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SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF KERN

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LAW OFFIcEs OF JOHN Z. SHAFAI

John Z. Shafai [State Bar No. 1705181 170 South Beverly Drive, Suite 305 Beverly hills. California 90212 Telephone: (310) 788-2889 4 Facsimile: (310) 788-2885

Attorneys for Petitioner,

STONE STREET CAPITAL. LLC 6 7 8 9 10 11 In Re: 12 JOSE GARCIA, JR. 1 - I 14 15 16 17 18 19 20 21 23 24 25 26 27 28 29 30 n lLED :OUHTMETPL\T ZO1L B McNMLV, ULt

CASE NO. S-i 500-C V-276747-NFT

NOTICE OF ENTRY OF ORDER FOR APPROVAL OF TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS

ma

q-N ZSHAFAI, Atrneys for Petitioner.

STONE STREET CAPITAL, LLC SUPERIOR COURT OF THE STATE OF CALIFORNIA

IN AND FOR THE COUNTY OF KERN

PLEASE TAKE NOTICE that on June 25. 2012, the Order for Approval of Transfer of

Structured Settlement Payment Rights (the"Order") was entered in the above-entitled action. A true and correct copy of the Order is attached hereto as ExhihirT'.

DATED: July 3, 2012 Respectfully noticed,

HAA OFFICES OF JOHN Z. SHAFAI

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IIT V %111J)11 64199

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I 2 3 4 5 6 7 8 9 10 ii

LAW OFFICES OF JOHN Z. SHAFAT John Z. Shafai [State Bar No. 1705181 170 South Beverly Drive, Suite 305 Beverly Hills, California 90212 Telephone: (310) 788-2889 Facsimile: (310) 788-2885 Attorneys for Petitioner,

STONE STREET CAPITAL, LLC

11

In Re:

$UPIOR C FILED

OUR MAOP0L!1AN DiV(sN COUNTY OF KERN

JUN 25 2G;

IRRY MCNALLY CLERK DEP

CASE NO. S-I 500-CV-276747-NFT SUPERIOR COURT OF THE STATE OF CALIFORNIA

IN AND FOR THE COUNTY OF KERN

12

JOSE GARCIA, JR. ORDER FOR APPROVAL OF TRANSFER

13 OF STRUCTURED SETTLEMENT 14 PAYMENT RIGHTS 15 Date: June 2l,2011 16 Time: 8:30a.m. 17 Place: Department 17 18 19

20 Pursuant to Insurance Code, section 10134, et seq., the Petition of Petitioner Stone Street 21 Capital. TIC ("Petitioner") for Approval of Transfer of Structured Settlement Payment Rights by 22 Jose Garcia, Jr. alkla Jose M. Garcia, Jr. alkla Jose Manuel Garcia, Jr. alkla Manuel Garcia, Jr. 23 (the "Payee") having come on regularly for hearing, and the court having reviewed the moving 24: papers, and no objection having been made or received, IT IS HEREBY ORDERED THAT:

25 1. Pursuant to Insurance Code, section 10139.5, the Petition to transfer, from the

26 Payee to Petitioner, one lump sum payment of $62,103.04 due and payable on April 13, 2013 27 (the "Assigned Payment"), made under a structured settlement agreement under which G.E. 28 Capital Assignment Corp. (the "Payment Obligor") is the obligor and pursuant to which the 29 Payment Obligor purchased an annuity contract from Genworth Life Insurance Company f/kla 30 G.E. Capital Assurance Company (the "Payment Issuer") to fund its obligation, is granted.

31 2. The Payment Issuer shall remit and make payable the Assigned Payment to Petitioner, its successors and/or assigns, at the following address or such further address as

ORDER FOR APPROVAL OF TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RLft

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Petitioner, or its assignee, may designate in writing in the future: WMS Chestnut Fund, LLC 2 P.O. Box 5519, Towson, MD 21285-5519 (the "Designated Address"), Tax ID No. 45-3457344. 3 The death of the Payee prior to the due date of the Assigned Payment shall not affect the 4 obligation of the Payments Obligor and/or Payment Issuer to WMS Chestnut Fund, LLC to make -S the Assigned Payment as set forth in this Order.

6 3. The transfer encompassed by this Order complies with the statutory requirements 7 set forth in Insurance Codes, section 10137 and 10139.5(a), and is based upon the following 8 findings:

9 (I) The transfer is fair and reasonable and is in the best interest of the Payee, taking 10 into account the welfare and support of the Payee's dependents, if any.

Il (2) The Payee has been advised in writing by Petitioner to seek independent 12 professional advice regarding the transfer and has either received that advice or knowingly 13 waived, in writing, the opportunity to receive the advice.

14 (3) The Petitioner has complied with the notification requirements pursuant to 15 Insurance Code, section 10139.5(f)(2), has provided the Payee with a disclosure form that 16 complies with Insurance Code, section 10136, and the transfer agreement complies with 17 Insurance Code, sections 10136 and 10 13 8.

