HomeMy WebLinkAbout08-24-11McCarthy Weisberg Cummings, P.C.
James J. McCarthy, Jr., Esquire
Attorney I.D. No. 82266
2041 Herr Street
Harrisburg, PA 17103-1624
717-238-5707 n =:- -~~'
717-233-8133 (fax)
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNT'~T; ~; -
PENNSYLVANIA ORPHAN'S COURT DIVISION . '--T=
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In Re: No. 2008-01228
ESTATE OF DAVID C. JUMPER
DECEASED
PETITION FOR DISTRIBUTION OF INSOLVENT ESTATE UNDER
20 PA. CONS. STAT. ANN. SECTION 3392
TO THE HONORABLE JUDGES OF SAID COURT:
AND NOW COMES, Petitioner, Tracey S. Barrick, by and through her counsel,
McCarthy Weisberg Cummings, P.C., attorney of record in the Estate of David C.
Jumper, Deceased, to petition the Court to settle an insolvent estate at the above number
and term and in support thereof avers as follows:
1. David C. Jumper ("Decedent"), sixty-eight years of age, who resided at 121
Walnut Bottom Road, Shippensburg, Cumberland County, Pennsylvania died
testate on November 24, 2008. His Last Will and Testament, dated March 13,
2004 ("Will"), was admitted to probate on December 9, 2008 by the Register
of Wills of Cumberland County, Pennsylvania at the above number and term.
A copy of the Will is attached hereto and made a part hereof as Exhibit I.
2. The Decedent was not survived by a spouse.
3. The Decedent was survived by his daughter, Tracey S. Barrick of East 13erlin,
Pennsylvania.
4. On December 9, 2008, Letters Testamentary were duly granted to Tracey S.
Barrick.
5. The probate estate of which Decedent died consisted of the following property
valued as of the Decedent's date of death:
a. Orrstown Bank Account # 570465 $ 6,475.07
b. Auction of personal items -Dan Hershey Auction 1,264.08
c. Electric and medical reimbursements 233.55
Total ~ 72.70
The Decedent did not own and interest in real estate.
6. The family exemption has not been claimed since there are no heirs who were
members of the Decedent's household at the time of death.
7. Administration expenses, debts and claims against the estate as set forth in
Exhibit II, are summarized as follows:
a. The costs of administration - 20 Pa.C.S. § 3392 (1) $2,863.00
b. The family exemption - 20 Pa.C.S. § 3392(2) NONI's
c. The cost of Decedent's funeral and burial, etc. -
20 Pa.C.S. § 3392(3) $5,926.`i9
d. The cost of a gravemarker - 20 Pa.C.S. § 3392(4) NONI?
e. Rents for occupany - 20 Pa.C.S. § 3392(5) NONI?
f. All other claims - 20 Pa.C.S. § 3392(6) 52.90
Total all Claims $8,842.49
8. Petitioner is not aware of any claims against the estate which are not admitted.
9. The assets totaling $7,759.28, as set forth in Paragraph 5, are insufficient to
pay all proper charges and claims against the estate which total $8,842.49.
2
10. Pursuant to 20 Pa.C.S. Ann § 3392, payment should be made as listed on
EXHIBIT II attached and presented as "Requested Payments."
11. Petitioner is requesting that all parties in interest are paid, except as noted in
EXHIBIT II.
12. the Agent for the Commonwealth of Pennsylvania -Estate Recovery Program
maintains a claim in the amount of $7,997.50. However, a letter requesting
payment of $5,205.78 from the Estate is attached to this Petition, and rr~ade
part hereof and marked as Exhibits III and IV.
13. In exchange for the consideration of the Agent for the Commonwealth oil
Pennsylvania -Estate Recovery Program consenting to the grant of this
Petition, the Executrix and Attorney for the Estate have consented to reduce
their claims as shown on the attached Exhibit II.
WHEREFORE, the Petitioner pray your Honorable Court to approve payment of
all proper charges and claims against the estate as set forth in the foregoing
Petition, and discharge Tracey S. Barrick from her duties as Executrix.
Date: ~- ~ `~ Z ~ ~ l By;
ames J. cCarthy, Jr. qui ~
Supreme Court ID # 822
McCarthy Weisberg Cummings, PC
2041 Herr Street
Harrisburg, PA 17103
Phone: 717-238-5707
Attorney of Record for the Estate of
David C. Jumper
VERIFICATION
The undersigned, Tracey S. Barrick, hereby verifies that she is the Executrix of thc~
above-named Estate and that the facts set forth in the foregoing PETITION FOR
DISTRIBUTION OF INSOLVENT ESTATE UNDER 20 PA. CONS. STAT. ANN.
