HomeMy WebLinkAbout11-6763OT11,C,0Tt%i Y
HD COUNTY
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
In Re: KARTER DRUMM, NO. V
a Minor
PETITION FOR COURT
APPROVAL OF MINOR'S
SETTLEMENT
PETITION FOR COURT APPROVAL OF MINOR'S SETTLEMENT
COMES NOW, Petitioner, Stacie Drumm, as parent and natural guardian of Karter
Drumm, by and through Griffith, Strickler, Lerman, Solymos & Calkins, and Erick V. Violago,
Esquire, and files a Petition for Court Approval of Minor's Settlement, and in support thereof
avers as follows:
1. This matter arises out of a dog bite that occurred on February 21, 2010, from
which Karter Drumm ("Karter") sustained personal injury.
2. Karter was born on August 13, 2005, and he is currently six (6) years old.
3. At the time of the accident, Karter was four (4) years old.
4. At the time of the accident, Karter was visiting his grandmother, Linda Eitnier, at
4222 Cambridge Street, Harrisburg, Pennsylvania 17109.
5. Karter was accompanied by his mother, Stacie Drumm, during said visit, when he
was bit by his grandmother's dog.
6. As a result of the dog bite, Karter sustained facial injuries. (A true and correct
copy of color photographs taken after the dog bite is attached hereto as Exhibit "A").
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7. As a result of the dog bite, Karter treated with Mark Boland, D.O., on the day of
the accident, who applied sutures. (A true and correct copy of Dr. Boland's medical records is
attached hereto as Exhibit "B").
8. At a follow-up visit on March 1, 2010, Dr. Boland removed the sutures and
opined Karter was healing well. (See Exhibit "B")
9. At a follow-up visit on September 20, 2010, Dr. Boland opined Karter looked
excellent. There was mild swelling on his right lower lid, and his other scars were imperceptible.
(See Exhibit "B").
10. Karter has not received any additional medical treatment as a result of the
accident.
11. At the time of the accident, Linda Eitnier was insured by Allstate Insurance with
liability limits in the amount of $100,000.00, and guest medical protection in the amount of
$1,000.00 per person. (A true and correct copy of Linda's declarations page is attached hereto as
Exhibit "C")
12. As a result of treatment with Dr. Boland, Karter incurred $2,625.00 in medical
bills, which have already been paid by Allstate Insurance.
13. There are currently no unpaid medical bills incurred because of the accident.
14. Karter's parents and natural guardians are Stacie Drumm and David Bruce
Drumm, and they reside at 49 Johns Drive, Enola PA 17025.
15. Stacie Drumm„ as the parent and natural guardian of Karter Drumm, has presented
a claim to Allstate Insurance.
16. Stacie Drumm, as the parent and natural guardian of Karter Drumm, and Allstate
Insurance, have agreed to a settlement of the claim in the amount of $15,750.00, which shall be
used to purchase a structured settlement annuity.
17. Said structured settlement annuity provides for the following payments:
a. A guaranteed lump sum payment of $5,000.00 on August 13, 2023 (at age
18);
b. A guaranteed lump sum payment of $10,000.00 on August 13, 2026 (at
age 21); and
c. A guaranteed lump sum payment of $15,265.00 on August 13, 2030 (at
age 25).
18. Said agreement provides for a total payout of $30,265.00.
19. The structured settlement payments described in Paragraph 17 shall be funded by
a payment of $15,750.00 by Allstate Insurance Company to Allstate Assignment Company.
Allstate Assignment Company shall purchase an annuity valued at $30,265.00 for Minor, Karter
Drumm. The payments to Karter Drumm will come from Allstate Life Insurance Company.
Allstate Life Insurance Company guarantees the obligation of Allstate Assignment Company.
20. Allstate Life Insurance Company has an A+ (Superior) rating from A.M. Best
Company, an A+ (Strong) rating from Standard and Poor's, and an Al (Good) rating from
Moody's.
21. The settlement was agreed upon before the case was assigned to Attorney
Violago. Attorney Violago's sole role in the matter is to obtain court approval of a settlement
that was reached before the case was referred to him by Allstate Insurance.
22. Stacie Drumm., as the parent and natural guardian of Karter Drumm, understands
that Attorney Violago was retained by Allstate Insurance Company to obtain court approval of
the minor's settlement. Attorney Violago was not involved in the decision to settle this claim.
