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MARY KATHLEEN EMMET, a minor, by
SUZANNE EMMET and MICHAEL P.
EMMET, her parents and natural
guardians, and SUZANNE EMMET and
MICHAEL P. EMMET, in their own
right,
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
., J I "-/
NO. (,.5 - .) ;)
C~IJ. 7~~
Plaintiffs
v.
ROBERT E. GEORGE and MILLICENT
AMES-GEORGE,
.;l f.4f /hL St Defendants
t\<.6U- M /70:;' ~-
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PRAECIPE FOR WRIT OF SUMMONS
TO THE PROTHONOTARY:
Issue Writ of Summons on Defendants, with service to be
accepted as set forth in Waiver of Service and Praecipe for
Appearance.
Date, ~ q, /11:;-
.d:trc< tmnud
;SUZA E EMMET
@
JUH 13 8 111 ~II '95
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No. _~li_:~1~,:L~_!Y!L!!l.El' 19___
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Nery Kathleen Emmet, a minor, by
Suzanne Emmet and Micheel P.
Emmet, her parents and natural
guerdians, and Suzanne Emmet and
Nicheel P. Emmet, in their own
right ..
Robert E. George and Millicent
Ames-George
------------------------------------
811mlllllllll In
_.______.____CJlyJJL_110Jl__________
Bu.enne Emmet Pro 8e
...___..___.________t_______________
Attorney
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MARY KATHLEEN EMMET, a minor, by
SUZANNE EMMET and MICHAEL P.
EMMET, her parents and natural
guardians, and SUZANNE EMMET and
MICHAEL P. EMMET, in their own
right,
IN TilE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. (15- - 315'{ C~.u1 T~
Plaintiffs
v.
ROBERT E. GEORGE and MILLICENT
AMES-GEORGE,
Defendants
WAIVER OF SERVICE AND APPEARANCE
I accept service of the Writ of Summons on behalf of Defendants,
consenting to the jurisdiction of the court and waiving service of
process. I also hereby appear on behalf of defendants.
METZGER, WI & ERB
By
/R chard B. 0
I Attorney I. .
P.O. BOl< 93
Harrisburg, PA 1710a-0093
(717) 238-0187
Datel
I.)..
, 1995
JUH 13
8 51 ~H '95
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MARY KATHLEEN EMMET, a minor, by
SUZANNE EMMET and MICHAEL P.
EMMET, her parents and natural
guardians, and SUZANNE EMMET and
MICHAEL P. EMMET, in their own
right,
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
"-
OIl'll
It; "'"' n ,
NO. 9-r
,:1/.~ I
Plaintiffs
v.
ROBERT E. GEORGE and MILLICENT
AMES-GEORGE,
Defendants
AND NOW,
thi. ~
day of
1995, upon
Approval of Minor'S
consideration of the
Settlement, it is hereby ordered and decreed that:
1. Suzanne Emmet and Michael P. Emmet, parents of Mary
Kathleen Emmet, a minor child, are authorized to accept the
structured settlement in the total amount of Sixty-Three
Thousand, Eight Hundred Twenty-five Dollars ($63,825) from
defendants' insurance carrier in full and complete settlement of
any and all claims that the minor child or her parents may have
against defendant arising from the injuries received by Mary
Kathleen Emmet on December 29, 1993, and are authorized to
execute a general release of all claims arising from said
accident.
2. Pursuant to the structured settlement agreement, the
minor child is to receive a total of Forty Thousand Dollars
($40,000) paid in quarterly amounts of Twenty-five Hundred
Dollars ($2,500) for four (4) years, certain and guaranteed,
commencing September 30, 2010, and concluding June 30, 2014.
3. The minor child will also receive a guaranteed lump sum
payment of Twenty-three Thousand, Eight Hundred Twenty-five
Dollars ($23,825) to be paid on or about September 30, 2017.
BY THE COURT:
J.
,Iu; 9
:J j'. l U '95
oJU IHJ
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injured when Defendant Millicent Ames-George lost control of her
vehicle on the ice and the vehicle crossed into the path of the
Walker vehicle, striking the Walker vehicle,
5. Mary Kathleen Emmet suffered a fracture of her distal
right tibia. She was treated by John S. Rychok, M.D., of the
Harrisburg orthopedic Associates. currently, Mary Kathleen
Emmet's fracture has totally remodeled, and she has made a full
recovery. (~letter dated March 7, 1994, and of f ice notes
dated October 31, 1994, of Dr. Rychak attached hereto as Exhibit
"A".)
6. Petitioners have negotiated a structured settlement
with defendants' insurance carrier ae fol1oWSl
(a) Twenty-five Ilundred Dollars ($2,500) paid
quarterly for four (4) years, certain and guaranteed,
commencing upon the minor's 18th birthday, September 30,
2010, and concluding June 30, 2014; and,
(b) Twenty-three Thousand, Eight Hundred Twenty-five
Dollars guaranteed lump sum payment on September 30, 2017.
