HomeMy WebLinkAbout09-8658JOHN E. KUSTURISS, JR., P.L.L.C.
BY: John E. Kusturiss, Jr., Esquire
Attorney I.D. # 28271
323 East Front Street
Media, PA 19063
610-565-0240 Attorney for Plaintiffs
FRANK KLINE and SANDRA LOY, COURT OF COMMON PLEAS
CO-EXECUTORS OF THE ESTATE COUNTY OF CUMBERLAND, PA
OF JEAN K. KLINE, DECEASED
1842 Spring Road PETITION
Carlisle, PA 17013
PETITION TO SETTLE WRONGFUL DEATH AND SURVIVAL ACTIONS
TO THE HONORABLE, THE JUDGES OF THE SAID COURT:
Petition of Frank Kline and Sandra Loy, as Co- Executors of the Estate of Jean K. Kline, by
their attorney, John E. Kusturiss, Jr., Esquire, respectfully requests the Court approve the final
settlement of the above-captioned case and sets forth the following in support thereof:
1. Petitioners, Frank Kline and Sandra Loy, were appointed Co-Executors of the Estate
of Jean K. Kline, Deceased, on May 28, 2009, by the Register of Wills of Cumberland County,
Pennsylvania, Estate Number 2009-00495. See, Exhibit "A," attached.
2. Decedent Jean K. Kline was killed on May 11, 2009, when she was struck by a motor
vehicle driven by Royal Donivan at the intersection of Spring Road and W. Hillcrest Drive in North
Middleton, Pennsylvania. She was pronounced dead at the scene by the deputy coroner, Richard C.
Middlekauff. See, Exhibit "B," Coroner's View.
3. The Decedent lived at 1842 Spring Road, Carlisle, PA, where she lived alone.
4. Prior to Decedent's death, her sole source of income, was social security.
5. On June 10, 2009, Nationwide Mutual Insurance Company, Mr. Donivan's insurance
company, was notified of Mrs. Kline's death due to the collision of May 11, 2009 caused by Mr.
Donivan. On September 16, 2009 Nationwide offered the policy limit of Fifty Thousand Dollars
($50,000.00) in settlement of the claim against Mr. Donivan. See Exhibit "C" attached hereto.
6. On June 25, 2009, Mrs. Kline's insurance carrier, Liberty Mutual, was advised of her
death and was informed of a claim for underinsured motorist benefits being made against them. On
November 4, 2009 Liberty Mutual offered the policy limit of Fifteen Thousand Dollars ($15,000.00)
in settlement of that claim. See Exhibit "D" attached hereto.
7. Plaintiffs' counsel believes that the total settlement of Sixty Five Thousand Dollars
($65,000.00), representing all the money available under the insurance policies involved, is just and
fair.
8. 42 Pa.C.S. §8301 provides the right of a wrongful death action for the benefit of
Decedent's beneficiaries as if she had died intestate. Those beneficiaries are as follows:
Name
A. Sandra K. Loy
B. Frank Kline
9.
10.
Relationship
Address to Decedent
1842 Spring Road Daughter
Carlisle, PA 17013
40 Horseshoe Lane Son
Newtown Square, PA 19073
Both beneficiaries have been served with a copy of this Petition.
Decedent did have a will which divided up her estate with regard to the survival action.
See, Will attached hereto as Exhibit "E."
11. There are adequate assets to provide for the specific bequests stated in her will. See
Exhibit "F" attached hereto.
12. As a result of the Decedent's death, expenses for the funeral were incurred by the
Estate in the amount of $7,934.62, which were paid when the estate was first administered.
13. There are no other claims against Decedent's estate.
2
14. Litigation costs in the amount of $542.00 have been incurred as follows:
A. Cumberland County Coroner (report) $100.00
B. America Find - search report 350.00
C. Prothonotary of Cumberland County 92.00
Total Costs Advanced $542.00
15. Plaintiff's counsel was retained for this litigation under a contingent fee of Twenty
Five Percent (25%), which took into account the costs involved, nature of the case and expertise in
handling cases of this nature. See, Exhibit "G."
16. Petitioner requests allocation of the remaining proceeds of the settlement (after
deduction of $16,792.00, for li tigation expenses and attorney's fees) as follows: wrongful death claim
- ninety percent (90%) of the net proceeds; survival claim - ten percent (10%) of the net proceeds.