18 (4) The transfer does not contravene any applicable law, any applicable statute or the 19 order of any court or other governmental authority.

20 (5) The Payee understands the terms of the Transfer Agreement, including the terms 21 set forth in the Disclosure Statement required by Insurance Code, section 10136.

22 (6) The Payee understands and does not wish to exercise the Payee's right to cancel 23 the Transfer Agreement.

24 4. Pursuant to Insurance Code, section 10139.5(i), the Court retains continuing

25 jurisdiction to interpret and monitor the implementation of the Transfer Agreement, as justice

26 requires, including the payment of $51,042.00, by the Petitioner to the Payee. 27 DATED: June 2012

28

29 CD-

-j-.

30 Judge of the Kern County Superior Court 31

-2-

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n 4 5 6 7 8 9

PROOF OF SERVICE BY MAIL

STATE OF CALIFORNIA, COUNTY OF LOS ANGELES

I am employed in the County of Los Angeles, State of California, I am over the age of 18 years, and not a party to the within action: my business address is 170 South Beverly Drive, Suite 305. Beverly Hills, California 90212, which is located in the county where the mailing described below took place.

On July 3, 2012, a true and correct copy of the within document(s) more fully described as

NOTICE OF ENTRY OF ORDER FOR APPROVAL OF TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS, was placed for deposit in the United States Postal Service

in a sealed envelope, with postage fully prepaid, on the party(ies) named below, and that envelope was placed for collection and mailing on that date following ordinary business practices addressed as follows:

PLEASE SEEA TTACHED SERVICE LIST 13 1113Y MAIL:

I am readily familiar with the firm's practice for collection and processing of correspondence for mailing. Under that practice, it is deposited with the United States Postal Service that same day in the ordinary course of business.

I declare under penalty of perjury under the laws of the State of California that the foregoing Proof of Service is true and correct and that this declaration was executed on July 3, 2012, at Beverly Hills, California. tvv Arian'a3 Blumen1d-James PROOF OF SERVICE 14 15 16 17 18 19 20 21 23 24 25 26 27 28 29 -10 31

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6 7 8 9

PROOF OF SERVICE BY MAIL

4 14 15 16 SERVICE LIST: Margaret Reiter

Supervising Deputy Attorney General Office of the Attorney General

455 Golden Gate Avenue, Suite 11000 San Francisco, California 94102-3364 Jose Garcia, Jr.

21225 7911h Street

California City, California 93505 GE Capital Assignment Corporation Attention: Agent for Service of Process 3100 Albert Lankford Drive

Lynchburg, Virginia 24501

(;enorth Life Insurance Company Attention: Agent for Service of Process 3100 Albert Lankford Drive

Lynchburg, Virginia 24501 17 18 19 2() 25 26 27 28 29 n PROOF OF SERVICE

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7 3 4 5 6 7 8 9 10 11 12 1.) 14 15 16 17 18 19 20 25 26 27 28 29 30 -3 w PROOF OF SERVICE

STATE OF CALIFORNIA, COUNTY OF LOS ANGELES

I am employed in the County of Los Angeles, State of California, I am over the age of 18 years, and not a party to the within action; my business address is 170 South Beverly Drive, Suite 305. Beverly Hills, California 90212, which is located in the county where the mailing described below took place.

On May 31, 2012, a true and correct copy of the within document(s) more fully described as

DECLARATION OF JOSE GARCIA, JR., IN SUPPORT OF PETITION FOR APPROVAL OF TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS was placed for

deposit in the United States Postal Service in a sealed envelope, with postage fully prepaid, on the party(ies) named below, and that envelope was placed for collection and mailing on that date following ordinary business practices addressed as follows:

PLEASE SEE A TTA CHED SERVICE LIST

BY MAIL:

I am readily familiar with the firm's practice for collection and processing of correspondence for mailing. Under that practice, it is deposited with the United States Postal Service that same day in the ordinary course of business.

I declare under penalty of perjury under the laws of the State of California that the foregoing Proof of Service is true and correct and that this declaration was executed on May 31, 2012, at Beverly Hills, California.