Attorney Violago will not be paid from the settlement funds.
23. Stacie Drumm, as the parent and natural guardian of Karter Drumm, believes that
this settlement is fair and reasonable compensation for the injuries suffered by her son, Karter
Drumm.
24. Stacie Drumm, as the parent and natural guardian of Karter Drumm, understands
that if the Court approves the settlement, they will be barred from filing any other type of claim
or lawsuit as a result of the February 21, 2010, accident.
25. Stacie Drumm, as the parent and natural guardian of Karter Drumm, understands
that if the Court approves the settlement, they will be required to execute a document which
releases Linda Eitnier and Allstate Insurance Company from any and all claims she or Karter
Drumm may have against Allstate Insurance Company and/or Linda Eitnier as a result of the
February 21, 2010, accident.
26. Stacie Drumm, as the parent and natural guardian of Karter Drumm, believes that
the approval of this settlement is within the best interest of her son, Karter Drumm.
WHEREFORE, Petitioner, Stacie Drumm, as parent and natural guardian of Karter
Drumm, respectfully requests this Honorable Court approve the minor's settlement of this matter.
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS &,CX'LKR :S-> ,
By: "
ERICP LAGO, ESQUIRE
Sup Court I.D. No. 202344
I I nouth Northern Way
York, PA 17402-3737
Telephone: (717) 757-7602
VERIFICATION
Stacie Drumm, as parent and natural guardian of Karter Drumm, a minor, verify that the
statements made in the foregoing Petition For Court Approval of a Minor's Settlement are true and
correct, upon my personal knowledge or information and belief. This verification is made subject to
the penalties of 18 Pa.C.S. §4904, relating to unworn falsification to authorities.
Date: ?. '2011
Stacie Drumm, as parent and natural
guardian of Karter Drumm
OFFICE VISITS -
NAMti W.RrM arnrus
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Allstate Insurance Company
RENEWAL
Deluxe Plus Homeowners
Policy Declarations
Summary
NAMED INSUREDS) YOUR ALLSTATE AGENT IS: CONTACT YOUR AGENT AT:
Linda Eitnler Vincent Sorrentino (717) 657-5070
4222 Cambridge St 4811 Jonestown #121
Harrisburg PA 17109-2701 Harrisburg PA 17109
POLICY NUMBER POLICY PER1013 PREMIUM PERIOD
9 01 700201 03122 Begins on Mar_ 22, 2009 Mar. 22, 2009 to Mar. 22, 2010
at 12:01 A.M. standard time, at 12:01 A.M. standard time
with no fixed date of expiration
LOCATION OF PROPERTY INSURED
4222 Cambridge St, Harrisburg, PA 17109-2701
MORTGAGEE
• WELLS FARGO BANK NA 708 ITS SUCCESSORS
WOR ASSIGNS
P 0 Box 5708 Springfield OH 45501-5708 Loan 00174659367
Total Premium for the Premium Period (Your bill will be mailed separately)
Premium for Property Insured $461.30
TOTAL $461.30
Ifflonnadon a- of Page 1
71?IIIIIIIRRIPI530IIIIIIIIIIN III II9EPRI7I1NAR?i YPIY'ip991p .
_ .07ORFID
Allstate Insurance Company
Policy Number, 9 01 700201 09/22 Your Agent- Vincent Sorrentino (717) 657-5070
Far Premium Period Beginning: Mar_ 22, 2009
i
POLICY COVERAGES AND LIMITS OF LIABILITY
COVERAGE AND APPLICABLE DEDUCTIBLES LIMITS OF LIABILITY
(Sec Polley for Applicable Terms, Conditions and aCInSion5)
Dwelling Protection - with Building Structure Reimbursement Extended Limits $164,926
$500 All Peril Deductible Applies
Other Structures Protecton $16,493
• $500 All Peril Deductible Applies
Personal Property Protection - Reimbursement Provision $123,695
• $500 All Peril Deductible Applies
Additional Living Expense Up To 12 Months
Family Liability Protection $100,000 each occurrence
Guest Medical Protection $1,000 each person
DISCOUNTS Your premium reflects the following discounts on applicable coverage(s):
Protective Device 5% Home and Auto 15%
RATING INFORMATION
The dwelling is of Frame construction and Is occupied by 1 family
1rdVM;WW.r. 01 Page 2
rnonnry4,2m PA070ADD
?-2
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
In Re: KARTER DRUMM,
a Minor
NO. I ` lr7 11 3 C-t ki 1
PETITION FOR COURT
APPROVAL OF MINOR'S
SETTLEMENT
ORDER
AND NOW, thiJ) day of August, 2011, a hearing on the Petition for Court Approval
of Mirror's Settlement is hereby scheduled before the undersigned Judge on
, 2011, beginning at :1.30 , 1=.m. at 0--3 of the
Cumberland County Courthouse.