17. The reason for the requested allocation is as follows: Plaintiff, who was 82 years old
at the time of her death, had lived alone on social security. There was no pain or suffering as she was
pronounced dead at the scene of the accident. Following the collision, none of the witnesses found
any evidence of life when they immediately approached her to render aid.
18. The Co-Executors grant their consent to the settlement of this matter, and believe that
it is fair and reasonable as outlined above.
19. The Pennsylvania Department of Revenue has granted its consent to the settlement
of this matter and to the proposed allocation between the survival and wrongful death actions.
See, Exhibit "H".
WHEREFORE, Petitioner respectfully requests this Honorable Court to authorize Petitioner
to compromise and settle the claims against Royal and Louise Donivan and their insurance carriers
3
for the gross sum of $65,000.00, as set forth in the attached Order. Petitioners further requests that
they be authorized to execute any and all documents necessary to accomplish this settlement.
Respectfully submitted,
JOHN E. KUSTURISS, JR., P.L.L.C.
By:
,, ohn E. sturiss, Jr., Esquire
Attorny for Plaintiffs/Petitioners
Dated: I ;-//S/O I
4
JOHN E. KUSTURISS, JR., P.L.L.C.
BY: John E. Kusturiss, Jr., Esquire
Attorney I.D. # 28271
323 East Front Street
Media, PA 19063
610-565-0240 Attorney for Plaintiffs
FRANK KLINE and SANDRA LOY COURT OF COMMON PLEAS
CO-EXECUTORS OF THE ESTATE CUMBERLAND COUNTY, PA
OF JEAN K. KLINE
1842 Spring Road PETITION
Norristown, PA 19401
NO.
CONSENT
I, Frank Kline, as Co-Executor of the Estate of Jean K. Kline, have read the contents of the
Petition to Settle Wrongful Death and Survival Action, and consent to the settlement of the Wrongful
Death and Survival Action for the gross amount of $65,000.00. I also agree to the proposed
distribution outlined in the proposed Order, understanding that a percentage will be distributed under
the intestate statute for the wrongful death action and a percentage will be distributed to the Estate
for the survival action.
FRANK KLINE, AS CO-EXECUTOR OF TBE
ESTATE OF JEAN K. KLINE
JOHN E. KUSTURISS, JR., P.L.L.C.
BY: John E. Kusturiss, Jr., Esquire
Attorney I.D. # 28271
323 East Front Street
Media, PA 19063
610-565-0240 Attorney for Plaintiffs
FRANK KLINE and SANDRA LOY COURT OF COMMON PLEAS
CO-EXECUTORS OF THE ESTATE CUMBERLAND COUNTY, PA
OF JEAN K. KLINE
1842 Spring Road PETITION
Norristown, PA 19401
NO.
I, Sandra Loy, as Co-Executor of the Estate of Jean K. Kline, have read the contents of the
Petition to Settle Wrongful Death and Survival Action, and consent to the settlement of the Wrongful
Death and Survival Action for the gross amount of $65,000.00. I also agree to the proposed
distribution outlined in the proposed Order, understanding that a percentage will be distributed under
the intestate statute for the wrongful death action and a percentage will be distributed to the Estate
for the survival action.
SANDRA LOY, AS CO-EXECUT8k OF THE
ESTATE OF JEAN K. KLINE
JOHN E. KUSTURISS, JR., P.L.L.C.
BY: John E. Kusturiss, Jr., Esquire
Attorney I.D. # 28271
323 East Front Street
Media, PA 19063
610-565-0240 Attorney for Plaintiffs
FRANK KLINE and SANDRA LOY, COURT OF COMMON PLEAS
CO-EXECUTORS OF THE ESTATE CUMBERLAND COUNTY, PA
OF JEAN K. KLINE, DECEASED
1842 Spring Road PETITION
Carlisle, PA 17013
NO.
CERTIFICATE OF SERVICE
I, John E. Kusturiss, Jr., Esquire, Attorney for Plaintiffs, hereby certify that a true and correct
copy of Petition to Settle Wrongful Death and Survival Actions has been forwarded to Bridget Kilker,
the adjuster for Nationwide, Ann Palmer, the adjuster for Liberty Mutual and the beneficiaries listed
H-"
below by regular, first class, postage prepaid mail on this k of December, 2009.
