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HomeMy WebLinkAbout02-2863DANIEL HANAWALT, a minor, by JOHN HANAWALT and ELIZABETH HANAWALT, his parents and natural guardians, Plaintiffs VS. EDGAR FREED Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. JURY TRIAL DEMANDED PRAECIPE FOR WRIT OF SUMMONS TO THE PROTHONOTARY: Kindly issue a Writ of Summons and commence an action as above-captioned against Defendant Edgar Freed. The Writ of Summons should be time-stamped and returned in the enclosed envelope. Date: June~)2002 METZGE~, KNAUSS & ERB, P.C. By~---- I.D. No. 84009 3211 North Front Street P.O. Box 5300 Harrisburg, PA 17110-0300 (717) 238-8187 Attomeys for Plaintiff Document 14:236151.1 DANIEL HANAWALT, a minor, by JOHN HANAWALT and ELIZABETH HANAWALT, his parents and natural guardians, Plaintiffs VS. EDGAR FREED Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW JURY TRIAL DEMANDED WRIT OF SUMMONS TO: Edgar Freed 105 Columbia Road Enola, PA 17025 You are hereby notified that Plaintiffs Daniel Hanawalt, a minor, by John Hanawalt and Elizabeth Hanawalt, his parents and natural guardians, have commenced an action against you. Dated: Prothonotary Document #: 236151.1 JUN DANIEL HANAWALT, a minor, : by JOHN HANWALT and ELIZABETH : HANAWALT, his parents and natural : guardians, Plaintiffs VS. EDGAR FREED Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORDER CIVIL ACTION - 1 NO. (.~:~_ JURY TRIAL DEI~ Upon consideration of the Petition for Approval of Minor Settlement, a hearing is scheduled for thea2~,n~tay of Courtroom No~ before Judge ~ CCi BY THE~~.. ~rancis J. Lafferty, IV, Esquire - counsel for Plaintiffs ~4~atricia Hoffman - representative for Defendant ~l*lichael P. Mullen - Ringler Associates lANDED ?laintiWs Compromised 2002, at /: ~3~;n. in Document #: 185095.1 DANIEL HANAWALT, a minor, by JOHN HANWALT and ELIZABETH HANAWALT, his parents and natural guardians, Plaintiffs VS. EDGAR FREED Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND £ OUNTY, PENNSYLVANIA CIVIL ACTION - ]JAW JURY TRIAL DEI~ PETITION FOR APPROVAL OF MINOR PLAINTIFF'S COMPROMISED SETTLEMI~ Pursuant to Pa.R.C.P. No. 2039, Plaintiffs John Hanawalt ant parents and natural guardians of Daniel Hanawalt, file this Petition for Plaintiff's Compromised Settlement and in support thereof aver the folh 1. Plaintiffs John and Elizabeth Hanawalt, husband and ,~ residing at 110 Columbia Road, Enola, Cumberland County, Pennsylva~ 2. Plaintiffs John and Elizabeth Hanawalt, are the parents minor Plaintiff Daniel Hanawalt who resides with them and who is 1 born on June 30, 1990. 3. The minor Plaintiff has selected Plaintiffs John and Petitioners, as his parents and natural guardians, to represent his interes! 4. Defendant Edgar Freed is an adult individual residing Enola, Cumberland County, Pennsylvania. 5. On April 25, 2001, Plaintiff Daniel Hanawalt was Defendant's dog at 105 Columbia Road, Enola, Cumberland County, Document #: 235760.1 IANDED NT Elizabeth Hanawalt, as 2ourt Approval of Minor ~wing: ife, are adult individuals [la. and natural guardians of years old, having been ]izabeth Hanawalt, the in this Petition. at 105 Columbia Road, Lttacked and injured by ~ennsylvania. A copy of the Pennsylvania Department of Health - South Central District Office Bite Report is attached hereto as Exhibit "A" and incorporated herein by reference. I 6. As a result of the aforesaid incident, Plaintiff Daniel Hanawait sustained injuries and was taken to the hospital. 7. Since the incident, Daniel Hanawalt has made a good r ~covery and is no longer treating with any medical providers. 8. The minor Plaintiff has no out-of-pocket expenses and tl ~ere are no liens or rights of recovery related to the incident and the medical bills have been paid. 9. Since the time of the incident, the parties have continue good faith negotiations resulting in the agreed upon settlement. 10. The parties agree to a settlement of Twenty-Seven housand Five Hundred Dollars ($27,500.00). 