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HomeMy WebLinkAbout79-00220 .' " " J'3"'I:~,'i .' "~ ~ ~I~ ., .' .- ,', ., ,- " ~, I " I I I , .~ ," " ! ~ '8 14 " " ":I " ", '" 'I I' i<' ,,-' f' " ,;1 z~ .' ~ ,;., ~'g . ~ ~' ~ ~ ~ ~' i aU ~. '~ g ~~"'~ ~. il=i. ~"J ~ :~, [::00' 'lor a f.- a d:l ~ Ul m ~ ~ ~ ~~~ U ~~] ~ g~~~~~ ,1"1 il=i .... ~ rf'\ PI11 . ~.~ ,';~ ~ J. 0 ~s \ ~ 8 ~ . '<11 ffi ~Ul 1,- ~u, ~ ~ \'-l'" , ,<tl" ...... -~ !II l? - Ii.) z.U I;:) tJ~',/ (-.i{JO ~ '" [.1.1 tIlcll' l"! a . ~ ' ~.dJ , .... ~ dJ Z (J ~ ~o ~'O re P=l' aN.'tI H ,0 ~' ~ ~~~ ,r/) ~ ~,~ ,;' ,I' r~. ,J . . . " , notllte ot nOllRn'.\', A.' , Jtr-lINClIm, JI'~ 1I1t ALt.BOIlIl INCOMl'n'l'IlWr ~, - ~ -;'. - - I.' ~ I "IN'1'JIIFOnPlU\NS' (JounT, DIVISION, I' COUn(l,"oV' OOW-tONP1.BlISOI" CUMllfllRLJ\ND'CQUN'l''l(' ,j No.,;, ~ () ot;<p11 "'. ,__ - I, "~I .l , , Ill, 79 '" , , NO?'Imc, , I' - We> 'Hobert 11., Kl1nuel:', Ill:. I Ct, ii P1easo tnke naticothllt upon petHion by nobe~t: 11. KllnV8r1,llr., to the nlli~l oourt ~ it han, clooroed that. a haad"9 em thepot.ition ,allaU be h01<1 t.o inquire into th~, allG~8(f , inoompet.enoy of Robert )\. 1<1.l.nue'r, Jr., ,.,hODO residence 111 the " V1\ 1,10apJ. tal, f,(lbanon, Pannoylvnnia. Tho hoar:l.nu ''1ill ho hold on ' ,4pr; I At -;..: (JU P.m. ,,~ ('Oil r+ R(},...... /Ut', I 4 , ,1117!!, r" " J' CWl\lmrland County CI)Urt. 1I0u110, Cerlinla" l'enrinylval\ia~, Copien ',- " ; qf t,lle petition nncl proliminArY deote,e for ha,~dn\J are att.ached ' hereto. '" Vary truly youro, '" " ,I (t/jtk /?K~ Wi11ilUn n. nalAbftn' ' , Attorney for Petitioner " ' ,[- , , , 1.- " I' I' ;/ 'I: " I' it " ;= " " Ii " !'" , , I I " ",- NO. 21-79 PETITION FOR LETTERS OF ADMINISTRATION IN '1'H1~ ~:R'rA'rJ~ OF """~9.~,~,r.~""(f"""~t~,ng~,r"""\t+.,',,,,,,,, ImCJ~MlIm, ".,. 'ro 1"I"Ji..at,Q.t~ ".MQ.t~n,a." "', ," ..1. ,.".., ,. ....,t "" ".""" It' '" i. ,,', """"",,, '".,..,..,.""., I '" Hogi"tol' tlf WIII~ fol' tho Cnlll1t~' of Cllmlllll'llIlId, 111 (ho Cnlllll1nl1Wl'ldth of POl1nK~'iI'III,III. 'I'ho PotiOon of ..".It.." 1H.,9.J?,~ .:t,~., ~A,.., "K~,t,^g,~h,;', ,,~,t' ".. ,j", I'" """,. to i}, >1' Ii'....' ''',' '"'' II '''~'''''''!t;1I'' II!!II" '~'''il l'O"poutl'nll~' Khnwolh that, ....RQp.~.t',t"A,.",IU;f.J;\gfl.t"",J.l;',.:"Ii.;"""" WII~ n r,oAldent of ""J);l'I,t;\j;:":p'~,nJ;\~,\:lp,l;',Q""",,,,,,,,,,J~~~~~p ,CII111hol'hl,!\d Cnllnt~', Stute ol',PoI\I1Ayl, vlInln, "ndu 'Clt!v.on of Unltoc' RtuloK, IInd depul.todthl" IIfo Into"tllto In tho County 0'1' "':""""'''';';;''''il'' "..Jrl~,\l~U..Ql').,,,,,+t I~ ,,,.,, It, ndtl 8tH tour "... ,r.,~p,.,n,~ Y,~~n~~,ft.".;.,. '''''''' "'"'' ~ ", ..,....., ,".. ,."" ';""Il ".. 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It,,,,,, I II OI' HI".. It.. ",' It H'" ',11 I'; '. I'.., "' "'"....''' I', i It . 