HomeMy WebLinkAbout10-21-11 (2)Addendum to Petition for Probate and Grant of Letters
1/stute of Martha E. Black, Deceased
The Pennsylvania Department of Public Welfare has authorized me to seek appointment
as the personal representative of the Estate of Martha E. Black as the Department's nominee
under the Medical Assistance Estate Recovery Program. Attached is a copy of the Department's
authorization letter to me dated April 15, 2011.
The co-executors named in the Will, Richard Allan Black (son of the deceased) and
Dolores Jean Garman (daughter of the deceased), have renounced their right to administer the
estate. Attached are the respective renunciations. Furthermore, the other remaining children of
the deceased, George M. Black, Jr., and Sherry D. Wiest, have renounced their right to
administer the estate. Attached are their respective renunciations. Each of the children of the
deceased requests that 1 be appointed the personal representative of the estate.
Respectfully submitted,
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Date: / / I ~ -~
Thomas A. Capper
WITNESS my h~ui.l «.~a urricial seal. the day and year aforesaid.
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MY COMMISSION EXPIRES JUNE 21, 2015
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COMMONWEALTH OF PENNSYLVANIA
~ DEPARTMENT OF PUBLIC WELFARE
~ BUREAU OF FINANCIAL OPERATIONS
DIVISION OF THIRD PARTY LIABILITY
PO BOX 8486
HARRISBURG, PA ]7105
April 15, 2011 ~~ _._:
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BALL, MAURREN & CONNELL ~., ''
THOMAS A CAPPER, ESQ
2303 MARKET STREET
CAMP HILL, PA 17011
RE: MARTHA BLACK
CIS: 920194365
SSN:
DOD: 08/28/2010
COUNTY: DAUPHIN
Dear Attorney Capper:
The Department of Public Welfare is responsible for the implementation
and operation of Pennsylvania's Medical Assistance Estate Recovery Program.
(62 P.S. §1412.) The Medical Assistance Estate Recovery Program is a
federally-mandated program requiring recovery of Medical Assistance payments
from the estates of deceased individuals age 55 and older who received
nursing home care, home and community-based services or related hospital and
prescription drug services on or after August 15, 1994.
To facilitate the operation of the Program, the Department must recover
Medical Assistance payments from estates that remain unadministered
throughout the Commonwealth. The Department's regulations authorize the
Department to refer these cases for administration to attorneys who practice
in this area. Such a referral does not create an attorney-client relationship
with the Department and you may not file legal papers as the Commonwealth's
attorney. However, your are authorized to seek appointment as the personal
representative of the estate pursuant to 20 Pa. C.S. 3155(b)(5) as our
nominee.
In a previous conversation with you, you have agreed to assist in
administering estates for the Department. We are forwarding you an
unadministered estate with all the attached information we have in our file.
If, after reviewing this file, you determine that you do not wish to handle
this estate, please return the entire file to me.
A reasonable administrator's commission and an attorney's fee may be
charged to the estate as administration expenses, but may not exceed a
combined fee of $1,000, or 6% of the gross assets of the estate, whichever is
greater. The Department will require an itemization of your fee and your
administrative costs for our records.
You may receive additional estate referrals in the future from the
Department. If you do not wish to receive future referrals, kindly notify
the Department. Thank you for your attention and cooperation with the
Department in this matter. If you have any questions, please do not hesitate
to contact me.
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Karen H Peterson
TPL Agent
717-772-6615
717-705-8150 FAX
Enclosure