11. The Plaintiffs after consultation with their counsel interests of the minor would be served through an immediate dispersa counsel's 25% fee ($6,875.00) and necessary outstanding expenses ($1 remaining $2,453.10 of the immediate dispersal will be used for the im Hanawalt and the remaining sum will be placed in a structured settlem¢ with the documents attached hereto as Exhibit "B" and incorporated her~ 12. The structured settlement accounts are designed so thai sums of money paid to him at the ages of 18 years of age ($7,5 ($10,000.00), and 25 years of age(S14,000.00). Document #: 185095.1 -2- etermined that the best of $9,500.00 from which 71.90) will be paid. The nediate benefit of Daniel nt account in accordance :in by reference. the minor will have set )0.00), 21 years of age 13. The minor Plaintiff's best interest would be served by approval of this settlement and Petitioners respectfully request that this Honorable Court appro~,e this settlement of the claims in the foregoing amounts. I 14. Counsel was retained by the Petitioners to represent [he minor Plaintiff on a contingent fee basis of 25% of gross recovery, which fee is fair and re~ effort expended on behalf of the minor Plaintiff. A copy of the Fee Agr as Exhibit "C" and incorporated herein by reference. 15. The Petitioners respectfully request that this Honorab compromised settlement of the minor claims in the gross amounts of Five Hundred Dollars ($27,500.00) out of which Petitioners will receb of minor Plaintiff Daniel Hanawalt, $2,453.10 to be used for Daniel's ir will receive the Six Thousand Eight Hundred Seventy-Five Dollars ($~ sum of the minor settlement; fees of $171.90 will be reimbursed to th Wickersham, Knauss & Erb, P.C. and the remainder will go into 16. The Petitioners request for the balance to go into accounts is in accordance with Pa.R.C.P. No. 2039 and in particular 20 17. Upon approval, the Petitioners will also sign the Se' Release, a copy of which is attached hereto as Exhibit "B" and incorpm 18. Upon approval of the minor compromised settlement, the discontinue this action filed against Defendant upon receipt of the lump of Daniel Hanawalt and the transfer of the funds to the structured settle~ herein. Document t4:185095.1 -3- ~onable for the time and ~ement is attached hereto e Court approve of the l'wenty-Seven Thousand 'e directly for the benefit unediate benefit; counsel ,875.00) out of the lump e Law Firm of Metzger, ~e structured settlement. he structured settlement 9(b)(3). Ilement Agreement and ated herein by reference. Petitioners also desire to sum to be paid on behalf ~ent accounts as set forth 19. The Defendant concurs with the filing of this Petition and also seeks approval of the minor compromised settlement under the terms set forth above. WHEREFORE, the Petitioners respectfully request that this Ho the minor Plaintiff's compromised settlement and enter an Order follows: (1) (2) (3) (4) Dated: Document #: 185095.1 To be paid to John and Elizabeth Hanawalt, who are ap of Daniel Hanawalt, the sum of Two Thousand Four Hu and 10/100 Dollars ($2,453.10) for the immediate Hanawalt; To be paid to Metzger, Wickersham, P.C. for counsel Plaintiff- Six Thousand Eight Hundred Seventy Five D To paid to Metzger, Wickersham, P.C. for expenses - $1~ The balance as agreed by the parties and guardians, 1 structured settlement pursuant to the Uniform Qualifier Release attached to the Petition with Payee as Daniel H~ Allstate Insurance Company and the annuity issuer as Ri~ METZGER,~z~~USS ~Francis ~l~affe~r~, IV,'Esquire Attorncey I.D. No. 84009 3211 North Front Street P.O. Box 5300 Harrisburg, PA 17110-0300 (717) 238-8187 Attorney for Plaintiffs -4- ~orable Court approve of istributing the funds as >ointed guardians adred Fifty Three ,enefit of Daniel ees for the minor llars ($6,875); '1.90; and o be placed in a Assignment and tnawalt the Payor ~gler Associates. ~: ERB, P.C. Exhibit A ...in pursuit 'of good health PLEASE FAX TO: (71:7) 772-315.1 Pennsylvania Department of Health $outhcentrni District