HomeMy WebLinkAbout02-19-08 (2)
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: EST ATE OF ANNA RUNK,
DECEASED No. 21-08-0017()
c:.o
:'"','. ::Q
AFFIDAVIT OF NONSERVICE '.?t~;)
"c.'" ~--:"\
'~::":'-:.-~
-n
~\
~;
-
...0
- '-)":;':-".
I, Catherine Klobucar, being duly sworn according to law, depose and sclY~'
~c~:~ .\
-c-:
--...,..'
...;.-
-.....1 ;::;-\
t;?
following:
:..:~
CP
1. A Citation for the Petition for Citation to Grant Letters of Administration,
filed in the above-captioned matter, was issued to Michael Runk on
January 7, 2008.
2. I have conducted a diligent search of the public records utilizing W estlaw,
and the last known address for Michael Runk is P.O. Box 172, Willow
Hill, P A 17271. The public record search findings are attached hereto as
Exhibit "A."
3. On January 9,2008 the Petition for Citation to Grant Letters of
Administration and subsequent Citation were sent via certified and regular
mail to Michael Runk. A copy of the service documents are attached
hereto as Exhibit "B."
4. On January 15,2008, the certified mail was returned by the United States
Postal Service with a notation that "attempted not known." A copy of the
returned certified mailing envelope is attached hereto as Exhibit "c."
5. On or about January 15,2008, the regular mail was returned by the United
States Postal Service with a notation that "attempted not known." A copy
of the returned regular mailing envelope is attached hereto as Exhibit "D."
Dated:-Jj\CO/01 ~\.(-U~ ~~~
Catherine Klobucar
Sworn to and Subscribed before me
-I.f~
this / I) day of
,2008.
COMMOWWEALTH OF PENNSYLV
NOTARIAL SEAL
CHRISTY A. LONG. Notary Public
City of Harrisburg, Dauphin County
M Commission Expires December 22, 2009
vveSllaw UUCUIIlem
rage I Ul I
PEOPLE FINDER - HISTORIC TRACKER RECORD
Information Current Through:
01-31-2008
Database Last Updated:
02-07-2008
Update Frequency:
MONTHLY
Current Date:
02/13/2008
Source:
TRANS UNION
INDIVIDUAL INFORMATION
Name:
RUNK, MICHAEL V
Also Known As:
MICHAEL, RUNK
SSN:
186-50-XXXX
Estimated Date of Birth:
09/1959
On File Since:
05/01/1993
Phone Number 1:
349-0094
CURRENT ADDRESS INFORMATION
Current Address:
PO BOX 172
WILLOW HILL, PA 17271-0172
09/01/1994
Address Last Reported:
PREVIOUS OR ADDITIONAL ADDRESS INFORMATION
Previous Address:
14557 MT GREEN RD
WILLOW HILL, PA 17271
05/01/1993
Address Last Reported:
END OF DOCUMENT
https://web2.westlaw.com/resuIt/documenttext.aspx?vr=2 .O&rp=% 2fsearch % 2fdef ault. wI... 2/13/2008
SCHUT JER I BOGAR llC
attorneys & consultants
Email: cklobucar@schutjerbogar.com
Direct Dial: (717) 909-7002
January 9, 2008
VIA REGULAR & CERTIFIED MAIL
Michael Runk
P.O. Box 172
Willow Hill, P A 17271
In Re: Estate of Anna Runk, Deceased
D.C. No. 21-08-0017
Dear Mr. Runk:
Enclosed please find a copy of a Petition for Citation to Grant Letters of
Administration, Preliminary Decree and Citation issued by the Cumberland County
Register of Wills in the above-captioned matter.
Additionally, we are sending a duplicate copy of the enclosed documents to you
via certified mail. We kindly request that if you are not available to sign for the
delivery by your regular postal carrier that you please pick up your mail at your local
post office as we are required to provide the Court with proof that you have received
the enclosed Petition and Citation and that you made aware of the hearing date and
time.
If you should have any questions, please contact Maria Macus-Bryan at (717) 909-
8640. Thank you.
Sincerely,
~~
Catherine Klobucar
Paralegal
Enclosures
305 t.'>l. Front Street, Suite 401, Harrisburg PA 17101 " Fax (717) 909-5925 .. www.schutjerbogar.com
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
Michael Runk
Albert Gartz
GREETINGS:
AND NOW this 7th day of January, 2008, the Clerk of Orphans' Court of Cumberland County issues
this citation upon know 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.
