Petition For Leave To Settle Or Compromise Minors Action Page 6
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94‐14‐16
FIRST JUDICIAL DISTRICT OF PENNSYLVANIA
COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY
Trial Division - Civil
:
TERM, 20
:
:
:
No.
ORDER APPROVING SETTLEMENT
AND
ORDER FOR DISTRIBUTION
AND NOW, this
day of
, 20 , upon consideration of the Petition For
Leave to Compromise A Minor's Action, filed ___________________ , it is hereby ORDERED and
DECREED that Petitioner is authorized to enter into a settlement with Defendant(s)
_____________ ________________________________________________________ in the gross
sum of _______ ____________________________ ($
) Dollars. Defendant(s) shall
forward all settlement drafts or checks to Petitioners' counsel for proper distribution.
IT IS FURTHER ORDERED and DECREED that the settlement proceeds be allocated as
follows:
1.
To: Minor Plaintiff(s)
NAME
DOB
SS #
___________________
______________
_____________
$_____________
___________________
______________
_____________
$_____________
2.
To: Adult Plaintiff(s)
_____________________________________
$_____________
_____________________________________
$_____________
IT IS FURTHER ORDERED and DECREED that the settlement proceeds be distributed as
follows:
6
1.
Minor Plaintiff
NAME
DOB
SS #
___________________
______________
_____________
$_____________
6
The share of each minor Plaintiff shall be separately distributed.
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