Office ~2971C N. 7th Street Harrisbu~, Pa. 171.10 Ph~me: (717) 787-8092 ANIMAL BITE REPORT ~vI ! ~tdate? (/) Yes[g: Date oflncid~tt (Indicate the date bite occur'ed) Date of Tr~ This is ~ (/) Bit~ Desa'ibe Wound: Type of Treatment: Name of Physiel,m Fac~it~ Whe~ Treated 8~tah O Other, O Part of Body A Skin Broken : YeseS] No[~ lfYes, Superficial 0 Wound Cleansed 1~t Antibiotic 0 Tetauus O HR/GO PCEV(Rsbies'Vaccinc) 0 Other 0 Phone , Coixmm~ltS.' Person Completing Form: Name Other C~ HDCV (Rabies vaCCine) hone Address Rev. 12/1998 Date Report Receive~ by DOI~, Log No. ...in pursuit of good health Phone: (717) 243-5151 or 697-6549 Fax: (717) 243-3171 · Dear ~t,-~xh~-~ ~ab30,{3c : A report received by ~e State Health Center indicates that a &oq belonging ¢d~.. (' ¢cgec,[ bit or scratched ~0~r~ ie.I° q_.2 ~oI o . It is important that the owner confine the animal for ten (10) days to have rabies vires at the time of the bite. If the animal shows any sig~ in its usual behavior, or dies, you or the owner should contact the ow and the State Health Center immediately at (717) 243-5151 or 697-6: call the State Health Center at the end of the ten (10) day quarantine final stares of the animal. You should verify the identity of the animal that bit you or your fam verify that it appears to be in good health. You should also verify its days and again at ten (10) days after the bite or scratch. By State Law, TIlE OWNER is required to cooperate with you in th owner falls to cooperate with you in any way, or if you have any ques State Health Center at the telephone number listed above. Sincerely, Robert Walter, Supervisor Cumberland County State Health Center 431 E. North Street on )e sure it did not ~s of illness, change her's veterinarian i49. Further, please ~eriod to report the member and also status at five (5) is matter. If the tions, please call the Carlisle, PA 17013 Exhibit B Se~tle~aeat ~ree~eat aa~ ~eleaae This Settlement Agreement and Release (the "Settlement Agreement") is made and entered into this __ d~y of "Claimants" "Insured" - "Insurer" - , 2002, by and between: Reoitals John Hanawalt and Elizabeth parents and natural guardian Daniel Hanawalt, a Minor Edgar A. Freed,Jr. Allstate Insurance Company A. On or about April 25, 2001, Daniel Hana in an accident occurring at or near 105 E. Colum Enola, Pennsylvania. Claimants allege that the resulting physical and personal injuries arose o alleged negligent acts or omissions of the Insur a claim seeking monetary damages on account of t B. Insurer is the liability insurer of the such, would be obligated to pay any claim made o obtained against the Insured which is covered by the Insured. C. The parties desire to enter into this Agreement in order to provide for certain paymen' settlement and discharge of all claims which haw made, by reason of the incident described in Rec upon the terms and conditions set forth below. The parties agree as follows: Hanawalt as of ~alt was injured ~ia Avenue, ~ccident and At of certain ~.d, and has made ~ose injuries. Insured, and as judgment its policy with ~ttlement :s in full ~, or might be [tal A above, 1.0 Release and Disoharqe ~ 1.1 In consideration of the payments set f~rth in Section 2, Claimants hereby completely release and forever Insured and Insurer from any and all past, prese claims, demands, obligations, actions, causes of death claims, rights, damages, costs, losses of expenses and compensation of any nature whatsoev on a tort, contract or other theory of recovery, Claimants now have, or which may hereafter accru acquired, on account of, or may in any way grow incident described in Recital A above, including limitation, any and all known or unknown claims personal injuries to Claimants, or any future wr claim of Claimantst representatives or heirs, wh or may result from the alleged acts or omissions 1.2 This release and discharge shall also Insuredts and Insurer*s past, present and future directors, stockholders, attorneys, agents, serv. representatives, employees, subsidiaries, affili