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Howard B. Krug, Esquire ~ o
PA Supreme Court ID# 16826 ~
Purcell, Krug & Haller
1719 North Front Street
Harrisburg, PA 17102
Phone: (717) 234-4178
Fax: (717) 234-0409
hkrug(a~pkh.com
IN RE: : IN THE COURT OF COMMON PLEAS
:CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
HENRY L. SHRAWDER,
Deceased
NO. 2010-00380
ORPHAN'S COURT DIVISION
PETITION FOR LEAVE TO COMPROMISE
PURSUANT TO 20 PA.C.S.A. 3323
COMES NOW, Petitioner, Helen Shrawder, Executrix, under the Last Will and
Testament of Henry L. Shrawder, Deceased, and represents as follows:
1. Petitioner is Helen Shrawder, who was appointed Executrix under the Last
Will of Henry L. Shrawder, dated October 12, 2007 (hereinafter "Will"), a
copy of which is attached hereto as Exhibit "A".
2. Henry L. Shrawder (hereinafter "Decedent") died March 26, 2010 at the
age of 85 years.
3. The Will was admitted to probate on April 9, 2010 by the Register of Wills
of Cumberland County, and Helen Shrawder was appointed Executrix.
4. On February 27, 2010, Decedent was a passenger in a vehicle operated
by his Wife, Helen Shrawder.
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5. A vehicle operated by Michael L. Ward (hereinafter "Ward') Wade a left
turn from a parking lot controlled by a stop sign, and struck tie passenger
side of the oncoming Shrawder vehicle.
6. The Shrawder vehicle sustained major damage, and DecedE=nt and his
wife were transported to Harrisburg Hospital.
7. Decedent was transported to Hershey Medical Center, discharged to
HealthSouth Rehab for Physical Therapy, and ultimately ret~:rned to
Hershey Medical Center, where he died on March 26, 2010.
8. Ward's insurance carrier, Travelers Personal Security Insurance
Company (hereinafter "Travelers") has, by letter dated July ~ .2010,
offered its policy limits of $100,000. A copy of said letter is ~~ttached
hereto as Exhibit "B".
9. Petitioner believes it is in the best interest of the Estate to sE:ttle the Clair"
against Ward and accept the policy limits settlement offer.
10. Travelers has provided a General Release for Petitioner's si:~nature and
has requested that the Executrix secure Court approval. A ropy of the
General Release is attached hereto as Exhibit "C".
11. Decedent's personal auto insurance carrier, the Standard Fire Insurance
Company (hereinafter "Standard'), has consented to this se~tlement with
Ward and also offered its underinsurance limits of $305,000 to the Estate.
12. Petitioner would like to accept this offer by executing the Un,~erinsurance
Release, attached hereto as Exhibit "D".
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13. All sums received from both carriers will be paid to Decedent's Estate and
subject to an Inheritance Tax review by the Pennsylvania DE-partmer~t of
Revenue.
14. By virtue of Decedent's Last Will, Helen Shrawder, Wife of C~ecedent, is to
receive the entire Estate.
15. Helen Shrawder, Executrix, executed the Contingent Fee Agreement
(hereinafter "Agreement") of Purcell, Krug & Haller, providincl for a
contingent fee of 33 1/3% of the gross recovery and reimbursement of
out-of-pocket expenses, which Agreement is attached heret~~ and made a
part hereof as Exhibit "E".
16. There are no liens to be paid as a result of this accident or any debts of
the Estate.
17. Petitioner, a fully competent adult, is the sole beneficiary of he Estate aid
desires to promptly settle these claims, as stated in this Peti.ion.
18. Petitioner hereby requests that the Court approve the settlements, thereby
permitting Executrix to sign the attached and pay counsel fo~ services
rendered.
WHEREFORE, Petitioner requests that this Honorable Court issue an Order:
A. Approving the settlement for payment of policy limits Between the
Estate and Ward, authorizing Petitioner to execute the General
Release with Ward and Travelers;
B. Approving the settlement with Decedent's underinsur~nce carrier
Standard, authorizing Petitioner to execute the Unde insured
Motorist Release;
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C. Authorizing the Executrix to pay the counsel fees and cost
reimbursement to Purcell, Krug & Haller, in conformit~,~ with the
Contingent Fee Agreement between counsel and the Estate; and.
