HomeMy WebLinkAbout08-21-09Elizabeth H. Feather, Esquire
Attorney I.D. # 92618
Caldwell & Kearns, P.C.
3631 North Front Street
Harrisburg PA 17110-1533
(717)232-7661
(717)232-2766
Attornev for Petitioner. Jeffery S. Zinn
IN RE: IN THE COURT OF COMMON PLEAS
ESTATE OF MERRIAM A. BURNS CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
No. 02/ - U9 - !0 9/
PETITION TO SETTLE A SMALL ESTATE PURSUANT TO THE PROBATE,
ESTATE AND FIDUCIARIES CODE, ACT OF 1972, SECTI0~13102
TO THE HONORABLE JUDGES OF THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, ORPHANS' COURT DIVISION:
Petitioner, Jeffery S. Zinn, son of the deceased, and a party in interest, by his attorneys,
Caldwell & Keams, P.C., respectfully represents the following matters:
Petitioner, Jeffery S. Zinn ("Petitioner"), is an adult individual residing at 325
Hemlock Road, Mechanicsburg, Cumberland County, Pennsylvania, 17055.
2. Petitioner is the son of the decedent, Merriam A. Burns ("Decedent").
Decedent died intestate on March 29, 2009. Decedent's Death Certificate is
attached hereto and incorporated herein as Exhibit "A".
At the time of her death, Decedent was domiciled at Manor Care Health Services
nursing home located at 940 Walnut Bottom Road, Cazlisle, Pennsylvania, 17013.
5. Decedent had been a resident of Manor Care Health Services nursing home in
Carlisle for the past seven (7) years. N
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6. Decedent was divorced. ~ ~ r
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7. In addition to Petitioner Jeffery S. Zinn, Decedent was the parent of two other
children, both of whom are adults and are identified as:
Ronald Weigle
22 West Hanover Street
Dillsburg, PA 17019
Cherri Cribari
1028 U.S. Route 15 North
Dillsburg, PA 17019
For the reason that the assets of the Estate do not amount to Twenty-Five
Thousand Dollars ($25,000.00), this Estate has not been offered for administration.
Petitioner is a party in interest under the provisions of Section 3102 of the
P.E.F. Code in view of the fact that he is the child of Decedent and a beneficiary of Decedent's
Estate.
10. Decedent did not own an interest in real estate.
11. Decedent's Estate consists of the following:
a. UNUM Extended Disability Benefits final benefit totaling Eight Fyundred
Thirty-Nine Dollazs and Ninety-Three Cents ($839.93); and
b. UNUM Life Extended Disability Benefits survivor benefit totaling Three
Thousand Seven Hundred Forty-Seven Dollazs and Seventy-Five Cents ($3,747.75).
Please see Exhibit "B".
12. All of Decedent's interest in the foregoing assets does not exceed the sum of
Twenty-Five Thousand Dollars ($25,000.00).
13. Claims against the Estate aze the following:
a) the remaining amount owed to Cocklin Funeral Home, Inc. in the amount
of One Thousand Nine-Hundred Ninety-Three Dollars and Thirty Cents
($1,993.30).
2
b) Stonemor Partners, L.P. for the opening of the grave at Cumberland Valley
Memorial Gazdens and for the grave mazker in the amount of Two
Thousand Seven Hundred Ninety-one Dollars ($2,791.00); and
c) Caldwell & Kearns, P.C. attorney fees in the amount of One Thousand
Dollazs ($1,000).
Please see Exhibit "C".
14. Petitioner caused to be filed the Pennsylvania Inheritance Tax Return and no
inheritance tax is due on the property to be awarded under this Petition. A copy of the Receipt
from the Register is attached hereto and incorporated herein as Exhibit "D".
15. Petitioner has paid the final benefit check received from UNLJM in the amount of
Eight Hundred Thirty-Nine Dollazs and Ninety-Three Cents ($839.93) to Cocklin Funeral Home,
Inc.
16. Petitioner is currently holding the survivor benefit check from UNUM, which is
payable to the Estate of Merriam A. Burns, in the amount of Three Thousand Seven Hundred
Forty-Seven Dollars and Seventy-Five Cents ($3,747.75).
