HomeMy WebLinkAbout01-0434 FX
SAIDlS
SHUffi.~WER
&UNUSAY
....1t1lll'llll:'Jo.(I'olAW
26W. HIgh Stnet
CarIIs1e, PA
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IN RE:
ESTATE OF SUSAN N. EDWARDS
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
'f\k>t Oi-l/3'! ~ T~
PETITION OF RICHARD A. EDWARDS
AS EXECUTOR OF THE ESTATE OF SUSAN N. EDWARDS, DECEASED
FOR APPROVAL OF SETTLEMENT AND APPORTIONMENT OF SETTLEMENT FUNDS
PURSUANT TO 20 PA.C.S.A.S3323 AND PA.R.C.P.S2206
AND NOW, comes Richard A. Edwards, as administrator of the
estate of Susan N. Edwards, deceased, by and through his
attorney, Joseph L. Hitchings, Esq., and petitions this Court to
enter an Order permitting settlement and compromise of claims
and in support thereof avers as follows:
1. Petitioner is Richard A. Edwards, administrator of the
estate of Susan N. Edwards and son of the deceased.
2. Susan N. Edwards died as a result of an automobile accident
occurring on April 3, 2000 in Upper Allen Township,
Cumberland County, Pennsylvania.
3. On April 10, 2000, letters of administration were duly
issued to petitioner by the Register of Wills of Cumberland
County, Pennsylvania.
4. By the terms of her will, Susan N. Edwards left the
following surviving heirs:
A. Richard A. Edwards, son, 2424 Frontier Street,
Longmont, CO 80501
B. Robert K. Edwards, son, 202B Stock Street, Hanover, PA
17331
5.
On April 18, 2000, petitioner retained the services of
Saidis, Shuff & Masland to represent him in connection with
all claims for damages arising out of the automobile
accident causing his mother's death. A copy of the
Contingent Fee Agreement evidencing said employment is
attached hereto as Exhibit "An.
6.
Petitioner's counsel notified Gerald E. Yocum and his
insurance company for claims on behalf of Susan N. Edwards,
and was offered the sum of fifty thousand ($50,000.00)
dollars for a release of all claims. A copy of said release
is attached hereto as Exhibit "Bn.
7. Petitioner's counsel also pursued an underinsured claim
through the deceased insurance policy with Erie Insurance
Group, and has been offered the sum of fifty thousand
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($50,000.00) dollars for a release of all claims. A copy
of the release is attached hereto, as Exhibit "CU.
8. Petitioner is satisfied with said offers, which,
considering the uncertainties of litigation, are fair and
reasonable under the circumstances of this case.
9. The fee of petitioner's counsel pursuant to the
aforementioned Contingent Fee Agreement is twenty-five
thousand ($25,000.00) dollars.
10. Petitioner is satisfied with the services rendered by his
counsel and approves the payment of their fees as set forth
above.
11. Petitioner proposes that the remaining seventy-five
($75,000.00) dollars in settlement proceeds be apportioned
and paid as follows:
A. $70,000.00 to Richard A. Edwards, executor of the
estate of Susan N. Edwards, deceased, pursuant to the
wrongful death claim;
B. $5,000.00 to Richard A. Edwards, executor of the
estate of Susan N. Edwards, deceased, pursuant to the
survival claims.
12. The proposed apportionment is reasonable because the only
item of damages to be claimed in the survival action are
the pain and suffering of Susan N. Edwards, which amount is
speculative at best due to the fact that she survived only
for a few short hours following the accident.
WHEREFORE, petitioner prays this honorable court to enter
an order approving petitioner's execution of a release in favor
of Gerald E. Yocum, and State Farm Insurance Company, and Erie
Insurance Group and to authorize the apportionment of settlement
proceeds as set forth above.
Respectfully submitted,
SAIDIS
SHUffi~WER
&LINuSAY
MIOJINIMloMolAW
26W.lIIghStroet
CarJlsIe, PA
SAIDIS, SHUFF, FLOWER & LINDSA .
Date: 1-/7-00
7..
Jos ph L. Hitching~~~sq
Supreme Court ID # 655
26 West High Street
Carlisle, PA 17013
(717) 243-6222
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SAlOIS,
SHUFF &
MASLAND
ATIORNEYS.AT.LAW
26 W. High Street
Carlisle. PA
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CONTINGENT FEE AGREEMENT
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THIS AGREEMENT, entered into this I) day of
I7fRJL 2000 by and between Saidis, Shuff & Masland
(hereinafter "Attorney"), and Richard A. EdwardS" as Executor to
the Estate of Susan N. EdwardS (hereinafter "Client").
WITNESSETH: That Attorney, for the consideration
hereinafter stipulated, has undertaken and does hereby undertake
and agree with Client to act as legal counsel in negotiating a
settlement, and if the same is not effected, in bringing,
conducting and prosecuting an action against Gerald E. Yocum to
recover damages for personal injuries suffered by Susan Edwards
in an automobile accident occurring on April 3, 2000.
