccount
NYSCEF:ID: 2119480
04/11/2024
March 29, 2024
NEW YORK
DISCLOSURE STATEMENT
We will purchase the following payments (Purchased Payments) from You:
A) 1 payment of $60,000.00 on April 13, 2026
(THE REMAINDER OF THE PAGE INTENTIONALLY LEFT BLANK)
STATE DISCLOSURE FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: D3281278-C7AB-47B0-BC23-8E1803F66797
NYSCEF DOC. NO. 2 RECEIVEDAccount
NYSCEF:ID: 2119480
04/11/2024
March 29, 2024
The aggregate amount of the Purchased Payments is $60,000.00.
The discounted present value of the aggregate Purchased Payments at the federal interest
rate of 5.00% is $54,312.65. The discounted present value is the calculation of the current
value of the transferred structured settlement payments (Purchased Payments) under
federal standards for valuing annuities.
The gross amount payable to seller (You) is $44,500.00.
No other expenses are incurred by You.
The net amount payable to the seller (You) is $44,500.00. The net cash payment You
receive in this transaction from Us was determined by applying the specified discount rate
to the amount of future payments received by Us, less the total amount of commissions,
fees, costs, expenses and charges payable by You.
The net amount that You will receive from Us in exchange for Your future structured
settlement payments represents 81.93% of the estimated current value of the payments
based upon the discounted value using the applicable federal rate.
BASED ON PRICE QUOTES FROM METLIFE INVESTORS INSURANCE
COMPANY AND PACIFIC LIFE INSURANCE COMPANY THE CURRENT COSTS
OF PURCHASING A COMPARABLE ANNUITY FOR THE AGGREGATE AMOUNT
OF PAYMENTS TO BE TRANSFERRED IS $56,457.60 AND $56,790.00
RESPECTIVELY.
Based on the net amount that You will receive in payment from Us and the amounts and
timing of the structured settlement payments that You are selling to Us, this is the
equivalent of interest payments to Us at a rate of 15.77% per year. PLEASE NOTE
THAT THIS IS NOT A LOAN, BUT A SALE OF PAYMENT RIGHTS AND THE
INTEREST FIGURE IS ONLY PROVIDED AS AN ILLUSTRATION OF THE
ECONOMIC IMPACT OF THE SALE.
Notice of Cancellation Rights:
You may cancel without penalty or further obligation, not later than the fifth business day
after Your receipt of payment from Us under the transfer agreement (Purchase Contract).
Please be advised there are no penalties or liquidated damages payable by You in the
event of any breach of the transfer agreement (Purchase Contract) by You.
STATE DISCLOSURE FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: D3281278-C7AB-47B0-BC23-8E1803F66797
NYSCEF DOC. NO. 2 RECEIVEDAccount
NYSCEF:ID: 2119480
04/11/2024
March 29, 2024
Please be advised that You may be subject to adverse federal and state income tax
consequences as a result of the proposed transaction. You should consult Your own
counsel, accountant, or financial advisor regarding any federal or state income tax
consequences arising from the proposed transfer.
By signing below, You are confirming receipt of this Disclosure Statement at least 10 days
prior to You executing the transfer agreement (Purchase Contract).
SIGN HERE
___ ______________________________________________
CHRISTIN EWING
STATE DISCLOSURE FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: DCE30375-D625-4CB7-B8FB-D2B81A3C6C6B
NYSCEF DOC. NO. 2 RECEIVEDAccount
NYSCEF:ID: 2119480
04/11/2024
March 29, 2024
DELAWARE
DISCLOSURE STATEMENT
We will purchase the following payments (Purchased Payments) from You:
A) 1 payment of $60,000.00 on April 13, 2026
(THE REMAINDER OF THE PAGE INTENTIONALLY LEFT BLANK)
© 2011 Stone Street Originations, LLC
STATE DISCLOSURE FORM 1
-1-
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: DCE30375-D625-4CB7-B8FB-D2B81A3C6C6B
NYSCEF DOC. NO. 2 RECEIVEDAccount
NYSCEF:ID: 2119480
04/11/2024
March 29, 2024
The aggregate amount of the Purchased Payments is $60,000.00.
The discounted present value of the aggregate Purchased Payments at the federal interest
rate of 5.00% is $54,312.65. The discounted present value is the calculation of the current
value of the transferred structured settlement payments (Purchased Payments) under
federal standards for valuing annuities.
The gross amount payable to seller (You) is $44,500.00.
No other expenses are incurred by You.
The net amount payable to the seller (You) is $44,500.00.
Based on the net amount that You will receive in payment from Us and the amounts and
timing of the structured settlement payments that You are selling to Us, this is the
equivalent of interest payments to Us at a rate of 15.77% per year. PLEASE NOTE
THAT THIS IS NOT A LOAN, BUT A SALE OF PAYMENT RIGHTS AND THE
INTEREST FIGURE IS ONLY PROVIDED AS AN ILLUSTRATION OF THE
ECONOMIC IMPACT OF THE SALE.
The quotient obtained by dividing the net payment amount by the discounted present
value is 81.93%.
