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In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphan's Court Division
C'«'1. _~"1y
Estate of
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SIERRA C. ZEIGLER, ~}~ ~ ~ -s r-~:~ ~~w'
a minor ~ ~ [~ s~ ._ ; -'~ _ ,-,
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PETITION FOR THE APPOINTMENT ~ -~ ~ ~..-~ c::
OF A GUARDIAN FOR THE ESTATE OF A MINOR ~ -~
AND NOW comes the Petitioner, JOHN F. ZEIGLER, by and through his attorney,
Michael L. Bangs, Esquire, in accordance with the following:
1. Petitioner is JOHN F. ZEIGLER, an adult individual who resides at 66 Chevy Lane,
Carlisle, Cumberland County, Pennsylvania.
2. Petitioner is the natural father of Summer C. Zeigler (d.o.b. February 3, 1989) and
Sierra C. Zeigler (d.o.b. March 19, 1994).
3. Petitioner was divorced from the natural mother of Summer and Sierra Zeigler in
2002, the natural mother being Leann R. Zeigler.
4. Petitioner has always maintained custody of Summer and Sierra Zeigler.
5. Petitioner's former wife and the mother of Summer and Sierra Zeigler died on October
31, 2008. Attached hereto and marked as Exhibit A is a true and correct copy of the death
certificate.
6. Upon the death of Leann R. Zeigler, Petitioner was advised that his former wife Leann
had named their two daughters, Summer and Sierra, on her life insurance policy through the
Prudential Insurance Company of America.
7. Petitioner submitted the death claim to The Prudential Insurance Company of
America.
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8. Petitioner received a letter dated January 27, 2009 from The Prudential Insurance
Company of America indicating that because Sierra Zeigler was a minor, that they would only
pay the proceeds to a guardian of her estate. Attached hereto and marked as Exhibit B is a true
and correct copy of the letter.
9. The Prudential Insurance Company of America paid Summer Zeigler her portion of
the insurance proceeds in the amount of $61,000.00.
10. Petitioner's minor child Sierra Zeigler is to receive $61,000.00.
11. The decedent, Leann Zeigler, did not have any funds available to pay for her funeral.
12. Summer and Sierra Zeigler both agreed to pay for their mother's funeral.
13. Summer Zeigler has paid the entire bill for the funeral to Malpezzi Funeral Home in
the amount of $4,946.00. Attached hereto and marked as Exhibit C is a true and correct copy of
the funeral bill.
14. Sierra Zeigler wishes to reimburse her sister one-half of that amount or $2,473.00.
15. Petitioner, through his attorney, Michael L. Bangs, Esquire, has contacted several
financial institutions including Fulton Financial Corporation, and none of the financial
institutions will agree to act as guardian of the estate of these funds because of the limited
amount of funds.
16. Fulton Financial Corporation, however, will agree to maintain the funds in an
account insured by the FDIC and prohibiting withdrawals from the account until Sierra C.
Zeigler obtains the age of majority, except as authorized by prior court order in accordance with
Pa. R.C.P. 2039(b)(2).
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17. Petitioner requests that the court appoint him as a temporary guardian of the estate of
Sierra C. Zeigler either individually or in conjunction with Michael L. Bangs, Esquire, for the
sole purpose of receiving those insurance proceeds and depositing the net proceeds, after
reimbursement of the one-half of the funeral cost to Summer Zeigler and payment of the legal
fees associated with obtaining this order, in a restricted account to be held by Fulton Financial
Corporation.
WHEREFORE, Petitioner asks this Honorable Court to order the following:
A. Appoint John F. Zeigler, either individually or John F. Zeigler and
Michael L. Bangs, Esquire, guardian or co-guardians of the estate of Sierra C.
Zeigler for the restrictive purpose of receiving and retaining the proceeds from
The Prudential Insurance Company of America;
B. Authorize the guardian of the estate of Sierra C. Zeigler to pay
Summer C. Zeigler the amount of $2,473.00 representing one-half of the funeral
bill for Leann R. Zeigler;
C. Authorize the payment by the guardian of the legal fees and costs
incurred to obtain the funds and pursue this Petition and Order to Michael L.
Bangs, Esquire, in the amount of $1,030.00; and
D. Direct that the remaining funds be held in a restricted account held by
Fulton Financial Corporation, including instructions that no withdrawal can be
made from the account until the minor obtains majority, except as authorized by a
prior order of court. Upon proof of the depositing of these funds and compliance
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with the rest of the Order, then the temporary guardianship of the estate of Sierra
C. Zeigler will be terminated.
Respectfully submitted,
MICI~'AEL L. BANGS
Attorney for Petitioner
429 South 18th Street
Camp Hill, PA 17011
(717) 730-7310
Supreme Court ID #41263
VERIFICATION
I hereby verify that the statements made in the foregoing document are true and correct. I
understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section
4904, relating to unsworn falsification to authorities.