11,11 H..,. It,..".....", 11'1',.. .... of.,,j, ",'''' ''''''.1 \I';" II if. t't' 1 1 .fi,,, i, ""'-', i," II It. Th~rofol'e, YOllr potltloner(A) l'oApoctl'ully IlPt>ll'(lo~) fol' Lotl(miot Adll1lnhilt'lItI911';lu'thll ilQove nnmed ostnte" Dlltod "...."~,Z.e,f""".,,.....,,",.,,'" A,P'i 1I1,~(, ~igratu~El,unt\ :Aihjl'o~" of, PotltlchlOl'W) 1.@/d~~~K..,.."!1i4..~#1.,.",~~~: 1.. - ~'~-'tt' 7 .y--, / , ~......; /' 4f.~'e: .'.... . '; , "" 'j!"'" "/o" I.I'd"..,.n ,;.""" H """")11 "."',,,. "!!,"'I!l'I\'"?"1~;"lil"lJ'~1 C" /'(Jl , ,,' ---' C-/ -t2L ,,' ~ tJ \' , '" ""f..'rf?., ,.,1,.,..", ",,&,,,,,,L,,Z..,,,i!,,., ,." I"~"~"~"~"~,,,,,, ",... .' ".,:,"",....".tj;,';;"H""I.lj'.I~;'..'i;.i'ilj.i'lfll...',li"II;'.;iil,iil\.I.i,i,HIl'.' dOMMoNwmAI~TH '0'1;' pgNNSYI,y MilA COtJ.NTYOF CUMnmnLAND .1 "H,: ,. :;: """."" '\1"";';'''''''' ".~'" ".",;,:"",.",.,."t:.~j~ 1I',(;,t.,.." .~"I.l."'" """j!//.;, (,/(j.r!.r. ;"Z"!\rl7,, ,., "':"''::':'"''''''''''',''''' nllmed in the "bove IIPl>lIcatlon: behll1 c1l1b'""..".""".s,~."~,<,.r.::I,1",,,,,,,.,,,,,, lICOiJi'dlllll to,I!\\I', Kn~' thlltthe ,illota Rot fel'th i1\ the IIhovo IIppllclIUoillll'O lI'lIe loth~boAt OJ' ""I.\,{~~~'I~.tt~\nJI hell,ef, ~':!'f~ '-:,1~ ..,~;t,,,l~jn,~,e{~;t;~~:,,,,,,,,,,R~I?~,r.Y Hogl"tel' uofere mo, A, I).. Ii, ',""'''' ,,' "'.' ..",,, ~ I'" Ii;;; H/, ;.It, ii ".i, ,.i "i 'f Il;' ".1 ..1;"..;'-"..... (t;I., , , ,,'I j; "",.",.;,.,..".""""",'....'11"";;';..'.';';1;""";';"j,};'II;(I,..",.,.""". i7~() Flleci: "'" ,'!.,~~~,~~;~,~""; ,~,Ir, ,;",.; ~~,~" ,,'.. "'j ",." AUOI'lW.\': '(0\'01;) ,,~,1,I,,~~:,I.'!r..4,,&.d'>:1,J;(,;~<! j/3 ;(j'f1)( IIJ>o' /\1'I'F" ',slo I ;.J DEBTS AND DEDUCTIONS O..e N.mo of ravsu N"WfO of oeht Amount Admlnl.,rullon" UICPUIIIOI 1 982.75 2,000.00 71,75 450.00 02/.15/8 021.15/8 02/.15 8 02/. 5 8 Richards.on Funera,l Robert A, and Doris J. K1~nger Ro)ert A. Kling~!.t..~ Balaban and Balaban Ho e r:Ullor':'II~KpnlUlIIllllld rUlllllV oKnmpllun (will rll)t 110 nllowntlunloll chmoclont (Hod rosldlng with II l1tHDll1, _poillu or chlldtoil,l ' Counlul,F'UlI Plduul.rv CalTllnl"lol1 (Olhor D.hll,OI1II Clnllnll ;,' ~-, I.. ,. If5 n~ ' (, m~; t, f"" i,,) ., ~ c. CL 08 ri: .,. ~ " ';r.~ .- ~~t ~ i); I"'l " lIJ Q ~[~ t,." <.:>'" '" I fr)'- G i€~ ~ ~ hi- d; " j; '$ .4,504.50 Unci", p.n.lllo\ "I p"Iurv. J:~Pblnl. ,dl~( 111.U.pkurnlp.d'thl{rolYIIl.Ollri talh. h.lI nl,IIlV klloWloduu OI1~I:.::III' \run~d~p~: , ani' TolAI I do horohu ..rllll'll..t ,I dQUp npproliod tho n.,ol,;paIIlPlp.d ho,nllll",oonforlnll\'wlth Ponn,vlvntjln In,w, E z o III Applultor " " Ooto, 5 In tho OIlU01 thnHmyh.uUfO lntofOldn thlt ollnto,11 tnm"fotrod In pOIIUUI.o" oronJovmant lo cnlln,tnrnLholrll uI Ultidoaudont aftor Iho,D)(plrntloll oft1llY ...I ustota for IIfo or JOf yoan,tho Cornmqowonlth horohy;o)(pruuly rOlurVOI tho rlotlt to,.IlPprullo ~nd 011011 trnnlfUflnhofltonoo,ttu<Olitt 1halnwHil (lollatolol < rblo on nny luch futuflllnHirOit, tl It u. 9 Dnbls nnd dndllollonsnre .!lowedln tho sum of $ ---1./r() 4, bo I ' ,;.. '1 0\ "/ ' (t:"'; ,porcnn!. 