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HomeMy WebLinkAbout01-2498 FX 'c~~ "_~,._ William P. Douglas, Esq. Supreme Court LD. #37926 Douglas, Douglas & Douglas 27 W High St. Carlisk, PA 17013 Telephone (717) 243-1790 Deborah Martin, as parent of Holly N. Martin, a minor In the Court of Common Pleas of Cumberland County Pennsylvania Deborah L.Martin, individually Deborah L.Martin, Trustee Ad Litem, for all persons entitled to share in the recovery for the wrongful death of Galen Martin Petitioners 01 - d'j q ~ Civil Term vs Estate of Juergen H. Staudte and Great American Insurance Company Respondents Civil Action Law Settlement Approval Petition for Approval of Settlement in a death case involving a minor 1. Your Petitioner, Deborah L. Martin, is the parent of Holly N. Martin, a minor, with an address of 2718 Ritner Highway, West Pennsboro Township, Cumberland County, Pennsylvania. 2. The minor child, Holly N. Martin, was born on December 19, 1984. 3. Your Petitioner, Deborah L. Martin, is the widow of Galen Martin, deceased. 4. Your Petitioner, Lureye R. Martin, is the adult daughter of Galen M. Martin, deceased. 5. The Respondents are the Estate of Juergen H. Staudte and Great American Insurance Company. . '-""''''''''1 ,,' ;';-'-~",,-.- 6. Great American Insurance Company is a legal entity registered to do business within the Commonwealth of Pennsylvania. 7. On May 15, 1999, Galen Martin was killed in a private plane accident. At the time of his death he was married to Deborah L. Martin and had two children, Holly N. Martin and Lureye R. Martin. 8. There are no outstanding bills or creditors claims whose claims have not been paid. 9. The late Juergen Staudte was covered by a policy of insurance in the amount of $100,000.00. Said policy was issued by the Great American Insurance Company. 10. On the aforesaid date Juergen Staudte and Galen Martin were traveling in a private plane that was being piloted by Mr. Staudte. The plane went down in Tucumcari, New Mexico and both occupants were killed instantly. 11. Great American Insurance Company has agreed to pay the full policy amount of $100,000.00 for the wrongful death of Galen Martin. 12. The Petitioners have entered into a contingent fee agreement with counsel for the payment of a 33 1/3% contingent fee in the event of a recovery on their behalf. Counsel requests that said fee be reduced to 25% of said recovery for all money allocated to the children of Galen Martin. 13. At the request of the Petitioner, it is requested that $65,000 be allocated to Deborah Martin for the wrongful death of her husband pursuant to 42 Pa.C.S.A. S 8301. 14. It is requested that $17,500.00 be allocated to Deborah Martin as parent of Holly Martin, a minor, for the wrongful death of her father pursuant to 42 Pa.C.S.A. S 8301. 15. It is requested that $17,500.00 be allocated to Lureye Martin for the wrongful death of her father pursuant to 42 Pa.C.S.A. S 8301. 16. Your petitioners request the Court direct that Thirteen Thousand One Hundred Twenty Five Dollars ($13,125.00) be placed in a Federally Insured savings account or certificate of deposit, to be marked, "Not to be withdrawn until age 18 or further Order of a Court", in the name of Holly N. Martin. 17. Your Petitioners request the Court direct that Thirteen Thousand One Hundred Twenty Five Dollars ($13,125.00) be distributed to Lureye Martin. < -'-, ,. _'__O.l'''n,<, -, ~, ;f;"...,.",-", 18. Your Petitioners request the Court direct that Forty Three Thousand Three Hundred Thirty Four Dollars ($43,334.00) be distributed to Deborah L. Martin, individually. 19. Your Petitioners request the Court direct that $30,416.67 be paid to Douglas, Douglas & Douglas in attorney fees. 20. Your Petitioners further request 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. c.', ~ '.