BY T OURT,
J.
Distribution List
Erick Violago, Esq.
110 S. Northern Way
York, PA 17402
Stacie Drumm
49 Johns Drive
Enola PA 17025
C Cries "//////
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211 SEP -
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
In Re: KARTER DRUMM, NO. 11-6763 Civil
a Minor
PETITION FOR COURT
APPROVAL OF MINOR'S
SETTLEMENT
MOTION FOR CLARIFICATION OF PETITION
FOR COURT APPROVAL OF MINOR'S SETTLEMENT
COMES NOW, Petitioner, Stacie Drumm, as parent and natural guardian of Karter
Drumm, by and through Griffith, Strickler, Lerman, Solymos & Calkins, and Erick V. Violago,
Esquire, and files this Motion for Clarification of the Petition for Court Approval of Minor's
Settlement, and in support thereof avers as follows:
1. On August 26, 2011 a Petition for Court Approval of Minor's Settlement was
filed with the Office of the Prothonotary of Cumberland County, Pennsylvania, a copy of which
is attached hereto as Exhibit "A".
2. On September 23, 2010 Allstate Insurance paid to Stacie Drumm, individually
and as parent and natural guardian of Karter Drumm a minor, the amount of $1,000.00 from the
Guest Medical coverage for any potential out of pocket medicals. A copy of the canceled check
is attached hereto as Exhibit "B".
3. On May 11, 2011 Allstate Insurance paid to David Drumm individually and as
parent and natural guardian of Karter Drumm, a minor, the amount of $2,625.00 from the bodily
injury claim for payment of medical expenses to Dr. Boland, the plastic surgeon for Karter
Drumm. A copy of the canceled check is attached as Exhibit "C".
4. The aforesaid payments were paid in addition to and were not funded from the
settlement payment of the claim in the amount of $15,750.00 which provided for a purchase of a
structure settlement annuity as described in Paragraph 17 of the Motion for Court Approval of
Minor's Settlement annuity.
WHEREFORE, Petitioner, Stacie Drumm, as parent and natural guardian of Karter
Drumm, respectfully requests this Honorable Court approve the minor's settlement as presented
in the Petition for Court Approval of Minor's Settlement filed in this matter on August 26, 2011.
GRIFFITH, STRI
SOLYMOS & C
Date: l 1 By:
ERICK V. ,VIMAGO, Esquire
Supreme . urt I.D. No. 202344
110 South NorthernWay
York, PA 17403-3737
Telephone: (717) 757-7602
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
In Re: KARTER DRUMM, NO. 11-6763 Civil
a Minor
PETITION FOR COURT
APPROVAL OF MINOR'S
SETTLEMENT
CERTIFICATE OF SERVICE
AND NOW, this day of September, 2011, I, Erick V. Violago, Esquire, a
member of the firm of Griffith, Strickler, Lerman, Solymos & Calkins, hereby certify that I have
this date served a copy of the Motion for Clarification of Petition For Court Approval of Minor's
Settlement, by United States Mail, postage prepaid, addressed as follows:
Stacie Drumm
49 Johns Drive
Enola, PA 17025
By:
GRIFFITH, S
SOLYMOS
ERICK V. VI O, Esquire
Supreme Cou D. No. 202344
110 South Northern Way
York, PA 17403-3737
Telephone: (717) 757-7602
.. s i [
.?^? Tw? v
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
In Re: KARTER DRUMM, NO.
a Minor
PETITION FOR COURT
APPROVAL OF MINOR'S
SETTLEMENT
PETITION FOR COURT APPROVAL OF MINOR'S SETTLEMENT
COMES NOW, Petitioner, Stacie Drumm, as parent and natural guardian of Karter
Drumm, by and through Griffith, Strickler, Lerman, Solymos & Calkins, and Erick V. Violago,
Esquire, and files a Petition for Court Approval of Minor's Settlement, and in support thereof
avers as follows:
1. This matter arises out of a dog bite that occurred on February 21, 2010, from
which Karter Drumm ("Karter") sustained personal injury.
