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Home My WebLink About01-31-08 (3) IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF ANNA RUNK, DECEASED No. 21-08-0017 RETURN OF SERVICE I HEREBY CERTIFY THAT: I, Catherine Klobucar, served the annexed Petition for Citation to Grant Letters of Administration, Preliminary Decree and Citation upon the following: Shaun E. O'Toole, Esquire 2813 N. 2nd Street Harrisburg, P A 17110 Service was made via first-class, United States mail, certified, return receipt requested, on January 12, 2008. A copy of the receipt evidencing service is attached hereto. I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Return of Service is true and correct. Dated: dd~/o~ By: ~ U HL;tJAt1Ji;U Catherine Klobucar SCHUTJER BOCAR LLC 417 Walnut Street, 4th Floor Harrisburg, P A 17101 () ,- '=0 "~~~Q r--.' ('.~' :") f~.:j = c_ ;;"'--p ~~ , ./3 5~~ :~-) (i ':~2 -,'I 1..-- ::\.,j -u --; ::P w " ::1:: (.-.~) f'V r- CX) s SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card tq you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: COMPLETE THIS SECTION ON DELIVERY SY\~ E. 0' loo\e, E.~. d. 1) \ ~ N. ~\\cl S~ \-\&f,LSP\.lr~ 1\Xt \l\lO 3.~ice Type .Jl!l. Certifled Mall 0 Express Mall o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extta Fee) 0 Yes 2. Article Number (Transfer from service label) I PS Form 3811, February 2004 i 7007 0710 0003 6108 6981 Domestic Return Receipt 102595-02-M-1540 CITATION Office of the Register of Wills Cumberland County, Pennsylvania IN RE: Anna Runk 21-08-0017 COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND TO: Robert Runk Mark Runk Steven Runk Susan Feagley Micbael Runk Albert Gartz GREETINGS: AND NOW tbis 7th day of January, 2008, the Clerk of Orphans' Court of Cumberland County issues this citation upon know beirs of Anna Runk to Compel tbe Production of a Will, if any, and if no Will exists to Show Cause, if any tbere be, why Letters of Administration for the Estate of Anna Runk, deceased, should not be issued to Shaun E. O'Toole, Esquire. This citation is returnable 20 days from the date of Service. Glenda Farner Strasbaugh Clerk of Orpbans' Court o So ~~i ~ 0 -<~ h-; _ ~::D --.::.: :.JJ^ --'-'0 <~2~ ---- :D :0--1 .> L.. ::Po Z I --.J _:0 :::c.~ f-n i'T"< CJ C;)O ~~a rrl nI T; CJ C)O -:! -11 :::-:: :!J ~:-: M t/)~. -0 :K W .r:- C> BEFORE THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL V ANlA ESTATE OF ANNA RUNK DECEASED NO 21-08-0017 DECREE OF THE REGISlER OF WILLS AND NOW, this ih day of January, 2008, upon consideration of the annexed Petition of Golden Living Center-West Shore Health and Rehabilitation, a principal creditor of Anna Runk, deceased, it is hereby Ordered and Decreed that a Citation shall be issued upon the known heirs of the Decedent to Compel the Production of a Will, if any, and if no Will exists, to Show Cause, if any, why Letters of Administration for the Estate of Anna Runk, deceased, should not be issued to Shaun E. O'Toole, Esquire, and in the interim, Shaun E. O'Toole, Esquire, is appointed Limited Administrator Pendente Lite, with such appointment to lapse upon the granting of Letters of Administrator pursuant to 20 Pa C.S. 9 3155. This citation is returnable 20 days from the date of Service. Glenda Farner Strasbaugh, Register of Robert Runk Mark Runk Steven Runk Susan Feagley Michael Runk Albert Gartz o ~o -:-"'=.L~ -~~o _ ~:;: E6 " c,-~ ~~ ...