- , "'~'~'l' IjtI'j "-~ Willillm P. Douglas, Esq. Supreme Court rD. #37926 Douglas, Douglas & Douglas 27 W. High St. Carlisle, PA 17013 Telephone (717) 243-1790 Deborah Martin, as parent of Holly N. Martin, a minor In the Court of Common Pleas of Cumberland County Pennsylvania Deborah L.Martin, individually Deborah L.Martin, Trustee Ad Litem, for all persons entitled to share in the recovery for the wrongful death of Galen Martin Petitioners 01- Civil Term vs Estate of Juergen H. Staudte and Great American Insurance Company Respondents Civil Action Law Settlement Approval 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. 94904 relating to unsworn falsification to authorities. ~~. \'\o..i0:1;", Deborah L. Martin Date: April 27, 2001 .~ > " , , ~ ,~. . r Debo.rah.Marful;..as.parent""o{Hoily..'f,C..........ii1nthe..Court""ofCommon..pleas..o{.......j Martin, a minor Cumberland County i Pennsylvania I..". Deborah L.Martin, individually . Deborah L.Martin, Trustee Ad Litem,. for all persons entitled to share in thei recovery for the wrongful death ofi Galen Martin i w Petiti~rn I Estate of Juergen H. Staudte and Great \ American Insurance Company i Respondents i Civil Action Law L......mmm..............nm................nnm.................nnm.......................Ln.n....................?~!!~.~~~.l;~L~p.p.:r.?y..~!.......................... 01- ~q1l Civil Term ORDER AND NOW, to wit this the 27th day of April, 2001, it is hereby order that the settlement in the amount of One Hundred Thousand Dollars ($100,000.00) for the wrongful death of Galen Martin, pursuant to 42 Pa.C.S.A. S 8301, is approved. The proceeds are to be divided as follows; Deborah L. Martin, individually Lureye R. Martin $43,334.00 $13,125.00 $13,125.00 Deborah L. Martin, as parent of Holly N. Martin, a minor Douglas, Douglas & Douglas $30,416.67 The proceeds of the settlement for the minor child are to be deposited in a federally insured savings account and! or certificate of deposit, marked "Not to be withdrawn until age 18 or further Order of a Court". All sums set forth above constitute damages on account of personal injuries, arising from the occurrence, within the meaning of S 104(a)(2) of the Internal Revenue Code of 1986, as amended. .... 1'\ , .. . ..~ ~~O"~ ~ !'<:"'lP-~w~ ' .-.-,..1!'lIIlI\I' ....,J., _ ~!!IlI.Ji!_~ _ lLi,lij<I""..,.,,~." , l'\!;~ ". , .{LNn~~~~f!t~~:Jd SUo . '<J8f'\'(l'l .~ !,Id 'IV ;{ffl:10f\':'< Ie iJdV 10 ]:j)};c/:':.i},D :1 :/0 ,,'.> ,~ '" ~''''''~_''''""""_,,_,,,_,',,t,,_ -"etl'fllW'f;r~iiBf(;'r;~.rtrJ'"'-'."""!!fl '-!l!~~ , ,,"~!ll'ffiN. .,.-.",."..,~~'F'~F"""""'r"'fW~-n""'5:~"p"'~"'ri!"!~~$!fl~<7'Jl~W"~iI!I!?~Im~I\l!JIl~ fr~ ~ " . 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. /f J16SJ' J. ~~t:. ,,~ ~,C:.0: ~. 1"-:L 1-0r ~ ,-,,,,, . William P. Douglas, Esq. Supreme Court J.D. #37926 Douglas, Douglas & Douglas 27 W. High St. Carlisle, PA 17013 Telephone (717) 243-1790 ''f>ebo'raIl'Martiii';''as'pareilt''of"HoHy'''N:T........til''the''Court''oH:ommon.Pleas..orn....1 Martin, a minor Cumberland County ! Pennsylvania I"~ Deborah L.Martin, individually ! Deborah L.Martin, Trustee Ad Litem,. : for all persons entitled to share in the: ! recovery for the wrongful death of: Galen Martin i w p,titio~" I : Estate of Juergen H. Staudte and Great : American Insurance Company ! Respondents Civil Action Law L....................nnnnnnn.n..........................................................................nn...n..nn.n...?IC.!:!:~.~~.~.~!.Ap.P.!.2Y..~~.......................... 