'l .l~ 3"'~S-8? Oato IJENEFICIARIEO t:=;;;;;;:;...--==-";;:J:;..=4_-;-~,,,,,,::=-:;.;;-,";:_:=:;-..:.:::=:;-~:..--,--=,~;."';;~==~:;c~=,,-,-~--~==."j-=~=:.~;"":';:,.O;_'.:'C,T=":c:...-<;::'~l1;::C-::"",='-;-:;'"'_'~~~:-=;.':~~' :.;~'.:.=~-----=--=~..- . nENEFIClAIlIr,a AND ADDI1ESREa I\EI.ATIONSHIP aUI\VIVEll AGE 01' I.IFE (6t"to full 111111,.. nnd flchlttlUlI1 of nil who havtl .11 II"Drult TO DCCUDENT 1)l!OEOfiNT TfiNANTR OR 'Ithor vOltud. cWII\lnuun, nr nthllt Intattlstl STATE Vi18 ANNUITANTS 011 NO AT DEATIl OF . OEOaOUNT _......~._-.--_,....,._~_~,_....~~_~.__..~.~~~ ~_........~~.:--_m_.. ~~_.~ ..~~~__~__"............ -,-~~- , INTEI1EBT 01' UENEFICIAIIY IN EBTATE ___...~ au. "_,~,,,_~,_,___~"";'_____'~~_"_"-" _'__~"_'_~__'__'" """+'"'-"-" __,_~.___. ..,"-~~~_~~~~_, ---,.......-.-.,_. _..... T~Wn-_-++H'''''''''''_____ " ....._~__.__~......_~..~.._~_...~_..~_..._~__.,.,...-_.__............__._.__...._ _---.~...~- ...n__._m._..___ , _..,___....____~,..,..,~_."._._._~,._~_H.,....._'"',.~~;_~n.--...,.......,_____.."'._.._.."... ~....""--,;-+~~- ':'"-....---...--. . ~ , . ~..~""':"'~---.~o~~.-:'".._........._--.............._ 'l+-...;,-....--.....~.--~.....,.. ,.. . '. ,. ". .:, .., .,-,._~~"f,...-~~,'-,...._,._."":............,.~',-~,'" "':"~............,.,...-- _~''''';~r ~-~--................~ , , ; __._->__~~.______~,.i'. '..-:.~~-..'"".......,;:-.,.~_.-------4.,~~ -~.......""''--f..,,--.. -..----,.-.~-..~--.I .---.~._--....._" .-------;;~,,~...,.................~~;..,. - _~~.----..--.___..-----....,.__...........____~-..~__.~..~~~~_,._-.-Fr-c ~""_~~___~.__ _____,____~ -H~ -. j' .. . . . - = -- ~- -.:... ,.. ~ r 8 ~ ~ e; !l z Gl c: c ,Il: F m m ~ 'II< 'II' ;);I ril z II' 'II, ,~ rn ~ ill, 0 0 '" '" ~ 0 Z 0 I~' ," " LL ,In :'l'it, C..i Qu" Lil. "" 4.16 .." ,0;. ;~f,) ....cll L.. 2~ g,;" ~),: .... :t!~, ~ lw ~'" Q 1'- ~-- ,_J! VI m~ ~m ~ U1t.:, d -< \!1 :lJ ~ " ~ '" o l> r- Iii m Ii ~ il "'-F--__--'~ =--=t~ .----:n:;=-'- INFORMATION PLACE FOR FILING ". T"~ro\\lrn I. (o'ho fllo,~ I~ tI\ii'!IGflIil wluLlhu' RUiJl~tor o(WlllhofiiwqoUntywllorolntl\t1(!oood~ll(tosldod, ;.' . ." '.._ '0_.. .. ........ .' ...;!,.... ._..1,..'....11.'--., TIMF. .FOR FI LINO ",:nlO rotl/nl Is dUon,ll1oI11OI1\I\silflor 'tho dooudo,\\,. d,poth, ,ul1lus~ Oil uxtol1.lol1 forfl,I,II111 IloohoonopplIod for ood gran\od hy tho SoorO(IIrY' of .ROVOOliQ wlt!lll1' t1lq'nll1fHnoqtll ,1'01' 1m!. ',.' FAILURE TO FI LE RETUR,N - Sootlol1791, ohhu1001'lltnlUto. flrClvldo~111Iil", ,'nnyporGqn,whol'llllfllIlY(~lIs\?,I"?~roiurl1cir olhor roport ruqu!roLI of hlll1 . "; oholl ho ,llorsol1olly UoI'lo, , ,t.oo pllno1t\! of ?,6% of t,llll tn~ \lllh)Jut~ly fOlii," {ohOlltioor $1,000 whlr.hovor I. tho lonnur W bo rooovoroej: hy tho, Doportl1;ol1l of, ROVOl1l1o liS dohts of.llko I1II10uol uro .ruoovoroblo by low,'1 " '. . --".,,- ., . .