~;t~~~ J;~ ::~ :g I':l <= <= ex> (- :~ -....) -0 ,n [~:f~ ,-.-; '--.f :.-"; ~J ':;:~ S:~ - :i-i C) ,rl r - , '. .. :.:.., ..:Ii.- I --.I :E: w W \.D IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF ANNA RUNK, DECEASED No. of 2008 PETITION FOR CITATION TO GRANT LETTERS OF ADMINISTRATION PURSUANT TO 20 Pa.e.S. & 3155 TO lHE ORPHANS' COURT OF CUMBERLAND COUNTY: Golden Living Center - West Shore Health and Rehabilitation ("Petitioner"), a principal creditor of Anna Runk, respectfully represents that: 1. Petitioner operates a skilled nursing facility located at 46 Erford Road, Camp Hill, P A 17011. 2. On or about July 22,2005, Decedent was admitted to Petitioner's skilled nursing facility pursuant to an Admission Agreement pursuant to which Petitioner agreed to provide Decedent with skilled nursing care and services in return for her promise to make timely payment for that skilled nursing care and services. 3. As of the date of Decedent's death, as outstanding balance was owed to the Petitioner for the skilled nursing care and services it provided to her, and Petitioner was a principal creditor of Decedent. 4. Upon information and belief and to the extent of Petitioner's knowledge, on September 7, 2007, Anna Runk (UDecedent") died intestate. An original death certificate is attached as Exhibit II A." 5. Upon information and belief and to the extent of Petitioner)' s knowledge, Decedent has the following surviving heirs or next of kin: Name Relationship Address Robert Runk Son P.O. Box 171 Dry Run, P A 17220 Mark Runk Son 111 E Dunlap Ave. Phoenix, AZ 85020-2807 Steven Runk Son 1013 Oyster Mill Road Camp Hill, PA 17011-1002 Susan Feagley Daughter 14557 Mountain Green Road Willow Hill, PA 17271-9703 Michael Runk Son P.O. Box 172 Willow Hill, PA 17271-0172 Albert Gartz Brother P.O. Box 607 Delta Junction, AK 99737-0607 6. Petitioner desires to have Shaun E. O'Toole, Esquire (" Attomey OIoole"), appointed by the Court to administer the Estate of Anna Runk for the purpose of paying all debts owed by Decedent, qualifying the Decedent for the receipt of Medical Assistance benefits, and distributing the balance of the estate pursuant to the intestate laws of the Commonwealth of Pennsylvania. 7. Attorney O'Toole is a disinterested party who has no interest in the outcome of the pending Medical Assistance appeal involving the Decedent. 8. In furtherance of this matter, Petitioner also requests the appointment of a Limited Administrator Pendente Lite, pursuant to 20 Pa. C.S. 93160, solely for purposes of appealing and preserving Anna Runk's eligibility for Medical Assistance benefits. 2 9. The appeal regarding Anna Runk's eligibility for Medical Assistance benefits is currently pending before the Bureau of Hearings and Appeals of the Department of Public Welfare of the Commonwealth of Pennsylvania. Because a hearing will be scheduled in this matter in the near future, it is essential that the appropriate legal representative is available to represent Ms. Runk's interests. Otherwise, her eligibility for benefits may be lost. WHEREFORE, Petitioner, Golden Living Center - West Shore Health and Rehabilitation, respectfully requests that a Citation be issued pursuant to 20 Pa. C. s. S 3155 upon the known heirs of Anna Runk to Compel the Production