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HomeMy WebLinkAbout09-16-15 _ . _.� COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLVANIA ORPHANS' COURT DIVISION 1N RE: . NO. 21-14-450 ,.,, c-a �_-�, APPROVAL OF DISTRIBUTION . C `� � ����i � C7J � r.�,.,�� :;'� L.7 OF PROPERTY BELONGING TO • r:=, _;' c., -a - . `' AND RELOCATION OF = �' `-� � ��� . �___, JOAN ANN RENZO,AN ADJUDICATED : . �' ' _' INCAPACITATED PERSON : ��0 3 � �� ._::s __,. . , `"'' ;: ',� �-- . N C.�� �� PETITION TO AUTHORIZE THE DISTRIBUTION OF PROPERTY BELONGING TO AND RELOCATION OF JOAN ANN RENZO TO THE HONORABLE,THE NDGES OF SAID COURT: h AND NOW, this��day of � , 2015, comes the Petitioner, Lauren A. Renzo, Guardian of the Estate and Person of Joan Ann Renzo, by and through her counsel, Jessica F. Greene of Keystone Elder Law P.C., and files the following in support of this Petition to Authorize the Distribution of Property Belonging to and Relocation of Joan Ann Renzo. RE:NRISDICTION 1. Jurisdiction lies in the Orphans' Court Division under 20 Pa. C. S. §711(10), which states that the administration and distribution of the real and personal property of the estates of incapacitated persons is to be exercised through the Orphans' Court Division. RE:PREVIOUS ADJUDICATION 2. Previously, hereto, upon petition and hearing, Joan Ann Renzo was adjudicated an incapacitated person by an Order dated the thirteenth day of June, 2014, signed by the 1 � � Honorable Judge Masland. By same Order, Lauren A. Renzo was appointed Plenary Guardian of the Estate and of the Person of Joan Ann Renzo. RE: PETITIONER 3. Petitioner, Lauren A. Renzo, residing at 107 C South Chestnut Street, Mechanicsburg, Pennsylvania, 17055, is an adult individual and is the natural born daughter of Joan Ann Renzo, an adjudicated incapacitated person. Petitioner is also the Plenary Guardian of the said Joan Ann Renzo. Said Petitioner is a United States citizen and is able to speak, read and write in the English language. RE: INVENTORY 4. The inventory was filed on the 16th day of September, 2014. 5. The inventory detailed Joan Ann Renzo's personal property totaling approximately two hundred five thousand two hundred ninety-five ($205,295.00) dollars and real property with a tax assessed value of one hundred seventy six thousand seven hundred ($176,700.00) dollars. RE: JOAN ANN RENZO 6. Joan Ann Renzo is an adult individual eighty-one (81) years of age, suffering from Alzheimer's disease, which totally impairs her capacity to receive and evaluate information effectively, and to make and communicate decisions concerning management of her financial affairs, or to meet essential requirements for her physical health and safety. 7. Joan Ann Renzo does not have an occupation, nor does she have any dependents. 8. Joan Ann Renzo does not have any creditors known to Petitioner. 9. Joan Ann Renzo's total current monthly income is one thousand eight hundred ninety- two ($1,892.00) dollars from social security. 10. Currently, Joan Ann Renzo's assets consist of real estate ("family home") located at 6 Cedar Road, Mechanicsburg, Pennsylvania 17055, with a tax assessed value of one hundred seventy six thousand seven hundred ($176,700.00) dollars, two vehicles that 2 total approximately four thousand one hundred ($4,100.00) dollars, and liquid assets totaling approximately one hundred forty-two thousand ($142,000.00) dollars. RE: TRANSFER OF JOAN ANN RENZO 1NT0 SKILLED NURSING FACILITY 1 l. Joan Ann Renzo resides at 6 Cedar Road, Mechanicsburg, Pennsylvania, 17055; however, she is currently receiving care from Green Ridge Village located at 210 Big Spring Road,Newville, Pennsylvania 17241. 