HomeMy WebLinkAbout97-06291
(,Vll/OJO.181,'n,ll-ll
HARAD, GITILEMAN, GREENUERG
BRUNNER & I.OVE
BY: GARY V. GITTLI\IAN, ESQUIRE
Idenlificalinn Nn, 12504
IJ III Twn Penn ('enler Plaia
151h & J.F. Kennedy Boulevard
Philadelphia, PA. II) III 2 ,1722
Phone: (215) 56!,I)l)I)'}
Fax: (215) 561,7.161)
Allorney for: Defend.,II, Currie
DOROTHY WEIBLEY, Indiv. amI as parent and
natural guardian of BRITI'ANY WEIBLEY, a
minor
COURT OF COMMON PLEAS
CUMBERLAND COUNTY. PA
Civil Action Law
No. 97-(}29 (
-vs-
AAMOS INSURANCE COMPANY
ENTRY 011 AI'I'EARANCE
TO THE PROTHONOTARY:
Kindly Enter My APPEARANCE on nehalf of Defendant, Aamos Insurance
Camp.my only in the anove matter.
Also Kindly Enter Defendant's Dem.md for Jury Trial 0 .
EMAN, ESQUIRE
efendant, Aamos
:'-- C' I i':: "
c:; u:
" .-
1I ('i
'-
I ~,
1
" r.n
! ,
,
\ ~ L ',I
~: .--
, I, r-: 1
l:.' (, 1:'-;
l'I'~
;":U"", '.:-'
1
'r I
I,' ,-.1
cn ~ln': I", ':' ',' ~'.
,) 1 , ,,' , ~
r.:Uio/. , , ':T{
\; ~~l' ~> '.1",','11
..' . ""1\
Witlillllll'. [).,uS""j, ['i/I_
SlIprl'''''' COllrt /,D, H,J7lJJ6
Dml,"lltI1, DIl,,~/II!1 b DOIIXM'i
27 W,/IiS" 51.
C",Ii."",PII17II1.1
Td"I,I"",,'(717) 14.1,17911
Dorothy Weibley, individually and as
parent and naturill guardian of
Brittany Weibley, a minor
Petitiol/ers/ Plllil/tiffs
In the Court of Common Pleas of
Cumberland County, Pennsylvnnia
No.97- '),91
Civil Term
vs
AAMOS Insurance
RI'spolltlel/t/ De/cllt/ll/lt
Civil ilction lilw
Settlement Approval
Petition for Approval of Minor's Settlement
1. Your Petitioner, Dorothy Weibley, is the pilrent ilnd gUilrdiiln of Brittany
Weibley, il minor, the aforesaid reside at 10 Hedge Row Lane, Carlisle,
Cumberlilnd County, Pennsylvania.
2. The minor child, Brittany Weibley, WilS born on November 23/
1986. Her Social Security Number is 197 - 66.0723.
3. The respondent is AAMOS Insurance.
4. The respondent, AAMOS Insurilnce is licensed to do business in the
Commonwealth of Pennsylvilllia.
5. On August 15, 1995, the minor plaintiff, underwent il surgical procedure
to have a tooth removed. During the procedure, the minor child suffered an
accidental burn on her cheek which hilS left .1 permanent scar.
6. The procedure WilS performed by William Currie.
7. All medical bills hilve been p.lid and there are no outst,lnding bills or
creditors that have not been p<lid.
8. AAMOS Insurance, the carrier for Williilm Currie, has agreed ti! pay One
Hundred Thousand Doll<us ($100,000.00) to resolvl' ,lny and all claims the minor
child may have against their insurl'd.
9. All sums set forth above constitute d.llnages on accuunt of persunal
injury /wrongful death, arising fwm the occurn~nce, within the meaning of ~
104(a)(2) of the Internal Revenue Code of l'iH6, as amendnl.
10. Your petitioners request the Court permit this matier be setiled for the
payment of $100/000.00 and the following distribution be made;
Dorothy Weibley, individually and as
parent and natural guardian of
Brittany Weibley, a minor
$66,666.67
Douglas, DouglaG & Douglas ,1ml
Edward L. Schorpp, Esq.