D. Any other and further relief this Court deems appropr ate.
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PURCELL, KRUG & HALLE~
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By: .~t,~~-~ R --
Howard B. ktrug, Esquire` -
Attorney ID #: 16826
1719 North Front Street
Harrisburg, PA 17102
(717} 234-4178
Attorney for Petitioner
Dated; July 8, 2010
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P;1,~,~~-1-,ania, bei~-~` of sound alld disposing mind, IM~emory alld understa_~ain~. c~ ~y'm~_l~ r--'
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β:b!_ ~_'1 end decl:~~~ '~~.IS lnstrtunent to be n,.`,~ Last \~ 11! a^~d 1 estament, llereC ,' ~., . ~ 1~ .~ ~.r'~ `R~ -.
~~, ~:ils by ma at am° time heretofore made.
I~~~~,I ~: I direct my hereinafter narued 1=~ecatri~ to pay ail ~ t ~~ =~_ dHts. ~~~r. - __
c-::~~1Sc5, adlnlmS~ratloll eXpeIl5e3 and 1P.I1~ritanCe, eStaie, S~1CCesS10n Or ekCt ~ ~-~. _~. ~,~ ~C~~il I i:';~~
c- Il :+`. ~7eCCII1~, <1'~0 011 cCCOUnt Of'_ny deeH, a5 goon 25 may be COn~'enien~ ~i'~cI ,~ d~~eaS~.
I~L'~~~Z ~: All the rest, residue alld remainder of my estate, be ~ ~_ -e~i_. ~ersor~.:1 -~~
I~ _ixed, of whate~~er nature atld wheresoever situate which l may ov,~1 or have t1.c ~ __~ to _~_si~~c _e
c t1 ;' tLlle CI my de~e2se, I ~1Ve; dP.vlse alld bc,Cllleatll t0 `:vlfe, Helen S17S2~~'C:~'.'_ ~I El ) itl~. E?.".1
`oad. Camp Hill, P.'~ 17011.
IT;/?~'I III: If my said~~-ife should predecease me or die simultalle,; a ~~.~ ~~ ~th -~e r_ _~r_
~:..1 t_~c resi,:"es'dt~~. ~idremalnde-Of my es`.a`°, b°- II r2al. personal Or IIll?£ed, Oi `,%, i~ ~~ e/e ~la:`~ll'c '_..~
- ,~° s._-.~~~~ ~-rhich I ?nav o~-,~1 or __~. e 11e r:~H to dispose of at ti__ t~n.~. ~__ _-- ~CC~~_~_
';_1`~`t. l_wl~c ~r1L %~r~'_Ie,2lli LO be dlVlded cyu~.11Y l~cT~tie~.L. i:i~ loll=lltZr~:
-e-1~. L. Harris, of i ~ 1 ~ Roue ~'09. '~~lillersnur`. P a 17061
~. -',,,; L. Lori. of X06 Palr='a L~. e ';}~`, '~1ecl-_a.~icsbur~, P ~ 1~0~, -
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B. If my daughter, Vich~%L. Lori, shouldpredecease me o ~ ~ simL'_ta-e-o,,; ~..
,;. t'1 __le, then leer share shall pass to my daughter, Terry L.. Iia?-ris, or her is=~~e --- _-`yes.
l~Flv'~~ ~I: I hereby nominate, constitute and appoir_t r11y wi,r~. ~iele~i ~'-sa ~ ~e .
:~E~1tri_z off=~~:s my Last ~~ill and Testa_rent, ~~ith full power i_n her discrct_i_~ ~o do r~, a. i .':i
-_ir`s necessary _ror the complete administration of my estate, «°ithout beir~r r. ~~_red :o file bc~_~
or ~_he perforrr_arce of her duties, with full po~~er to sell at public or private save ~.d :~~i~:1=~~u, ._~_- =~,
)i i:~~1~t any real Or personal property beionging t0 ITiy estate, a;?d to Corilp0~::~ ~. C~ ~:~:~~_~c ~_
~th~:.<ise serle or adjust any and all claims, charges, debts end demands wha~_s~ ~~ er _~s ~~ ~ __.