Date: ~~/S-O `3 ~
JO F. ZE
Prudential
Guardian of Sierra Ziegler
66 Cherry Lane
Carlisle, PA 17015
Dear Guardian of Sierra Ziegler:
The Prudential Insurance Company of America
Group Life Claim Division
PO Box 8517, Philadelphia, PA 19176
Tel (800) 524-0542 Fax (888) 227-6764
January 27, 2009
Insured: Leann R Zeigler
Control Number: G-44686
Claim Number: 10941795
V`%e have received a claim for Group Life Insurance un Learui R Zeigler under Group
Policy G-44686 issued through Rite Aid Corporation. Our records indicate Sierra Ziegler
was named as beneficiary and is entitled to receive $61,000.
Because Sierra Ziegler is a minor, benefits can only be paid to a court appointed guardian
of the property or estate of the minor beneficiary. If a guardian has been designated,
please forward a certified copy of the court order confirming this appointment.
If a guardian has not been appointed, the benefit funds can be held until Sierra Ziegler
reaches the age of majority, currently 18 in most states. The interest rate, which is
adjusted monthly to reflect short-term market rates, is currently at .75% per year. Please
note that this interest rate is subject to change. If you would prefer to have us hold
benefits until the beneficiary reaches the age of majority, please complete and return the
attached Settlement Option Form. Once we have received it, a settlement option
certificate will be issued to Sierra Ziegler. This may be exchanged for the benefit funds
on his/her 18th birthday or when a guardian has been appointed.
Please let us know in writing whether or not a guardian will be appointed. A postage-
paid envelope is enclosed for your convenience.
Please indicate the above claim number on the top right corner of all documents you are
sending to us. If you have any questions, please feel free to contact us at (800) 524-0542.
Sincerely,
Claims Coordinator
2009\1\27\GL024X1476261423270001.doc [000242-02-31-O1-G-2-Q]
Insured: Leann R Zeigler Policy Number: G-44686 Claim Number: 10941795
Request for Settlement Option
I, n 1- ~ am responsible for the care and maintenance of
(print yo r name)
Sierra Ziegler, beneficiary named by Leann R Zeigler to receive life insurance proceeds
under Prudential Group Policy Number G-44686, that was issued to Rite Aid
Corporation.
Since a court appointment of a guardian of the property or estate has not yet been
obtained or applied for, please issue a Settlement Option Certificate. I understand that
the Certificate may be surrendered for the proceeds when either the beneficiary reaches
the age of 18 or when a guardian of the property or estate has been appointed.
The beneficiary's date of birth and social security number is:
Name Date of Birth Social Security Number
Sle rr4 C 7_ ~ ~. ~ ~, r 0 3 1 q 15 ~ y
Date: x-~-~p~
Signature:
Relationship to Beneficiary: ~ ~~ ~ ~
Address: ~ ~ C'f~~.,,,~,, ~
~~r1~~1~ /~/~
7d /S`
2009\1\27\GL024X1476261423270001.doc [000242-02-32-02-G-0-Q]
1vla~ ezzi .
--- FUNERAL HOME Michael J. Malpezzi, Owner • Jeremy J. Shartzer, Funeral Director
8 Market Plaza Way • Mechanicsburg, PA 17055 • Phone: (717) 697-4696
December 14, 2008
John Zeigler
66 Cherry Lane
Carlisle, PA 17015
The Funeral Service for Leann Renee Zeigler
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please
feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
1. PROFESSIONAL SERVICES
Services, Facilities and Cremation , $3365.00
FUNERAL HOME SERVICE CHARGES $3365.00
SELECTED MERCHANDISE:
Woodgrain Cremation Container _ $425.00
Cremation Urn,
. . . . . . . . . . . . . . . . . . $375.00
Register Package , $115.00
Mazble Keepsake , _ $45.00
Blue Keepsake Urn _ $80.00
Silver Thumbie w/engraving, $145.00
Silver Heart w/engraving $172.50
THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THAT YOU HAVE SELECTED $4722.50
AT THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO
OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THO SE CHARGES.
CASH ADVANCES
Certified Death Certificates , $60.00
Newspaper Notices -Patriot, $327.31
Newspaper Notices -Sentinel $160.60
Flowers -Summer, Sierra $63.60
Flowers -Mom $79.50
Flowers -Lisa , $212.00
Flowers -Jennifer $79.50
Flowers -Gary. ; . $74.20
TOTAL CASH ADVANCES AND SPECIAL CHARGES . $1056.71
CONTRACT PRICE $5779.21
HISTORY
11/10/2008 Members First _ $_832 77
TOTAL AMOUNT DUE $4946.44
Y ~ ~~~~~
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www.malpezzifuneralhome.com