Sandra Loy
1842 Spring Road
Carlisle, PA 17013
Frank Kline
40 Horseshoe Lane
Newtown Square, PA 19073
Ann Palmer, Claims Adjuster
Liberty Mutual Insurance Company
P.O. Box 1128
512 E. Township Line Road
Blue Bell, PA 19422
Bridget Kilker, Claims Adjuster
Nationwide Mutual Insurance Company
1100 Locust, Dept. 5867
Des Moines, IA 50391-5867
JOHN E. KUSTURISS, JR., P.L.L.C.
By:
ohn E. sturiss, Jr., Esquire
Otto v for Plaintiff/Petitioner
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND Aft.
estate of JEAN K KLINE
I,
SHORT CERTIFICATE
GLENDA FARNER STRASBAUGH
Register for the Probate of Wills and Granting
Letters of Administration in and for
CUMBERLAND County, do hereby certify that on
the 28th day of May, Two Thousand and Nine,
Letters TESTAMENTARY
in common form were granted by the Register of
said County, on the
late of NORTH MIDDLETON TOWNSHIP
(First, Middle, Last)
in said county, deceased, to SANDRA K LOY
(First, Middle, Last)
FRANK KLINE
(First, Middle, Last)
and that same has not since been revoked.
and
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
seal of said office at CARLISLE, PENNSYLVANIA, this 28th day of May
Two Thousand and Nine.
File No.
PA File No.
Date of Death
S.S. #
2009- 00495
21- 09- 0495
511112009
202-20-2179
Exhibit "A"
NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL
17
View on the Dead Body of Jean Kathryn KLINE (DOB 10/19/26) Age 82yrs Race White
address- 1842 Spring Road, Carlisle, Pa 17013
it r r S t
COMMONWEALTH OF IJE SYLVANIA. 1
COUNTY OF CUMBERLAND. I SS.
A view taken at the scene of the crash
in the County aforesaid, the 11th day of MaY A.D., 2009
before Richard C. Middlekauff, Deputy Coroner of the County aforesaid
upon the body of Jean Kline , being charged to inquire on the part of the
Commonwealth of Pennsylvania, when, where and by what means the aforesaid deceased came to her death; also upon his oath on
affirmation to say that it appears, from the view of the body and from the evidence produced before him, that the said Jean
Kline came to her- death on the 11th day of May r
20 09 at aprx. 1500 hours by means o Crushing ti t
Vehicle Crash. DO 011 %0V pi 0
The deceased, an 82-year-old female, was pronounced dead at the scene of a motor vehicle crash at the
intersection of Spring Road and West Hillcrest Drive in North Middleton Township. She had been walking
north on Spring Road on the south shoulder of the highway when a pickup truck stopped at the stop sign on
West Hillcrest Drive, made a right turn to go south, and struck her as she walked in front of the vehicle. The
driver of the pickup truck had allowed numerous vehicles to pass by before he pulled out and did not see her
walking towards him. Examination found the cause of death is Crushing Chest Injuries due to Motor Vehicle
Crash. There were no significant findings from postmortem toxicology tests and the manner of death is
accidental.
(Photos on file)
Body was released to the Hoffman-Roth Funeral Home, Carlisle, Pa.
OF, the said Coroner has to this view set his hand and seal on the day and year first mentioned,
(SEAL)
Coroner
Exhibit "B"
Nationwide Insurance
1100 Locust * Dept. 5867 * Des Moines, IA 50391-5867
September 16, 2009
Allied Insurance
Nationwide Agribusiness
Titan Insurance
On Your Side' Victoria Insurance
JOHN KUSTURISS JR
323 EAST FRONT ST
MEDIA, PA 19063
OUR INSURED : Louise & Royal Donivan
OUR CLAIM NUMBER: 58 37 B 442391 05112009 01
DATE OF LOSS : 05-11-2009
YOUR CLIENT : Jean Kline
Dear JOHN KUSTURISS JR-
This letter is to confirm our offer of $50,000 in settlement of your client's claim against our insure
above accident.
d for the
Please present this offer to your client and call me with a response. Thank you for your cooperation in
this matter and your prompt response.
Sincerely,
Nationwide Mutual Insurance Company
Bridget Kilker (PA-60-LARI)
Claims Department
(570)489-1908
Exhibit 'PC,,
application for insurance or statement of claim containing any materially false information
Any person who knowingly and with intent to defraud any insurance company or other person files
an
the purpose of misleading, information concerning any fact material thereto commits a fraudulent
insurance act, which is a crime and subjects such a person to criminal and civil penalties.