ATTORNEY FEES:
In consideration for services so rendered by Attorney, it
is hereby agreed by and between the parties hereto that Attorney
shall be compensated as follows:
(a) Twenty-Five (25%) percent of the gross recovery if the
case is settled before the filing of a Certificate of
Readiness listing the case for trial;
(b) Thirty (30%) percent of the gross recovery if the case
is settled after the filing of a Certificate of
Readiness listing the case for trial;
(c) Thirty-Three and One-Third (33 1/3%) percent of gross
recovery if the case proceeds to trial; or
(d) In the event the Attorney-client relationship ends
prior to resolution of the case, Attorney shall be entitled to
compensation. In such case, compensation shall be 1/3 of any
settlement offers which have been made at the time of discharge,
or if no offers had been made, on a quantum meruit basis. In
addition to such compensation, Attorney shall be entitled to
reimbursement of all costs incurred up to the time of discharge.
SAlOIS,
SHUFF &
MASLAND
ATTORNEyg.AT.LAW
26 W. High Street
Carlisle. PA
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"Gross recovery" shall mean the full amount of settlement
proceeds of the full amount of verdict, including any pre-
judgment interest, without reduction for expenses or costs
advanced or incurred.
"Quantum Meruit" shall mean payment at the firm I s hourly
rate for each hour worked.
Attorney shall have a lien on any sum or sums recovered,
whether by settlement or judgment, for services rendered, costs
advanced and expenses incurred under this Agreement.
EXPENSES OF LITIGATION:
Expenses will be reimbursed to the Attorneys from proceeds
of any settlement or verdict. This is in addition to payment of
Attorney fees as above.
SETTLEMENT PROVISIONS:
All offers to settle, adjust or compromise the above claim
shall be reviewed between Client and Attorney before any such
offer is either accepted or rejected. Client further agrees to
consider seriously any recommendation for settlement made by
Attorney and not to unreasonably withhold consent to such
settlement recommendation.
DISCHARGE OR WITHDRAWAL:
In the event that Attorney subsequently determines that the
claim or suit lacks merit, or Client unreasonably withholds
consent to any bor..a fide settlement rccc...:rnmendaticD ...nade by
Attorney, or Client refuses or fails to cooperate with Attorney,
or Client conceals or misrepresents facts regarding above claim,
or Client commits a breach of this Agreement, Attorney shall
have the right to terminate his services giving reasonable
notice to Client.
MISCELLANEOUS:
Client understands, acknowledges and agrees that Attorney
does not guarantee the outcome or eventual result of the above
claim.
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SAlOIS,
SHUFF &
MASLAND
A1TORNEYS.AT.LAW
26 W. High Slreet
Carlisle. P A
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IN WITNESS WHEREOF, the parties intend to be legally bound
and have hereunto set their hands and seals to this Agr ment,
in execution thereof, the day and ye f' s n.
C~c-I tl.~, ~/'; .)
WITNESS
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ATTORNEY
(SEAL)
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RELEASE
~h ~ Consi eration of 17
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the receipt. and sufficiency,. whereof is hereby 'j.cknowledged, the undersigned hereby releases and forever discharges
~ _ . ~f 'r cti J ~i'C (1U h'1
-,.h"L:L heirs, executors, administrators, agents and assigns and all other persons, firms or corporations liable or, who might be
claimed to be liable, none of whom admit any liability to the undersigned but all expressly deny any liability, from any and all
claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever, and particularly on account of all
injuries, known and unknown, both to person and property, which have resulted or may in the future develop from an accident
~:?; '<vrL day of (J~[J t lJ!.. .
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)Y~(I f-/}/l(i;sf'/l~') fit
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Dollars,
which occurred on or about the
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at or near
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This release expressiy reserves all rights of the parties released to pursue their legal remedies, if any, against the undersigned,
their heirs, executors, agents and assigns.
Undersigned hereby declares that the terms of this settlement have been completely read and are fully understood and voluntarily
accepted for the purpose of making a full and final compromise adjustment and settiement of any and all claims, disputed or
otherwise, on account of the injuries and damages above mentioned, and for the express purpose of precluding forever any
further or additionai claims arising out of the aforesaid accident.
Undersigned hereby accepts draft or drafts as final payment of the consideration set forth above.
Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or
a statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning
any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil
penalties.
In Witness Whereof,
------
. 1.-. have hereunto set
In presence of:
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hand(s) and seal(s) this
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day of, T. i-I ' (year) ;) C Ct
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(Witness)
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(Address)
Signed X
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160-57 PA.3 Rev. 10-97 Printed in U.S.A.