$33,333.33
11. The petitiuners agrl'ed to pay a one third contingency fee out of any funds
recovered for the plaintiff.
12. Your Petitioners further requests that the Court direct that the Federally
Insured Hank or Savings Institution, in which the funds are deposited, be
permitted to pay federal and state income tax on the income earned on behalf of
the minor in the said account! accounts.
WHEREFORE, your Petitioners pray that the settlements be approved.
~.-~ l
William P. Douglas, Esq.
Attorney for Petitioner
WiIIi"II//'. D,II/SI".., [."'1.
SIIJ',e"'t Cd"" I.D. H.17926
DIJII.~/",'I, DOII~I""f l., DIIIl.\l/f',~
27 W ,lIiSh 51.
C"rU.I,'.PA/7/11.1
Tel"!,',,,,,, (717) Ul,17911
Dorothy Weibley, individually and as
parent and natural guardian of
Brittany Weibley, a minor
Petit iOllersl P/t/illtiffs
In the Court of Common Pleas of
Cumberland County, Pennsylvania
No. 97-
Civil Term
vs
AAMOS Insurance
l<espollclelltIDefem/llIlt
Civil action law
Settlement Approval
AFFIDAVIT
I hereby swear or affirm that the Foregoing is true and correct to the best of my
knowledge and/or information and belief.
This is made subject to the penalties of 18 Pa.C.S. 94904 relating to unsworn
falsification to authorities.
VJ)R{)ih/~ IL~jhl.or
Doro y Weibley
Date: November 13, 1997
~
'....
~
-J
)
>-
~
>-
cj
f..n ".
i ,; ., ,
i .
,':J -' , '.
, ,
, , .
\
, ,
I
, .'
, ,1-) ,
, ! . :,~
I.
" ,. II J
L: , r l_
I "1_
" 1-' ",)
( ) 0' U
-'
~~
-.......~
V ~
~"
, ....
jJ .....
€
~ 2
4J
YOU .U~ "'~nI1 4!lllllln" 10 ,"." .-
VUlT"", "~1tlO".1lI 'i) fH~ U4t:tl)1ltl
'oIjI1HIIIt h'UH'UOI 10"'11 ,.",.,'" ~1It'l11:1!
HI'UO' Oil .4 JUn,.",r,nf IIUt .1{
INfUIO AdA".." 'IQlI
DOUGL.A:J DOlj(jLA~i t. Dr.)l.Jr.-jUV,
~ I f, ,I""
~, I ,\ ~
"". DO HIli""" (\11"111'1 n.,,~ rtt,
"'ITHIN 11 A TlIII' Al'tl) "'),Iltl t;rCQllv
fJJI fHI! Q-.r'IINAI, 'lUll IN 11(11
4,:rhHI
W,Il'11l1I P. DOllS/IIi, [.;".
SIII''''I1/t' ellmt {.n. IUT9lt)
DII,,:~//I.'I, DlJu,,,tlli If Olll/~'rl'i
27 IV. 1Ii~11 SI. .
(,,,Ii.",', '1'11 /7/11.1
T,'/,'",,,,,,,, (7171 14.1,/79/1
Dorothy Welbley, individually and
as parent and natural guardian of
Brittany Weibley, a minor
Pel il ia lIersl Pltli II I iffs
In the Court of Common Pleas of
Cumberland County, Pennsylvania
No. 97. to;)'.',
Civil Term
vs
AAMOS Insurance
/<espe1lldell II D eft' II del II I
Civil action law
Settlement Approval
Praecipe to Issue a Writ of Summons
Dear Mr. Welker:
Please issue a writ of summons against AAMOS Insurance.
(',
date; November 13, 1997
L
s, Esq.
Attorney for P in tiffs
Individually and as Guardian
. I .
,~~~-W-I"tlMI""<jI;I~"""~"'''!D''''>f''!'!~r-''1'0;'rrt':_' .
,,' ',;'1." _j ': ,I ',' '. (:;)}I':',JJl;IV~,\l~!
,.' I) ',' '_', 'II. II , '. .',' I!l'iij't\,(!I)\h
" ':1 ; , \, I';!\'\'!';~,\-_"., c;-~-
;:'.'.--,
..:r----
t ct. ~ \.~
-.J ~ 0
(: L() ~- i/) ~ co !:'
" .:/ I; , ~ ~
, "
(\J ."