(~ structured settlement agreement attached hereto as Exhibit
"B". )
7. The petitioners aver that the settlement is in the best
interest of Mary Kathleen Emmet, and that the settlement
represents a full and fair settlement of the case, equal to or
greater than that which may be obtained should the matter be
fully litigated, in this case, where defendants would contest
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Exhibit B
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~,!,RUCTIlRE!LA~:rTL~!'!!l.N,!,AQRm!ENT
WIIEREFORE, TillS
AGREE AS FOLLOWS:
stJ.- CAY OF r
, 1995, Tm; PART! ES IIERETO
A. MARY K, EMMETt (hereinafter "Claimant") sholl receive periodic
payments as set forth in the Addendum No. I of the Qualified ASSignment,
Release and Pledge Agreement which is_.attached hereto, made 0 part hereof
and marked Exhibit "A".
B. Any periodic payments, designated as guaranteed in the Addendum No.
1 to be made after the death of Claiment pursuant to the terms of the
Assignment shall be made to such person os sholl be designated in the
Addendum No, 1. If no person is so deSignated, or if the person designated
is not living at the time of Claimant's death, such periodic payments shall
be made to the Estate of Claimant.
C. The Parties hereto acknowledge and agree that MOUNTAIN LAUREL
ASSURANCE COMPANY (hereinafter "Assignor") will make a "Qualified Assign-
ment" (hereinafter "Assignment") within the meaning or Sections 106 (a)(2)
and 130 (c) of the Internal Revenue Code or 19a6, as amended (hereinafter
"the Code") to the STRUCTURED SETTLEMENT TRUST (hereinefter "Assignee") of
its liability to make said periodic payments as damages on account of
personal injury or sickness in a case involving physicel injury or physical
sickness. Such Assignmer~ shall be accepted by Claimant without right of
rejection and shall completely release and discharge As~ignor from such
obligations hereunder as are assigned. Claimant recogni'zes that Assignee
shall be the obligor with respect to the obligations assigned, and that all
other releases with respect to the periodic payments obligation that per-
tain tD the liability of Assignor shall thereupon become rinol, irrevocable
and absolute,
04/95 (emmetlz)
Pege 1 of 2
, . - \
D, Claimant sholl Ill' 0 "Secllrl'd Port y" of L1w Assignee os defined III
the Qualified Asslunment, Helease and Pledge Allrl'ement execlltell between the
Assignor and Assignee to effect the asslgllment. The qualified funding asset
or assets purchased by the AssIgllee to rund the obligation essumed under the
qualiried assignment shall serve as collaterol ror the promise or the
Assignee to make such paymellts. Except ror the obligation to provide such
collateral, the obligation 01' the Ass!~nee to make such payments shall bo no
greater than the obligation of the Assignor to make such payments under this
Structured Settlement Agreement,
E, Claimant sholl be responsible ror maintaining the currency of her
proper mai Ii ng address and mortali ty information to the Assignor or its
Assignee,
IN WITNESS WHEREOF. and intellding to be legally bound. the undersigned
have executed this Structured Settlement Agreement the day and year afore-
said,
WITNESS:
,~
ary . Emmett. a minor. by
her parent and natural guardian,
~UUlnn:f..J::O'\m.e.t
IPlme print nr type name.)
MOUNTAIN LAUREL ASSURANCE COMPANY
BYI_~{J~
Titlel_JA...~~~
04/95(emmettz)
Page 2 of 2
. '
Qualified Assignment, Release and Pledge Agreement
Names
Trust File Numbers
Hary K. Emmetl
98-830-465
"Clalmant.Secured
Party or Parties":
UAsslgnoru: Houatoin Laurel Assurance Company
UAsslgnee-Oebtoru: Structured Settlement Trust
"Effective Dateu:
ThIs OIIallfled AIslgMIent. Release and Pledge Agreement (the 'Agreemenl") ts made and entel8d Into
by and belwllen thGpartles hereto as 01 the Effectlw Date wlth relerenoe to the foUowlng faol8:
A. The Assignor Is required to make certain Periodic PaymenlB to or lor the benellt 01 the
Clalmant-8ecured Party as stated In Addendum No.1 (the 'Periodic Payments'), pureuanl to a:
IJ settlement agreement or release dated
IJ court order or Judgmenl dated
.19_.
_19_.
SUch document IhaII be relened to herein as the 'Settlement AgreemenL' The Periodic
Payments OllI1Illlute damages on aooount 01 pereonalll1lulY or BIcknea8 In a cue InvoMng
physical InjUIY or phylllcallloknesl within the meaning 01 Sections 10.4(1)(2) and 130(0) 01 the
Internal Revenue Code 011936. al amended (the 'Code'),
B. The parties desire to effect e 'qualilled assignment' within the meaning and subjeotto the
conditions 01 Section 130(c) 01 the Code.