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RELEASE AND AGREEMENT
Under Policy #Q12-0902559 issued by ERIE INSURANCE EXCHANGE/ERIE INSURANCE
COMPANY, JJwe, claiming coverage for myself/ourselves or on behalf of Susan N. Edwards in
consideration of Fifty Thousand Dollars ($50,000.00), which JJwe have received, RELEASE AND
DISCHARGE ERIE INSURANCE EXCHANGE/ERIE INSURANCE COMPANY from any and all
claims, causes of action or other rights which JJwe have, have had or could have under the UnderinsuIed
Motorists coverage as set forth in said policy, which claims, causes of action or other rights arose or
could have arisen as a result of a loss or accident which happened on the April 3, 2000, at or near
Intersection of South Market Street and Gettysburg Pike, Upper Allen Township in the County of
Cumberland in the State of Pennsylvania.
In consideration of such payment, I/we agree as follows: 1) to assign Erie Insurance Exchange/Erie
Insurance Company to my/our rights of recovery against any person(s) or party(ies) legally liable to
me/us, to the amount of and for the purpose of the payment noted above; 2) that JJwe have not and will
not make any separate settlement with nor give any separate release to any person(s) or party(ies) who
caused or are alleged to have caused the above-mentioned loss or accident; 3) that suit may be instituted
by Erie Insurance Exchange/Erie Insurance Company in my/our name; 4) to execute all papers required
to commence such suit; and 5) to cooperate in prosecuting any or all actions which Erie Insurance
Exchange/Erie Insurance Company may bring to recover from any person(s) or party(ies) for the claims
or causes of action which I/we have growing out of said loss or accident.
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It is expressly understood and agreed that, out of any amount recovered, costs of collection, including but
not limited to counsel fees, shall be first paid to ERIE u"lSURANCE EXCHANGE/ERIE INSURANCE
COMPANY. Except in states which apply comparative negligence in determining legal liability, any
recovery in excess of collection costs shall be paid to me/us, up to the full extent of my/our loss. In
states which apply comparative negligence, any recovery of my/our loss, in excess of collection costs,
shall be reduced by a factor equal to the percentage of my/our negligence which contributed to cause the
above-mentioned accident, before it is paid to me/us.
Intending to be legally bound thereby, WITNESS my/our hand(s) and seales) this
of NO">e1Y1loer , :1000 .
22 Ni)
day
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(Seal)
(Seal)
Claim #010170484583
NOTICE:
Any person who knowingly and with intent to defraud any insurance company or other person files an appl"?'tion. for
insurance or statement of claim containing any materially false information or conceals for the purpose of mlSleading~
information concerning any fact material thereto commits a fraudulent insurance act. which is a crime and subjectS the
person to criminal and civil penalties."
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Page 1
145411_'
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SAlDIS
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Caoilsle,PA
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717-243-6486 SAIDIS SHUFF MASLAND
JAN 12 '01 14:05
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VERIFICATION
I verify that the statements made in the foregoing petition
for Approval of Settlement and Apportionment of Settlement Funds
are true and correct. I understand that false statements herein
are made subject to the penalties of 18 Pa. C.S. 9 4904,
relating to unsworn falsification to authorities.
DATED:
/- /,2-6/
717 243 6486
PAGE. 02
AUG 16 '00 21:43
SAlOIS
SHU!'!H!OWER
&LlNvSAY
MRIIINn'S..u.1AW
26W. High Street
CarlWe, PA
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CERTIFICATE OF SERVICE
On this :3dftJ. day of ~~'d- , 2~, I
hereby certify that I served a true and correct copy of the
foregoing Petition for Approval of Settlement and Apportionment
of Settlement Funds upon all parties of record via United
States Mail, postage prepaid, addressed as follows:
Pennsylvania Department of Revenue
Bureau of Inidividual Taxes
Department 280601
Harrisburg, PA 17128-0601
Gerald E. Yocum
121 Mumper Lane
Dillsburg, PA 17019
State Farm Insurance Company
115 Limkiln Road
P.O. Box 257
New Cumberland, PA 17070
Erie Insurance Company
4901 Louise Drive
P.O. Box 2013
Mechanicsburg, PA 17055-0710
SAIDIS, SHUFF, FLOWER & LINDSAY
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SHUffi.!!OWER
&LIl'luSAY
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Carlisle, PA
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IN RE;
ESTATE OF SUSAN N_ EDWARDS
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No: 6/- '-134 ~ T____
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RULE TO SHOW CAUSE
AND NOW, this <If' day of
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consideration of the attached Petition, Gerald E. Yocum,
pennsylvania Department of Revenue, State Farm Insurance Company
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and Erie Insurance Group, are directed to show cause why the
petition for Approval of Settlement and Apportionment of
Settlement Funds Pursuant to 20 Pa.C.S.A.~3323 and
Pa.R.C.P.~2206 should not be granted.
The rule is returnable 2-0
days from service thereof.
