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1)o.,la.. l)lI.S'tU " VlI.,ltU
27 W. HI,h SI,
Ca"III..I'A 170lJ
TtI.phon, (717/24J.I7l)()
Preston Miller, as parent and natural
guardian of Alexis Courtney Miller, a
minor
In The Court Of Common Pleas Of
Cumberland County
Pennsylvania
James M, Shue, as parent and natural
guardian of Jarred M. Shue, a minor
James M. Shue, individually
Preston MlIIer, Trustee Ad Litem, for
all persons entitled to share in the
recovery for the wrongful death of
Carol A. Shue
94 - 4636 Civil Tenn
James M. Shue, administrator of the
Estate of Carol A. Shue, deceased
Petitioners
v
Daniel Zook Baywell and James/Jane
Doe
Aetna Casualty and Surety Co.
Res ondents
Civil Action Law
Jury Trial Demanded
ORDER
AND NOW, to wit ,this the .".l.5 V, day of L)u (( I ,1995 a hearing is scheduled
for /,},;,I, day of I lu. .fI .i ,1995, at ,'/. t!'( o'clock, ,:'.M., in Court Room
Number (f . of the Cumberland County Court House.
By the Court, . /
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James M. Shue, as parent and natural
guardian of Jarred M. Shue, a minor
James M. Shue, individually
Preston Miller, Trustee Ad Litem, for
all persons entitled to share in the
recovery for the wrongful death of
Carol A. Shue
94 . 4636 Civil Term
WilliIlm I'. Dollg/a., Esq.
SIlFtll'" Call" 1.D. .37926
Dollg/a.. Dollgla. & Dollg/as
27 W. "igh Sf;
Ca,lislt, P/d71113
Ttltphont (711) 24.1.1790
Preston Miller, as parent and natural
guardian of Alexis Courtney Miller, a
minor
In The Court Of Common Pleas Of
Cumberland County
Pennsylvania
James M. Shue, administrator of the
Estate of Carol A. Shue, deceased
Petitioners
v
Daniel Zook Baywell and James/Jane
Doe
Aetna Casualty and Surety Co.
Civil Action Law
Jury Trial Demanded
Petition for Approval of Minor's Settlement
1. Your Petitioner, Preston Miller, is the parent and guardian of Alexis
Courtney Miller, a minor, the aforesaid reside at 113 Enola Drive, Enola,
Cumberland County, Pennsylvania.
2. The minor child, Alexis Courtney Miller, was born on October 5, 1982.
3. Your Petitioner, James Shue, is the parent and guardian of Jarred M. Shue,
a minor, the aforesaid reside at 6010 Hickory Lane, Elizabethtown,
Lancaster County, Pennsylvania.
4. The minor child, Jarred M. Shue, was born on September 17, 1990.
5. The respondents are Daniel Zook Baywell and Aetna Casualty and Surety
Co.
6.
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The respondent, Daniel Zook Baywell, resided at RD 2, Gap, Lancaster
County, Pennsylvania.
The respondent, Aetna Casualty and Surety Co., Is a corporation licensed
to do busir,ess In the Commonwealth of Pennsylvania.
On August 24, 1992, Carol A. Shue was kll1ed in a motor vehicle accident.
At the time of her death she was married to James M. Shue, and had two
minor children, Alexis Courtney Miller and Jarred M. Shue. Alexis
Courtney Miller was the child of her previous marriage to Preston Mll1er.
James M. Shue was aPfolnted the administratrix of the estate of Carol A.
Shue by, the Register 0 Wll1s of Lancaster County,
There are no outstanding bll1s or creditors claims whose claims have not
been paid.
The respondent Daniel Zook Baywellls covered by a polley of automobile
liability Insurance in the amount of $50,000.00. Said polley was Issued by
the American Fire and Casualty Company.
On the aforesaid date James M. Shue, Carol A. Shue, Jarred M. Shue and
Alexis Courtney Mll1er were traveling westbound on SR 741 and a hit and
run vehicle was traveling from an unknown direction and struck their
vehicle as they entered the intersection. Immediately following the first
impact the vehicle was sitting In the middle of the roadway and was then
struck by a vehicle driven by Daniel Zook Baywell. After the second
impact the vehicle that first struck the petitioners vehicle fled the scene
and was never Identified. As a result of the Impacts Carol Shue was kll1ed
and James Shue and Alexis Courtney Miller suffered personal Injuries.
