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HomeMy WebLinkAbout12-06-05 IN THE MATTER OF : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : NO. 0..5 -IO~O : GUARDIANSHIP-MINOR DARRON L. BARRICK, a minor Q o .n:, -'1 -~ "" <::~ c:> c..,---. :~ :-1'1 PETITION FOR ApPOINTMENT OF GUARDIAif'; o \"1 C) , en NOW come petitioners, John E. Grimes and John E. Grimes, Jr., by their attorney, ~.:- Harold S. Irwin, III, Esquire, and present this petition for appointment of guardians over the estate of Darron L. Barrick, a minor, representing as follows: 1. Petitioners are John E. Grimes, maternal grandfather of the minor, and John E. Grimes, Jr., maternal uncle of the minor, adult individuals residing at 68 Big Springs Terrace, Newville, Cumberland County, Pennsylvania 17241 and 100 Yates Street, Mt. Holly Springs, Cumberland County, Pennsylvania 17065. 2. The minor is Darron L. Barrick, born March 30, 1996 (age 9 years), residing at 68 Big Springs Terrace, Newville, Cumberland County, Pennsylvania 17241. 3. The following persons are the minor's next-of-kin: Brian L. Barrick, father of the minor, and Jennifer R. Grimes, mother of the minor, both of which have signed consents to this guardianship which consents are incorporated herein and attached hereto as Exhibit "A". 4. Petitioners have no knowledge of any other Court within this Commonwealth which has appointed a guardian for the minor. 5. The minor is the beneficiary of 25% of the proceeds of two life insurance policies with American United Life Insurance Company, one for $50,000 and one for $35,000. See AUL statements incorporated herein and attached hereto as Exhibit "B". The minor has no other assets or income. = -rJ 11' I :'-:(~ (',-~ r--:l ::5 .-!{:~ ;--n ;:::1 '--':~~ ., -;0. ;:'-'5 r-T, ., -"-n r 6. Said policies insured the life of the minor's maternal grandmother, Judy R. Grimes, who died on October 21, 2005. 7. By letter of November 21,2005, AUL notified petitioners that in order for the proceeds of the policies to be paid to or for the benefit of the minor, a guardianship must be established. See letter from AUL incorporated herein and attached hereto as Exhibit "C". 8. Petitioners have no interest adverse to the minor and have agreed to act as guardians if this Honorable Court shall so appoint. The minor resided with petitioner John E. Grimes and the decedent since his birth and continues to reside at that address. The consent of the proposed guardians is incorporated herein by reference and attached hereto as Exhibit "D". 9. If appointed as guardians, petitioners will act in compliance with all appropriate laws and regulations as required by law. After appointment of the petitioners as guardians, petitioners will establish a bank account for these funds and obtain a bond in the amount of $25,000.00. WHEREFORE, petitioners respectfully request this Honorable Court set a hearing at which the averments of this petition may be documented and the appointment of petitioners as guardians for the estate of the child may be considered, with notice thereof to the next-of-kin. Petitioners further request that a guardian ad litem be appointed to act for the minor regarding any necessary hearings. HAROLD s. IRWIN, III Attorney for petitione December ~, 2005 64 South Pitt Street Carlisle, PA 17013 Supreme Court 10 No. 29920 VERIFICATION We, John E. Grimes and John E. Grimes, Jr., petitioners in this matter, do hereby depose and state that the facts contained in the foregoing petition are true and correcl to the best of our knowledge, information and belief. We understand that false statements made herein are subject to the penalties of 18 Pa.C.S.A. Section 4094, relating to unsworn falsification to authorities. December ~, 2005 cU z:' ~ '''--c C?HN E. GRIMES c:i!t~~ ~q OHN E. GRIME, . IN THE MATTER OF : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION :NO. : GUARDIANSHIP.MINOR DARRON L. BARRICK, a minor I, Brian L. Barrick, father of Darren L. Barrick, a minor, give my consent and agreement that John E. Grimes and John E. Grimes. Jr., be appointed guardians of Darren L. Barrick. Further, I do hereby certify that I am not a fiduciary of any estate in which the minor has an interest, nor have I any interest adverse to the minor. The facts and opinions contained herein are true and correct to the best of my knowledge, information and belief. -,-6~~b"u.L~ BRIAN L. BARRICK Sworn to and su~cribed before me this -fI- day of December, 2005. - NOTAR,AL SEAL I -lAROLD S. IRWIN. ilL NOT Am PUBLIC ARUSLE BOROUGh, CUUNTY Of CUMbERLAND MY COMMISSiON FXP:iES ocmt:H:q /' ?i"1f ..