12. She previously received respite care on an emergency basis from VibraLife, however due to her increasing needs and requiring skilled nursing care; it became unsafe for her to remain living in her home and at VibraLife. See Exhibit A. 13. Petitioner herein seeks permission to permanently place Joan Ann Renzo into the skilled nursing facility, referenced above, for the care that Joan Ann Renzo requires. RE: USE OF PRINCIPAL FUNDS FOR SKILLED NURSING CARE 14. As stated above, Joan Ann Renzo's current monthly income is one thousand eight hundred and ninety-two ($1,892.00) dollars. 15. Joan Ann Renzo's cost of care at the facility ranges from nine thousand eight hundred forty-one ($9,841.00) dollars to ten thousand eight hundred fifty-two ($10,852.00) dollars per month, which does not include additional medical costs, such as for prescription drugs, incontinence care, and services provided by a Physician; thus, Joan Ann Renzo will need to use funds from her principal on a monthly basis to pay for her costs at the facility. 16. No previous distributions have been requested of, allowed, or denied by the Court. 17. Petitioner herein seeks permission to use Joan Ann Renzo's principal funds in the amount of ten thousand eight hundred fifty-two ($10,852.00) dollars (maximum) on a monthly basis to pay for her care at the facility. RE: USE OF PRINCIPAL FUNDS FOR REPAIR OF RESIDENCE 18. Petitioner herein seeks permission to use Joan Ann Renzo's principal funds to pay the Borough of Mechanicsburg two thousand three hundred ninety-nine ($2,399.00) dollars 3 for sewer and sewage disposal connection to the family home. This connection is being required by the Borough of Mechanicsburg. See Exhibit B. 19. Related to the above connection, permission is sought to pay Macmor Construction to complete the connection in to the family home far the price of six thousand two hundred forty-five ($6,245.00) dollars. See Exhibit C. 20. In addition, the family home requires specific repairs in order to prepare the home for sale; thus, Petitioner requests permission to pay Joseph A. Renzo Construction in the amount of three thousand five hundred forty dollars and sixty cents ($3,540.60) from Joan Ann Renzo's principal funds. See Exhibit D 21. For the above repairs, Erie Insurance (homeowners) has provided three thousand four hundred sixty-three dollars and fifty-four cents ($3,463.54)to Joan Ann Renzo and said amount was added to her principal funds. See Exhibit E. RE: PREPAID FLJNERAL 22. Petitioner herein seeks permission to prepay a funeral in the amount of twelve thousand ($12,000.00) dollars for the benefit of Joan Ann Renzo. 23. This amount is the average cost of a funeral, plus 25% for any extraordinary costs, in Cumberland County (as evidenced by the attached Exhibit F), which is where the Renzo family intends to bury Joan Ann Renzo, specifically, in a cemetery plot adjacent to the plot of her late husband, Frank Renzo. RE: REIMBURSEMENT OF PETITIONER 24. Because of her condition related to Alzheimer's disease, by the time that the Renzo family sought legal assistance, Joan Ann Renzo lacked capacity to appoint an agent as her durable financial Power of Attorney (POA) and a petition for guardianship had to be filed. 25. As a result, Joan Ann Renzo's funds were unavailable during the time that the guardianship was pending. 26. On multiple occasions during the above mentioned time period, Petitioner used her personal funds to pay for care expenses for Joan Ann Renzo. 4 27. In addition, Petitioner used her personal funds to pay for the minimum necessary expenses to responsibly maintain Joan Ann Renzo's real property. 