C. The Assignor desires to assign to the ABalgnes-Debtor the Asslgno~8 liability 10 make the Periodic
Paymente and the Assignee-Debtor desires to aocept such assignment.
D. The Assignee-Debtor desires to make the Clslmant.Secured Party a secured credllor with respect
to the Asslgnee.Debto~s obllgeUon to make the Periodic Payments,
QAR&PA-Page 1
712/93
NOW, TIlEREFORE, In considoration 01 tho f%going and othor good and voluoblo considoro\lon, tho
pMios ogloo os lollows:
I, Tho Assignor horeby osslgns ond Iho Asslgnoo-Debtor hereby ossumos 011 0' the ^ssigno~s
liability to mako tho Poriodlc Payments. Tho Asslgnoo.Dobtor assumas no liability 10 mako any
paymont not spoclfled In Addondum No.1, Tho Clalrnont.Becured Party horoby accepls Iho
Asslgnoo-Dobto~s assumption ollho Assignor's liability to mako tho Poriodlc Paymonts and
theroloro roloasos the Assignor '10m all such lIabllily.
2, The Asslgnoe.Deblo~s liability to mako tha Pariodlc Paymonts Is no grootor than thet 01 the
Assignor Immedlotoly procodlng this Agreomont. Nono of Iho Poriodlc Payments may bo
accalerated, deferred, Increased or decroased, nor may any of thom bo anticipated, sold, assigned
or encumborod. . ,
3, The obligation assumed by Assignee-Debtor wilh raspoct to any required Periodlo Payment shall
be discharged upon the mailing, on o. before the due dato of such Periodio Payment, of 0 valid
chock In the amount of such Periodlo Payment, to (a) the addross of the Clalmant.socurud Party
os setlorth In Addendum No.1 of this Agreemenl or as designated from tlme to tlma by the
Clalment-8eourud Party In a written notloe to the Assignee-Debtor. provlded, however, that II a
Payee Is spec/fied on Addendum No, 1, such check shall be sent to the address of such Payee as
set forth on Addendum No, 1 or as designated lrom time to time by such Payee 10 0 wrillen notice
to the Asslgnee-Debtor, or (b) 10 any SUC08ssor, assign or substnute payee 88 may be designated
by a court 01 competent jurisdiction,
4, Aller the death 01 Che Clalmonl-secunKl Party, any mmalnlng Periodic Paymenla shall be made as
scheduled 10 the Beneficiary dallgl1lled In Addendum No, 1, or 88 later designated In wrttIng by
Ihe Clalmant-8eoured Party. A change mOlt be aooeptable to Asalgnee-Oeblor, and Ia .ubject Co
any paymenl made or action taken by Asslgnee.lJebtor prior to aooeptanoe. If Ihem Is no
Beneflclary named or living, the mmalnlng Periodic Payments will be pald Co the Clalmant-8ecured
Party'1 estate.
6. The Asslgnee.oebto~1 liability 10 make the Periodic Payments shall oontlnue without diminution
mgardless of any bankruptcy or Insolvency 01 the Assignor_
6. The Assignee-Debtor hereby pledgel and granla a oontlnulng and per1ected security Intemll In all
01 the Asslgnee-Oebto~1 I1ght, tltle and Interest In the property lilted In Addendum No.2, whether
now owned or herealler eoqulnKl (such property, together with the prooeede thereof, axcept 88
otherwlse provtded In Section 6 hereof, hereinafter mletred to al the "Collate"'") to the Claimant.