predecessors and successors in interest, and ass other persons, firms or corporations with whom al have been, are now, or may hereafter be affiliat, 1.3 This release, on the part of the Claim~ fully binding and complete settlement among the Insured and the Insurer, and their heirs, assign 1.4 The Claimants acknowledge and agree thl and discharge set forth above is a general releal expressly waive and assume the risk of any and a~ discharge the ~t, or future action, wrongful ~ervices, · r, whether based which the or otherwise be ut of the , without ~or bodily and )ngful death ich have resulted of the Insured. ~pply to officers, ~nts, ,tes, partners, Lgns and all %y of the former .~d. ~nts, shall be a ~laimants, the and successors. t the release ~e. Claimants .1 claims for damages which exist as of this date, but of which.the Claimants .u. eo .to oversight, error, negligence, or otherwise, and Which, if known, would materially affect Claimants~ decision to enter into this Settlement Agreement. The Claimants further agree that they have compromise of matters involving disputed ~ssues/of law and fact. Claimants assume the risk that the facts or law Claimants believe. It is understood and agreed that this settlement is a compromise of a doubtf claim, and the payments are not to be construed of liability on the part of the Insured, by whom expressly denied. 2.0 Payments In consideration of the release set forth above, behalf of the Insured agrees to pay to the indiv below ("Payee(s)") the sums outlined in this Sec 2.1 Payments due at the time of settlement and their attorney: The sum of Nine Thousand Five Hundred Dollars ($9,500.00) on or before fourt Days from receipt of this fully and properly executed document and approva the competent Court of local jurisdict The Claimants agree to pay from said attorney fees, costs and expenses incu by or on their behalf in connection with the settlement set forth herein, including payments to subrogees, if applicable. 2.2 Peri.die Payments. Insurer agrees to Daniel Hanawalt ""Payee,, in the following manner: Ray be other than to by the parties ul and disputed as an admission liability is the Insurer on [dual(s) named tion 2 below: to the Claimants aen by kon. lm :red payment to (i) Lump sum guaranteed payments: On June 30, 2008, guaranteed payment oif Seven Thousand Five Hundred Dollars ($7,500.00) ~ On June 30, 2011, guaranteed payment oil Ten Thousand Dollars ($10,000.00)~ On June 30, 2015, guaranteed payment o Fourteen Thousand Dollars ($14,000.00) All sums set forth herein constitute damages on personal injuries and sickness, within the meani 104(a)(2) of the Internal Revenue Code of 1986, 3.0 Payee's Rights to Pa~ents Claimants acknowledge that the Periodic Pay accelerated, deferred, increased or decreased by any Payee~ nor shall the Claimants or any Payee power to sell, mortgage, encumber, or anticipate Payments, or any part thereof, by assignment or 4.0 Payee,s Beneficiar~ Any payments to be made after the death of to the te~s of this Settlement Agreement, shall named beneficiary . If no person or entity is s. Payee, or if the person designated is not living- Payee's death, such payments shall be made to th~ _ . Payee. Payee may request in writing that Assign, payee and/or beneficiary designation under this, Assignee will do so but will not be liable, howe' payment made prior to receipt of the request or thereafter that payment could not reasonably be ccount of ag of Section ~s amended. nents cannot be the Claimants or have the right or the Periodic ~therwise. ?ayee, pursuant be made to his ) designated by at time of the ~ estate of ~e change the agreement. ret, for any 30 soon ~topped. 5.0 Consent to ~ualified &ssiqmaent 5.1 Claimants acknowledge and agree that t make a "qualified assignment", within the meanin 130(c) of the Internal Revenue Code of 1986, as Insurer' liability to make.the Periodic Payment Section ~.2 to Allstate Assignment Company ("the Assignee's obligation for payment of the Periodi be no greater than that of Insurer (whether by j agreement) immediately preceding the assignment Payments obligation. 