--' ,- .'.j' '". "'If.'" ". .... . ., ','- 'i'" 'oj H .[ I' '0 I' . ~ ;1" , ~ ~ ~' ~ ~ e .8 .... " ~ m 'tl '" . ~ d\ ~ ~ I\; .1 p +' ,0 ~o ~ ~ .- CO .... ... ~ 8 ~ 0 ~ ~ z 0 ~ i ,~ 0 g , z z ~ ~ ~ ~ ..'~ ~ ~ 8 8 ~ " !'" " , " I' i' RECAPITULATION l\pprat8od_ valuo of porsonul ProportYllttH' 'Itit '"il'I Iltt.,..ti i'I' "";"i"'I'I'it'~i l;i'li'llll,,~lli. 8 919.38 . III'''''.'H!!''I'' I" ;_ _ ...O~ .- fllllfltl~..t"iffil l\ppralRed ~alu6 of real OBta~fl 1II'Ulln',',' j. Ii .Ito'...." 't.1 ilf,ttl""!I"IH'ltlI1l1IflfUllttl!lli ltifft 'raml,appraisod valuo il.;, i -f! tt! i It fit 'of.i j H' 1'1; I ,'ti j 11,1 q II! HI" II' i J-, Illl,',i ":11 t il'! 'i,,!1t If i, I i iff H H II , ' ;.'ftt\I~.l.?;'!~t~1t AFFlDAYIT OF PER~ONA'" RIl;PRESENlWf'IVE,. Co"nt>, ofPa"phln' ~al uti ~Hltd.'ttlltt lltttl'l i IItlllllllll ,,,_" ,',," ,.,,, If I It..... "11 i"" f i.,,,..,,. "1 "11'1 '11" '" i" ," ii'" to i I i 1111 1!t1 III i it 0.' H ,tltif l'!~tI'\ Mmlnlstrat or cJ"c~a8cd, helllA' duly"UIlIlW."...lIt"".,....llt..tl.ll.."I'.'''..Il..w..ull.. nccording to'law, depotlc and Bay l'hai, tHo Item a appearing In the Inventory 1I1<'III<I,,'n1l 'of. the (lersonal asse\a wherever alt"ate and,al, 01 the I'eal e, atateln the c,omll1onwenlth or Ptl11l1aylvan,In of. said decedent I that the val "at Ion plaeed o,,,,,poII\e endl,ltom of. aald Inventory represents Ita fair vatllc R8 of. Ihe date of the deeedent'a death, and that decedent owned no real estl'te (,nlsldo the Conlnlonwon1th of Pennsylvania except that wlllch ',appeara ~~..,.".' , \lI.ooutor. Adm 75 Oliver Rd, Enolai PA 17025 ",..." ""11" II '" I'''''''''' ,H IllitH' ""1' ,... II "" "'"11. "'It Ht '" Itt ,"!I ~ , " Addr... til'"\1'i'IH,1l I" i'H,j o( tht, 'El\ta t~ of,,, "i'II' J~..9.J?~:t:ltlll4}di\l$i~.:hf.\,B.~;r.,"":l?;:tltU,..til"i"Il;....t1.. il....~H1:11 M'( 11ul,U\iurU, ,PA llwphin C"m(r~ INSTRUCTIONS 1, An InTentory mUlt bo Olod' wll,hlit throe monlh. alter appolnlmenl of ,pouonal rapieooniaU,., a, ... 'i.npple~,antallnvenlory mUBt be dlod within thirty lInye of dleoovary, of ad,dl~,lonal '....t., a. Addltlon.1eh"le 'may, ,lIollll.chod .e to por..nalty or reallY. 4. Bee MlIolc tV,Fldoclarl.. Acl 01 191&, J ~ j 5!l I I ,~ J r::i ~I' ~I r(J'S Ia 'a ~ ~ ~~" oJ I ,~ ~. '!~f? ) w - ,',to ~ 0. ,'''1 ..., 1 ,~J ~ {~ ..c-l ~ :j . 'n, i 'ti ~1, .,~ (:1- I ~ l '.:.c. ~ "I', ~ , t oJ e; !l<: E it "- I: '~ ~ ~I oS " u '5 ,El ,a ... ... ~ i 'b, 0 '" '<l Z " lO u .. re 0, 'M :B ,~ Cl U ~ 0 0 BOOI: 107 "i\I,t cuB ESTATE OFI. ROBERT A.,KLlNGER, JR. LATE OF ' EASr'PENNSBORO:rOWNSHIP, CUMBERLANQCOUN'f'f, PENNSYLVANIA, DECEASED. IN 'I'IIE ,ORP,HANS I COUR'('PIVISlON aOURTOI/ OOMMON PLEAS. ot/. OUMBERLAND COUNTY, PENNSYLVANIA ESTATE NO. 21-7 9,;,220 PET11'ION To AUTHORIZE Tim SE1'1'I.EMENT all A WRON~~~b R~A!