SECTION 3392 which are within the personal knowledge of the Petitioner are true, and
as to facts based on the information of others, the Petitioner, after diligent inquiry,
believes them to be true; and that any false statements herein are made subject to t:he
penalties of 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities.
Date
~,~ /1
Tracey S. B rrick, Executrix
4
CERTIFICATE OF SERVICE
I hereby certify that I am this day serving a copy of the foregoing Petition lFor
Distribution of Insolvent Estate Under 20 Pa. Cons. Stat. Ann. Section 3392 upon the
person and in the manner indicated below, which service satisfies the requirements of the
Pennsylvania Rules of Civil Procedure:
Dianna L. Stoneroad, TPL Investigator
Dept. of Public Welfare
P.O. Box 8486
Harrisburg, PA 17105-8486
by depositing a copy of the same in the United States Mail, first-class postage
prepaid, addressed.
by hand-delivering a copy to the address listed for the individual(s) Indicsated
above.
Date: ,~ ~ ~~ l ~
McCarthy Weisberg Cummings, P.C.
;~
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ames J. Carthy, Jr., Esq.
Sup Ct ID # 82266 '
2041 Herr Street
Harrisburg, PA 17103-1624
(717) 238-5707
(717) 233-8133 (FAX)
Attorney for Petitioner
LAST WILL AND TESTAMENT
OF
DAVID C. JUMPER
I, DAVID G JUMPER, of40 Colonial Court, Cumberland County, Shippensburg,
Pe~insylvania, being of sound and disposing mind, memory and understanding, do hereby make,
publish and declare this as and for my Last WiII and Testament, hereby revoking gal other wills
and codicils heretofore made by me.
FIRST: I direct that all my just debts and funeral expenses, ;including any
grave marker, shall be paid from the assets of my estate as soon as practicable after my dccease.
SECONL: I give, devise and bequeath the residue of my estate, of every
nature and wherever situate, to my Daughter, Tracey S. Wit;~jacl:, providing she shall survive me
by thirty (30) days.
THIRD: I direct that ali taxes that may be assessed in consequence of my
death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary
estate as a part of the expense of the administration of my estate.
FOURTH: I nominate, constitute and appoint my Daughter, :'racey S.
Vvithjack, Executrix of this my Last Will and Testament.
FIFTH: I direct my Executrix and her successors shall not be required to
give bond for the faithful performance of their duties in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, consisting of two 2) typewritten ~page~s~each identified by my signature, this
tf, day of ~7~~e ~~ , -~~--.
-~--
(SEAL;I
Davi C. Jumper
Signed, sealed, published and declared by the above-named Testator, David C. Jumper, as
and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and
presence, and in the sight and presence of each other, have hereunto subscribed our names as
witnesses.
~t/~ ti
W'r ness
'Cu
Witness
Date: ~'
Date: 3 -13 ' L'4-
COMMONWEALTH OF PENNSYLVANIA )
. SS.
COUNTY OF CUMBERLAND 1
I, David C. Jumper, Testator, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will and Testament; that I signed it willingly; anti that I
signed it as my free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me by David C. Jumper, the Testator, this
~3 r~-day of ,~,4-~ ~~ , ~?yz ~.
(SEAL)
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MertiOer, PbnsyN@r~ Ae~ooirpnp PbtaYs
COMMONWEALTH OF PENNSYLVANIA )
. SS.
COUNTY OF CUMBERLAND ~
We, F 2~ ~ _ and ...5 the
witnesses whose names are signe to a attached or foregoing instrument, being d y qualified
according to law, do depose and say that we were present and saw Testator sign and exe<:ute the
instrument as his Last Will and Testament; that signed willingly and that he executed it as his
free and voluntary act for the purpose therein expressed; that each of us in the hearing anal sight
of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator
was at that time 18 or more years of age, of sound mind and under no constraint or unduf;
influence.
Sworn or affirmed to and subscribed to before me by _~ -~ ~:.
and ` ,witnesses, this ~ fit day of _ ~~
2004.^
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(SEAI:)
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(SEAL.)