2. Karter was born on August 13, 2005, and he is currently six (6) years old.
3. At the time of the accident, Karter was four (4) years old.
4. At the time of the accident, Karter was visiting his grandmother, Linda Eitmer, at
4222 Cambridge Street, Harrisburg, Pennsylvania 17109.
5. Karter was accompanied by his mother, Stacie Drumm, during said visit, when he
was bit by his grandmother's dog.
6. As a result of the dog bite, Karter sustained facial injuries. (A true and correct
copy of color photographs taken after the dog bite is attached hereto as Exhibit "A")
EXHIBIT
7. As a result of the dog bite, Karter treated with Mark Boland, D.O., on the day of
the accident, who applied sutures. (A true and correct copy of Dr. Boland's medical records is
attached hereto as Exhibit "B")
8. At a follow-up visit on March 1, 2010, Dr. Boland removed the sutures and
opined Karter was healing well. (See Exhibit "B")
9. At a follow-up visit on September 20, 2010, Dr. Boland opined Karter looked
excellent. There was mild swelling on his right lower lid, and his other scars were imperceptible.
(See Exhibit "B")
10. Karter has not received any additional medical treatment as a result of the
accident.
11. At the time of the accident, Linda Eitnier was insured by Allstate Insurance with
liability limits in the amount of $100,000.00, and guest medical protection in the amount of
$1,000.00 per person. (A true and correct copy of Linda's declarations page is attached hereto as
Exhibit "C")
12. As a result of treatment with Dr. Boland, Karter incurred $2,625.00 in medical
bills, which have already been paid by Allstate Insurance.
13. There are currently no unpaid medical bills incurred because of the accident.
14. Karter's parents and natural guardians are Stacie Drumm and David Bruce
Drumm, and they reside at 49 Johns Drive, Enola PA 17025.
15. Stacie Drumm, as the parent and natural guardian of Karter Drumm, has presented
a claim to Allstate Insurance.
16. Stacie Drumm, as the parent and natural guardian of Karter Drumm, and Allstate
Insurance, have agreed to a settlement of the claim in the amount of $15,750.00, which shall be
used to purchase a structured settlement annuity.
17. Said structured settlement annuity provides for the following payments:
a. A guaranteed lump sum payment of $5,000.00 on August 13, 2023 (at age
18);
b. A guaranteed lump sum payment of $10,000.00 on August 13, 2026 (at
age 21); and
c. A guaranteed lump sum payment of $15,265.00 on August 13, 2030 (at
age 25).
18. Said agreement provides for a total payout of $30,265.00.
19. The structured settlement payments described in Paragraph 17 shall be funded by
a payment of $15,750.00 by Allstate Insurance Company to Allstate Assignment Company.
Allstate Assignment Company shall purchase an annuity valued at $30,265.00 for Minor, Karter
Drumm. The payments to Karter Drumm will come from Allstate Life Insurance Company.
Allstate Life Insurance Company guarantees the obligation of Allstate Assignment Company.
20. Allstate Life Insurance Company has an A+ (Superior) rating from A.M. Best
Company, an A+ (Strong) rating from Standard and Poor's, and an Al (Good) rating from
Moody's.
21. The settlement was agreed upon before the case was assigned to Attorney
Violago. Attorney Violago's sole role in the matter is to obtain court approval of a settlement
that was reached before the case was referred to him by Allstate Insurance.
22. Stacie Drumm, as the parent and natural guardian of Karter Drumm, understands
that Attorney Violago was retained by Allstate Insurance Company to obtain court approval of
the minor's settlement. Attorney Violago was not involved in the decision to settle this claim.
Attorney Violago will not be paid from the settlement funds.
23. Stacie Drumm, as the parent and natural guardian of Karter Drumm, believes that
this settlement is fair and reasonable compensation for the injuries suffered by her son, Karter
Drumm.
