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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 ,;