Please be advised there are no penalties or liquidated damages payable by You in the
event of any breach of the transfer agreement (Purchase Contract) by You.
By signing below, You are confirming receipt of this Disclosure Statement at least 10 days
prior to You first incurring an obligation with respect to the transfer.
SIGN HERE
___ _____________________________________________
CHRISTIN EWING
© 2011 Stone Street Originations, LLC
STATE DISCLOSURE FORM 1
-2-
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: DCE30375-D625-4CB7-B8FB-D2B81A3C6C6B
NYSCEF DOC. NO. 2 RECEIVEDAccount
NYSCEF:ID: 2119480
04/11/2024
March 29, 2024
CONNECTICUT
DISCLOSURE STATEMENT
We will purchase the following payments (Purchased Payments) from You:
A) 1 payment of $60,000.00 on April 13, 2026
(THE REMAINDER OF THE PAGE INTENTIONALLY LEFT BLANK)
© 2011 Stone Street Originations, LLC
-1-
STATE DISCLOSURE FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
DocuSign Envelope ID: DCE30375-D625-4CB7-B8FB-D2B81A3C6C6B
NYSCEF DOC. NO. 2 RECEIVEDAccount
NYSCEF:ID: 2119480
04/11/2024
March 29, 2024
The aggregate amount of the Purchased Payments is $60,000.00.
The discounted present value of the aggregate Purchased Payments at the federal interest
rate of 5.00% is $54,312.65. The discounted present value is the calculation of the current
value of the transferred structured settlement payments (Purchased Payments) under
federal standards for valuing annuities.
The gross amount payable to seller is $44,500.00.
No other expenses are incurred by you.
The net amount payable to the seller (You) is $44,500.00.
Based on the net amount that You will receive in payment from Us and the amounts and
timing of the structured settlement payments that You are selling to Us, this is the
equivalent of interest payments to Us at a rate of 15.77% per year. PLEASE NOTE
THAT THIS IS NOT A LOAN, BUT A SALE OF PAYMENT RIGHTS AND THE
INTEREST FIGURE IS ONLY PROVIDED AS AN ILLUSTRATION OF THE
ECONOMIC IMPACT OF THE SALE.
Notice of Cancellation Rights:
You may cancel without penalty or further obligation, not later than the fifth business day
after Your receipt of payment from Us under the transfer agreement (Purchase Contract).
Please be advised there are no penalties or liquidated damages payable by You in the
event of any breach of the transfer agreement (Purchase Contract) by You.
By signing below, You are confirming receipt of this Disclosure Statement at least 3 days
prior to You executing the transfer agreement (Purchase Contract).
SIGN HERE
__ ______________________________________________
CHRISTIN EWING
© 2011 Stone Street Originations, LLC
-2-
STATE DISCLOSURE FORM 1
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
April 01, 2024
Dear Customer,
The following is the proof-of-delivery for tracking number: 775748356837
Delivery Information:
Status: Delivered Delivered To: Residence
by· Signature not required
Signed for Delivery Location:
Service type: FedEx Priority Ovemight
Special Handing: Saturday Delivery;
Residential Delrvery Have¾ NY
Delivery date: Mar 30, 2024 10:27
Shipping Information:
Tracking number 775748356837 Ship Date: Mar 29, 2024
Weight 1.0 LB/0.45 KG
Recipient Shipper
Haverstraw, NY, US, Chesterbrook, PA, US,
Proof-of-delivery details appear bekm however, no signature is available for this FedEx Express shipment
because a signature was not required.
Thank you for choosing FedEx
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
April 10, 2024
John Hancock Life Insurance Company of New York
80 State Street
Agent CSC (UNLESS PERSONAL SERVICE IS REQUIRED - SEE JGW FOR WHERE
Albany, NY 12207
Attn: Legal Department/Structured Settlements
John Hancock Assignment Company
251 Little Falls Dr
Wilmington, DE 19808-1674
Attn: Legal Department/Structured Settlements
RE: Notice of Sale/Assignment of Payment Rights
Your Contract #: ---
Payee: Christin Ewing
Dear Insurer:
Please be advised that Stone Street Originations, LLC and/or its successors and assigns, have entered into
a transaction with the above-referenced annuitant who is seeking to transfer certain of his/her rights to the
payments scheduled to be received under the above-referenced annuity policy. We are currently seeking
court approval pursuant to the applicable structured settlement transfer statute. Pursuant to the statute,
please note the following information about the Purchaser:
Stone Street Originations, LLC
1200 Morris Drive,
Chesterbrook, PA 19087
Tax ID #
PLEASE NOTE: No payments under this annuity should be held until the courts have entered a final order
and we have forwarded this order to you.
Very truly yours,
Stone Street Originations, LLC
By: ________________________________
1200 Morris Drive, • Chesterbrook, PA 19087
PhoNe: (800) 586-7786 • FAX: (866) 455-8067
FILED: ROCKLAND COUNTY CLERK 04/11/2024 09:30 AM INDEX NO. 031988/2024
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 04/11/2024
Michael Rodden, Vice President
1200 Morris Drive, • Chesterbrook, PA 19087
PhoNe: (800) 586-7786 • FAX: (866) 455-8067