5.2 Such assignment shall be accepted by t without right of rejection and shall completely discharge the Insured and the Insurer from the P obligation assigned to the Assignee. The Claima that the Assignee shall be the sole obligor with Periodic Payments obligation, and that all other respect to the Periodic Payments obligation that liability of the Insurer shall thereupon become irrevocable and absolute. 6.0 R~ght to Purohase an ltnnu~ty The Insurer, itself or through its Assignee liability to make the Periodic Payments through ._ an annuity policy from Allstate Life Insurance C Insurer or the Assignee shall be the sole owner policy and shall have all rights of ownership. the Assignee may have Allstate Life Insurance Cc payments directly to the Payee(s). The Claimant responsible for maintaining a current mailing ad, Payee(s) with Allstate Life Insurance Company. ~e Insurer will ~ of Section amended, of the set forth in Assignee") The Payments shall dgment or ~f the Periodic ye Claimants release and ~riodic Payments ~ts recognize respect to the releases with pertain to the ~inal, , will fund the ~he purchase of )mpany. The )f the annuity ~he Insurer or Rpany mail shall be tess for 7.0 Di~charqe of Obligat~on The obligation of the Insurer and/or Assignee to make each Periodic Payment shall be discharged upon the ma~ling of a valid check in the amount of such payment to the designated address of the Payee(s) named in Section 2 of this Settleme 8.0 attorney,s Fees Each party hereto shall bear all attorney's arising from the actions of its own counsel in c this Settlement Agreement, the matters and docum herein, and all related matters. 9.0 Representation of Comprehension of Doc In entering into this Settlement Agreement -- represent that Claimants have relied upon the ad' attorney, who is the attorney of their own choic legal and income tax consequences of this Settle that the te~ms of this Settlement Agreement have read and explained to Claimants by their attorne terms of this Settlement Agreement are fully und voluntarily accepted by the Claimants. 10.0 Warranty of Capacity to Execute &gre~ Claimants represent and warrant that no oth~ entity has, or has had, any interest in the clail obligations, or causes of action referred to in Agreement, except as otherwise set forth herein; have the sole right and exclusive authority to e: Settlement Agreement and receive the sums specif that Claimants have not sold, assigned, transfer: otherwise disposed of any of the claims, demands causes of action referred to in this Settlement 6 Agreement. fees and costs )nnection with ~nts referred to ~aent =he Claimants ;ice of their ~, concerning the nent Agreement; been completely ~; and that the ~rstood and aent Dr person or ~s, demands, :his Settlement that Claimants [ecute this [ed in it; and :ed, conveyed or . obligations or tgreement. ii.o Co~fide~tialit~ The parties agree that neither they nor thelir attorneys nor representatives shall reveal to anyone, other th mutually agreed to in writing, any of the terms Settlement Agreement or any of the amounts, numb conditions of any sums payable to Payee(s) hereu 12.0 ~overning Law This Settlement Agreement shall be construe in accordance with the laws of the Commonwealth 13.0 &dd~tional Documents All parties agree to cooperate fully and ex supplementary documents and to take all addition may be necessary or appropriate to give full for the basic terms and intent of this Settlement Ag 14.0 Bntire ~greement and Suooessors in In This Settlement Agreement contains the enti between the Claimants, the Insured and the Insur, the matters set forth in it and shall be binding to the benefit of the executors, administrators, representatives, heirs, successors and assigns o 7 · n as may be ~f this ~rs or terms and ader. and interpreted f Pennsylvania. ~cute any and all ~1 actions which :e and effect to ~eement. =erest ~e agreement ~r with regard to upon and inure personal each. 15.0 E££e~tiveness This Settlement Agreement shall become effective i~ediately following execution by each of the parties and upon approval by the competent Court of local jurisdiction. Claimant John Hanawalt as parent and natural guardian of Daniel Han~walt, a Minor By: ~ Date: Claimant Elizabeth Hanawalt as : natural guardian of Da a Minor By: Date: ~arent and ~iel Hanawalt, Cl&imants, Attorney V Francis J. Lafferty, I By: Date: Allstate Insurance Com By: Title: Date: )any Exhibit C CONTINGENT FEE AGREEMENT "~2~fi{e\ ~O, OClu3ca\-~ , retain and authorize the Wickersham, Knauss & Erb, P.C., to do whatever they deem necessm represent my son in all claims for compensation and reimbursement f individually and as parent and natural guardian of loss, and economic and other damages resulting from an acc Attorney's Fees: The fee of the attorneys shall be contingent as follows: law finn of Metzger, y or desirable in order to >r personal injuries, wage ident that occurred on (a) Twenty-five percent (25%) of gross recovery; 1 (b) .SHOULD THERE BE NO RECOVERY BY S~JIT OR SETTLEMENT, SAID ATTORNEYS DO NOT HAVE ANY CLAIM AGAINST ME OF ANY KIND FOR / LEGAL SERVICES RENDERED. and my attorney shall be reimbursed out of the balance, after deductioJ recovery for all legal expenses incurred in the prosecution of this claim w paid by me. I do hereby agree to pay all expenses incurred by my atto: presentation of this case and do understand that these expenses include, costs of medical reports and records, stenographic expenses connecte. Expenses of Litigation: Actual expenses incurred on the business of the client sl tall be borne by the client of attorneys fees, of any dch have not already been x~ey in the preparation and but may not be limited to, with depositions, expert witness fees, photocopying charges, and mileage charges connected services. I understand that I am responsible for payment of these eventual outcome of the case and further understand that if my attorne, be asked to advance these costs prior to the incurring of any such expens, deposition. Document it: 206505.1 th the rendering of legal ~penses regardless of the deems it necessary, I may :s or the scheduling of any 3. I hereby further agree that my attorney may charge me reasonable additional compensation if it is necessary to try the case more than once, if the case is appealed, or if proceedings in other courts are necessary because of the change of circOmstance of a party or for other reasons. 4. I hereby further agree that my attorney is hereby authorized to bring suit or to settle and compromise the claim, to execute all documents pertaining thereto requisite for effecting the claim on my behalf. 5. I further authorize my attorney to pay out of any proceed unpaid medical bills for treatments or services made necessary by the accident and any workers' compensation liens. 6. I agree that my attorney accepts this employment on investigate this claim, and if it appears to be a recoverable claim, he claim; but if, after investigation, the claim does not appear to be recoven have the right to rescind this Agreement. 7. I hereby further agree that if I decide to terminate settlement is offered or any award is obtained the firm shall be entitled t for all work done on the case up to that point. I agree that reasonable c, Lafferty, IV, Esquire, or any other attorney involved in the handling Hundred Thirty-Five Dollars ($135.00) per hour, or such higher rate as billing rate at the time that the work is performed. 