American Fire and Casualty Company has agreed to pay the full policy
amount of $50,000.00.
At the time of Carol Shue's death she and her husband had three vehicles
Insured with the respondent, Aetna Casualty and Surety Co., with
coverage for under insurance on three vehicles, which can be stacked.
Each underinsurance polley is in the amount of $35,000.00, for a total of
available under Insurance/uninsurance in the amount of $105,000.00,
Issued by Aetna Casualty and Surety Co.
Ite-h...
~ Insurance has agree to pay $170,000.00 to settle all claim resulting
from the aforesaid accident.
11,
12.
13.
14.
15.
17.
All sums set forth above constitute damages on account of personal
injury/wrongful death, arising from the occurrence, within the meaning
of ~ 104(a)(2) of the Internal Revenue Code of 1986, as amended.
18. It Is requested that $112,500.00 be allocated to James Shue for his personal
Injuries and for the wrongful death of his wife,
19, It is requested that $64,125.00 be allocated Alexis Courtney MlIIer for her
personal injuries and for the wrongful death of her mother,
20, It Is requested that $48,375.00 be allocated to Jarred Shue for the wrongful
death of his mother.
21. James Shue and Jarred Shue are represented by John Smith, Esquire, and
have entered Into a contingent fee agreement with him In accordance with
the following percentages:
Jarred Shue
James Shue
20'70
25'70
22, Alexis Courtney MlIIer, Is represented by R. Mark Thomas, Esq. and
William P. Douglas, Esq.
23. The parent and natural guardian of Alexis Courtney MlI1er, Preston
MlI1er, has entered Into a contingent fee agreement with R. Mark Thomas
Esq. and William P. Douglas, Esq. for 30'70 of any recovery made on behalf
of the aforesaid miner.
24, Your petitioners request the Court direct that Thirty Eight Thousand Eight
Seven Hundred Dollars ($38,700.00) be placed in a Federally Insured
savings account or certificate of deposit, to marked, "Not to be withdrawn
until age 18, or further Order of a Court", in the name of Jarred Shue.
25. Your petitioners request the Court direct that Forty Four Thousand Eight
Hundred Eighty Seven Dollars Fifty Cents ($44,887.50) be placed in a
Federally Insured savings account or certificate of deposit, to marked,
"Not to be withdrawn until age 18, or further Order of a Court", in the
name of Alexis Courtney Miller.
26. Your petitioners request the Court direct that Eighty Four Thousand Three
Hundred Seventy Five Dollars ($84,375.00) be paid to James Shue.
27. Your petitioners request the Court direct that $37,800.00 be paid to John
Smith, Esq. in attorney fees.
28. Your petitioners request the Court direct that $19,237.50 be paid to R.
Mark Thomas, Esq. and William P. Douglas, Esq. in attorneys fees.
29. Your Petitioners further requests that the Court direct that the Federally
Insured Bank or Savings Institution be permitted to pay federal and state
income tax on the income earned on behalf of the minor in the said
account/accounts.
WHEREFORE, your Petitioners pray that the settlements be approved.
Y.~
William P. 0 glas, Esq,
Attorney for Pre on Miller
as parent and natural guardian of
Alexis C. Miller
James M. Shue, as parent and natural
guardian of Jarred M. Shue, a minor
James M. Shue, individually
Preston Miller, Trustee Ad Litem, for
all persons entitled to share in the
recovery for the wrongful death of
Carol A. Shue
94 - 4636 Civil Tenn
Willialll P. Dous"", E"I'
SUl'I'tJne Cou,,1.D. .37926
Dous/n.. Dous/n. & Dousln.
27 W. HiSh SI.
en,lisle. PA 17013
Ttleplront (717) 243-1790
Preston Miller, as parent and natural
guardian of Alexis Courtney Miller, a
minor
In The Court Of Common Pleas Of
Cumberland County
Pennsylvania
James M. Shue, administrator of the
Estate of Carol A. Shue, deceased
Petitioners
v
Daniel Zook Baywell and James/Jane
Doe
Aetna Casualty and Surety Co.