W Liberty
Mutual.
November 04, 2009
LAW OFFICES OF JOHN E. KUSTURISS
323 E FRONT ST
MEDIA PA 19063-3036
ATTN JOHN E KUSTURISS, ESQ
INSURED: JEAN K. KLINE
CLAIMANT: JEAN K. KLINE
DATE OF LOSS: 05/11/2009
CLAIM NUMBER: LA830-011764133-02
Dear Mr. Kusturiss:
Liberty Mutual Fire Insurance Company
PO Box 1128
512 E Township Line Rd
Blue Bell PA 19422
Tel: (800) 362-5698 / (800) 362-5698
Fax: (603) 422-0103
This is to confirm our offer of the $15,000 underinsured motorist policy limit in settlement of this claim. We await
the court approval in order to finalize.
Sincerely,
ANNE PALMER
Claims Department
Ext. 72138
cc: ,
Exhibit 'DIP
Helping People Live Safer, More Secure Lives
FREEFRM
241+4829 P02ERT R BLACK
Z002/005
LAST WILL AND TESTAMENT
OF
JEAN K KLINE
1, JEAN K. MM, of North Middleton Township, Cumberland County, P 1
declare this to be my Last Will, hereby revolting all prior wills and codicilstea'
FUNERAL EXPENSES
FIRST: I direct the payment of my funeral expenses, including my 9mvemarker, as soon
as may be convenient after my death.
PAYMENT OF DEATH TAXES
SECOND: I direct that an taxes that may be assessed in con
a and by whatever jurisdiction imposed, shall be paid from consequence o residuary death' to pait of the pease of administration of my estate. yestate as
BEQUESTS
THM.- I give the sum of TM,ertty_Five Thousand Dollars ($25,000.00) to my andwn
ANDREW P. LOY, provided he shall survive me, ,
DISTRIBUTION OF RESIDUE
FOURTH: I give the rest of my estate in equal shares tom two ChildrM LOY and FRANK KLME, or their issue, Per .stir who shall my 'SARA K.
(30) days, pes, survive me for a period of thirty
MWORS AND INCAPACITATED BENEFICIARIES
FIM: If any income or principal shall be Payable
Of who shall be incapacitated for as gable to any person who shall be a minor
y mason, my executor as trustee shall hold such income and
P?crpal d'uring minority or ?PeCitY and shall be entitled to apply such income and rivei
the health, maintenance, support and education of such person during p pal to
without the appointment of any guardian or committee or any authority of nor incapacity
Y executor as
Exhibit "E initials
241.4829 R08ERT R BLACK
fj 003/005
trustee shell be entitled to make dimct application hereunder or to make application by payment
of income and principal to the parent or other person in charge of such minor or
person, or to his or her meapacitated
guardian or to a custodian under the Uniform Transfers to Minors Act.
Any remaining income and principal to which such person shall be entitled shall be distributed to
such PMOn upon the termination of minority or incapacity. My executor as tnntee shall have the
same powers as my executor.
POWERS OF EXECUTOR
SIXTH: I confer upon my executor the right to sell or otherwise convert any real or
personal Party at public or private sale, at such time or times, in such manner, and for such
price or prices, and on such terms and conditions as my executor shall determine, and to execute
ad deliver good and sufficient conveyances, assignments and transfers of the property
liability of any Purchaser for the application of any consideration ; to borrow mo, without
its payment by mortgage of teal or personal property, ' _ IIey? and secure
without liability on the part of the lenders to see to the application thereof; to retain otherwise, investments at discretion; to invest and reinvest at discretion, without restriction to so-called
"legal investments"; to make distribution in cash or in kind; to allocate and distribute diffc=t
kinds or disproportionate shares of property or undivided interests in
beneficiaries, in cash or in kind, or partly in property among
appmPriae in the each, and to do all other acts and things necessary or
mansgernetit, administration and disWbution of my estate.