01- .2 'I qf Civil Term ORDER AND NOW, to wit this the _ day of , 2001 a hearing is scheduled for _ day of , 2001, at o'clock, _.M., in Court Room Number , of the Cumberland County Court House. By the Court, J. '''';''"''''''",,"''''~-~ n I,., "'_" , "- ~ r ". William P. Douglas, Esq. Supreme Court I.D. #37926 Douglas, Douglas & Douglas 27 W. High St. Carlisle, PA 17013 Telephone (717) 243-1790 "Deborah.Marthl;UasuparentUof'Holly:ui,c.m.muIi1'theuCourt"o{Common'i5feas'ocmm. Martin, a minor Cumberland County Pennsylvania Deborah L.Martin, individually Deborah L.Martin, Trustee Ad Litem,. for all persons entitled to share in the! recovery for the wrongful death of: Galen Martin i w P"'ti~" I Estate of Juergen H. Staudte and Great j American Insurance Company ! Respondents! Civil Action Law ....................uummu...u................................mum...........................ul..mm..................?c::~~~.~~~~~.ApPE~Y..?!u...................uu Ol-;l.tJG)i' Civil Term Praecipe to Issue a Writ of Summons Dear Mr. Long: Please issue a writ of summons in the above captioned matter. William P. Douglas, q. Attorney for Petition s April 27, 2001 · 1 · '.'B'iW~'~."~, ... " ~,~~" I' I" , . . . , Commonwealth of Pennsylvania County of Cumberland .DeborahL:'Maitin;"as.parent..oTHollyT.'......'tn.iIi:e'.CoUiforcommon.Pleasor......... N. Martin, a minor i Cumberland County I Pennsylvania Deborah 1. Martin, individually I Deborah 1. Martin, Trustee Ad Litem, i for all persons entitled to share in the! i recovery for the wrongful death of i I Galen Martin i Petitioners 01- ... 'I q cf Civil Term vs i Estate of Juergen H. Staudte and Great i ! American Insurance Company , ! Respondents i Civil Action Law , ,................................""...m.'......................"."""""..."."""".,.",.""""""...!...............,....................?~!!1.~~~~!..ApPE?Y~:!............,.........,..........! Writ of Summons To: Estate of Juergen H. Staudte and Great American Insurance Company do Jack Denny Great American Insurance Companies Aviation Division 4849 Greenville Avenue Dallas, Texas 75206 You are hereby notified that Deborah 1. Martin, individually and Deborah 1. Martin as parent of Holly N. Martin, a minor and as Trustee Ad Litem, for all persons entitled to share in the recovery for the wrongful death of Galen Martin. April 27, 2001 (l Pr A I (] )n.df,~ Deputy Prothonotary "}F",""",~r'''''', "~_ 1'1 ~ William P. Douglas, Esq. Supreme Court ID. #37926 Douglas, Douglas & Douglas 27 W. High St. Carlisle, PA 17013 Telephone (717) 243-1790 "Debo'rah'Marfui:;"as'parent"orHoHy"N~T""""ill"fue"Court"orcommon..Pleas..or.......] Martin, a minor : Cumberland County : I"~"~. Pennsywanrn I"~"~. Deborah L.Martin, individually Deborah L.Martin, Trustee Ad Litem': i for all persons entitled to share in the: recovery for the wrongful death of: Galen Martin ! Petitioners! 01- :J4qt Civil Term vs Estate of Juergen H. Staudte and Great American Insurance Company Respondents Civil Action Law i ....n...nnn...nnnmnnnmnnnnn...n......nn...nnnnn....................................................nnnn?!::!!~~~.~.~!..App.r.~y..~!...................nn..J Praecipe to Mark Docket Settled and Discontinued Dear Mr. Long: Please mark the above captioned matter settled and discontinued. - Q. . date: June 8, 2001 William P. Dougla Attorney for Petiti · 1 . :""'f!!!"~,- ~- 'c.." ,"^..,""" ~"":'" ' '-', -.," "" _ I"ln"'f~,'" ,,~ ~, II " ,I r' i-~ ~ ~ ","' .. ~~"O - ""..,......~ ~ ~. _,~ 0-". - U_'~~_~ . , _"< _ ,,~' ";0'_"_"'" '-"" '"'''''''',.l'~''''.''' ,__..."'~,,;i>" "~-.~,,_-..,,,,<o '~"-~'x,";r',",,",''-' ~ ~~. ,.,_ _,.".,..' ""' (') 0 C) C -.,"! 50 f_ -or;; c:: r'Tln".' --,"" T; z-' ~"'-- Z ,. .; i~~l ~ 'i-,o C~) -;'.....' "':,. ;. (~) ,~ r:::C} '-, <.~ ::::,,-~ " ?C) .'~r C2f;:i z .. ~. --0 6 om )>c z Ul ::;! :< ~ -< <" =~~ "~,~mr,~;I ~~"!~F,','!;'~';;:1,j'j~""~@lW'1W;P'~T4"""W;'J~'l';i'J~p.:;/l~~lm~1'1t!!.:,".1I'II!~~1'~ ,