By the Court
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IN RE:
ESTATE OF SUSAN N. EDWARDS
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 01-434 Civil Term
ORDER
AND NOW, this 2'"' day of
Vh~'1f
, 20EL..., upon
consideration of the attached Petition, it is hereby ordered and
directed as follows:
1. Richard A. Edwards, execution of the releases attached
as Exhibits Band C to the Petition, in favor of
Gerald E. Yocum, State Farm Insurance Company and Erie
Insurance Group, in return for the combined payment of
one hundred thousand ($100,000.00) dollars, is
approved.
2. Said proceeds shall be distributed as follows:
A. Twenty-five thousand ($25,000.00) dollars to
Saidis, Shuff & Masland as payment of legal fees.
B. Seventy thousand ($70,000.00) dollars to Richard
A. Edwards, executor of the estate of Susan N.
Edwards, deceased, as wrongful death damages.
C. Five thousand ($5,000.00) dollars to Richard A.
Edwards, executor of the estate of Susan N.
Edwards, deceased, as survival damages.
SAIDlS
SHUf!l!!OWER
&LIl'IuSAY
IUII_nMJ'lAW
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26 W. HIgh Street
Carlisle, PA
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IN RE:
ESTATE OF SUSAN N.
EDWARDS
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 01-434 CIVIL TERM
PETITION TO MAKE RULE ABSOLUTE
1. On January 23, 2001, the Petitioner, Richard A.
Edwards, administrator of the estate of Susan N. Edwards and son
of the deceased, filed a Petition for Approval of Settlement and
Apportionment of Settlement Funds Pursuant to 20 Pa.C.S.A.~3323
and Pa. R.C.P.~2206. A copy of the Petition is attached hereto
as Exhibit "An.
2. On January 24, 2001, this Honorable Court entered a
Rule to Show Cause which the petitioner's counsel served on
January 26, 2001, on Gerald E. Yocum, the Pennsylvania
Department of Revenue, State Farm Insurance Company and Erie
Insurance Group. The Rule was returnable within twenty (20) days
of service. A copy of the Rule is attached hereto .as Exhibit
"8" .
3. The Department of Revenue sent the letter attached
hereto as Exhibit "Cn, notifying the undersigned that they had
no objections to the proposed allocation of the proceeds of the
settlement.
4. Gerald E. Yocum, State Farm Insurance Company and Erie
Insurance Group did not respond, and it is therefore believed
SAlOIS
SHUffi.!!OWER
&UNUSAY
ATIOlINI!WS<M.lAW
26W. HIgh Street
Carllsle,PA
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that they also have no objection to the proposed Settlement and
Allocation.
WHEREFORE, the Petitioner prays this honorable court to
enter an order approving petitioner's execution of a release in
favor of Gerald E. Yocum, State Farm Insurance Company, and Erie
Insurance Group and to authorize the apportionment of settlement
proceeds as set forth on the Order.
Respectfully submitted,
SAIDIS, SHUFF, FLOWER & LINDSAY
Date:'~ -'l.6 -0 (
By:
)i'ngs, Esquire
Supreme Court I #65551
26 West High Street
Carlisle, PA 17013
(717) 243-6222
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VERIFICATION
I, Joseph L. Hitchings, Esquire, attorney for Richard A.
Edwards, Administrator of the Estate of Susan N. Edwards, verify
that the statements made in the foregoing Petition to Make Rule
Absolute are true and correct and certify that I am authorized to
do so, and that the persons' having knowledge of matters alleged
in this pleadings are outside the jurisdiction of the Court and
their Verification cannot be obtained within the time allowed for
filing the pleading. I understand that false statements herein
are made subject to the penalties of 18 Pa. C.S. ~ 4904, relating
to unsworn falsification to authorities.
SAIDIS, SHUFF, FLOWER & LINDSAY
Date:)-2i-OI
By:
J seph L. Hitch ngs, Es
Supreme Court Id # 65551
26 West High Street
Carlisle, PA 17013
(717) 243-6222 (telephone)
(717) 243-6486 (facsimile)
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ESTATE OF SUSAN N. EDWARDS
CUMBERLAND COUNTY, PENNSYLVANIA
'No!
PETITION OF RICHARD A. EDWARDS
AS EXECUTOR OF THE ESTATE OF SUSAN N. EDWARDS. DECEASED
FOR APPROVAL OF SETTLEMENT AND APPORTIONMENT OF SETTLEMENT FUNDS
PURSUANT TO 20 PA.C.S.A.!ii3323 AND PA.R.C.P.!ii2206
AND NOW, comes Richard A. Edwards, as administrator of the
estate of Susan N. Edwards, deceased, by and through. his
attorney, Joseph L. Hitchings, Esq., and petitions this Court to
enter an Order permitting settlement and compromise of claims
and in support thereof avers as follows:
1. Petitioner is Richard A. Edwards, administrator of the
estate .ofSusan N. Edwards and son of the deceased.
2. Susan N. Edwards. died as a result of an automobile accident
. occurring on April 3, 2000 in Upper Allen Township,
CUmberland CoUnty, Pennsylvania.