~C~~I~ AND AI,I.O\~ DEDlfCTION 1I0R PAYMENT OF' COUNSEL FEE AND EXPENSES TO THE HONORABLE, 1'IIIlJUDGES 0[,' SAID COllRT, ". , , AND NOW, comes ROBER1' A. KLINGIlR; SR., Admin'istrEltbr"of i ,',. ,. . the Estate of Robert A. Klinger, Jr., deqeflB'ed, by, his Attorney, William R. Balaban, Esq., and fhes thisPet!tiol1 fbLlnded on the following, " 1~ RobertA. Klinger, Sr., Petitioner, is the Admfnh" trator of the ,Estate or Robert A; Klinger, Jr., deceased, ,,- , , Letter,s of Adminiatra,tion having been Jaaued, to him by the, Register of Wins 01' Cu~berland Cou~ty on February ,27, 1980. Sal~Letteti were duly ~dvertiaed in the Cumberland~a~ J9Gr~~1 on March 21 28 Elnd ApI.' il 4, .1980, ar;la' In the West Shore Times ., , on March 20, 27 and April,3, 1980. 2. Prior to daceden t 'A death, Rober't A. Klinger, Jr!. , , de'cedent, Wasadju~lged an incompet~nt by thiA HonorableOourt on April 6, 197,9, No, 220 Orphanll' 1979, and Robert A. Klinger, ,- j Sr" Wa~ ippoirited as Gua~dian, a copy 6f said Order is att~~h~d heretp, made a part hereof, llndmllrked !'E1<hibit A." 3.. Rqhet'l A.Klinger, Jr., decedent, died 011 Fe,br\.lary 1, II} BOOX 107 ;/ ~~!)"." ,,, .i 1980, as,'a re$ult of injuries sustained in an auto, ACcident " '" ,.,' . - c' . ',' .,j- .- o~curdng, 1'1'1, the State of: Ut/.lhon Se[ltemberlO, 1978, due to i, the negligence of the ,dti v~~r. of theautomoh Ue in wh ich decedent was /.I ',paFlf,lenger. Sa ic1i nJur.1es wer ethe basi II ~pr the Oour t' s d.t;ermination of decedent's incompetency prior to his de~th. " 4,,' the decedent was 21 years old /.It the time of hie death and wae retir.ed fr.om the ,u.s. Air Force. Decedent was unemployed nnd,/l pati.ent at VA Medical Center, Lebanon, Pennfly1vllnia. 5. Pecedent died ~nte.tate and at the time of his " c1eath r~sided with his father, (tobert A. Klinger, Sr," l?etitiontlr, and~his mo1her, Doris J.Klinge~, of 75 Oliver R~ad, Enolll~ !?'ennsylvania. Neither of the saicl persons, is ,a minor ,o,r unoer., 1~galin9apacity~ 6. petitioner. believes that the decedent's estate .us~ d t,airied no damages'r.ecoverabh in a survivll1 action againa"t: . - -.- . .- ' . Michael J,ordan by reason..of decedent's death, and that aill" damages 'recoverable by reason ,of said death aredamagesf9r. \4rongful death, and Petitioherthereforer.equest's"that you'~ Honorable Cour.t allocate the total sO~ to be received in~ s,ettl'ement of the claim for. wrongful death. 7. 'The afor.es,aid par.enta of the deqedent /lU the oBly fpersons entitled to shar.e in the, proceeds of thewron,gful , c1eath claim. " 8. !,The petitio!ier. r.etained WilHam R. Balaban~sq, at\c!",! ~2- ,~oo ,Ul'.' !,;mj Karen M. Ba lapan, Esq" 8S counsaI on Ii conti nget;lffe\>l,basip, , . ~ .. . . , . ' and said co'unael fited a ClaIm on,be.lla1.f of RoP ert A, Klin,~~r, . Sr., Administrator of the Est/lte of,,~obet't