28. Petitioner herein seeks permission to reimburse herself in the amount of one thousand five hundred ninety-five dollars and seventeen cents ($1,595.17), from Joan Ann Renzo's assets, for documented expenses paid from her personal funds for the personal care, specifically clothing, groceries, co-pays, supplements prescribed by her integrative doctor and other personal care items, of Joan Ann Renzo and far necessary expenses to responsibly maintain her real property. A detailed spreadsheet with receipts can be provided if necessary. RE: GUARDIAN'S FEE 29. Petitioner herein seeks permission to distribute the amount of two thousand forty-six dollars and twenty-five cents ($2,046.25) for her Guardianship services and mileage related to the adjudicated incapacitated person as detailed in Exhibit G. RE: ATTORNEY'S FEES 30. Petitioner herein seeks permission to distribute the amount of five thousand three hundred fifty ($5,350.00) dollars to Keystone Elder Law P.C., located at 555 Gettysburg Pike, Suite G100, Mechanicsburg, Pennsylvania 17055, for attorney's fees related to this petition and other legal matters concerning the adjudicated incapacitated person and her estate. WHEREFORE, Petitioner respectfully requests that your Honorable Court grant the following relief: Issue a Court order that authorizes Lauren A. Renzo, as Guardian of the Estate and Person of Joan Ann Renzo,to do the following: 1. Permanently place Joan Ann Renzo in Green Ridge Village's skilled nursing care and use principal funds to pay for said care monthly. 2. Use Joan Ann Renzo's principal funds in the amount of twelve thousand, one hundred eighty-four dollars and sixty cents ($12,184.60) to repair Joan Ann Renzo's real property. 5 3. In accordance with 20 Pa. C.S. § 5537,authorize the prepayment of funeral costs,in the amount of twelve thousand ($12,000.00) dollars, for the benefit of Joan Ann Renzo. 4. Use Joan Ann Renzo's principal funds to reimburse Lauren A. Renzo in the amount of one thousand five hundred ninety five dollars and seventeen cents ($1,595.17) for dacumented expenses paid from her personal funds for the care of Joan Ann Renzo and for necessary expenses to responsibly maintain her real property. 5. Distribute the amount of two thousand forty-six dollars and twenty-five cents ($2,046.25) to Petitioner for the services she has provided the adjudicated incapacitated person as Guardian. 6. Distribute the amount of five thousand three hundred fifty ($5,350.00) dollars for attomey's fees to Keystone Elder Law P.C. Respectfully submitted, � �����, r Jes ' a F. Grreene, Esquire Pennsylvania Supreme Court ID No.310018 Keystone Elder Law P.C. 555 Gettysburg Pike, Suite C-100 Mechanicsburg,PA 17055 (717)697-3223 Jessic o,kevstoneelderlaw.com 6 VERIFICATION The undersigned hereby certifies, subject to the penalties of 18 Pa. C. S. § 4904, relating to unsworn falsification to autharities, that I am the appointed Guardian and daughter of the adjudicated incapacitated person, and that the facts set forth in the foregoing Petition are true and correct to the best of my knowledge, information and belief. �=---- Date: o� � � � �ao� s Lauren A. Renzo 7 VERIFICATION The undersigned hereby certifies, subject to the penalties of 18 Pa. C. S. § 4904, relating to unsworn falsification to authorities, that I am the appointed Guardian and daughter of the adjudicated incapacitated person, and that the facts set forth in the foregoing Petition are true and correct to the best of my knowledge, information and belief. Date:� � � � ��� �� Y: Lauren A. Renzo 7 >W;;»� . ,, . M�, : � �.,;�,i,•�m :�• �°�" .