'a~ cr- of r_Zy estate as fishy as I could if living.
A. If my said wife should predecease me, die simultaneously ~~ ~~ 1 r~~e, ~ r'_~e ~ ~~_~
~r~~~r_available to serve or complete her duties, then I nominate, constitute .and al.~p ~ir~t m~ dau h -~-rs,
Te_y L. Hams ar_d Vicki L. Lori, CoExecutrices, with the same power a7d a~_~_r_~~ru. -a~ ,~i: _ .~
~a-_d T,r,~ife.
B. l.f both my said daughters should predecease me, die soma-~t~ sly th ~ ~~, :~~~
be _~?~able or ~_navalable to sere or complete their duties, then I nonunat~, ~: ~_~ tt_ut ~ r_d ~, ~ ~~ i-~._
_~ : rr-andson, ~c~-?ald Flarris; Jr., executor; ~~~iththe carne power and authoz-i~~ ~_s < wer. n~. ~:a-~~ ~ :~._.
~: t~'~~'~T~ ~~ ~~~';~~E~~, 1 hug e hereunto set my n.arβ ~---_. _i _~:~~ __ - -_ -
~~~- _i- and Testa~l_el-_t This 12th day of C~c_ober, 2007.
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--- Nei~y L.. ~l~ra.~a;__
S ~- ~ pealed; _ ~,1 i~hed and
d c'la:~,d b~ ~lre abr`,e-named
~= :n~-- L. Sbra; -der a~ and '~~or
h ~ La _~ ~~i_Il ~-_d "L e~?~mer~t;
~1 tn~ ~reserce ~! 'a~. `~'b0 aL
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h S reGUest; in ~"?i~ _ic~ellcc
a :d :-_ ~'_le nrese_~ce of each
c_he_. ~~-e be1_ic~~i~~g him to be
c _' ~c:,~~~d and d~~p:~~~1a mind,
lEi".Cr`,' arii~! 'a'S4er~:3ndllla-
.'- - -d our
::ivy _ereunto ~ _:~ ~c-ibc.
r ~__..: as ~~,i~n:;~~~ ~~i~ 12th day of
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~R'A1/ELER555~
Carol A. Sheiby
SenlorTechnlcal SpeclaNs~
Parsons! Ltnes
(B00) 632-0606 z37T6
(866) 418-6823 (fax)
PO Boz 13426
Reading, PA 1961E
J u''.J i . ~ 010
HovJard Krug
P.:rcef, Krug ~ Hader
t 719 North Front 5t.
~iarrsuurg, Pa 171 OZ
Re Yaur C ient The Estate of Henry Shrawder
Our Insurae: Michael 8, Cheryl Ward
Claim #: HCV1670
DOE: 2-27-10
Dear Howa
This will confirm cur conversation in which we agreed to resolve the above captioned r~,a ter for the
X100,000.00 po icy ~irnit.
Please return the attached execu±ed re'ease to my attention along v~~ith your tax ident~f~~a~~on r.urnber
have also enc~osed verification of our insured's policy I,mit and am currently vt~aiting for tr e signed
Afr~davit. ' vdi'I forward it to you upon receipt. As discussed, we will also need Court a~~;~ ~~~~al on the
settlQment
Si~~o~ild you nave any questions, please do not hesitate to contact me
Si^ceiely _
C~~al .~,. Sheib
Sen or Technical sgec;a!ist
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GENERAL RELEASE
KNOW ALL MEN BY THESE PRESENTS
That I, HELEN SHRAWDER, EXECUTOR OF THE ESTATE OF HENRY SHRAWDER,
being of lawful age, for the sole consideration of ONE HUNDRED THOUSAND DOLLARS,
($100,000.00) to me in hand paid, receipt thereof is hereby acknowledged, have remised,
released, and forever discharged MICHAEL WARD, CHERYL WARD, AND TRAVELERS
PERSONAL SECURITY INSURANCE COMPANY and for my heirs, executors,
administrators, and assigns do hereby remise, release, and forever discharge MICHAEL
WARD, CHERYL WARD, AND TRAVELERS PERSONAL SECURITY INSURANCE
COMPANY and their successors and assigns, heirs, executors and administrators, only, from
any and all claims, demands, rights, and causes of action of whatsoever kind and nature,
including claims of liens from MEDICARE, any health care provider or insurer, andlor any
Workmen's Compensation insurer, arising from and by reason of any and all known and
unknown, foreseen and unforeseen bodily and personal injuries, damage to property, and
consequences thereof, resulting from an incident which occurred on or about February
27,2010, Simpson St., Mechanicsburg Borough, Cumberland County, Pennsylvania, for which
I have claimed MICHAEL WARD AND CHERYL WARD to be legally liable, and for which
liability is hereby expressly denied.