Respondents
Civil Action Law
Jury Trial Demanded
AFFIDAVIT
I hereby swear or affirm that the Foregoing is true and correct to the best of my
knowledge and/ or information and belief.
This is made subject to the penalties of 18 Pa.C.S. ~4904 relating to unsworn
falsification to authorities.
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Commonwealth of Pennsylvania
County of Cumberland
Preston Miller, as parent and natural
guardian of Alexis Courtney Miller, a
minor
In The Court Of Common Pleas Of
Cumberland County
Pennsylvania
James M. Shue, as parent and natural
guardian of Jarred M. Shue, a minor
James M. Shue, individually
Preston Miller, Trustee Ad Litem, for
all persons entitled to share in the
recovery for the wrongful death of
Carol A. Shue
94 - =t-l.. 'l.,b Civil Tenn
James M, Shue, administrator of the
Estate of Carol A. Shue, deceased
v
Daniel Zook Baywell and James/Jane
Doe, defendants
Civil Action Law
ur Trial Demanded
Writ of Summons
To: Daniel Zook Baywell and James/Jane Doe, defendants
You are hereby notified that Preston Miller, as parent and natural guardian
of Alexis Courtney Miller, a minor; James M. Shue, as parent and natural
guardian of Jarred M. Shue, a minor; James M. Shue, individually; Preston Miller,
Trustee Ad Litem, for all persons entitled to share in the recovery for the
wrongful death of Carol A. Shue; James M. Shue, administrator of the Estate of
Carol A. Shue, deceased, Plaintiffs, have commenced an aC/,on against you.
August 17, 1994 . ,[ /J t.l ~
pe uty Pr onotary
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William P. Dougla.. Esq.
Supreme Court 1.D.'37\126
[)ciugla.. Dougla. &< Douglao
27 W. High 51.
1'00261
Carll.le I'a 17013
Telephone 717.243.1790
Preston Miller, as parent and natural
guardian of Alexis Courtney Miller, a
minor
James M, Shue, as parent and natural
guardian of Jarred M. Shue, a minor
James M. Shue. individually
Preston Miller, Trustee Ad Litem, for
all persons entitled to share in the
recovery for the wrongful death of
Carol A. Shue
James M. Shue, administrator of the
Estate of Carol A. Shue, deceased
v
Daniel Zook Baywell and James/Jane
Doe, defendants
In The Court Of Common Pleas Of
Cumberland County
Pennsylvania
94. W 3 {, Civil Term
Civil Action Law
ur Trial Demanded
Acceptance of Service
H
I Ronald lit. Pollock, Jr., Esquire, as counsel for the defendant Daniel Zook
Baywell, hereby acknowledge receipt of a copy of the writ of summons and
hereby accept service thereof on behalf of the aforesaid defendant.
.....'/} ",.i,/,-1/,,/'-\
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. Ronald hi. Pollock, Esq.
Barley, Snyder, Senft and Cohen
126 East King Street
Lancaster, PA 17062-2893
Attorney for Defendant Daniel Zook Baywell
Date; August.) 3 ,1994
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$84,375.00
$38,700.00
,
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Preston Mlller, as parent an natura
guardian of Alexis Courtney Miller, a
minor
In The Court Of Common Pleas Of
Cumberland County
Pennsylvania
James M. Shue, as parent and natural
guardian of Jarred M. Shue, a minor
James M. Shue, individually
Preston Mlller, Trustee Ad Litem, for
aU persons entitled to share In the
recovery for the wrongful death of
Carol A. Shue
94.4636 Civil Term
James M, Shue, administrator of the
Estate of Carol A. Shue, deceased
Petitioners
v
Daniel Zook Baywell and James/Jane
Doe
Aetna Casualty and Surety Co.