Ariana Bumenfeld-JSmes

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4

PROOF OF SERVICE

SERVICE LIST: Margaret Reiter

Supervising Deputy Attorney General Office of the Attorney General

455 Golden Gate Avenue, Suite 11000 San Francisco, California 94102-3364 Jose Garcia, Jr.

21225 791h Street

California City, California 93505 GE Capital Assignment Corporation Attention: Agent for Service of Process 3100 Albert Lankford Drive

Lynchburg, Virginia 24501

Genworth Life Insurance Company Attention: Agent for Service of Process 3100 Albert Lankford Drive

Lynchburg, Virginia 24501 PROOI OF SIRVIFF It 6 7 8 9 12 1 -, I _) 14 15 16 17 18 19 20 21 77 23 24 25 26 27 28 29 30 0

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Signed at the Home Office on the Effective Date:

2

'j~_ 'S_-

. —Nv~

Pri Secretary

Individual Single Premium Structured Settlement Annuity Contract

Annuity Payments Specified in Schedule Non-Participating

Structured Settlement

Annuity Contract

'i/i U,cai 59e0 5),te 5500

P5Ocx 490

/pxt0E WA 911) 0490 1L)0/'55 /030

Right to Examine

Within 20 days after this Annuity is first received, it may be cancelled by delivering or mailing it to the agent through whom it was purchased or to the GE Capital Assurance Company Home Office. Upon cancellation, the Premium will be refunded from the Home Office and the Annuity will be void from the beginning. This Annuity is a legal contract between the Owner and GE Capital Assurance Company. After the 20-day Right to Examine, the terms of this Aiiiiiiity (e.g. Annuitant, payment schedule, amount), may not be revoked or changed. The Owner should retain the original of this Annuity.

READ THIS ANNUITY CAREFULLY. General Electric Capital Assurance

Company ("GE Capital Assurance Lompany"), a stock life insurance company, provides this Annuity to the Owner.

This Annuity is issued in considers-ioti of the application and payment of the Premium.

This Annuity does riot provide any

cash surrender benefit or any death benefit. In addition, there is no assur-ance that the Owner will recover his or her Premium.

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S

SCHEDULE

Owner: GE Capital Assignmeni Corporation Owner Address: 601 Union Street, Suite 5600

Seattle, WA 98101

Payee(s): Manuel Garcia, Jr.

Contingent Owner: N/A

Beneficiary: The Estate of Manuel Garcia, Jr.

Date Premium Received: January 3, 1997 Single Premium: Valuable Consideration Issue Date: May 30, 1997

Contract #: K048569701

The Owner, any Contingent Owner, and the initial Payee(s) and any Beneficiary(s) designated in the Schedule are subject to change as provided in this Contract.

Age and Sex of

Annuitant(s): Manuel Garcia, Jr. Annuitant(s): 13 Male

The .Annuity payments to be made under this Contract and their respective payment dates are as follows: To the Payee(s), $ 20,000.00 annually from April 13, 2001 until April 13, 2004, inclusive.

To the Payee(s), $ 40,000.00 on April 13, 2008 $ 102,103,04 on April 13, 2013

This Contract will terminate on the date of the last payment set forth above.

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S

.

Application for Structured Annuity

GE Capital Agsura,,ce Campany

Two Union Square Suite 5600 • PD. Box 4913 Seattle. Washington 98111-0490

owner—GE C tal Assignment Corporation Phone: (__)_750-3928

Adoress: To Union Square, Suite 5600 Seartie WA 98LOt

Social Secur/ax ID No.: 06-1365568

Contingent Owner may be designated in Special Requests Section.

Annuilant:_Januel Garcia, Jr. Phone: (_702 642-0161

Address 14287 Blackwood, LaPuente, CA 91746

Social Security No.: Date of Birth: 4/13/03 Sex: M

Joint Annuitant (if applicable): _____________________ _______ ________________ Phone:

Address: _________

Social Security Na.: Date of Birth:_. ____________ Sex:

Payee (will be Annuitant if left blankL_ Phone: _______

Social Security No.:,__ . Relationship to Annuitant:

Send Payments To: (check one)

['1 A. Direct Deposit — Bank Name: ____________ ________- ABA Routing/Jiansit #

Bank Address_.. - __________ City'__ State:_______ Zip:

Bank Phone # Cortact Person: Account #:

B. Annuitant's Address

E C. Payee Address (if other than Annuitairt). City:- State:__ Zip:_

I Beneficiary (will be Annuitants Estate if left blank): Phone:

--

Social Security No.: — Relationship to Annuitant:.__

This is the Pimar Beneficiary. A Secondary Beneficiary may he designated in the Special Requests Section ffA Payment Information (Submit proof of age for life or Joint life payments.) Attach additional pages if necessary

Type (e g.. cert2in,

Start Date life, lump sum, joint) Amount Frequency Of Payments

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NOW

DENOIJM TO PP1JCATT(IN

1age 1

Summary of Payments for 01GARCIA, LAUUEL JR

Sex: Male DOE: 04/13/1983

Age: 13 State : WA

Rate Commitment Fee: No

Payment Type Duration Payment Frequency

(Annuity)

Period Certain 04/13/2001-04/13/2004 $20,000.00 Annual

4 yr(s) Certain.

LUMP SUM PAYMENTS

Lump Sums Payment Date Age Payment

(Annuity)

Lump Sum 04/13/2008 25 $40,000.00

(Annuity)

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