Notwithstanding the foregoing, this document shall not be construed to release or
affect the liability of The Standard Fire Insurance Company or any other insurance carrier
arising out of a policy of auto insurance, covering Henry Shrawder or his family as insureds,
on or after February 27, 2010. In addition, this document shall not release any hospital,
physician, health care, or medical care provider from any claim related to or touching upon
malpractice or negligence.
it is also expressly understood between the parties that I, HELEN SHRAWDER,
EXECUTOR OF THE ESTATE OF HENRY SHRAWDER, shall be solely responsible for the
repayment of any and all liens, including but not limited to: Medicare, Workmen's
Compensation and/or any health care provider or insurer and I, HELEN SHRAWDER,
EXECUTOR OF THE ESTATE OF HENRY SHRAWDER, agrees to indemnify, defend and
hold harmless MICHAEL WARD, CHERYL WARD, AND TRAVELERS PERSONAL
SECURITY INSURANCE COMPANY from any claims or actions on account of any such lien.
I, HELEN SHRAWDER, EXECUTOR OF THE ESTATE OF HENRY SHRAWDER,
certify that there are no outstanding liens against me for child support in the State of
Pennsylvania or any otherjurisdiction, (agree to indemnify, defend and hold harmless
MICHAEL WARD, CHERYL WARD, AND TRAVELERS PERSONAL SECURITY
INSURANCE COMPANY from any and all claims or actions on account of any child support
liens.
EXHIBIT
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iN `JVITNESS WHEREOF, I have hereunto set my hand and sealtr~s _ cay c
July , .n she year Two Thousand Ten.
pealed and delivered in the presence of:
Uy`I~ NESS:
ADDRESS.
X._ _
HELEN SHRAWDER; EXECUTOR CAF THE
ESTATE OF HENRY SHRAWDER
~,~~~1r,r,ONWEALTH OF PENNSYLVANIA
CC:`U~lTY OF DAUPHIN
Cn th!s day of , 2010, before me pers ;r airy ap,.~ea~E;~~
~LAINTlFF known to be the same person described herein and who exev~.ted the above
n=,trument and acknowledged to me that he/she executed the same.
OFFICIAL TITLE
UNDERINSURED MOTORIST RELEASE
KNOW ALL MEN BY THESE PRESENTS, that I, HELEN SHRAWDER, EXECUTOR OF
THE ESTATE OF HENRY SHRAWDER, acknowledge receipt of the sum of THREE HUNDRED
AND FIVE THOUSAND DOLLARS ($305,000.00), and paid by THE STANDARD FIRE
INSURANCE COMPANY in full and complete settlement of all claims submitted to THE
STANDARD FIRE INSURANCE COMPANY for Underinsured Motorist Benefits, only, on account
of bodily injury, sickness, or disease, resulting and to result from a certain accident which
happened on or about February 27, 2010, at or near the intersection of Simpson St.,
Mechanicsburg Borough, Cumberland County, Pennsylvania, for which (have claimed the owner,
operator, person andlor organization responsible for the operation of an underinsured automobile.