A.,Klinge'I1,', ~r:" dece/lsed ,with the Farl1lerll 1 na~jt'ance Grol,lp,' insure,ll for d/;l~ fendari~" Michael Jord/ln. , 9. Counsel hIS negotiated a settlement bf the wrongful death claim with the rlefendant for the,totlll SUIn of $25,000.00 in accordance with the terms of the attached Release, whiph is attached hereto, made a part hereof and marked "Exhibit, B," which, sum represents the m~ltimum policy 1.imitsarid which Counsel and p~titioner believe is the best ,that can be oPt.ir~dl and that it would be advantageoUs to' the 'es tate to Elccept th'e I offer llather than undergo theexpensfl of a tr1'a1 in which there is no chance of 'any addl tional funds to reoover. 10.' CoUnsel hilS, incurred costs of $56,42 and roquestl3 Counsel ,rees of $8,300.00.' Said feo is based on the ContingentJ' , ,Fee,i\greemeflt entered into with Petitioner, Robert 'A. Klinger, " Sr ,I' a copy ,of wh ich is , and mar~ed "Exhlpit C," attached hereto' nnd made a' plrt\1ereof, ;" '" -,- , Counsel have spent c6nsiderable time in investiglltioti of the accident, researpMng the law, prePallll"g " memollandas, conferences with Pet~tt6ner, deoedent's paient~, and the defendant ',s represent~t I va prior to and dl1ririg the negot,filtions for a aettlement. " , 11. Oe,fendant and hia insurer, FarmerS Insurance GrOUp, i' , ~~M " "0"" ~r/ I', ~ , ,. ".,- .)~)U ", FULL RELEASE AND 01 SOHA1WE PERSONAL REPRESENTATIVE'S & IND~VI()UAL'S ',RELEASE AND INDEMNITY AGREEMENT tOR AN~ IN CONSIDERATION of the payment to m~,of th$sum of Twenty~five Thousand and no/100-'u~""U--Dollars ($2~,OOO), the receipt of which is hereby aCknowledged, 1, Robert Alvin Klinger, Sr., the duly appointed, qualifiecj and acting A'dmin- , istr,ator ~nd Personal Representative of the Elltate of Rober,tA. Klinger, Jr., decea~ed, letters of admiriistration having issued tb ~e on February 27, 1980, by the Register of Wills in and f~r , , th~ County of Cumberland, Commonwealth of Pennsylvania, pursuant to approvsl of said court, do hereby forever release, acquit, discharge and covenant to hold harmless Michael Jordan, his heir,s, successors, assigns and insurance carrier, Farmers' [nsurance Group, of and from any and all actions, c~uses of action, claims, demands, damages. costs, loss of services, expenses and compensatIon, on account of, or, in any way growing out of, any ,and all known and unknown personal injtiries,death, and Property damage which I and the heirs of Robert A. Klinger, Jr.;"'decessed, may now or hereafter have as the surviving p~rent and heirs of said decedent, and also all claims or rights of action for damages which the said heirs and dec~dentls estate has or m~y hereafter have, r~sulting or to result from a cert'ain ac'c ident which occurred on or about the 10th day of September, 197B, at or near the intersection of State Road 39 and State Road 166, in Weber County, Utah. EXHIBIT "B" I futtber promise to bind myself individUHlly and as personal representative, and all of the heirs ,of decedent, jointly and ,severally, our heits, ~dministrators and e~ecutors" to repay to the said Michael Jordan, hill heirs, succellBors, and , inaurance carrier Fatmers Inllurance Group any Bum of mo~ey, except the sum above mentioned that he 6r they ma~ hereafter be compelled to pay because of the Ilaid accident and said decedent's inj~ri~s and death arising therefrom. It is further understood and agr~ed that this settlement is the compromise of a doubtful and disputed claim,ind that this payment is not to be construed aB an admIBsion of liabIlity on the part of Michael Jordan or his representatives by whom ,liability is expressly denied. Thi~ release includes, but ill not limited to, all claims whaisoever arising otit of said accident, known and unknown, including subrogation cl~ims, insofar as said ,claims ,ertain to me" and, said decedent and his estate, and herebyag1:ee to hold said Michael Jordan and his representatives including his , insurance carrier harmless from any such claims, and t~ indemnify , ' , . . him and his 1:epresentatives from all such claims or l6SBe~ ar~sing'therefrom including reasonable attorney's fees. ,I further state that I have carefully read the foregoing' , , Release and know,of the contents thereof, and 1 sign thl!!. same as my own free act In both my individual and represen~~tlve " 'l:lapaciti.es. .. -2- EXHIBIT "B" " CONTINGENT ,FEE AGREEMENT. I h~~~by con.ti~ute and appoin~ WilliaM R. Balaban, Esquire, ~nd KlIren M. Balaban, Esquire, of the law fi1:mof Balaban'llnd Balaban, as my attorneys to pursue a cllHm for , wro~gful death againllt Michael Jordan. " The claimant is the Estate ,of Robert A. Klingiilr, Jr., . deceased, and the caus'e of action 'arose on February 1,1980. 1 her~by agree that the compensation of my attorneys for services shall be determined as followsl " My attorneys shall' receive a~ compensation for their ser~ice. in the pursuit of this claim one~third (1(3) of ,,' the fund derived by amic(lble settlement and forty (40) peFc~'nt If suit is commenced. My attorneys shall bereimbLlued out of the balance for all legal expenses incurred in the pursuit of this claim. I hereby further agree that my Ilaid attorneys are Iluthorized to, bring suit or to settle and compromise the said claim, to execute all docuIl1ents pertaining thereto, and to do ',all lawful aC,ta requisite for effecting the claim on my behalf. I ,hereby authorize my said attorneys to payout of any proceeds of settlement or trial any unpaid medical bills for treatment or services made necessary by the injuries sustained in this , j ,accident. SHOULD NO MONEY BE RECOVERED BY SU I T OR SETTLEMENT t , SAID ATTORNEYS TO HAVE NO CLAIM AGAINST ME OF ANY KIND ,FOR SERVIOES RENDERED. EXHIBIT "C"