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3. On April 10, 2000, letters of administration were duly
-issued to petitioner by the Register of Wills of Cumberland
County, Pennsylvania.
4. 'Bythe.terms of her will, Susan N. Edwards left the
JoJ.l()wingl!ltlryiving heirs:
2424 Frontier Street,
PA.
SAIDIS
~~.
JU,~_~.IJ.w
26W. BlghSbeet
CadIsI.,PA
..' .,
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~_,.'.,""q"",.,.a."...... ....rVI-*#;g~r~;L,;:.
..'o"repres~nt h'-iiLIIi::-connectionc:-wTth-,
'."~or=_~~~~~c~:i;rEl:!:hg'01it_.of't:he_ automobile
",c_ac:cideIlt:c:ausinghis mother's death'_,A copy of the
-Contfngent-FeeAgreeinentevidencing said employment is
attached hereto as Exhibit "A".
6. Petitioner's counsel notified Gerald E. Yocum and his
.insurance company for claims on behalf of Susan N. Edwards,
and was offered the sum of fifty thousand ($50,000.00)
dollars for a release of all claims. A copy of said release
is attached hereto as Exhibit "B".
7. Petitioner'.s counsel also pursued an underinsured claim
through the deceased insurance policy with Erie Insurance
Group ,and ha:sbe~Il9fferedthe sum of fifty thousand
'"""';;">J-"<i':';~I~_bUiliilli'"
of the
8. Petitioner is satisfied with said offers, which,
considering the uncertainties of litigation, are fair and
reasonable under the circumstances of this case.
. 9. The fee of petitioner's counsel pursuant to the
aforementioned Contingent Fee Agreement is twenty-five
thousand ($25,000.00) dollars.
10. Petitioner is satisfied with the services rendered by his
counsel and approves the payment of their fees as set forth
above.
11. Petitioner proposes that the remaining seventy-five
($75,000.OO) dollars in settlement proceeds be apportioned
and paid as follows:
A. $70,000.00 to Richard A. Edwards, executor of the
estate of Susan N. Edwards, deceased, pursuant to the
wrongful death claim;
B. $5,000.00 to Richard A. Edwards, executor of the
estate of.Susan N. Edwards, deceased, pursuant to the
survival claims.
12. The proposed apportionment is reasonable because the only
item of damages to be claimed in the survival action are
the pain and suffering of Susan N. Edwards, which amount is
....specuJative at best due to the fact that she survived only
<",:.::.~::,.c~or:afewshort.hoursfollowing the accident.
~~"""li9'#2EaQle"c::,(ju.:r:t to enter
2~;t~~:~r~~!~~~!!~::~
Respectfully submitted,
~.-
&iBm
1U,'UOUftO.".;o',IAW'-
:z6w.Blgti stieet
CulIsIe, PA
SAIDIS, SHUFF, FLOWER & LINDSA
By
Date: 1-/7-oc
").
. Jos h L. Hitchings,."Es
,
Supreme Court ID # 655
26 West High Street
Carlisle, PA 17013
(717) 243 -6222
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CONTINGENT FEE AGREEMENT
871T
THIS AGREEMENT, entered into this I) day of
fffR./L 2.000 ,by and between Saidis, Shuff & Masland
(hereinafter "Attorney"), and Richard A. Edwardr as Executor to
the Estate of Susan N. Edwar~ (hereinafter "Client").
WITNESSETH: That A':: tcrney , for the consideration
hereinafter stipulated, has undertaken and does hereby undertake
and. agree with. Client to act as legal counsel in negotiating a
settlement, and if the same is not effected, in bringing,
conducting and prqsecuting an action against Gerald E. Yocum to
recover damages for personal injuries suffered by Susan Edwards
in an automobile accident occurring on April 3, 2000.
<ATTORNEY".FEES:.,.... '
"")-_'-;"F:'~-,,'d~,', ~"
so rendered by Attorney, it
parties hereto that Attorney
..::,.:.:::..;--'-":.,'-::,.-----.;...~~-. -_.~,-- :'.
. , ,. ~.-~--,- - -,
'fa), u,!,wenty-Five (25%) percent of the gross recovery if the
case is settled before the filing of a Certificate of
::=-j.':'~Readinesslisting the case for trial;
l~;::;;~~~~ -;:""-:'-?-''''::'' ~:'~::"'__,___
, .. .,. dper6';rit'ofgros;';,' .
~ se:'1P;r:Q!=~E;!ds=tb=ti:iaii=oi: '.:.' ........
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,HUFF &
MASLAND
.dToiiNm."t.ii.Aw
26 W. H1ghSIreet
CarIlsIe, P A
fa)" Iri--the-evenF::;;:ihe"Attorney-client relationship ends
-prior to resolution of the case, Attorney shall be entitled to
compensation. In such c:ase, compensation shall be 1/3 of any
settlement offers which have been made at the time of discharge,
. or if no offers had been made, on a quantum meruit basis. In
addition to such compensation, Attorney shall be entitled to
reimbursement of all costs incurred up to the time of discharge.