APPOINTMENT OF GUARDL&N OF ESTATES OF MNORS
SEVENTg: I appoint my executor as guardian of the
hold all property Payable by law to a estates of minors With power to
health, maintenance, support and 7ypr 8u odian appointed by my will and to use it for the minor's
n, either directly or by payment to any person selected
by my executor to disburse it whoshall be a complete acq uittancedischarge of all the guardiads duty minor's share deemed im Guardian may, in
to the parent or other Person in chthe minor or to his or her Practical °f administration
the minor guardian or to a ctodi under the Uniform Trnsame Minors Act. MY executor as w an for
powers as my executor. guardian shall have the
OF EXECU'T'ORS
EIGHTH: I appoint my two
survivor thereof, executors of my wi
SANDRA K. LOY and FRANK KL,INE, or the
Izz"
241+4929 RC,^,ERT R BLACK
14 004/005
WAIVER OF BOND
NMR: I direct that no Fiduciary hereunder shall be required to furnish bond in any
jurisdiction, and if any bond is necessary, no surety shall be required.
INTERCHANGEABILITY OF LANGUAGE
TENTH,. Words used in the singular may be mad to include the plural or the plural may
be reed as the singular. Similarly, the masculine form may be read to include the feminine and
neuter; the feminine may be read to include the masculine and neuter; and the neuter maybe read
to include the masculine and feminine.
HEADINGS
ELEVENTH: The headings used on the various paragraphs of this will are included for
convenience only and shall have no legal significance.
I have signed this will this
10' dAy 066r 0#6P, , 2006.
K. Kline
Witness
W
241+4929 RD^ERT R BLACK
0005/005
ACKNOWLEDGMENT and AFFIDAVIT
COMMONWEALTH OF .PENNSYLVANIA
COUNTY OF CUMBEnAND , SS,
We, JEAN K. KL11VE, the Testatrix in
atreched and the undersigned witnesses to the will, the
or foregoing k"=alt who have signed the instrume
according to law do nt having been qualified
depose and say:
(a) that Y, the Testatrix,, do hereby acknowledge that I si ed the instrument my will, that I signed it willinglY and as my fine and volun as
therein expressed; and tatY act for the purposes
(b) that we, the witnesses, were present and saw the Testatrix sign and execute
the instrument as her will, that she signed it willingly and executed it as her free and
voluntary act for the purposes therein expressed; that =Cbof us in
of T x signed the will as a witness and that to the best of oure>mhming and the o ge t sight
was at that time eighteen or more years of edge the
consftint or undue influence, of sound mind and under no
J K.ICIin
witness
witness
No
Lary Public
CO ONWBLTH OF a'BNNSYWANiA
Notarial seal
cameli ". k Nosey pupllo
MY Commlaeson Ex mend County
P roe Sept. 2e, 200A
717 241+4829 R!H RT R BLACK
?J 00 1/00 1
lu)IIINT R, BLACK
December 8, 2009
John E, Kusturiss, ,ir., Esq.
323 East Front Street
Media, PA 19063
RE: Estate of Jean K. Kline
Dear Mr. Kusturiss:
LAW OFFICES
LANDIS & BLACK
36 SOUTH HANOVLI? STREET
CARLISLt, 17ENNSYLVANIA 170.11
TEI.EPhIONli (717) 24.1-.1727
FAX (717) 241-4829
T 130YD LANDrS
114.14-19M1
TOSEPH I. MCINTOSH
11'140-14771
You are advised that there are sufficient assets in captioned estate to pay the Twenty Five
Thousand Doll ar($25,000.00) Bequest to Andrew P. Loy as part of the distribution from said
estate.
Very truly yours,
Robert R. Black
RRB/gmb
Exhibit 11F11
CONTINGENT FEE AGREEMENT
1, Frank Kline , hereby constitute and appoint the law firm of John E. Kusturiss Jr.
P.L.L.C., as my attorney to prosecute a claim for the Estate of Jean Kline. '
The claimant is Frank Kline
The cause of action arose on 5/11/09
I agree that the compensation of my attorneys shall be twenty-five (25%) percent of the
proceeds of any recovery plus reimbursement of any costs advanced which include, but are not
limited to, costs associated with travel expense, interest actually paid by the firm (at the prevailing
rate) for money secured to pay out of pocket costs, for obtaining medical records, expert reports
and
testimony, police report, postage, and photocopying. THE FEE REMAINS THE SAME N
nii?TTTT :--_-_ •
REMAINS THE SAME.
Ate' REIMBURSEMENT OF COSTS DUE.
I hereby acknowledge receipt of a duplicate copy of this Contingent Fee Agreement.