�� � ,>.,- � . �n,����n. ,. ��. ��� � � ��,,., � . � �R w^�;,'� � ',XF�.,a3`��'vr� �� s �;�; �l��h�b�l�t�t��n ����er& S�nic�r L�vir�g�r�mrn�nfitt� L�ur�t� ��nz� ��edar �c��� ��c�ar�icsb�r�, PA�7°t��� R�.3��rr Ar�r� Rerrzc� �J��./�5 [��ar�{��.,��rtzta,,, B�s�d v�Jc�a�'�i��tial�T,�C�T���lu���c�� �r�d ��3�s��uer��tre�tm+�r�t ��s�i�t��fi��� has�rt���°��r���y c��m�ar���r��+������s�� r��u�r�� a€� ���i�ta�c��f tvv�, s�m�t�mes thr��, �ar�����r�f�r�����ic�n�1�r�nsf�rs,�e��c�r�t�sks�nd �rr�bc�l��i��u�i��;� rc���i�t�v�a�k�r� C�u+�t�►y��r:mc��her'�p�y�ica�and cc�g�iti�re cerm�r�r+���"l�s, �i��r�ti����t�d �ia�s�e�i�!+cc���ir�u��c�d��rt�ns�r���e a �u�nct,�r��l de�����,wi�ich r+�q�ir�s�r� i���°����I lea����care��r��ter���rr��t�bra�i��e i� �b[e�ca �rc��tc�e, Ir�th� b�st lnt��est c��ycaur rr��ath��'s��fety�rt+d �rei��r+��y�u �ust�Find�r� acl�qu�t� �������nt. �s�c�c�n as p+�ss�ble,� m��im r�°�3�d�ys., �ltl� ���re e��l�s�d � li�t�f�#��I�e� ���illt��s, pr-���r��� b��ra�k�erl��d l.i�k tc�: A��i���nd p��b�#i��y R����r��s. The f��ili�y v��ll a���'s��ir� ���r�nr���c�e��ed�t� � �af�������t-�,1�e urs��rstar�d thi�i�� ��r��s��l.tir�e; 1�����rer# n�er�y�u ta; rerr�a��cc�m,�lafr�t vvi�h;��nt�r�ra�ti���c� s��� �n��ut�nd ��rr���si�n a�re�m���. ,�in�rety, � � `��'� � �us�r� �ytr��1�, Lx�c�tiv� G�irec��a�r�n b����f��'��►�rler�� C�d�y ��rsc�n���aire��ltr�i�tf�tr��vr` ��; Ar�a t���r��:����i��: B�re�s�c�f�u�na� S�t��ric��1.����sin� Page 1 of 1 ��, . 7�7�(��pl��rdst�uc+r�Rt��t�,(�9eC�'tarif�sbur�l �A 1'�f��5 � {'��'����Jfi-2"�4�C3 I ����:�tbr�lafs:�a�t � - �• Exhibit B ���cornE A7fCRNEY AT UWV CO�YI�iE 8�CORf N��• m����$18i � Solicitor for Mechanicsburg Page 1 of 8 Exhibit , .. � � � B � "� ��� ������JGH 4F �0/�.ECHANICSBURG 36 WestA�•S't.�.ME�HAI�ICSBDYtG,PA 170Sg62S7 PaMc[c D�nis Telephone.717�i9�-331Q•Fax 719-691-3312 Homuglt Mansger .Ppenn�MechsnicsbmgBornugh.org lune 21,2013 Mrs.loan Ren� 6 Cedar Rd. Mechanksburg,PA 17G55 . • Dea�Mn.ReAio: � �Please flnd endosed a�aopy ofthe proposed Ceda�Road Easemern A�eeri�ent��Rd�De��of�� . Easeme�rt�o�.you�review. ltpon aompletlon of you�.revt�rv,Ptease cafl.the 8oro�h Otfloe at . the:above telephat+e number to schedufe an appotntmeM fo�notsrh[ng the doa�men�Plea� � ao not slgn the�dckument before arrlVlnB.at the apRolntmeM.You will.reoeive copfes of the inio.nriatlon:fioryourrecords. � • � . ptesse schedule this ap.poiMment wRh l,eslte,ext.iC4 on�or before juN 3,2013. . Thank you for you�atten�lan in this matter. � . � � � Sincere{y, . .�� patrtck Dennis Borou�,h Mana�er Easement granted to Mechanicsburg to put sewer down Cedar Road Page 2 of 8 a-r�+o �.nrnu r��n rrF Mt.chawf,csbu.tro► — �4 aood p�ace to ��Vea Exhibit � B �..��-� .. �. � �� ��.UGH OF �EC�-IANICSBURG � .�W ` .$t 1bIECHANIC3BURG,PA 17053�62ST Patrkk Dennts Telephone 717-691 3310•Fax 717-641-3312 BorouBh 1Vlanager PDen�Me�aicsbut�gBor�gh•org October 4.2010 � Mr.and Mes.Fs�k Refmo b Cedet Road Meo�bue�.Pa 1?a35 • R� P�Ct to Prov�o Pnblic Sewer tu R�a�Cedsr�ad De�rMt.sod Mis.�x . � At aaa two.i�flcig��i�p�rnge�qr owaers'oi Ceder'R�oad on 8�'l:'ZOlq,wa�ovtded the 8o�g.pr+apofal: • The Boratt�wUl M�all a ssw�mstn�ne ln C�at Roed and laterai oamteaions to the sdge of the�t ibt eadi�to 6e servked. � . • 7he Banoa�v��ve the r�sldent a oanpt�e gdsd�pump e�Y(terda WmP.aRd oontrols�.wNeh wiq d�►beaome tbe prop�ty of�restdent. • 7ite property a+�s nu�graru an�r�ent�o the�ro�to E�ail theq�s. • The resldent w[8 be tes�roroiEtle tortlte t�es�aad meintenanae of the grinder puntP . �landb�dtdhtgtearer�ctAeedgeoftl��sem$nt. . • '1h�exUele6 se�lc tenic�wt be pamped and 411�d or re�naved. • 7he r�nt mt�et oDrt�et�o flte publk sewer�t111n 48 days eRer rtotioe to oorp�ect. � The realdent k r�po�te tor s0 tePP�6�b R��.