& I" e
,. ':' ()
" ,
, \1" , ~.1 V) ~
I ': )'
, , ') , ~. " () ") G, '=A
I'
I_I: 'b}-.::t- ~
. ;';;j .;,j 0l..
, .. (J
-'-~
,'- :'j
{ I....... , L:'
.,
-
-- -.
Dorothy Weibley, individually and as
parent and natural guardian of
Brittany Weibley, a minor
I',. tit 111/ I ersil' III I III iff.~
In the Court of Common Pleas of
Cumberland County, Pennsylvania
No. 97- ~ )..1(
Civil Term
vs
AAMOS Insurance
l{esI'Olldl'" tl Defl'/ldlllll
Civil action law
Settlement Appl'Oval
ORDER
AND NOW, to wit this the 5th day of December, 1997, a hearing having
previously been held in this matter, it is hereby ordered that the settlement in the
amount of Olle Hundred Thousand Dollars ($100,000.00) for the injury sustained
by ['rittany Weibley is approved.The proceeds are to be divided as follows;
Dorothy Welbley, individually and as
parent and natural guardian of
Brittany Weibley, a minor
$66,666.67
Douglas, Douglas & Douglas and
Edward L. Schorpp, Esq.
$33,333.33
The proceeds of the settlement for the minor child are to be deposited in a
federally insured savings account and/ or certificate of deposit, marked "Not to
be withdrawn until age 18 or further Order of a Court/" and/or said proceeds t\)
be held in trust by the Trust Department of a federally insured institution, and
said proceeds only to be invested in federally insured and/or guaranteed
instruments.
The minor child, Brittany Weibley,
was born \'11 November 23, 1986.
Her Social Security Number is 197.66.0723.
All sums set forth above constitute damages on account of personal injuries,
arising from the occurrence, within the meaning of ~ 104(a)(2) of the Internal
Revenue Code of 1986, as amended.
All sums set forth above constitute damages on account of personal injuries,
arising from the occurrence, within ,he meaning of ~ 104(a)(2) of the Internal
Revenue Code of 1986, as amended.
,
IT IS FURTHER ORDERED lhilt the institution in which s<lid funds i1re
deposited is hereby granted permission to use such income fWIlI silid funds th<lt
is necessilry to PilY income tilX which milY become due <lnd p<lYilble i1S iI result of
the silid funds being milnilged by the institution. In addition, the Trust
Depilrtment of silid institution shall be pilid their 11Orn",l <lnd customilry fees to
i1ct as iI fiducinry on behillf of the minor plilintiff.
THE GUARDIANS shall provide a certificate to the l'rothonotilry selling forth
the plilce of deposit, account number, in compliilnce with the above provision.
J.
. J
f~
-eL~
I ':t
......
l'
t
'!
. ~
WWi,,,,,fJ,DIJIIl/llllf,ESI',
S"I'"mrt! Ctlllrt ".0. H.l792tJ
nflux'mt, DIJIl~/,l,i {, DOII,\l/,,~
27 W, iii!!', 51.
C,,,lis"',PA I;'OI.l
T""'p""I1" (717) Ul,l790
Dorothy Weibley, individually and as
parent and natural guardian of
Brittany Weibley., a minor
Petitiollers/ Plt/illtiffs
[n the Court of Common Pleas of
Cumberland County, Pennsylvania
No. 97- 6291 Civil Term
vs
AAMOS Insurance
ResJlomli IIt/Defelliltlllt
Civil action law
Settlement Approval
Praecipe to Mark Docket Settled and Discontinued
Dear Mr. Welker:
Please mark the above captioned matter settled and discontinued.
date: January 8,1998
William P. Doug as, Esq.
Attorney for intiffs
. I .
'-
(J-
..,'
I,
1I1(
,',
u:(
('--!:
] '
(\\
lll'
T""
U:.: '_~
I
"
1....)
(tl
I.",
~J
c
I'. ~
~..
r.--:>
I
,!
"',J
I','J
J'.'
j
(..)
<:C
t:J',
l'
I
,;