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Estate of David C. Jumper, Deceased
For the period November 24, 2008 through August 31, 2011
File Number 2008-1228
Total Estate Assets
Claims against the estate:
Class 1 - 20 Pa.C.S. § 3392(1)
Attorney Fees
Executrix Fees
Probate fees -Cumberland County Register of Wills
Register of Wills -fees for inventory and Inh Tax
Total Class 1 - 20 Pa.C.S. § 3392(1)
Class 2 - 20 Pa.C.S. § 3392(2)
Class 3 - 20 Pa.C.S. § 3392(3)
PA Department of Public Welfare
Carlisle Regional Medical Center
Fisher Florist -Flowers for Funeral
Shippensburg Health Care Center -Cable Bill
First Weslyan Church -funeral costs
Total Class 3 - 20 Pa.C.S. § 3392(3)
Class 4 - 20 Pa.C.S. § 3392(4)
Class 5 - 20 Pa.C.S. § 3392(5)
Class 6 - 20 Pa.C.S. § 3392(6)
Embarq -last phone bill
Kinetic Imaging
Total Class 6 - 20 Pa.C.S. § 3392(6)
Total all claims
$ 7,972.70
$ 2,100.00
650.00
83.00
30.00
$ 2,863.00
NONE
$ 5,205.78
11.81
399.00
10.00
300.00
$ 5,926.59
NONE
NONE
$ 47.47
5.43
$ 52.90
$ 8,842.49
Requested
_ Payments
$ 7,972.70
$ 1,800.00
500.00
83.00
_ 30.00
$ 2,413.00
$ 4,785.99
11.81
399.00
10.00
300.00
$ 5,506.80
NONE
NONE
$ 47.47
5.43
$ 52.90
$ 7,972.70
EXHIBIT II
- _ -_ __ --
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF PUBLIC WELFARE
BUREAU OF PROGRAM INTEGRITY
DIVISION OF THIRD PARTY LIABILITY
ESTATE RECOVERY PROGRAM
PO BOX 8486
HARRISBURG, PA 17105-6466
April 26, 2010
MCCARTHY WEISBERG CUMMINGS
JAMES J MCCARTHY JR
2041 HERR STREET
HARRISBURG PA 17110-1624
Re: David Jumper
CIS #: 710205017
SSN: ###-##-2595
Date of Death: 11/24/2008
Dear Attorney McCarthy Jr:
Please be advised that the Department of Public Welfare maintains a
claim in the amount of $7,997.50 against the above-mentioned estate. This
claim is for restitution of medical assistance granted on behalf of the
decedent for which the Probate Estate is now responsible to reimbur~>e the
Department according to Act 49, 62 P.S. 1412, effective August 15, ].994, as
amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's
itemized statement of claim.
A portion of this medical expense, namely $7,997.50, was incurred during
the last six months of the decedent's life; therefore, it is a Class 3 claim
pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries Code, 20
Pa. C.S.A. 3392(3). The balance of the claim, namely $, is to be entered as
a priority Class 5.1 claim against the estate.
Please acknowledge receipt of this letter and advise whether the
Commonwealth's claim is admitted and when payment may be expected. If the
estate accounting is complete, please provide a copy. If the estate contains
real estate, please provide copies of the deed, the latest tax as:>essment,
and a current appraisal, if available.
Sincerely,
Dianna L. Stoneroad
TPL Program Investigator
717-265-7688
717-772-6553 FAX
Enclosure
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF PUBLIC WELFARE
BUREAU OF PROGRAM INTEGRITY
DIVISION OF THIRD PARTY LIABILITY
CASUALTY UNIT
P.O. BOX 8486
HARRISBURG, PA 17105-8486
January 26, 2011
MCCARTHY WEISBERG CUMMINGS
JAMES J MCCARTHY JR
2041 HERR STREET
HARRISBURG PA 17110-1624
Re: David Jumper
CIS #: 710205017
Incident Date: 11/24/2008
Dear Attorney McCarthy Jr:
This letter is in response to your voice mail on January 26, 2010. In
regards to a $500.00 gift allowed by the CAO. The Department has a:Lready
calculated this into its agreed recovery amount of $5,205.78. Since
$2,500.00 was gifted, it caused an over payment of $2,034.00. The Department
has already agreed to recover only $1,279.70 rather than the full $?_,039.00
overpayment. Also, a gift amount of $500.00 would have needed to occur
before the dated of death.
If the Office of Inspector General would collect on this over payment
they will seek to recover the full $2,034.00. The Department has already
reduced this portion of the recovery by $754.30. Another $500.00 cannot be
deducted.
The amount due to the Department remains at $5,205.78. If you have any
questions please contact me.
Sincerely,
~~
Diarra L. Stoneroad
TPL Program Investigator
717-265-7688
717-772-6553 FAX
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