8. I agree that my attorney may withdraw from this case notice to me, and I agree to keep him advised of my whereabouts at all ti~ times in the preparation and trial of this case, to appear upon reasonable n~ Court appearances, and to comply with all reasonable requests made of preparation and presentation of this case. 9. I understand and agree that in the event that my account i because.of unpaid fees and/or costs/expenses, I will be responsible for pa'. Document #: 201757.1 -2- and to do all lawful acts of settlement or trial any injuries sustained in this he condition that he will /ill proceed to handle the ~le, said attorney shall then his authority before any , reasonable compensation ~mpensation for Francis J. ff this case, shall be One hall constitute his standard any time after reasonable nes and to cooperate at all )rice for depositions and ne in connection with the turned over for collection ment of the costs of suit as well as reasonable attomey fees incurred in the collection of the monies owed to Metzger, Wickersham, Knauss & Erb, P.C. IN WITNESS WHEREOF, I have signed below on this I~day 0fMay, 2001 CLIE]~T:' Document #: 20175 Z I -3- AUSS & ERB, P.C. iV, Esquire CERTIFICATE OF SERVICE I, Francis J. Lafferty, IV, Esquire, of the law i~i-i~ of Metzger, Wlckersham, Knauss & Erb, P.C., hereby certify that I served a true and correct copy of the forgoing ~ ocument(s) with reference to the foregoing action by first class mail, prepaid postage, this ~__~ Jay of June, 2002 on the following: Edgar Freed, Defendant c/o Patricia Hoffman Allstate Insurance Company Market Claim Office 6345 Flank Drive, Suite 1000 Harrisburg, PA 17112-2765 Document ii: 185095.1 VERIFICATION The undersigned hereby certifies that he is the attorney for Pl~ntiff Daniel Hanawalt, a minor, by John and Elizabeth Hanawalt, parents and natural guardian~ and that the facts in the foregoing Petition for Approval of Minor Plaintiff's Compromised Settl~ to the best of his knowledge, information and belief, and that said matten Approval of Minor PlaintiWs Compromised Settlement are as known tt clients, Plaintiff Daniel Hanawalt, a minor by John and Elizabeth Hz natural guardians, said knowledge being based upon information contain this matter, and further states that false statements herein are made subjec C.S.A. §4904 relating to unsworn falsification to authorities. :ment are tree and correct relating to the Petition for the undersigned as to the nawalt, their parents and ed in the attorney's file in : to the penalties of 18 Pa. Fr~tncist~. Lafferty, fV, Esquire Dated: Document #: 185095.1 DANIEL HANAWALT, a minor, by JOHN HANWALT and ELIZABETH HANAWALT, his parents and natural guardians, Plaintiffs VS. EDGAR FREED Defendant IN THE COURT OF COMMON PLEAS< OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. JURY TRIAL DEMANDED ~'~l ORDER AND NOW, this __ day o~~_~, 2002, upon consideration of the Petition for Approval of Minor Plaintiff's Compromise~,~ll~tlement, it is hereby ORDERED and DECREED that the settlement for the gross sum of Twenty-Seven Thousand Five Hundred Dollars ($27,500.00) for Daniel Hanawalt is APPROVED. Counsel fees are found to be fair and reasonable and are also approved as set forth below. The distribution is directed as follows: (1) To be paid to John and Elizabeth Hanawalt, who are appointed guardians of Daniel Hanawalt, the sum of Two Thousand Four Hundred Fifty Three and 10/100 Dollars ($~t~3Tl~) for the immediate benefit of Daniel Hanawalt; ~ ~10. I '9 (2) (3) (4) To be paid to Metzger, Wickersham, P.C. for counsel fees for the minor Plaintiff- Six Thousand Eight Hundred Seventy Five Dollars ($6,875); To paid to Metzger, Wiekersham, P.C. for expenses - $ lu~z'~O; and The balance as agreed by the parties and g~,ardians, to be placed in a structured settlement pursuant to the Uniform Qualified Assignment and Release attached to the Petition with Payee as Daniel Hanawalt the Payor Allstate Insurance Company and the annuity issuer as Ringlet Associates. John and Elizabeth Hanawalt, as parents and natural guardians of Daniel Hanawalt, are authorized to sign the Settlement Agreement and Release, attached to the Petition and Document #: 185095.1 discominue this action upon the delivery of the cash payment of $9,500.00 and the transfer of the remaining funds into the structured settlement. CC: Patricia Hoffman - representative of Defendant Michael P. Mullen - Ringler Associates ' Document it: 185095.1