24. Stacie Drumm, as the parent and natural guardian of Karter Drumm, understands
that if the Court approves the settlement, they will be barred from filing any other type of claim
or lawsuit as a result of the February 21, 2010, accident.
25. Stacie Drumm, as the parent and natural guardian of Karter Drumm, understands
that if the Court approves the settlement, they will be required to execute a document which
releases Linda Eitnier and Allstate Insurance Company from any and all claims she or Karter
Drumm may have against Allstate Insurance Company and/or Linda Eitnier as a result of the
February 21, 2010, accident.
26. Stacie Drumm, as the parent and natural guardian of Karter Drumm, believes that
the approval of this settlement is within the best interest of her son, Karter Drumm.
WHEREFORE, Petitioner, Stacie Drumm, as parent and natural guardian of Karter
Drumm, respectfully requests this Honorable Court approve the minor's settlement of this matter.
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS LKWS-2 ,
By:
ERIC ,V?YOLAGO, ESQUIRE
Su&out1h Court I.D. No. 202344
11 Northern Way
York, PA 17402-3737
Telephone: (717) 757-7602
VERIFICATION
Stacie Drumm, as parent and natural guardian of Karter Drumm, a minor, verify that the
statements made in the foregoing Petition For Court Approval of a Minor's Settlement are true and
correct, upon my personal knowledge or information and belief. This verification is made subject to
the penalties of 18 Pa.C.S. §4904, relating to unsworn falsification to authorities.
Date: 2011
9
Stacie Drumm, as parent and natural
guardian of Karter Drumm
PaIN? 3 t yy,4.?
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Allstate Insurance Company
RENEWAL
Deluxe Plus Homeowners
Policy Declarations
Summary
NAMED INSURED(S) YOUR ALLSTATE AGENT IS, CONTACT YOUR AGENT AT:
Linda Eitnier Vincent Sorrentino (717) 657-5070
4222 Cambridge St 4811 Jonestown #121
Harrisburg PA 17109-2701 Harrisburg PA 17109
POLICY NUMBER POLICY PERIOD PREMIUM PERIOD
9 01 700201 03/22 Begins on Mar_ 22, 2009 Mar. 22, 2009 to Mar. 22, 2010
at 12:01 A.M. standard time, at 12:01 A.M. standard time
with no fixed date of expiration
LOCATION OF PROPERTY INSURED
4222 Cambridge St, Harrisburg, PA 17109-2701
MORTGAGEE
m WELLS FARGO BANK NA 708 ITS SUCCESSORS
WOR ASSIGNS
P 0 Box 5708 Springfield O H 45501-5708 Loan i`0 1 74 6593 6 7
TOfa/ Premium for thB PreMjYM Pff Olf (Your bill will be mailed separately) .
Premium for Property Insured $461.30
TOTAL $461.30
PAGP INI-09lIRI91A530jpI?IRI?IBIH?lgV1YNaIR?I1?RIVHQI?IIIB
EXHIBIT
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Rhnnryn, 4009 PA070RRD
jvi Istate Insurance Company
F A cl Njmter, 10170020103122 Your Agent: Vincent Sorrentino (717) 657-5070
F r Fremiurr Perl )d Beginning: Mar. 22, 2009
POLICY COVERAGES AND LIMITS OF LIABILITY
C WERAGE AND APPLICABLE DEDUCTIBLES LIMITS OF LIABILITY
(S,c Pellcy for Applicable Terms, Condltlons and bdusions)
D ,v,MInq Protection - with Building Structure (reimbursement Extended Limits $164,926
$500 All Peril Deductible Applies
Other Structures Protection
• $500 All Peril Deductible Applies
Personal Property Protection - Reimbursement Provision
• $500 All Peril Deductible Applies
$16,493
Additional Living Expense
Family Liability Protection
Guest Medical Protection
$123,695
Up To 12 Months
$100,000 each occurrence
$1,000 each person
DISCOUNTS Your premium reflects the following discounts on applicable coverage(s):
Protective Device 5% Home and Auto
RATING INFORMATION
The dwelling is of Frame construction and Is occupied by 1 family
fdu .T"-l: al
frb.4y 7, 2009
15%
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SEP-20-2011 16:21 GRIFFITH STRICKLER
l=1',?'u' FILE
pRaTH0tiOTAii
7177573783 P.003
'2666 SU -8 Ali"' 06
C PE NNSYLVANIA TY
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, P'ENNS'YLVANIA
In Re: KARTER DRUMM, NO. 11-6763 Civil
a Minor
PETITION FOR COURT
APPROVAL O MINOR'S
SETTLEMENT
MOTION FOR CML CASE CONTINUANCE IY1v Trf L%rTAI%,TT T!1 u1vrvWL4 VT VANTA DTTT.F_Q ¦ w L~TVyY. pRnC.F,1 i1RE NO. 216
1. This Motion is hereby made to continue the hearing on the Petition for Court
Approval of Minor's Settlement currently scheduled for September 26, 2011 at 2:30 p.m. before
the Honorable Judge Edward E. Guido.
