1. The plaintiff (Counterclaim defendant) on the personal damage of the defendant (Counterclaim plaintiff) related to the accident stated in the attached Form.

A principal lawsuit and a counterclaim shall be deemed simultaneously.

1. Basic facts

A. The Plaintiff of the instant accident is the operator of the C-Motor vehicle (hereinafter “instant A-Motor vehicle”) and the Defendant is the passenger of D-motor vehicle (hereinafter “the instant damaged vehicle”).

On July 1, 2013, around 19:20, at the lower distance from the front section of the vehicle in question, the vehicle in question, which was proceeding in the same direction when the vehicle in question was under the direction when it was in the atmosphere of the signal (hereinafter the following drawings, caused an accident that contacts the front section of the damaged vehicle with the front section of the damaged vehicle (hereinafter referred to as “the accident in this case”) with the front section of the damaged vehicle in this case, while the vehicle in this case was moving out to the right side of the damaged vehicle in the direction at the time of the signal waiting (the damaged vehicle in this case).

B. On July 2, 2013, the Defendant hospitalized the E Hospital located in the Jeonsi-gu Seoul Special Metropolitan City due to pains, etc. on July 2, 2013, and discharged the Defendant from the hospital on the 12th day of the same month.

[Reasons for Recognition] Facts without dispute, Gap evidence 1 to 3, Eul evidence 1 to 3 (including each number), the purport of the whole pleadings

2. The parties' assertion

A. The summary of the Plaintiff’s assertion (the cause of the counterclaim in this case) 1 was that the instant accident was driven by the Plaintiff in order to get out of the right space of the damaged vehicle in the instant case, which was driven by the Plaintiff, and the two vehicles were sponsed to live, and thus, the Defendant, the passenger of the damaged vehicle, did not seem to have been shocked to the extent that the Defendant would be shocked. irrespective of the instant accident, the Defendant received “after the instant accident 4-5 convergence” at the National Army Hospital of Korea on January 18, 2013. The Defendant was aware of the result of the fact inquiry by the Health Insurance Corporation of this Court from 208 until the accident occurred.”