Res ondents
Civil Action Law
Jury Trial Demanded
ORDER
AND NOW, to wit this the .2 gl" day of /lur...."; 1995, a hearing
having been held in this matter, it is hereby order that the settlement in the
amount of Two Hundred Twenty FiveThousand Dollars ($225,000.00) for the
wrongful death of Carol Shue and the injuries to the above captioned plaintiffs is
approved.The proceeds are to be divided as follows;
Preston Miller, as parent and natural
guardian of Alexis Courtney Miller, a
minor
$44,887.50
Douglas, Douglas & Douglas and
Mark Thomas, Esq., their attorneys
James Shue, Individually
James Shue, as parent and natural
guardian of Jarred M. Shue, a minor
John Smith, Esq., thler attorneys
$19,237.50
$37,800.00
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The proceeds of the settlement for the minor children are to be deposited in a
federally insured savings account and/or certificate of deposit, marked "Not to
be withdrawn until age 18 or further Order of a Court",
All sums set forth above constitute damages on account of personal Injuries,
arising from the occurrence, within the meaning of S 104(a)(2) of the Internal
Revenue Code of 1986, as amended.
IT IS FURTHER ORDERED that the Institution In which said funds are
deposited is hereby granted permission to use such Income from said funds that
is necessary to pay Income tax which may become due and payable as a result of
the said funds being on deposit In their Institution.
THE GUARDIANS shall provide a certificate to the Prothonotary setting forth
the place of deposit, account number, in compliance with the above provision.
By the
--4'
AIL
J.
James M. Shue, as parent and natural
guardian of Jarred M. Shue, a minor
James M. Shue, individually
Preston Miller, Trustee Ad Litem, for
all persons entitled to share in the
recovery for the wrongful death of
Carol A. Shue
94 . 4636 Civil Term
WilliIlrn 1'. Doug'.', Esq.
Sup',"'" Cou,' I.D.137926
o.;ug'.', Doug'.' & Doug'.'
27 W.WgI, 51.
Ca,Iisle,1'i\ 17013
Tt/rphont (717) 243.1790
Preston Miller, as parent and natural
guardian of Alexis Courtney Miller, a
minor
In The Court Of Common Pleas Of
Cumberland County
Pennsylvania
James M. Shue, administrator of the
Estate of Carol A. Shue, deceased
Petitioners
v
Daniel Zook Baywell and James/Jane
Doe
Aetna Casualty and Surety Co.
Respondents
Civil Action Law
Jury Trial Demanded
Praecipe to Mark Docket Settled and Discontinued
Dear Mr. Welker:
Please mark the above captioned matter settled and discontinued.
date:
SEP 111995
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William P. Dougla Esq.
Attorney for Preston Miller
Guardian of Alexis C. Miller
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA
CIVIL ACTION. LAW
PRESTON MILLER, as parent and natural guardian of )
ALEXIS COURTNEY MILLER, a minor, JAMES SHUE. )
as parent and natural guardian of JARRED M. SHUE. a )
minor. JAMES M. SHUE. individually, PRESTON )
MILLER, Trustee Ad Litem, for all persons entitled to )
share in the recovery for the wrongful death of CAROL A. )
SHUE. JAMES M. SHUE. Administrator of the Estate of )
CAROL A. SHUE. deceased, )
Plaintiffs )
)
vs. )
)
DANIEL ZOOK BA YWELL and JAMES/JANE DOE. )
Defendants )
No. 94-4636
PROOF OF DEPOSIT
JOHN M. SMITH, ESQUIRE. herewith certifies that the attached is a true and correct copy
of the "Proof of Deposit" for Jarred (correctly Jared) M. Shue, a Minor. reflecting that the sum of
$38.700 was deposited with a Federally insured lender in an account marked "Not to be withdrawn
until age 18 or further Order ofa Court". all in accordance with the Order of the Court of Common
Pleas of Cumberland County, Pennsylvania dated August 28. 1995.
Respectfully submitted,
GINGRICH, SMITH, KLINGENSMITH & DOLAN
Dated: September 7, 1995
By:
-c"A,
ohn M. Smith, Esquire
Attorney for Plaintiff,
James M. Shue
Attorney 1.0. #19520
222 S. Market St.. Suite 201
P.O. Box 267
Elizabethtown, P A 17022
(717) 367-1370
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