��P�o��d�ip then be sabJect tioa�weru,eta�. �molofad are a�rtc dtaR otthe Bae�t A�1br y+�r�it►,aad a c�►of the orI�aa1 Lacd �Dev�op�Plaa�y�om aree. In a�r 5a 8�fs��praoeed,are wW aeed a oap�+of ths deod of escls pi+op�t,y. O�oa we hat�a�a dee�,we ariU I�ve onr 8ol�otoor SaatMaa t6e Ba�eat A�.� e�pmop�ly o�r wpl I�re�s�t a�d imve t�r�aent Ag�meat Qotar�ed. If y�oa have deofded yo4t are aat ia08t�bod in publ�c oawe��e�►Pat Denai�at tha H�h 0� � �6091-3310. I[yoott�ve enp►tl�thor q�s n�d�tl�pr�e�pt�c�Roa Admms at dte �I/ssEawa�er'iY�Plaat�691�34Q. • �'ab►. �j,� �• ��'„'�� �� �� I ��Maohmd��u8 Sex�� . B�tc. Sewer Project Page 3 of 8 �n� �oroug� o f �echa�.Csbu.rg — � good pl,ar.� to I�veN Exhibit �. : . . � � . . . . � . B _ s , . . sonovice L�Z3.II.--� . � � �FFICIIaiI. .RECEIP'�' �� � �csaoaa. - . 3- • ���' 8�OF: � � � . . • t Laua�en tZ �z � . . . ��C�.c�O►.� �oG.� wtQc.l�ar���� _ ����oS s . .1�,�pIINT-f � � ' e► c"'entt � 2 3°19,00 . . . . . . . . . 1Q0 DOLLAAS 1t�..7 , IN pAYMt�N!YO ���V :CO � . .�- .�, ' . . � . � ' -�` � �� �•` �• ' SOa0�6H OF b�CHAHIC$81BG at�R:::1 O ' � . '. � x:a BY �: • . . • . . ' � �� � . . �-� •��a� . . .. . "�� � . � Page 4 of 8 � . Exhibit � B � � t ' ' ��V . . BEWF�BB AND BSWAIf�DIBP�OAAL PA1iT i �WEB QON1�C'1TOd1i8 AND U�l . ' i.18�101. D�foas, � � f,l&IOS II�e og:8s�v�8ystem 8�sq�odred. . �18�1�. Psivat��eg�DlspoeaL . ��I,8�104. HoQdltlg�vees aad Co�o�eo�lo�e. . i 18�iQ8. Vse oiP�6�le 8ewesa � ; 18•iQ6. �ditel�lal Waele D�a6a�e�. � f•1&iM. •P�al�y. � f-18�108. 8avii�Clanee. . . . . . PABT B B�W�S CO1�CT�Od�i OBA�AAID�BW�B.�ALe � f.iB,�oL 8e�r�H,�ontals at�d 8eaomr�eo�C6�... �.f�18�,l0�. �ia�d Pay�•DIw��t:8env�r Rents�e. � ! 18dm0e. � .� . � �i�18�,�0�l. Vnp�l pa�ve�8�or OL�. f 18�0�. W4�n Oha�g�s Beea�e,�0ee�re. �18�OB�. Appmr�owmaot a�8e�ver$e�ntsl8ur Pa���ear. ' . �18,l07'. P�al�y. . � ' � 18.�06, �arabpl�,y. . ' PABT 8 . . � ) . l.3,8•�01. . �B�easrve�) . —�� p� � � �.3109.O O- . 'b�'z'` . COneL�,e�ti on � � �.O O m�,,aq9.00 � . � � 18:1 � � • • Page 5 of 8 Exhibit . , . _..— B - , .�. � .� � . jOAN ARBNZO . � . � . LrAiJRB1�t A�RBN?.�GUARDIAN . 6 c�ARROn� � � � � �1��� /:�. ��4.J�'..' .�t@C�Ai�lCSBUR�,P,A�17�6 � � � �+ : ���'jv G,�,P' ! . $ .2. . c��° . � . . . � � i� �� =��.� �,.�,������4� � � � � e �Q�r�....t � .�..��,,..o.,�--- . . . � 1 -. �..,� »._..�_ ....T�...._..i.� ---- � � � Page 6 of 8 Exhibit BOROUGH OF MECHANICSBURG B 36 West Atlen St.MECHANICSBURG,PA 1705S-b257 Patrfck Dennis Telephone 717-691-3310•Fax 717-691-3312 Borough Manager PDennisQMechanicsburgBorough.org June 10,2014 Mrs.Franlc Renzo , 6 Cedar Rd. Mechanicsburg,PA 17055 RE: Project to Provide Public Se�vver to Residents of Cedar Road. Dear Mrs.Rrenzo, . � This is to inform you that the Borough is advertising far bids for the Cedar Road Sanitary Sewer Extension. Bid op�ning is scheduled for July 10,with the intention to�eview and possibly award ihe contract at the Borough Council meeting the following week. Ke,epiu� it�simple; it usually take a month or two to do ali the paperwork (insnrance, bonding,etc.)before Notice to Proceed is issued. After that occurs,the contractor wauld have 90 days to complete the pmject. Residents must conaect to the public sewer within 45 days of Notice to Connect. Tliis will not�}tappen until the project is certified complete. . . r, � . . . � . The Bomugh of Mechenicsbucg intends �to have ,this pruject completed tlus year, however,the.Borough is not r�.sp�psible for unforeseeu delays. We