-. , EXHIBIT "A.PAGE 1" IN THE MATTER OF : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : NO. : GUARDIANSHIP-MINOR DARRON L. BARRICK, a minor I, Jennifer R. Grimes, mother of Darren L. Barrick, a minor, give my consent and agreement that John E. Grimes and John E. Grimes. Jr., be appointed guardians of Darron L. Barrick. Further, I do hereby certify that I am not a fiduciary of any estate in which the minor has an interest, nor have I any interest adverse to the minor. The facts and opinions contained herein are true and correct to the best of my knowledge, information and belief. %--1.' Pc 4, :."'" J IFER. GRiMES Sworn to and subscribed before me this 5;7"- day of ecember, 2005. NOTARIA_SEAL HAROLD S.IAWIN, II!, NOTARY PUBLIC :ARLlSLE BOROUGH, COUNTY OF CUMBERLAND MY COMMISSION EXPIRfS ,lCTOPfR [' ')crf .VWIRIT "A_Daft. ?" ~~ r :AUL a ONEAI\[E1UC\"' financial parIW!!" Group Policy Name: United Church of Christ Ho Group Policy Number: Your group insurance coverage is very important to you. We at American 00605375-0000-000 Insured Name: Grimes, Judy United Life Insurance Company@ (A UL) are both pleased to provide this for you and committed to furnishing you with service of the highest quality. Effective Date: 01101/2005 Employee $50,000 The enclosed information reflects your specific benefits which have been made available to you by your employer. Should questions arise, please consult with your employer who has been provided special toll-free numbers to use Class: 1 Amount oflusurance*: when contacting us. * Please see Schedule of Benefit for exact benefits. Welcome to the security of group insurance at AUL. We look forward to Coverage Included: Voluntary Life serving you. Dependent Coverage: Yes Dependent Plan: 3 ~.().~. /.7-U Chairman of the Board and Chief Executive Officer AMERICAN UNITED LIFE INSURANCE COMPANY @ ~ , r AUL (lONEi\MEI\IC\" financial parlNer Jroup Policy Name: United Church of Christ Ho Your group insurance coverage is very Jroup Policy Number: important to you. We at American l0605375-0000-000 lusured Name: Grimes, Judy United Life Insurance Company@(AUL) are both pleased to provide this for you and committed to furnishing you with service of the highest quality. Effective Date: 0110112005 Employee $35,000 The enclosed information reflects your specific benefits which have been made available to you by your employer. Should questions arise, please consult with your employer who has been provided special toll-Jree numbers to use Class: I Amouut of Iusurauce*: when contacting us. * Please see Schedule of Benefit for exact benefits. Welcome to the security of group insurance at AUL. We look forward to Coverage Included: Basic Life serving you. Dependeut Coverage: Yes Dependent Plan: I ~.o.~ Chairman of the Board and Chief Executive Officer AMERICAN UNITED LIFE INSURANCE COMPANY @ ~ ONEAMERICA' /'il!1erican (Iniled Lire insurance Company'" (EA_MEH1C,o,"fillarlciaf flartlwr One American Sf/uare Po. Bux 368 'Ildianapoiis, IN "16206-036H (317)285-1877 CD '~HI~ANC[ M"R~ETPlACi STANOA" 'H ~ "n r-,~ ",,'" November 21. 2005 Guardiansbip of Darron Barrick Big Spring Terrace Lot 68 Newville PA 17241 RE: Judv Grimes. deceased PolIcy Number: G605375 Dear Guardian: American United Life Insurance Company ("'ALL") R a OneAmerica Financial Comoanv has received a claim through United Church of Cbrist Homes. the policyholder of a group life insurance poliey insuring the life uf Judy Grim~s. ,\5 you may be aware. :vIs Grimes named Darron Barrick as a benefieiary. In order for us to n:kasc the proceeds. he needs to be the age of majority or affiuardi3nshiEl over hl5 estate and bond needs to be establIshed. As he IS not tbe age of majont')7:Tt wme necessary that a guardianship be establIshed. As a result. we will reqUlre a certified document showing the appomtment of a guardian over his estate and a copy of the bonding informatIOn. Before rcleasing the cheek. we also need to be supplIed the followmg informatIon: / / ~ 1.) 2.) 3.) the bank account number that has been establIshed for the guardlanshlp. '~ the ~uardian - s name and address: and . ') the federal Identilication number assigned to the guardianship or a completed / TDC' f,.....-.-.-. '" n ./ ........<-.1 "Hill "-f \Ve suggest that m the L'\'cnt you need aSslstancc on the establishment of a guardianship and,'or bond that you contact your attorney or local State Bar Associatlon. Please contact me If you reCHllre any additional mfOlmatlOn other than leual advice or it VQll han~ any (Juestio'ns. r ~all be ;eached at ! -800-553-3522 ext. 1980. -by facsimile at (317) 285-7666: and by mail at tbe address on this letter " Sincc:reh-. {' ,-' \ .~v'V>-_."-"'-.'---<..~"'.__<__ ---o;:c- "--,...--' Conme Em:dand --~- ~ Group Llle- Cla;l11s Department Debra Keller Church of Chnst lIomcs 30:\ 31" Sn'eet Camp Hln PA 17011 IN THE MATTER OF : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : NO. : GUARDIANSHIP-MINOR DARRON L. BARRICK, a minor CONSENT OF PROPOSED GUARDIAN WE, John E. Grimes and John E. Grimes, Jr., do hereby certify that we are willing to act as guardians of the estate of Darren L. Barrick, if the Court shall so appoint us. Further, we do hereby certify that we are not a fiduciary of any estate in which the minor has an interest, nor have we any interest adverse to the minor. The facts and opinions contained herein are true and correct to the best of our knowledge, information and belief. () ~ ?::' ~4A I ~ ~ GRIMES ~~:(~~J~~ Sworn to and subscribed before me this c,/l., da of cember, 2005. NOTARj,l~L 3EAL 'IAROLD S IRWIN, ,:I, NOTAPYPUBUC t\rl:..iS,-~ 8080UGN, C(UNTY Oc CU\t[3f.riJ,r4D ~:-,\1f} ::;{t~; ~):P;~. b 'Y....TC!13r:i.1 II.' ;)0:"h EXHIBIT "D"