,-- I', ,. ".',-- '-"IJl>~~~~W~lli.ikilj(i!.J~t,;J',;j,,,,,"";i-.'->';!,~111~~b-,,,~-.!"",~,"",,,i.iili~l'%;,,i:n;j~dii"i: ~,.ijli:~~'l;
"Gross recovery" shall mean the full amount of settlement
proceeds of the full amount of verdict, including any pre-
judgment interest, without reduction for expenses or costs
advanced or incurred.
"Quantum Meruit" shall mean payment at the firm's hourly
",j:~teJoreach hour worked.
;~~~0{~~~'-"-"'-" "
~ft:i~:'YA~torney shall have a lien on any sum or sums recovered,
'~~h~~her;bY settlement or judgment, for services rendered, costs
'~~avanced and expenses incurrec lli~der this Agreement.
EXPENSES OF LITIGATION:
Expenses will be reimbursed to the Attorneys from proceeds
of any settlement or verdict. This is in addition to payment of
Attorney _fees as. above.
S~LEMENTPRovrS:rONS:
~,:.:.:.:~<.:.:- ';:.:,',-.., .,.:,'~' ....-
c,c. c'All-cbffers to settle adjust or compromise the above claim
' - ".:;:, _.' --' '_:;_ , - , ';__ '~-- ',,' ,; I
:~:sh~1J;Beu:r:eviewed between Client and Attorney before any such
:~c9f:fercc-i:.~::~.i.theraccepted or rejected. Client further agrees to
_IQc::,q!#i!:g~:lrc~seriously any recommendation for settlement made by
~~~~R";'t~l'":fen:dnot, to. u=easonably withhold consent to such
" ,emeIitc-recommendat~on.
.,'-- ',~c:.0...;..,70
,:'. ~-
'fC~~~t~E~i~to~~r~~TWl>e$entlY.. determines that. the
:t:ient;~c;]:'!'t<;i",sofi.illi;IY:;:withholds
eecrnrr..erl.aaticn--lt"ade -~ b}'- -
~ ~",=4 1-.::1""""" _'__.e
7 oiferaCEu;iffi AtECii:ney.--
. . L."C~.,'7'_'c-'-c ...... il.1:'._ a,ctif':regardingu above-cTaim:;
. . . otitlilf2s:",i't'ii?'each-=-.:of:'tJiIs:'-Agreernent,. -Attorney shall
.ve"-",~th~":;:rrghttoterminat:ehis services giving reasonable
. , lSi.ffi~triotice-to':'Client . .
,HUFF..cS!.
MA$LAND.M:rSCELLANEOUS ~
A~~~.uW
Client understands, acknowledges and agrees that Attorney
does not guarantee the outcome or eventual result of the above
claim.
..
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qm'w:tTNESS OF, ,. the parties ~ntend' to be legallybotmd
~nd. have hereunto set their hands and sealS. t.O~t'
in execution th~reof, the day an~~~ n.
Ca,Gc-I C. ~~. ./ .) ~ . , (SEAL)
WITNESS /. CLIENT
'OJ
.-
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CLIENT.
~,
(SEAL)
(SEAL) ,
ATTORNEY
(SEAL)
26 W,.lUgh Street
"Carlisle, PA
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RELEASE
, Dollars,
,~- ,,', .
inistrato.rs, agents and assigns and all other persons, firms or co.rpo.rations liable or, who might be
oriejJf whom admit any liability to. the undersigned but all expressly deny any liability, from any and all
. .,.. ,::Q,mlllges, a.ctions, causes of action or suits of any kind or nature whatsoever, and particularly on account of all
'"C,~."..>!1,.!,_>:", ".. _, __
. '0..[1p:~n"a~9.l!f1kno.wn, .both to. person and property, which have resulted or may in the future develop from an accident
'~b~?j2~~gr~o~tth~ . .~ ,UrL day of /ADkC' ,(year)?/?)"
' Jib
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e,s'alr rights anile parties released to pursue their legaJ remedies, if any, against the undersigned,
~i~'j~~~it~;,~~~r~a5'Si9~S','.' '. .... .. '..... ..
:Under5igri8d;~~re~dec:lareS)hattl)eterrris'of this settlement have been completely read and are fully understood and voluntarily
ta~tedfa?~t#€fp~~<iSe,9LtnakingafuILandfjnar compromise adjustment and settlement of any and aJlclaims, disputed or
[gttie~i~~~;Sr'" .. 'th~0ini.U!i~sanddamagesabove mentioned,and for the express purpose of precluding forever any
; . rther:: ing:9\1t'bftl)eafql'j!,saidaccident:. .
'i -',~:~;:.i; ~~~;:;:0L:c:c:-~iX"2=:;~: ~'~~~._'..~,.
-:a'';fi:.~,fin~~j:l.a.YI'TlE!l1tO.t.th~~COl1sideration. set. forth above. '..