will keep impacted residents informed of the project progress as we proceed"tlzmugh tt�s process. Sincerely, ' � . . Patrick E.Dennis,Manager Borough of Mechanicsburg � � Ronald E.Adams,Superintendent � Mechanicsburg Sewer Departmem . Page 7�of 8 "�ne $orou.q� of MecHaw%�sburq — � alood p�ac�e to i,iV�" • Exhibit BOROUGH �F MECHANICSBURG B 36 West Allen St MECHANICSBURG,PA 17055-6Z57 PaMck Dennis Tetephone 717-691-3310•Fax 717-691-3312 Borough Manager PDennis@MechanicsburgBorougb,org October 31,2014 Frank Renzo 6 Cedar Road • Mechanicsburg, PA 17055 RE: Cedar Road Sewer Project D�ar Property Owner, ^ .�. .. . _. . .. .__.._. . _ This is to inform you that construction of the sanitary sewer line to provide service to a section uf Cedar Road is scheduled to begin on November 10, 2014. MacMor Construction of Dillsburg was awarded the bid of.$88,3 i 8.80 and will have 40 days to complete the job. although they are expecting to�do it in 3 or 4 weeks. Bryan Golden is the owner of MacMor ConstruMion. Their office number is 432-7790, and Bryan's celt is 317-8288. Jerry Golden will atso be on site at times. His celi number is 645-1407. Conswction will begin on Market Street at the manhole south of the Cedar Road intersection ar�d proceed onto Cedar Road. Construction witl be overseen by.the Borough's Codes and Zoning Officer, Roger Ciecierski (691-3310 ext l03) and the Sewer Department Collection System Operator,Greg Reinecker(691-3320 ext.5). The Contractor will be dmpping off a stakz for you to iadicate where you would like your lateral located. Please place it where it would best serve your existing plumbing exiting your house to your septic system. After constniction is completed, property ovsmers will be sent a Notice to Connect. Property ow=ners w'ill then have:45 days to have their grinder pump syslems installed a��connectc.�! ta the main line. Because of possible bad weather in the winter, we will not issue the Notice to Connect until spring, aithough anyone wishing to connect earlier may do so (contact Ro�er Ciecierski for the praper permits). The complete grinder pump system will be stored at tl�e Sewer Plant until you are ready for it. Spare parts will also be stocked at the Sewer Plant,in the event of a pmblem with your new system. There is a two year warranty on each system. Sincerely, � �j,� �. �1.(R�r�+� �lt'y�.I j' �f�;�. . .. Patrick E.Dennis,Manager Ronald E.Adams,Superintendent Borough of Mechenicsburg Mechanicsburg Sewer Department Page 8 of 8 N�e $oroko�ln of Mecl�awicsbura� — �4 a�ood �i,a�e to l.�ve" � ��'�� ��1����� � s� f ��; ����',��r�.�!'����f31 P'a�ies� i..,� B�+�n�,��td�n j''# Pd�s� tf H�l1 R�s�d ' ; � ��4��s``�'�1tg;;'�A 13'���9 ����``�►+�'�'�� „ ._ _- . • ��� .� . . .� � , , . �_ ,.., � .�� � - � � �� � � � � � �.� � . �'�9r�� �'�� ; ,� ; �'��f�E�`' 3 ��� ��s } � �����i�rr F��err�o ��� � F ��� �'��3 � � 2� �t�1� y�r�q �� �y ][ 1��.+DL7#11����dS�Y�'"+�� A �_ �F 1' fl7�a�Vl����.� �H'� �. dq �i�i��1�1(�R�9tt�s1���7��� ' ��� ���'�tl�t `�;l'�#��Cl������ ; «, ,<. ...��i.: :s„3 ,,. , � . 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E€ P . � �'��'�CF'j i�� }8��'�y �i ��.�� � ` � � ,u �� .��g����`��ss��'� sz�'s �" �" � :. s'� f� �.�3� s �� � y .. �,., �'���#dN� � _�A � 1�3,���8 f 1 �� R � � � � � , ��a2s��- �' *, �k� ..������ 3 �� � ��� � � � .��s ��a � � ����� ���f �� , .., ��� i .. p�° a�K ..-0 SA' E 4 y�e'ya`�. . - . '� R�a Y�,. E �}W�,L.'o4'>'§ „ � � '�� � • :��" g�.¢ry� �: � � �,�� age ;�;� .� �������;d+�a«�'� -. ���ac�.�.�.s� �a, ��,a � »�° '� �Nu� ^, � �33 � ����`���- "3 ' � . , � n P 3 of 5 • ,<a w(i d', ' ;,,_...'a'RaW� .aa�,re.s. ` ,r��3p�i��+« , _-s,.