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
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PETITION FOR ApPOINTMENT OF GUARDIAif';
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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.
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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
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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.
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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
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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.
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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. ?"
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: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
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Chairman of the Board and
Chief Executive Officer
AMERICAN UNITED LIFE INSURANCE COMPANY @
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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 @
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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:
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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 /
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\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-.
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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
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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
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EXHIBIT "D"