Seoumd Party In order to locum the obligation 01 the Assignee-Debtor to make the Parlodlc
Payments; provided, however, the CIalment.Socumd Party'1 rights In the Collateml am lubject to
the tenne 01 SectIon 1001 this Agreement. The Assignee-Debtor shell notify Harris Trull and
Savings Bank, 111 W. Monroe, Chicago, IL 60690, the Asslgnee-oebto~s "flnanclal Intennedlary"
(os that term Is dellned In the Unlfonn Commerolal Code as In elleol In Illinois) with respoct to the
Collateral, ollhe socurity Interest granled to Clalmant.Securud Party hereunder. Should any
suooossor "flnsoclallntermedlary" be named. the Assignee-Debtor shall be responsible for notifying
the Claimant-Secured Party. The property IIstod on Addendum No, 2 may be aoqulred aher the
Elfoctlve Date,
7, For purposes of thla Agroemont, 'Evenl 01 Defaull' moans tho failure to make any Periodlo
Payment whon duo and the oontlnuence of such lallure lor 30 days oller wrillen notice via certllled
msll 01 suoh lellure to the Asslgnoo,Dobto.lrom Ihe Clalmant.Booured Party,
QAA&PA-Poge :1
712193
I.,
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O. So long os no L:vont 01 Ooloull shell hove occurrod ond bo conlinuing, 011 rights 01 ownorshlp and
control with rospoctto tho Coltotornl shall bo and romoln vostod Inlho Asslgnoo.Dobtor, who sholl
rotoln tho right to o~orclso olt powers of ownorshlp portolnlng to tho Collotnrol for 011 purposes nol
Inconslstont wllh Iho lonns of Ihls Agroemonl, end tho Asslgneo.Debtor sholl bo onlltiod 10 rocolvo
and roteln 011 poymonls ond procoods with rospoctto tho Collalornl,
0, In Iho oventlhat on Event of Dofoull shall hove occurred and 00 conllnulng, tho Cloimont-Socured
Party shall havo 011 of tho rights ond remodlos wllh rospectto the Collatorsl of a socursd poriy
undor tho Unlfonn Commorclol Codo as In offoct In illinois (regardless 01 whother tho Unllonn
Commorclal Code Is In elloct In the jurisdiction In which tho righls end remodlos are ossertod).
10, Tho Claimant-Secured Party acknowlodges: .
(0) that Asslgnee.Debtor may have gmntod, and may In Ihe futuro grant, oddillonal socurity
Interests In any of the Collatomlto persons other than Clalmant-Secumd Party pursuant to
decuments substantially similar to this Agreoment, and
(b) that, regardless of the time of etlachment or perfoc\ion of the security Interest in the Collateral
gmnted hereundor end the time 01 allochment or perfection of any security Interest In any of
the Collatoml granted to any other person, the socurity Intorest granted hereunder.
(I) will hove no prfority over any othor security Interest gmnted or to be gmnted In any of
the Collatoral, and
(II) will rank equally wllh, and will be Darf oassu Wllh, 011 other security Interasla gmnted or
to be gmnted In any 01 the Collateral,
The Asslgnee-Debtor repmsenla and covenants that the tolol amount of the present value 01 the
Collateral Is not and will not be at any time less thai the present value oflhe aggregate amount 01
the Asslgnee-Debto~8 lIabllllles that are secured by liens on the Collateral.
11, The AssignetH>eblor represenls that the Collateral consists of 'qualified funding 8S8els' In Ihe
fonn of obIigatlons of the Unlled 61ste3, wtIhIn the meaning of 8ectIon 'SO(d) ollhe Code.
,2. The Asslgnee-Delllor may hove payments wlth respoc\ to the Collateral senl directly to Ihe
Clalmant-secured Party or to any payee designated In aocordanoe wlth Seotion 4 hereof. Such
direotlon 01 payments Ihall be IOlely for the Asslgnee.l)ebto~s convenlenoe and shall not provtde
the Clalmant-secured Party or any peyee wlth any rights 01 ownership or oontrol over the
Collateral In addlllon to those lOt forth herein,
13, The Asslgnee..oebtor makes no represenlolion8 with respect to the tax consequences of this
Agreement.
, 4. In Ihe event the Settlement Agreement Is declared terminated by e court of competent jurisdiction
or In the event that Section 130(0) of the Code has not been satisfied,
(a) the Asslgnee-Cebtor shall then pay to the Assignor the present valua (as reasonably
detennlned by the Asslgnee-Cebto.) of the 'Periodic Payments' listed on Addendum No.2"
(b) the Asslgnee-Debto~s liability for the Perfodlc Payments shalltennlnate,
(0) the Claimant-Secured Party's security Interest In the quallflod funding assels shelltennlnate,
and
(d) this Agreement shalltennlnato,
QAR&PA-Page 3
712/93
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MARY KATHLEEN EMMET, a minor,
by SUZANNE EMMET and MICHAEL P.
EMMET, her parents and natural
guardians, and SUZANNE EMMET
and MICHAEL P. EMMET, in their
own right,
IN TilE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiffs
NO. 95-3151 CIVIL TERM
v.
ROBERT E. GEORGE and MILLICENT
AMES-GEORGE,
Defendants
PRAECIPE TO SETTLE. DISCONTINUB, AND END
TO THE PROTHONOTARY:
Kindly mark the above matter settled, discontinued, and ended.
.Al/ti It /'-<' tnt-nut
SUza e Emmet
)
Date:
&1.1td .~u
, 1995
LAW OF'rlCEB
METZGER. WICKERSHAM, KNAUSS & ERB
MELLON BANK BUlLOING
III MAR~[t StREU
F\ O. Ball 93
HARRISBURG, PENNSYL.VANI.. 1710e'0093
SfP 12
3 12 PH '95
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