This citation is returnable 20 days from the date of Service.
Glenda Farner Strasbaugb
Clerk of Orphans' Court C)
~::: ~
_ICJ
_, --, C)
~<.; 5> r-
- -7 n,
~=cJ
_Uj"^
-'-'8
_.:~O-:j
"--
--n
-,,::'::::j
::':!
c......
::t-
:z::
I
-.J
-u
::Ii::
W
.c-
O
.:'"':J
I' f:ll
["Tf t. )
c;io
~6
fI~ I nt
:::c; CJ
C)Q
:-! ---r-j
:~~
;=. lJI
c:....):~.
BEFORE THE REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
EST A TE OF ANNA RUNK
DECEASED
NO 21-08-0017
DECREE OF TIlE REGISTER 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. ~ 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
n
=0
.--~ -I'
'~I-rl
-]~,~
l'0
=
<=
=
(-
:P~
[',1
--"-
,-=)
-_~_O
:----1
I
-.I
~3;~
-u
,-",
~J
':_~C~
. . -;-i
:Y
w
(')
C'l',
--,
--:]
~t> W
\.D
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
INRE: ESTATE OF ANNARUNK,
DECEASED
No.
of 2008
PETITION FOR CITATION
TO GRANT LETTERS OF ADMINISTRATION
PURSUANT TO 20 Pa.C.S. & 3155
TO TIIE ORPHANS' COURT OF CUMBERLAND COUNIY:
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, PA 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 ("Decedent") died intestate. An original death
certificate is attached as Exhibit" 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 llill, 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 (JI Attorney O'TooleJl),
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
DepillTInentofPublicVVclfareoftheConunonwealthofPennsylvmlia. 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,
SCHUT}ER BOGAR LLC
Date='!Z./ ZooS
.
BY~~
Kirk S. Sohonage
Attorney I.D. 77851
(717) 909-8160
Maria G. Macus-Bryan
Attorney J.D. 90947
(717) 909-8640
417 Walnut Street, 4th Floor
Harrisburg, P A 1710l
Fax No.: (717) 909-5925
Attorneys for Petitioner
VERIFICATION
The undersigned hereby verifies that the stat~ents of bct in the foregoing
Petition arc true and correct to the best of my knowledge, information and belicl. I
understand that any .false statements therein are subject to the penalties contained in 18
Pa. C. S. S 4904, relating to unsworn falsification to authorities.
Dated: I1-J1-l1{ 01
toJHt ~Drdl
. verly F N g Home Administrator
Golden Livrng Center - West Shore Health
and Rehabilitation
Hlffi-J43 REV 1112006
TVPE / PRINT IN
PE.RMANENT
BlACK JN1(
ex:
?
L
---- -- -- ----J ~--- --- -- - --- -.-CI -- -- ------ .-- -- -- --- --
wirh Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
--.- - ----,- --- --.------ --
~ is illegal to duplicate this copy by photostat ;~ra~""'r~
Calvin B. JohnsoD, M.D., M.P.H. Frank Yeropoli
Secretary of Health State Registrar
4 2 03955
Date
DEe 20 ZOOT
No.
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reveTSe)
088865
STATE ALE NUMBER
L Name 01 DetPdenI (FlI3t middle, last, suIIiJ)
2673
4._"0eaIh_day.1""'I
September 7, 2007
Anna Marie Runk
J
T....
8a.PJaceolO!alh(ChtCk 0l'lI)
_ ClIl>a<
0_ OERr_ OllOA 0__. DR.- Oo",,,.SpIdIy.
._-"_on,;n' ~ 0"'" t~Rolr_-'IlIoD._~""-
(II,..._CUbol. 1_
M-..."''''''-'''''''-) white
ta!locedenl".ErlucatiooISpedlyonlr_gnde_dl 14.=",_~_'" l~SurMlg_(II_gMo_""""1
Elemen....' i!'1ll-12) CoIl... I'" "',.) Divorced
5. Age IUsI Birthday)
6. Oa'eofB1'lh(WonIh,.
,YelVj
'._1
66
July 8, 1941
Elizabeth, NJ
y"
- Sb_ GOUIlly of Dealt!
8d. FwcIIr Name tnnolin5titulion, gtv. Sbeet and Il.Imbel)
Golden Living Retirement
11. OecedMI":o!: Usual lion
Kind__
Seamstress
_ 16. Decadenfii MalWlgMtlass lSlra9t.dlyJ loM\~zipcode}
14557 Mt. Green Road
. Willow Hill, PA. 17271
DldOer.acleli
lNa".