~'"'-'---''' .,7c-<~:fiIBfi:i~~~~~~;i~~)~.~:~~~-'_',=_:,),c.,,- -----=:_ ~_- . -'_ __" ': ',_., _ _ ---, ,
,'.." . ... . H~~'_ on,fj~~aQPli.cationforinsuranceor
..,JQ~:'lnro~"~OrtcO'3pei11ing
,;,person:ta .criminaJ.anctcivil
Iiaya'hereunto set
In presence of:
..........
IV]....'
I
.
hand(s) and seal(s) this
'1j"ft..
day of ... i-j. , (year) Jc Ct
P'~/
7 .' .
,':./ / .'-=
';t;<<"~/~/-;:~~
.it-, ;;1<~,_;"'-o(- ,E.rf<ck '" '-'"".'1 Gel~~s
r
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'__. ;:.7__,-:..""";; / / .;01>:.._. .<:'''--
,- _ -- - - (Witness)
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--\.-: I t\..O,\J, iC-.'. -': ;-t.-:\i!:;;r:.'(JY! I '_U
(Address)
Signed X
~ ':"'1 4"-'LJ
be_v, - 1-" 'Signed X
',,"
60.57 PA.3 Rev. 10-97 Printed in U.S.A.
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cd',--' _____:,~.!,~bi'~W:, ,~_._,;-".",-,.-.;,..'"':".;.",:_,-,~",-'",, "~_,,,_T-'-":'-,.'''1!:. ,: '.,-, ""_ ,""~". --, ,,":,',-' '''''~'' '-,: _ , _ :r., ,:'"
"""","0 'ousana Dollars ($50,000.00), which JJwe have received, RELEAsE AND
DIScHARGE ERIE INSURANCE EXCHANGEIERlE INSURANCE COMPANY from any and all
'claims, causes of action or other rights which JJwe have, have had or could have under the Underinsured
Motorists coverage as set forth in said policy, which claims, causes of action or other rights arose or
could have ariSen as a result of a loss or accident which happened on the April 3, 2000, at or near
Intersection of SOJIth Marlcet Street and Gettyslmrg Pike, Upper Allen Township in the County of
Cl1II1berland in the State of Pennsylvania.
In consideration of stIch payment, JJwe agree as follows: 1) to 115sign Erie Insurance ExcbangeJErie
Insuranc~ c::ompany tomy/olll" rights of recovery against any peIi'son(s) or party(ies) Iega,UYIiable to,
me/us; tottie amoUnt ofand for the pIlIpose of the payment noted ~ove; 2) that Ilwe have not and will '.
not!Ilake'an}' s!4lata'te settlement with nor give any separate re1~e to any persoI1(s) or party(ies) who
caused or: ilre' aliegedto have caused the above-mentioned loss or aCcident; 3) that suit may be instituted
by Erie lnsJ1rance ExchangelErieInstJrance Company in my/olll" name; 4) to exectlte all papers reqttir:ed
to commence Sllchsuit; and 5) to cooperate in prosectlting any or all actions which Erie Insurance
Exchange/EneT:nSllrance Company may bring to recover from any person(s) or party(ies) for the claims
or causesofaction which Ilwe have growing om of said loss or accident.
It is e;cp~s1Y'l.Ulderstood and agreed that, OJIt of any amotlIlt recovered, cosrs of collection, including btlt
not li;.,.,i~tocOlmse!fces, shall be first paid to ERIE INSURANCE EXCHAl'l'GElERIE INSURANCE
:-~" .~CO~ANY.ExCeptin states which apply comparative negligence in determining legalliabiIity, any
. 'recoverjmexcess Qfcollection costs shall be paid to melus, IIp to the full extent of my/otlI' loss. In
stares, Vvhi"hilP,pIYCOInparativenegligence, any recovery of my/oUI loss, in excess of collection costs,
... 'cshaIl be,~edbyafactor eq1l3I to the percentage of my/otlI' negligence which contnbuted to cause the
~... ..c. ...abo"e-~IJtiQnedaccidentrbeforejt is paid to me/us.
..'-,- -,~~,+i~-:; .-..
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2.2 Hi:;
day
'(~~r,-:--;=::.._c__'~; c..
.,-.
~';Lj:~;"C~~~~#dl-'01'70484583
(Seal)
.. NOTICE: .ANt person who knowingly and widl iment ro defraud any insurance company or odler person tiles 31!, application lOr
. insurance'or ~ta<ement of claim containing any malllrially IilJse information or conceals for die purpose of misleading,
infonnation conc.."I'i1ing any titct materiaJ dlerero COInmiIS a fraudUlent insurance act, which is a crime and subjects the
person ro criminal and civil penalties..
....
RELl
Page 1
145411_1
,
I:'
"
I'
"
VERIFICATION
I verify that the statements made in the foregoing petition
for Approval of Settlement and Apportionment of Settlement Funds
are true and correct. I understand that false statements herein
are made subj ect to the penalties of 18 Pa. C. s. S 4904,
relating to unsworn falsification to authorities.