Name: Frank Kline
Address:40 Horseshoe Lane, Newtown Square PA 19073
Signature:
Date: &7 /0 l
%Nk' Uka,y
Exhibit "GII
pennsylvania
DEPARTMENT OF REVENUE
December 9, 2009
John E. Kusturiss, Jr.
Law Office
323 East Front Street
Media, PA 19063
Re: Estate of Jean K. Kline
File Number 2109-0495
Court of Common Pleas Cumberland County
Dear Mr. Kusturiss:
The Department of Revenue has received your correspondence dated November 20, 2009. Attached was the
petition to approve a compromise settlement to be filed on behalf of the above-referenced estate in regard to a wrong ful
death and survival action. It was sent to this office for the Commonwealth's approval of the allocation to the roceeds
paid to settle the actions. p
According to the Petition, the 82 year old decedent died as a result of being struck by a motor vehicle. Decedent
is survived by her two adult children.
Pursuant to the Supreme Court of Pennsylvania, before there can be any recovery in damages by one in family.:
relation for negligent death of another in the same relation, there must be a pecuniary loss. Manning v Canelli, 411 A.2d
252, 270 Pa.Super. 207, Super. 1979. Family relation required to maintain action under Wrongful Death Act is defined'
efined t
require showing of pecuniary loss by relatives seeking damages as result of wrongful death of decedent; there must be
pecuniary loss by one in family relation before there is any recovery in damages. Hod a v. Loveland, 690 A.2d 243, 456
Pa.Super. 188, Super. 1997, reargument denied, appeal denied 723 A.2d 672, 555 Pa. 701.
However as the proceeds in this matter are a minimal gross of $65,000.00, this Office has no objection to the
allocation that you have requested.
Please be advised that, based upon these facts and for inheritance tax purposes only, this Department has no
objection to the proposed allocation of the net proceeds of this action, $43,387.20 to the wrongful death claim and
$4,820.80 to the survival claim.
Proceeds of a survival action are an asset included in the decedent's estate and are subject to the imposition of
Pennsylvania inheritance tax. 42 Pa.C.S.A. §8302; 72 P.S. §9106, 9107. Costs and fees must be deducted in the same
percentages as the proceeds are allocated. In re Estate of Merryman, 669 A.2d 1059 (Pa. Cmwlth. 1995).
I trust that this letter is a sufficient representation of the Department's position on this matter. As the Department
has no objections to the Petition, an attorney from the Department of Revenue will not be attending any hearing regarding
it. Please contact me if you or the Court has any questions or requires anything additional from this Bureau. r
Sinc rely,
nnon E. Baker
Trust Valuation Specialist
Inheritance Tax Division
Bureau of Individual Taxes
Exhibit "H"
Bureau of Individual Taxes I PO Box 280601 1 Harrisburg, PA
17128 1 717.783.5824 1 shabaker@state.pa.us
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DEC 1$ 2009
JOHN E. KUSTURISS, JR., P.L.L.C.
BY: John E. Kusturiss, Jr., Esquire
Attorney I.D. # 28271
323 East Front Street
Media, PA 19063
610-565-0240 Attorney for Plaintiffs
FRANK KLINE and SANDRA LOY, COURT OF COMMON PLEAS
CO-EXECUTORS OF THE ESTATE CUMBERLAND COUNTY, PA
OF JEAN K. KLINE, DECEASED
1842 Spring Road PETITION
Carlisle, PA 17013
NO. Oq - 8!058 ei"il-le'rm
.•?" ORDER
AND, NOW, this at day of 2009, upon consideration of the Petition to
Settle Wrongful Death and Survival Action, it is hereby ORDERED that Petitioner is authorized to
enter into a settlement with Defendant for the gross sum of $65,000.00. The apportionment of the
Gross Settlement shall be 90% for Wrongful Death and 10% for Survival. It is further ORDERED
and DECREED that the settlement proceeds shall be distributed as follows:
1. To: John E. Kusturiss, Jr., P.L.L.C. $16,250.00
Attorney fees
2. To: John E. Kusturiss, Jr., P.L.L.C. 542.00
Reimbursement of Costs
3. Wrongful Death - Statutory Beneficiaries
To: Sandra Loy $21,693.60
To: Frank Kline $21,693.60
4. Survival
To: The Estate of Jean K. Kline $4,820.80
BY T - DURT:
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