T_'
PA
FRnnpt-t-
17t.[;I Yas.Oec.ed&nIli'rl!Idn
17d.ONo,Decadertl.Ned.....thil
Aclulllihllsct
F..-Rnklin
17b. C<nny
""1-
18. Father's Name' (R15l:. mWa. 8sl. su'fiJ)
Albert Gartz
20a lnklnnanf's Name (lypt J Pm)
Robert Runk
lit Molt'Iar\. Nam& (Fhl mIddI&, maId8n 5WJ\lIl18)
Edna Stachura
""'''''''''''''''......_I_""I__>I>'''''"l
21132 Parson Road, Run
21c. PW:e of Olsposillon (Nlme of ClJfI8l8l'y. trBIIlalofy or oIblIrJDl>>)
"4 """""'ICIly'-'-.""_1
Doylesoorg,PA. 17219
o
"'
'"
=>
':l
:;,
17220
- ~
s~.
hlWm 24-26 ITlIJSt tIP compelBd bJ paISDn
. whopronouocestlUD\.
CAUSE OF DEATH (See Inatructlona and example_)
hem'l7. Partl EntBrIht!~_(lsaa!;es.IrfJries..OfoornJicalons-\hattlr8clfyClUS8lftJel!lllllllDONOTMlBrlen'nhBltwll'llssuchasC8ldiac&ml5S,
lespiJ:alory arrH, Of'ldricutarlllrilllionwlhoul shoMngh~ Uslcrit CfI8 tIll58ontllChh.
Md/1; f;a/!
;J(ck.;yJ4/" '.r iJ6?u,.,/;v-..
t~lntervat
: QnsetIoDuUt
.
.
.
.
.
.
.
.
.
.
.
.
.
,
.
PBl1B:EnIerai\8l'!dmfIClnItmdllons.~todealh. 28.Oid~ilbIa:o CmdJJab0ealh7
"''''''_"..._''''''II-''...l 0 "'" PIoboIlIy
No 0'"""""'"
2tlfF
=rf:~-:~ ~;:) [isaaH-';
..
[Ne..I..as~'* d
b. Y';) l't/^
l:W 10 {or asa COOSlKJl8rW.'8 d):
.......-... ,..,
o P_.....~_
o Na_",__"..,.
,,-
0""_,,,_43..,."''"''
......doo..
o _r_-....""'y...
32c.~=~_-...
Sequef1lfaiyisrCDl'ldillons.ilany.
1e1ldInQIo'necausehl9donWL
EllIei' Ihr UNDffilYlNG CAUSE
~en:~~IJI~~~
Dueto{orIS8~oI):
3CIa Was anAulopsy
PlIrtcmlBd?
.
"",_..."",,-
AvalBtMPJkJrlo~
rlGaU.5eolDealh1/
o Yo> @No
32d..T\IllllollJiurY
~ Looo1lon _.... (Sq"-"" 1-._)
0"" No
31. DlDaIh
-- 0-
0-' 0'"",",""-
0"- O""""NtI..-
M.
~
i
o
~
3Ja Cer1iliw ldllldl ally ona)
Cartllytng phpJdan IPhysician cMiJying cause or dealb wtlen anoIher pItysIciM has ponoonced dealh and cunplatlld nem 23)
To the best of' my knowJIJdgt. duIh 0CCUJJWd due to Ole CUM(I) lInCIlIWUlH"" ~- --- - --- - - - - - - - - - - - - -- -- - - -- - - --
Pronouoclng'"......,.,.phy......_"""'~-""'_..ause..-) 0
To thr: besl or my 1c:rIcIw*IQIt,dHltI ocamed arJhe!!me. dlte,1IId place. mdduetoh auee(s) and mlnner 15 .tBtad....__ - -- -- - -- - - - - ---
. ~~-:' =~= and 1 or lmesligatlon, In my opInJon. d..lh occumd tt!he 1!m8. deja. and pJaca, IIlld dul to the cauae{s} and manner 85 iitBttL 0
1.7 1J'1..2.1[" 17 I
~ (.J-o.? C.
Obposi~ PlIrmll No
tJl/'1/0 rY
SENDER: COMPLETE THIS SECT/ON
. 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 to you.
. Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
~\ \O\~e\ ~U.K\\~
~,o. box \--0
W\\\(R.L) n\\.\ I?A- \1)..\ \
COMPLETE THIS SECTION ON DELIVERY
A. Signature
o Agent
o Addressee
B. Received by ( Printed Name) I C. Date of Delivery
D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: 0 No
x
3. ~Service Type
Certified Mall 0 Express Mail
Registered 0 Return Receipt for Merchandise
o Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
o
Cf)O)>
o~
'ZZ>-
C::cc::::~
Z-I en mc::
6;oC::3!:-n
~~~~~
-1;;izg:;:;;
o::J:IC:: Z
~6;~~-1
::J:I,..m-l~
:Em~::oo:o
>>CI.IZ::J:I
::J:ICI.I-ICm
o>::J:I:E:
omZ
om
::J:I-I
m
CI.I
en
g: 0
o
-I
X
m
~
.
2. Article Number
(Transfer from service fabeQ
PS Form 3811. February 2004
7006 0810 0006 1052 3526
Domestic Return Receipt
:;S~~(j
......O.......t'r1
r ().....
r' :r:"""
~~G;~
~r->;;~
r=:-....:]ct1
.r-'NZ~
~ ~ ~
~ ~
Q
~
....,
~
~
en
ono ~
~'::l;i)lo:l: 8.. ~. C' ~.~ ~ &] r
~\JQOt') h - -.g - '(-..;\
0.< ::l/! .,. ~', !"'; c ~ ~ \;\;.,
. ~ ;~~ ~ s.~ ~~ -: ~ i ~~ f;~~. t)
~, 1'("-- :;;l Crt c' n..H ..-
~ ~)4~~. ~:, '.:-:;; ~ ~ \ ~ ;1.:~
\~a'~;:! p f/ 2; ~ i\; S" .\;:; 'i:fI
cl" ~ .:.g -i :t1 ~ CJ~!_>
~ry; .. v:' .'. ......,- .~J
\ >>h Zt! ~~l'{fj
~ ~~ n1t
r::> ~":.~
~ ....
.
102595-Q2-M-1540
."
-
r.
t/) ..,J
CI
-I CI
0-
CI
(]:J
0 I:-'
CI
r- CI
CI
CI
)> 0-
I:-J
en CI l-
In
ru If
en w
In
ru
0-
3:
)>
-
r-
""'(J)
~(j
~::I:
?: Q
~j
~t:O
'" 0
trl c)
~~
5Jt""l
~t""l
8n
~
~
'"
v;
oj
~
~
"d
>
....
;j
S
..
~
<::00
"i. 0 f.J
r::: c)
fll C,J -->-
CJ eXl \.)
IjNrr"'6 ,
C)>
~~
.....<'-; [j)
"'!1 0) ,; ~\,! "f)
"U'51 ~J!;j~ 0
:::: 'OJ ~ ll'.~ '"
So (...J :a .~ ~ _{;:/
'2' vll"~:>.J
lJ ~ ~~
C) ::" 0 ; 4 Ii
g:~ 0 ~~~:,
fT' cc' 01 o(~h
_.~ . Q~;H~
~I f::' 01 () ~~~
::~ ':::' t n a \'J,~
\.:D .,.--
cO
~ ~.-, ;; <~-
,_ Co
'hllt,p c:;
(J Z
(.? ~ 0-
~ N
('} :'2;
roo
LD 0::
cow--
ie' 0
'1- .J.J \.u
,_ (D -'
0-
C'J 0 ..~
00;;':
......
.
...a
<
2
en
U)
-=(
..J
o
~
"
-
u..
.
~
~
, \
. \
~. 1;
ex:
....
:s::
I-
o
o ~
<n
<n
....
~~
2:....0
~~ex:cr.O
~ot;~~
2:_ ~
O:oo:a:uJa:
~~~~~
1-2::E ex: 0
2:0='....1-
~....2:::=o
~I-:s::::;~
E~g'2!.~
=,uJ<nl-2:
<nt-oo='
~J;;i=2:'
d'Boo
t loR
i/;::';;&
~ti}~:\ .'.
'" .....
l'}' .,!:" ..' ~
\\T\ V
\f
1;. ~\.
',",
~
~ .
\'~
;'i{
tf;
~t,
0'~
~
r'
..(
p..
rS
~
~
~
rl
ug
:3~
~ ~,
e,:>t;
0';2
c:Qli;
~~
~~
U~
U')~
u
......
~
t-
......
<
~ p...,
ZN~
~~~
~><~
<C 0 0
';t. ~ ,....l
udd
~~~