2. The request for continuance is made for good cause, specitidally:
a. Petitioner, Stacie Drumm, as parent and natural guodian of Karter
Drumm, recently gave birth to a baby.
b. Petitioner, Stacie Drumm is unable to testify in person due to her
caring for her newborn baby including but not limited to frequent
breast feeding.
C. Petitioner, Stacie Drumm is unable to attend the hearing with
Karter Drumm for the reasons set forth above.
SEP-20-2011 16:21 GRIFFITH STRICKLER
7177573783 P.004
3. Attorney Erick Violago certifies the above statements are based upon a telephone
conversation with Petitioner, Stacie Drumm.
Date: 0 7 ?f
GRIFFITH, STRJCKL ERMAN,
SOLYMO Mg )
By:
ERICK V.P,AGO, Esquire
Supreme ourt W. No. 202344
110 South Nort cm Way
York, PA 1743-3737
Telephone: (711) 757-7602
SEP-20-2011 16°21 GRIFFITH STRICKLER 7177573783 P.005
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA
In Re: KARTER DRUMM,
a Minor
NO. 11-6763 CDVil
PETITION FOI COURT
APPROVAL 0 MINOR'S
SETTLEMENT{
CERTIFTCATE OF SERVICE
AND NOW, this - day of September, 2011, 1, Erick V!. Violago, Esquire, a
member of the firm-of Griffith, Strickler, Lerman, Solymos & Calkins, herby certify that I have
this date served a copy of the Motion for Civil Case Continuance Pursuant Rio Pennsylvania Rules
of Civil Procedure No. 216, by United States Mail, postage prepaid, addressed as follows:
Stacie Drumm
49 Johns Drive
Enola, PA 17025
GRIFFITH, STRI
SOLYMOS &C
By:
ERICK V. V AGO.
Supreme Court I.D. Nc
110 South Northern W
York, PA 17402-373
Telephone: (717) 757=
?RMAN,
ESQUIRE
.202344
SEP-20-2011 16:21 GRIFFITH STRICKLER
7177573783 P.002
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
In Rc: KARTER DRUMM,
a Minor
NO. 11-6763 Civil
PETITION FOR COURT
APPROVAL OF MINOR'S
SET'T'LEMENT
Mj OR?TE_R
day of 2011, this Motion is hereby
AND NOW, this ?
granted.
The hearing on the Petition for Court Approval of the Minor's Settlement is continued to
« 201 , beginning at `'m. at
of the Cumberland County Courthouse.
Distribution List
? Erick Vioiago, Esquire
110 S. Northern Way
York, PA 17402
B ?E COURT
,M r
N C3
-<> rn
_-
? Stacie Drumm
49 Johns Drive
Enola, PA 17025
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
c
r..
In Re: KARTER DRUMM, NO. 11-6763 Civil AW
MW --s
a Minor
PETITION FOR COUR'IZn z'rn
o
APPROVAL OF MINO ,0''?
SETTLEMENT Zo = Q
--4 --
AFFIDAVIT OF DEPOSIT OF MINOR FUNDS
The undersigned hereby certifies that an annuity with payments to be made
consistent with this Honorable Court's Order of December 19, 2011 has been
purchased. Proof of purchase of the annuity through Allstate Assignment Company is
attached hereto as Exhibit "A".
GRIFFITH,
SOLYMOS &
LERMAN,
By:_
ERICK IOLAGO, ESQUIRE
Supreme Court I.D. No. 202344
110 South Northern Way
York, PA 17402-3737
Telephone: (717) 757-7602
Dated:,
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