of a Will, if any, and if no Will exists to Show Cause, if any there be, why Letters of Administration for the Estate of Anna Runk, deceased, should not be issued to Shaun E. O'Toole, Esquire, and in the interim that Attorney O'Toole be appointed as Administrator Pendente Lite. Respectfully submitted, ScHlITJER BoGAR LLC Date:11'4J'~~ . BY~~ Kirk S. Sohonage Attorney I.D. 77851 (717) 909-8160 Maria G. Macus-Bryan Attorney LD. 90947 (717) 909-8640 417 Walnut Street, 4th Floor Harrisburg, P A 17101 Fax No.: (717) 909-5925 Attorneys for Petitioner VERIFICATION The undersigned hereby verifies that the stnter.nents of fact in the forego.ing Petition arc true and correct to the best of my knowledge, information and belie!. I undelb'tand that any false statements therein are subject to the penalties contained in 18 Pa. C. s. 94904, relating to unsworn falsification to authorities. Dated: '1-}1-Uf D1 . l)'rdl . verly F N g Home Administrator Golden Livmg Center- West Shore Health and Rehabilitation EXHIBIT II A" H1C6-143 REV 11l2OO6 lYPE J PRlNT IN PERMANENT BlACK INK ex: ~ 2: ____ .- w --__I ---- -- - - --- --rJ -- --- ------ ..--- - -- --- -- --0 - -~J"'-~- --.---- -- . -- ------- -- ------- Y'i~,Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Calvin B. Johnson, M.p., M.P.H. Secretary of Health ~~ tf~o~ Frank Yeropoli State Regisrrar 4203955 DEe 2.0 ZO07 No. Date COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTlACATE OF DEATH (See Instructions and exampl.... on reverse) 088865 ST....TE ALE NUMBffi ,. Name cJ Oecedenl (F"nlmiddle.1asl suIIit) T.... 2673 4. Dale cl 0MIh (MDnIh. dBy. yB) September 7, 2007 Anna Marie Runk 6. Date 01 EIIrIb Wr:d\ ''''''IWI_') 17C.(;I YlIs, Decedln l1Nd iJ 17d. 0 No. 0tadMt 1.Md... .........-<< 7...... IIllIslIIeCl" .... 0II>0r. 66 July 8. 1941 Elizabeth, NJ llIlFodly...."'..._QIoe_...._ Golden Living Retirement Center 00lhw._ lD.Rla:~1rxIIn.ElM:ir.YtIhb.*- I~ white ,~=.........,....:::=_ 'li__ll_fi<e_.....l Divorced v" J ~ lib. Co\1I"YoI()eaJh Cumber land 13. ~-ll!>edIY""hlPllplo",,-", a-D<ylll"irtl>-'2) CoIogo(,....s.) PA 12. Was DecedInt IIYW IA.. u.s._Footoo? 0'/10 1itI... ~ /dull FIIsIltIra 17a. SaIl: 11b. Caonr 11. OtIa!denl"!lJsuaI or'Mll1ldooe ....,.- Seamstress - ,.""""""'.......-I-...''''''-''''~ 14557 Mt. Green Road - Willow Hill. PA. 17271 la FlIlhafs Name (FIrsL. nddcIa.1asl sdIix) Albert Gartz 2Oa.. lnfonnan(s. NaJM (Type 1 PmO Robert Runk FRnnpt-t F,..RTlk 1; n ClIy'BoD 111. MoIln NIrM [fht.1NllII. rnIIkI8rt 1UIDmII) EdnaStaclnrra _--...__'........,,__"""""'l 21132 Parson Road Run <> "' '" OJ ~ ~ 17220 "',""",,"ICilyI-'_1\>~ Doyleshrrg,PA. 17219 ~ - ~ s~. b8ms. 24-261bJSl br CClIIlJRled by pwson who~_ 2<. Part It Enlwchr sIIDIDnI mrIlIIMs ~ ladMlIL 28.. 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Cortl""'"p"'oIcIonjPbpicion_'""'"......_........~...___....___,..231 TD k but aI '"' ~ ~ 0CCUJt'Ild cItle 10 IhI CRM(a) 1nlImanr.r...-..cL - - -- - - - - - - - - - - - - - - - - - - - - - - - - - --- . """"'"""""....""""""....__....__...'""""''''.....<<_ 33<......._ Tolhebe:5lolllf'J knoMIdp.deMb ocaIITed Ilh.......and plica. IBdduelotblCMlU(a)and rMMef..atmcL._________ -- --- --- 0 . 0 . ~=~~ancl/ar\nvel;lig.e!on."'myoplnlon...oc:.cun.satlha......~and...tnddullOthecwu{.)IJtdIltlM.....stalteL 0 12 IRI.,2,lb 17' I ~ r.J-o.7c. CMsposs1ion Pamit No.