It is also expressly understood between the parties that HELEN SHRAWDER, EXECUTOR
OF THE ESTATE OF HENRY SHRAWDER shall be solely responsible for the repayment of any
Medicare, Medicaid, health care, workmen's compensation and/or any other liens, and HELEN
SHRAWDER, EXECUTOR OF THE ESTATE OF HENRY SHRAWDER agrees to indemnify,
defend and hold harmless THE STANDARD FIRE INSURANCE COMPANY from any and all
claims or actions on account of any such lien.
Nothing in this release shall be construed to limit or defeat any other claims that I, HELEN
SHRAWDER, EXECUTOR OF THE ESTATE OF HENRY SHRAWDER may have against any
other person or entity, including but not limited to, claims against any and all medical or health care
providers for the care and treatment of our injuries.
I, HELEN SHRAWDER, EXECUTOR OF THE ESTATE OF HENRY SHRAWDER, certify
that there are no outstanding liens against me for child support in the State of Pennsylvania or any
other jurisdiction. I agree to indemnify, defend and hold harmless THE STANDARD FIRE
INSURANCE COMPANY from any and call claims or actions on account of any child support liens
Page ~ of 2 EXHIBIT
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~~ ~~~~T~ES~ ~`~IHEREOF, ;~e ha~~e here~~~n°o se? our hands and seek tie _ _~, ~-
~~e ~~ear two Thousand en.
~e~'ed a~~d de'~,`1-:rid 'n the presence of:
F~ '-F
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~~~~~'J`~!TY 0~
HELEN SHRAVJDER. EkECUT~R ~F THE
ESTATE ~F HENRY SHRAWDE~
On this _-- aay °' , 201 C, before me persona y ac::e ~ ~d HELEN
SHRAWDER, EkECUTOR OF THE ESTATE OE HENRY SHRAWDER kno~~n;n ?o m.~ `~ ~e ~'re
same perscr cesrrbed herein and who executed the above'~ns~rumenf and she e_ ~ ~~~~n~~eUged
,;n - ~'nat she exe.u:ed the same.
G'~~~FICIAI_ TITLE
PURCELL, KRUG & HALLER
Attorneys-at-Law
1719 North Front Street
Harrisburg, PA 17102
PGWER OF ATTORNEY PS1D CONTINGENT FEE AGREE_MEN-'
_~i - r~ r.
-- ~ _ _ _ -' ~s PURCELL, KRUG & HALLER, r s~,uires, c ,r ~ - ~~_
~: _.-_. _ _ --. ~o a cause or action a°-.,_ ~ ,.~~ o~ ar_ ~_-- ~~_-_
_~~_-- _ =c~~uar~ 27, 2010 wi~~h ~ul~! power ~~ __~_~~e __
- ---i ~S, -~~ `i2g0~.1aLE, reo'_°~2I7t, ~r1:1~, CG~'C'~Ct ~,_ ~~~'_ __
-"-- -'- S 1'_ `-, aaQ' .C ~z_._Cll-~2 ~":~ ehi.''Orcc a.? V _ ~ ~--
__.. J:1 __ ~~~h,ali, 1'1 CCr, ~ -i._G-, i_^_°'`c`s;_~i' _ - -
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VERIFICATION
I, Helen Shrawder, Executrix for the Estate of Henry Shrawder, hereby
%erify that the facts contained in the foregoing PETITION are true and co~~rect to the
best of my kno~rrledge, information and belief.
I understand that false statements made herein are subject to the cenalties of
18 Pa. C.S. Section 4904. relating to unsworn falsification to authorities.
~_ a _ _ ,.~
Helen Shrawder, Executrix for the Esta~e of
Henry Shrawder
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Date: ~ ~ ,,; ,
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CERTIFICATE OF SERVICE
i. Angela S Shaffer, employee for the law firm of Purcell, Krug & Ha ler, counsel
for Petitioner, Helen Shrawder, Executrix of the Estate of Henry L. Shrawder, hereby
certify that service of the foregoing PETITION FOR LEAVE TO COMPROMISE was
m~=de on the following via Regular Mail on July 8, 2010:
REGULAR MAIL
Carol A. Shelby
Traveler's Insurance
P.O. Box 13426
Reading, PA 19612
Anger S. Shaffer ~