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HomeMy WebLinkAbout07-4352 William P. Douglas, Esq. Supreme Court I.D. 1137926 Douglas Law Office 43 W. South St. Carlisle, PA 17013 Telephone (717) 243-1790_ Nancy J. Dellinger,-Testatrix of the Estate of Sara J. Zeigler, deceased In the Court of Common Pleas of Cumberland County Pennsylvania Plaintiff vs William I. Zeigler, deceased 2007 - y~S2 Civil Term do Douglas Law Office Petition for Approval of Settlement 43 W. South St. Civil Action Law Carlisle, PA 17013 Defendant Praecipe to Issue a Writ of Summons Dear Mr. Long: Please issue a writ of summons against the defendant, William I. Zeigler. William P. Do as, Esq. Attorney fo aintiff date: July 24, 2007 =rz ..a 1 ~ -r-t ~'iz _,_, ; ~. _,a ,._.; ~~ ~ W ~ ~ ;.r, :=' '`~~ Commonwealth of Pennsylvania County of Cumberland Nancy J. Dellinger, Testatrix of the Estate of Sara J. Zeigler, deceased Plaintiff vs William I. Zeigler, deceased In the Court of Common Pleas of Cumberland County Pennsylvania 2007 - t~~ ~ a Civil Term c/o Douglas Law Office Petition for Approval of Settlement 43 W. South St. Civil Action Law Carlisle, PA 17013 Defendant Writ of Summons To: William I. Zeigler, deceased c/o Douglas Law Office 43 W. South St. Carlisle, PA 17013 You are hereby notified that Nancy J. Dellinger, Testatrix of the Estate of Sara J. Zeigler, deceased, has brought an action against you. date: July 24, 2007 William P. Douglas, Esq. Douglas Law Office 43 W. South St. Carlisle, PA 17013 717-243-1790 Attorney for Plaintiff ~~'= ~~~ Deputy Pr notary Nancy J. Dellinger, Testatrix of the Estate of Sara J. Zeigler, deceased Plaintiff vs William I. Zeigler, deceased Defendant In the Court of Common Pleas of Cumberland County Pennsylvania 2007 - ~~35~ Civil Term Petition for Approval of Settlement Civil Action Law ORDER AND NOW, to wit this the day of July, 2007, it is hereby ordered that the settlement is approved. The proceeds of the settlement are to be distributed as follows: Nancy J. Dellinger, in her capacity as $66,666.67 Testatrix of the Estate of Sara J. Zeigler, deceased William P. Douglas, Esq. and Robert $33,333.33 M. Frey, Esq. Total: $100,000.00 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. By the Court, /s/ Hon. J~ Nancy J. Dellinger, Testatrix of the Estate of Sara J. Zeigler, deceased Plaintiff vs William I. Zeigler, deceased Defendant In the Court of Common Pleas of Cumberland County Pennsylvania 2007 - t-~- ~rJa Civil Term Petition for Approval of Settlement Civil Action Law Petition for Auyr~ oval of Settlement 1. The plaintiffs are, Nancy J. Dellinger, Individually, and as testatrix of the Estate of Sara J. Zeigler, is an adult individual residing at 10 Meade Drive, Carlisle, Cumberland County, Pennsylvania. 2. The defendant, William I. Dellinger, deceased, formerly resided at 20 Dewalt Drive, Mechanicsburg, Cumberland County, Pennsylvania. 3. On or about November 3, 2005, the decedent, Sara J. Zeigler, was a passenger in a vehicle being operated by her late husband, William I. Zeigler. 4. William I. Zeigler was negligent in the operation of his vehicle which caused injury to his wife and ultimately her demise. 5. William I. Zeigler died at the time of the accident. 6. Sara J. Zeigler's medical bills were paid by State Farm under her first party benefits and the remainder by Medicare. 