`.�9.., e 3-� 4�x ..���. . , , � _ ' . . . .. ,�..� .,.. :....�o.a.� ., • ...�.._ .. .. . . . , ..: . � Exhibit «����KE �H�f�, � D 5500 CHRL[3lE Pl&k NE7tdI11l59UN5. PA 170�d1 1111) 610•9230 ' � — SAL k: •- S�lEae: a�x:3[al NG�76 11EHrise: ?tltti42y �5-'Ltl•1� ' ylarr i-iN x on•iN BLit�K 1tdIN P iu;6s 155119 I-NRiki IGl.f�iutU UEto vlRfE U.Jd an�ib 1•QRtiN�lAt�it tlUtll �.16 2 J O.dU 1586i: 1-sane�wnunu�r�r v�� O.�ti 168tlN1 Y•�lAAB litl.11�Ill�SUlCttl�.A a.5b _ 29 2.28 � n d at�rotRt: 2s.�u �(� iAII: 1 itNWtl'f i�u91 lOfAl.: �7.76 cnsn : . u�s�: ri.�a �iNlt�� 'ltri IFkll(IiAI: 0? d�!'lb/I�Ob:li:10 � 1�t 1'TkM� VliKl:liNSEIl: / ;r,�titU:a ftk5. �It1111,kS f�tiU�Yk�t�l. 0(d�fM lIkEC3 � �ill:ll����Ill�iil��l��l�all�ili 1���.���:llill��.q � itWtd�YW�FUft�HBPPltI�tUUE'S. �EE kE�t�s�►F FUN NEtURi1 p�1cr. S1oRE�1td�EA: J1M(aqU(EIBERHEk It:NRUE 18E IWiESf PNtI.'Ex, utINNANkfU! . tr YUU:IIIU A LUULN P�ICk� Yf 0[ll. Bful 11 br i�e. ' �kL• al'uRE Ffd!UETAILS. . • ...,.,•�,,,•,•r.•....�.�........�..,•�,t��:,.:*.,.,..,.. . Y011N UI'INIONS CfRiH(: + t s�x�ares�a�a c�ac�o r�n } . �s.000 uaf�s e�i �t . . � E i��ui�in-�I: YRNq fENtR la t►�ORli�iipNO u! i�t UNx � � iNblklh t�[ik8klu UE (011E'S 1�SDQUG! • '�� � . • ' • NktiiSlli tlY L@$NlflltUt A iil�bC Sd115FNLf lull SWIUEY + . III1N1q OdE 4fk�ql: �►uu.laias.cwilseiuer � " . Y u U K 1 U � u2�i1 e7.2� 146 • ; Nl HUNCitxSk fiEf.Ei�ttaY IU ENtl�t Ufi 11111. � ' s Wl6 4NLik(�IR[IlNITEU. iqlSi Uf 1$I�i IfLUEN (0!Nf_lt. + � Q}FU:IN. {N1ks 6 UlWikflS 8P: uuu.lm�s.c4�fsutuel : •l••aseTn4�ssetf•�•�e!t�r�iae•-�,•�s�e»a!rtte•'••�a�� s��: rzrs i��niura: o� a►nen5 ua:�7:�0 Page 4 of 5 Exhibit D �m�e�s xo��s+r�s, uc � 5588 fa&lISLE P1KE Ill.fttlNlCEdU1t13. ih1 Il0�0 (/}%) 61U•9'LYiI — SAI.k -• � ��3�: �rrcy�.Sl �4w�Je INMt�io: t�a48ye oa-�I•,� _ _f►,. • �ll'- i2�r� 1lr�!uc Ptt�:Bl.z E�Itxtu r�.y� �X ,' �roru: �r.�s 3 . . rax: t�uJ�r u��,n �urui.: y,6� . cNSN . i , ' �fu�tr�:: io.:�� aiw�: �iri ifk�tu��: u� a►nrna u:o�:4y � �lE' 11 k:My �+iltit:llkSL•I1: � ' fXL'LWcb FElS. 1kNUll'f.S p�f(I�kflAt. tUlfQll UENS ��I�II�II��.��!I I�I I��I��i���l l��:��:1�lll!�.� INA�R YuU h+qi Sip�1116 t.Wl'S. �E kEltltl�! aIGE trl�RkfUNN Wq ICY. ' SftUtE IpUqiNEA: .liN UUt�IEICtfGit•ft U: RtiUF (Nf I�Ilit��WIltEs. 41q&itipfElU: �t �'uu =iMU N IA�ttt N81Cr., �E yll.L BEpI (1 bY IUa. �EE �iWlE fnk UEfNtLs. +•.•....:,�s�.r�r...*..,..r.*r.ere••*.,e.-;►er..,..t.•r. ` YOUN OPUIIONS COUflf! . ' REBISIk�I FQ�R I�tR1�1E i0 YtN A , * u'.000 LOYf'S @2PT CR90! . . • lut+ilSIN.SE Ftdkl iEREFc li!Ut�ON(UNi2kiU pF' 69�d#t U1b1 � ' ]A9JFtA UE ItE�ilO 01.lbGt'S qk S�D00! : i . ? ' ! f�UlBfki bY 1'Ul(YItIIGt!A ttUESI 9NIl�FEtL'IIUN SUNUty e • Illldta Oqf 1lEEu Af: uu•r.lou�s.cardaur�er � � V A U N 1 6 e Q28u0�223 l97 . . 4 Nl Ppti�.'HxSE IIEtYS51hAY fu�NiEk tq�UIu. * - •tWIY Iqlt.�P6Uilltllll•11. tHfSr Uf 18 Uft Ulpl� lu kGItH. • � UH 1CI0. (nftES a Ull�tEAS AI: �wu.l0uas�.txu�(a�uveY • ssre,�ii'r•s�err�te�►���r.•..��e�•�:s•�rs�er:,-"i.�•••• i1EGfE: �?'l� fENtlJNAI: 02 �17f/!5 17:41A� Page 5 of S . � EXlllblt . E Erie Insurance Exchange Erie insitrance P.O.Box 2013 Mech�nicsburg,PA 17055 February 28�2013 FRANK RENZO 8 JOAN ANPI RENZO 8 CEDAR RD N4ECHANICSBUR(3, PA 17055-8201 Clatm Numbec Date of Loss: ?J1S2013 Po!