17. The remaining amount owed of One Thousand Two Hundred Eight Dollazs and
Fifty-Five Cents ($1,208.45) owed to Stonemor Partners, L.P. and One Thousand Ddllars
($1,000) to Caldwell & Kearns, P.C. will be paid by Petitioner, Jeffery S. Zinn, Ronald Weigle
and Cherri Cribari out of their own funds.
18. Ronald Weigle and Cherri Cribari have been provided with a copy of this Petition
and have given their written consent. Copies of the Consents are attached hereto and
incorporated herein as Exhibits "E" and "F"
WHEREFORE, Petitioner respectfully requests that this Honorable Court enter an Order
and Decree of Distribution authorizing the transfer of the UNLJM survival benefit check in the
amount of Three Thousand Seven Hundred Forty-Seven Dollars and Seventy-Five Cents
($3,747.75) to Petitioner, Jeffery S. Zinn, then distribution of the cash as follows:
1. One Thousand Nine Hundred Ninety-Three Dollars and Thirty Cents
($1,993.30) to Cocklin Funeral Home, Inc.; and
2. One Thousand Five Hundred Eighty-Two Dollars and Forty-Five Cents
($1,582.45) to Stonemor Partners, L.P
Respectfully submitted,
CALDWEI/LL & KEARNS, P.C.
Date: $ ~~ 6 By: ~ ~. ~'
Eliz eth H. Bather, Esquire
Attorney LD. #92618
3631 North Front Street
09204-001/149564
Harrisburg, PA 17110
(717)232-7661
Attomey for Petitioner, Jeffrey S. Zinn'
VERIFICATION
The undersigned hereby verifies that the facts set forth in the foregoing doculment are true
and correct to the best of his knowledge, information and belief and further states that false
statements herein aze made subject to the penalties of 18 Pa.C.S § 4904 relating to upsworn
falsification to authorities.
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Dated: ' .~' By:
+ios Ros arv /ovor
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~ Fee for this certificate, $6.00
P 15291228
Certification Number
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This, is to certify [hat the information here given is
correctly copied from an original Certificate of Death
duly filed with mess Local Registraz.Theoriginal
certificate will be forwarded to the State Vital
Records Office for permanent filing.
MAR 3 01ppg
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IN RE:
ESTATE OF MERRIAM A. BURNS
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO.
REAL ESTATE
PERSONAL PROPERTY
ALL VALUES AS OF
MARCH 29, 2009 DATE OF DEATH
INVENTORY
None
UNUM Extended Disability Benefits- $839.93
Final Benefit
UNUM Extended Disability Benefits-
Survivor Benefit $3.747.75
TOTAL $4,587.68
~ RE: IN THE COURT OF COMMON PLEAS
ESTATE OF MERRIAM A. BURNS CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO.
ADMINISTRATIVE EXPENSES
1. Cocklin Funeral Home $3,005.2
2. Stonemor Partners L.P.-opening of grave and grave marker $2,791.0
3. Caldwell & Kearns, P.C. -attorney fees $1 000.0
TOTAL $6,796.2
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
BURNS MERRIAM A
Estate File No.:
Paid By Remarks:
Fee/Tax Description
INH TAX RETURN
Check# 52949
Total Received.........
Receipt Date: 7/27/2009
Receipt Time: 12:53:47
Receipt No.: 1057638
Recei t Distribution '~
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Payment Amount Payee Name
15.00 CUMBERLAND COUNTY GENERAL FUN
$15.00 ',
$15.00 ii
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II
2009-00691
CALDWELL & KEARNS
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CONSENT
I, RONALD WEIGLE, acknowledge that I have received and reviewed a copy of the
"Petition to Settle a Small Estate Pursuant to the Probate, Estate and Fiduciaries' Code, Act of
1972, Section 3102", and attached "Order and Decree of Distribution" which is proposed to be
filed with the Office of Register of Wills of Dauphin County, and I do consent to and concur in
the entirety of the contents of said Petition and to the proposed form of Decree of Distribution.
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EXHIBIT
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CONSENT
I, CHERRI CRIBARI, acknowledge that I have received and reviewed a copy of the
"Petition to Settle a Small Estate Pursuant to the Probate, Estate and Fiduciaries' Code, Act of
1972, Section 3102", and attached "Order and Decree of Distribution" which is proposed to be
filed with the Office of Register of Wills of Dauphin County, and I do consent to and concur in
the entirety of the contents of said Petition and to the proposed form of Order and Decree.
Chem Cribari