HomeMy WebLinkAbout10-30-07
FRIEDMAN & KING, P.C.
John F. King, Esquire
ID #61919
3820 Market Street
Camp Hill, P A 17011
Tel.: (717) 236-8000/Fax: (717) 236-8080
e-mail: friedmanandkin~@hotmail.com
Attorney for Petitioner
() __I
J~(_;
. . ~.-:~ ~l
--~-' -",
(;"1
(-
, '.j
~.;,
~.
....,...
In re:
JESSE A. ZEIGLER, Minor Child,
by Tracy L. Zeigler, his mother and
natural guardian,
Petitioner
IN THE ORPHANS COURT
CUMBERLANDCOUNTYPA
No. c2J-D\-OQ<?/
PETITION FOR APPOINTMENT OF GUARDIAN FOR THE ESTATE OF A MINOR AND
FOR APPROVAL OF A TRUST FOR SAID MINOR
AND NOW COMES Tracy L. Zeigler, mother and natural guardian of Jesse A. Zeigler, a
minor child, and petitions to be appointed guardian of the estate of said Jesse A. Zeigler, averring
as follows:
1. The minor child who is the subject of the within Petition is Jesse A. Zeigler, age 11,
DOB 10/25/95, with a residence address of 6309 Stanford Ct., Mechanicsburg, Cumberland
County, PA 17050. Said minor child's father, James Zeigler, is deceased. Said minor child's
mother, Tracy L. Zeigler, Petitioner herein, resides at 6309 Stanford Ct., Mechanicsburg,
Cumberland County, PA 17050.
2. The relationship of the Petitioner to the minor child is that of natural mother.
3. A guardian is needed for the estate of the minor child because said minor child was the
named beneficiary on a certain life insurance policy, number FLX 960172, issued by CIGNA
Group Insurance, insuring the life of the minor child's father, James Zeigler. Upon the death of
James Zeigler on May 17,2005, said CIGNA Group Insurance offered Petitioner the option of
filing for guardianship of the estate ofthe minor child, or allowing said CIGNA Group Insurance
to hold the proceeds of said policy "on deposit" until the minor child reaches the age of 18 on
October 25,2013. Petitioner elected to allow said CIGNA Group Insurance to retain said
proceeds "on deposit" in an interest-bearing account for the benefit of the minor child, as
evidenced by the Minor Hold Form executed by Petitioner on or about July 28, 2005, a copy of
which is attached hereto and marked Exhibit A.
4. Petitioner has recently become aware that the interest rate paid by CIGNA Group
Insurance on said account is considerably lower than the interest rate which can be earned by
placing the funds in question into a federally insured certificate of deposit at Members First
Federal Credit Union, as set forth below.
5. No guardian has previously been appointed by any court for the estate of the minor
child.
6. The proposed guardian is the Petitioner, Tracy L. Zeigler, age 39, who resides at 6309
Stanford Ct., Mechanicsburg, Cumberland County, P A 17050. Said proposed guardian is the
natural mother of the minor child.
7. Petitioner has no interest in the decedent, James Zeigler's, estate, adverse to the minor
child, Jesse A. Zeigler. James Zeigler's estate was insolvent. The only sums payable to the
minor child as a result of the death of James Zeigler arose from payment of the above-referenced
life insurance policy, to which Petitioner makes no claim.
8. The only assets subject to the within Petition are the proceeds of the above-referenced
life insurance policy, together with the interest income which has been generated thereon. The
initial principal amount of said asset was $15,000.00. Petitioner has been informed by CIGNA
Group Insurance that the interest due thereon will not be calculated until such time as CIGNA
Group Insurance pays over said sum to the trust being created hereunder. The principal of said
account and the accumulated interest continues to be held by CIGNA Group Insurance pending
action of this Honorable Court.
9. Although the minor child is the child of a veteran, being the decedent, James Zeigler,
no insurance or gratuity is due from the United States Veterans' Administration to the minor
child or to the estate of James Zeigler.
10. Petitioner, who is the proposed guardian, has attached her consent to the appointment
which she seeks, in accordance with Rule 12.5(c).
11. Petitioner is desirous of placing the funds described in paragraph 8 herein into a trust
account to benefit the minor child, Jesse A. Zeigler, which account shall contain restrictive
language regarding withdrawals as follows: "Payments may be made as necessary from the
principal and/or interest ofthe trust solely for the health, education and welfare of the minor
upon Court Order. The remainder of the trust proceeds shall be paid to the minor when the
minor reaches 18 years of age."
12. Petitioner intends to fully invest these funds in a federally insured certificate of
deposit at Members First Federal Credit Union, and maintain the same, through periodic
rollovers as necessary, until the funds are released to the minor, or for the benefit of the minor, as
allowed herein.
WHEREFORE, Petitioner prays that an Order be entered appointing Petitioner as the
guardian of the estate of the minor child, Jesse A. Zeigler, and approving the placement ofthe
funds into an account with restrictive language as set forth herein.
Respectfully submitted,
Date: I 0 J 2. 9 j 0 7
f I
JFK:ka
VERIFICATION
I, Tracy L. Zeigler, hereby acknowledge that I am the mother and natural
guardian of Petitioner, Jesse A. Zeigler, a minor child, in the foregoing action; that I have read
the foregoing Petition; and the facts stated therein are true and correct to the best of my
knowledge, information and belief.
I understand that any false statements herein are made subject to penalties of 18
Pa. C.S. Section 4904, relating to unsworn falsification to authorities.
lutLj )(. ,Ju~
Tracy L. Zeigler
Dated: 1~/1.5//)7
In re:
JESSE A. ZEIGLER, Minor Child
by Tracy L. Zeigler, his mother and
natural guardian,
Petitioner
IN THE ORPHANS COURT
CUMBERLAND COUNTY P A
No.
CONSENT
I, Tracy L. Zeigler, hereby consent to the appointment of myself as Guardian of
the Estate of Jesse A. Zeigler, a Minor.
i.j,~ X4/--'
Tracy L. Zeigler
JFK:ka:openfiles:Zeigler .James( estate ):guardianship. petition
~
. '
t
II
June 23, 2005
CIGNA Group Insurance
Ufe . Accident . Disability
Minor Hold Form
I am the _l"\O\He:~
of Jesse A. Zeigler, beneficiary
under Policy FLX 960172 for insurance issued on the life of James Zeigler, deceased. The said
beneficiary is a minor having been born on 10/25/1995, Social Security Number
/6',i-7l, - 0 III . No Guardianship proceedings have been or are now contemplated. I
hereby request CIGNA to hold the amount due to Jesse A. Zeigler with compound interest at a
variable rate that may change weekly, together with any excess interest which may be
determined and apportioned. All interest to accumulate until Jesse A. Zeigler attains legal age or
until a legal guardian of the minor may be appointed to act for Jesse A. Zeigler.
i. ,~.tA.
Initial Surname
(Sign here)
-/~
First Name
(Address)
/P309 .5la~..d {l,_i-j /1leeJ,am(ShLL~ a J7CJ.m
Street City or Town County State ip Code
(Date)
'/28/05'
I concur.
(Beneficiary signature required here if he/she is age 15 or over)
y<G\ utth '
CIGNA Group Insurance products and services are provided exclusively by underwriting subsidiaries of CIGNA Corpora lion, including Life Insurance Company of North
America, ClGNA Life Insurance Company of New York, and Connecticut General Life Insurance Company. .ClGNA. is used to refer to these subsidiaries and is a registered
service mark.