(cy Number: Loss L.ocatlon: 6 CEDAR RD Dear FRANK RENZO�JOAN ANN RENZO The folla�ring is an estlmabe of tlre�afrs needed b�resbore your pr�o�erh►.Most c�ntrac�crs �stated in tl�oes�rnatie.ratlon vwork shoutd be able E�ccmplebe the wortc sped�ed br You are free bo c�oose your own coMracbor.Should you seEect a�cbor who c�arges more ttren ttre amaurtt of our estim�te�witho�t cur appnaval,ycu wfll be respa�sibte for the charges in e�a�ss of our esdrr�be.Plesse show the ccntractio�a copy of ou�estin�te ao tl�t th�t rnay call us shadd they have aM►quesdons. Although your pollcy(s a re�a�ement cost polioy,arry dalm over$5�000.00 is sei�ed on an Actual Cash Veiue basis(A�• BY P��Y we only aMe tlte sch�al c�sh vait�(AC�of the ibems un�l they are acdislfy�aired or replaoed,as stared under the Loas Setdement proviaion of your pcilcy. The breakdw+m fcr yaur lo�s k as fo!lows: Replac�mertt Cost of Rep�rs $6,180.85 Less DeducUble $1,000.00 Tota!Cieim $5�180.86 Less R�lacement Cost Holdb�dt $1,74T.31 Actu�al Cash Value Settlement $3,463.54 The endosed CheCk represeMs the ec�ual cash vafue of the estlmafied damages. Per the policy condi�ona,you s�tl have a right to m�ce a clsim,wlthin 180 c�ys of Ihe da6s of loss,f�cr any addltbnai emouM,s vue may bs requlred E�pay ur�der thls Loss Settlement pr�viston. If repah�s or r�ement canr�ot be compl�ed withfn that time period.you must rtotliy �of the delay and an a�Ec[�ted com�etion date tor the repatra and/or neplaaement In order to prooess your rep�oement oost(RC1/)ctafm,w�e wilt rreed ortginel receip�s for tlte repafr and/or replac�nent We may also requtre an inspec�on�the oompleted repaEr�or replacemeM. Page 1 of 2 • Exhibit E Your mor�ge vompany rt�y be induded on your setttement check.If so�please contact them in regards�it�eir endorsement pra�eclures. Please calt if we can be of any furtlter asslstance. Sir�cerefy� c��� . Mike LelNnger Adjuster . Erie Insurance (T1�7�-1891 W/End Adjusters�irnaee Set�ement chedc No�ce: This ie a repatr estEmate onty. Shculd arry�cldltlonal repalrs bs required bsyand wt�t has been agreed upon,theae nepeirs need to be r�ev�awed by the dafms ttandler'prior to tha cammenoement�these repa(rs. Erte tnaursnce does not recommend cont�o�s or�rendors and�rou are under�obitgatlon to use any oartractor cr v�endor that F�Ee Insurence may have suggesbed or used on tl�e F�fe's behelf. No contr�ctor or vendar is affifiated wlth Erfe Ins�renoe and we do n�warrent tFreir wark. � Page 2 of 2 Exhibit F Average 2015 Limit+2596 for Burial Cost Extraordtnary County (Umi� Costs 01-Adams $l0,Qa0.00 $12,500.00 02-Alle�heny $13,100.00 $16,375.00 03-Armstrortg $8,800.Q0 $11,000.00 04-Beaver $12.500.Q0 $15,625.00 05-Bedford $10,560.Q0 $13,iZ5.00 Qb-Berks' $8��00.00 $10,000.00 07-Blair• $8,3QQ $10,375.00 OS-Bradford 512�500.4� $15,625.OQ 09-Bucks $10,600.00 $13,250.00 10-Buder $11,200.OQ $14,0�.00 11-Cambria $13,�.� $26,250.00 12 Camercn $10�000.00 $12,500.� 13-Carbon $B4OOO.QO $10,000.00 14 Centre $9,QOO.QO $11,250.00 15-Ches�eer $10.000.00 $12,�.Q0 16-darton $10.Q00.00 $12,500.00 17-Clearftetd $9,979.00 $12,473.75 i&Cltnton S10,Q00•00 $1Z,500.00 19-Columbia• $10,187.00 $12,708.75 20-Crawfcrd $10�688.40 $13.358.� 21-Cumberland $9,650.dU $12,Q62.50 22 DauphEn $10�388.00 $12,957.50 23-Delaware• $12,QOO.QO $35,000.00 24 Elk S10,OOQ.00 $12 500.00 25-E�ie• 510�687.00 $33,358.75 �d �, v s � � � � � � � � � �, ti ti ti ° o w w � w w '� N �p 8 � $ 8 � 8p � g � S � � O� N � N � e�n t�l � � N � � � � O �sO � 69 Er9 i19 b9 t/3 dl !/! �4 E/1 fA 69 EA � S pp p O O O O � lV N N � N N d9 69 fi9 V! 6/! �A 69 � � N '" � "" .� ..S ri r: r' '"' Ni � • �, �° �' � � � � ,� � � �' .g � � � �� � � � � �� � � �: � � � � � � � � . � � .� � � � � � �� � ��� � � o � s � 8 � 8 � .°e `" � s �� � � .. .. �' � �• � g � � s .� � �� � � y � � � � �� � � �� � � � � � � `� � � �,� � � g � � � ' � �'� � � • � � � � o . � � � �.�a � � � � � $ � �j � � � � � � � � � g .�3 $ 3E■ w iS. 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