7. Sara J. Zeigler is survived by her daughter Nancy J. Dellinger who is the sole surviving heir. 8. Nancy J. Dellinger, in her capacity as Testatrix of the Estate of Sara J. Zeigler, deceased, is requesting that the below distribution be approved. Nancy J. Dellinger, in her capacity as $66,666.67 Testatrix of the Estate of Sara J. Zeigler, deceased William P. Douglas, Esq. and $33,333.33 Robert M. Frey, Esq. Total: $100,000.00 8. The aforesaid proceeds due the Estate of Sara J. Zeigler shall be held in Escrow by Douglas Law Office pending the resolution of any liens asserted by Medicare. WHEREFORE, your Petitioners pray that the compromise and judgment be approved in accordance with the aforesaid. July 24, 2007 + ~ ~~ William P. Dougl Esq. Attorney for pe ner Nancy J. Dellinger, Testatrix of the Estate of Sara J. Zeigler, deceased Plaintiff In the Court of Common Pleas of Cumberland County Pennsylvania 2007 - '~~~ Civil Term vs ~_ William I. ~~~~ deceased Defendant Petition for Approval of Settlement Civil Action Law 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. §4904 relating to unsworn falsification to authorities. A signature July 24, 2007 ["? ~ i~~i .~ C` e," "~ ~> J --'t r, ~-" ~ ~ 4: t. ~~ ~- -, .. ;, r ~~ i ~. ~ 'Y C~'; JUL t42DD7~ Nancy J. Dellinger, Testatrix of the Estate of Sara J. Zeigler, deceased Plaintiff vs William Y. Zeigler, deceased Defendant In the Court of Common Pleas of Cumberland County Pennsylvania 2007 - t-{~'35a Civil Term Petition for Approval of Settlement Civil Action Law ORDER AND NOW, to wit this the 2~ day of July, 2007, it is hereby ordered that the settlement is approved. The proceeds of the settlement are to be distributed as follows: Nancy J. Dellinger, in her capacity as $66,666.67 Testatrix of the Estate of Sara J. Zeigler, deceased William P. Douglas, Esq. and Robert $33,333.33 M. Frey, Esq. Total $100,000.00 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. By the Court, / s / Hon. ~~ J. o~ n ~a h ~o r Nancy J. Dellinger, Testatrix of the Estate of Sara J. Zeigler, deceased Plaintiff vs William I. Zeigler, deceased Defendant In the Court of Common Pleas of Cumberland County Pennsylvania 2007 - ~}- ~rJa Civil Term Petition for Approval of Settlement Civil Action Law Petition for Approval of Settlement 1. The plaintiffs are, Nancy J. Dellinger, Individually, and as testatrix of the Estate of Sara J. Zeigler, is an adult individual residing at 10 Meade Drive, Carlisle, Cumberland County, Pennsylvania. 2. The defendant, William I. Dellinger, deceased, formerly resided at 20 Dewalt Drive, Mechanicsburg, Cumberland County, Pennsylvania. 3. On or about November 3, 2005, the decedent, Sara J. Zeigler, was a passenger in a vehicle being operated by her late husband, William I. Zeigler. 4. William I. Zeigler was negligent in the operation of his vehicle which caused injury to his wife and ultimately her demise. 5. William I. Zeigler died at the time of the accident. 6. Sara J. Zeigler's medical bills were paid by State Farm under her first party benefits and the remainder by Medicare. 7. Sara J. Zeigler is survived by her daughter Nancy J. Dellinger who is the sole surviving heir. ._ .J I ~,-. .,.- _I.rf^~ /~ _l.i ~ ' d i 1'J ~L ~a,, ~~J ~G I[r~ i..~L1i r 8. Nancy J. Dellinger, in her capacity as Testatrix of the Estate of Sara J. Zeigler, deceased, is requesting that the below distribution be approved. Nancy J. Dellinger, in her capacity as $66,666.67 Testatrix of the Estate of Sara J. Zeigler, deceased William P. Douglas, Esq. and $33,333.33 Robert M. Frey, Esq. Total: $100,000.00 8. The aforesaid proceeds due the Estate of Sara J. Zeigler shall be held in Escrow by Douglas Law Office pending the resolution of any liens asserted by Medicare. WHEREFORE, your Petitioners pray that the compromise and judgment be approved in accordance with the aforesaid. July 24, 2007 ' ~ ~~ William P. Dougl Esq. Attorney for pe ner Nancy J. Dellinger, Testatrix of the Estate of Sara J. Zeigler, deceased Plaintiff In the Court of Common Pleas of Cumberland County Pennsylvania 2007 - '~~~ Civil Term vs ~- William I. deceased Defendant Petition for Approval of Settlement Civil Action Law 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. X4904 relating to unsworn falsification to authorities. signature July 24, 2007 t"? r`' <~::> ~ :~ ____, rT ~ -r: - - ~ ~ _~ ., ~;, ~~ .s.- --,c_~ :, , -- r~~ .. _., M -_- `%~ .~ --: ~ r;