DATED:
/- /.2-{) /
."'~',~JS,:".~ .'
'SIIlR. .Br.'. .,....'...........,...
a.' " .', ~,~~ ~';"
c-', , _ ~,
ZltW;.Siiiiot. .'.
ea.......PA
. ''It
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CERTIFICATE OF SERVICE
<::1 '
On this d~ day of c:::;;~~ _ , 2~, I
hereby certify that I served a true and correct copy of the
foregoing Petition for Approval of Settlement and Apportionment
of Settlement Funds upon all parties of record via United
States Mail, postage prepaid, addressed as follows:
, ,
Pennsylvania Department of Revenue
Bureau of Inidividual Taxes
Department 280601
Harrisburg, PA 17128-0601
Gerald E. Yocum
121.Mumper Lane
::Dillsburg, PA 17019
--_.~---+._,------,---~"-_._----
,. -.
State Farm Insurance Company
;;llSLIfiikiln Road
:5P~()~LE3ox.. 257
\';New"cti.mb~:r:~aIlp"PA 17070
'.'~:t;~q,~ailY-;i~~:::=~;c:_ :~~__
SAIDIS,SHUFF, FLOWER & LINDSAY
SAJDIS '
S~i..=M., ".IWtER... ..
&~SAY
'....I"""'.~:...'-.
26W.:aJgit.$lreet
CarlIsle, PA
B:Jo<<lY~
-,
l
IN RE:
ESTATE OF SUSAN N. EDWARDS
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
, NO. Ot. 43'1 ~ I,z..-.
RULE TO SHOW CAUSE
AND NOW, this J.~f-h day of 3cuIu.Clrj
, 20_, upon
consideration of the attached Petition, Gerald E. Yocum,
Pennsylvania Department of Revenue, State Farm Insurance Company
and Erie Insurance Group, are directed to show cause why the
Petition for Approval of Settlement and Apportionment of
Settlement Funds Pursuant to 20 Pa.C.S.A.~3323 and
Pa.R.C.P.~2206 should not be granted.
:;.0 days from service thereof.
The rule is returnable
By the Court
~/IMm d ~
SAlOIS
5HUffi.tl.QWER
&lJl"lIuSAY
AnUIINDS..uolAW
26 W. HIgh Sbeet
Carllale,PA
nu:: C'J?Y FROM RECORD
In T--t'-]^T" ;. O' ,; ','nol'O unto set my hand
....~ :1\ '..-;. f '.-l!'_l '...'1 ~ ....
and ~he eai of said rourt at Carlisle, Pa.
,',..,2.4... d ..:lo...JJ....,
~
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JljllIJl!LL~ __ _:
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REvENUE
BUREAU OF INDIVIDUAL TAXES
DEPARTMEIIIT280S01
HARRISBURG, PA 17128-0601
Telephone
2/1/2001 717-783-0972
''__Joseph- L-n HitChings , Esquire
Saidis etal
26w High St~eet,
Carlisle, PA 17103
Re: Estate of Susan N Edwards
File Number 2100-0294.
. Dear Mr.._ Hitchings:
The Department of Revenue has received the Petition for Approval of Settlement
Claim to be filed on behalf of the above-referenced Estate in regard to a wrongful
death and sutY_,ivaln action. It has been forwarded to this Bureau for the
commonwea:itb's approval of the allocation of the proceeds paidt:osettle the actions.
Pursuant ,to the Petition~ the 78-year-old decedent died as a result of a motor
vehicle:,acci'!.~~~_~~~~:,.D~~~~~nt _i~. ~tirVived__by.: _1;,wQ adult _50ns.- __ .
Please be advised that; based upon these facts and for inheritance tax purposes
only, this Department has no objection to the proposed allocation of the net proceeds
of this action, $ 70,000.00 to the wrongful death claim and $ 5,000,00 to the survival
claim. This allocation is approved due to the limited additional tax that would
result if the _survival action proceeds were increased. This allocation is limited to
this estate. Proceeds of a survival action are an asset included in the decedent's
estate and a~e subject to the imposition of Pennsylvania inheritance tax. 42
Pa.C.S.A. ~8~02; 72 P.S. ~~9106, 9107. Costs and fees must be deducted in the same
percentages as the proceeds are allocated. In re Estate of Merryman, 669 A.2d 1059
(Pa. Cmw1th. 1995).
I trust that this letter is a sufficient representation of the Department's
position on this matter. As the Department has no objections to the Petition, an
attorne~ from the Department of Revenue will not be attending any hearing regarding
it. Please contact me if you or the Court has any questions or requires anything
additional f~om this Bureau.
Sincere1~ ~
~tl~~L~
~n~~itance Tax Division
Bureau of Individual Taxes
cc: Cumberland County Clerk of Courts
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