HomeMy WebLinkAbout01-2498 William P. Douglas, Esq.
Supreme Court l. D. //37926
Douglas, Dou$ias & Douglas
27 W. High St.
Carlisle, PA 17013
Telephone (717) 243-1790
Deborah Martin, as parent of Holly N. In the Court of Common Pleas of
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
Petitioners 01 - 9 '~ 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.
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. § 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. § 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. § 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.
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 $30,416.67 be paid to
Douglas, Douglas & Douglas in attorney fees.
20. Your Petitioners further request that the Court direct that the Federally
Insured Bank or Savings Institution be permitted to pay federal and state
income tax on the income earned on behalf of the minor in the said
account/accounts.
WHEREFORE, your Petitioners pray that the settlements be approved.
William P. Douglas, E~.
Supreme Court LD. #37926
Douglas, Douglas & Dou$ias
27 W. High St.
Carlisle, PA 17013
Telephone(717) 243.1790
Deborah Martin, as parent of Holly N. In the Court of Common Pleas of
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
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. §4904 relating to unsworn
falsification to authorities.
Deborah L. Martin
Date: April 27, 2001
i Cumberland County
Martin, a minor
! Pennsylvania
Deborah L.Martin, individually
Deborah L.Martin, Trustee Ad Litem
for all persons entitled to share in the'
recovery for the wrongful death
Galen Martin
Petitioners 01 - ~ Civil Term
VS
Estate of Juergen H. Staudte and Great
American Insurance Company
Respondents Civil Action Law
Settlement Al?.£roval
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. § 8301, is approved.
The proceeds are to be divided as follows;
Deborah L. Martin, individually $0,334.00
Lureye R. Martin $13,125.00
Deborah L. Martin, as parent of Holly $13,125.00
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 § 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 Curt,
William P. Douglas, Esq.
Supreme Court I.D. #37926
Douglas, Douglas & Douglas
27 W. High St.
Carlisle, PA 17013
Telephone (717) 243-1790
["i~B~'~'"~rtin, as parent of Holly N. i In the Court of Common Pleas of
· i Cumberland County
i Martin, a minor [ Pennsylvania
] Deborah L.Martin, individually
i Deborah L.Martin, Trustee Ad Litem,i
for all persons entitled to share in the!
i recovery for the wrongful death
Galen Martin
Petitioners 01 - :/~ q ~ Civil Term
VS
Estate of Juergen H. Staudte and Great
American Insurance Company
Respondentsi Civil Action Law
Settlement A royal
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,
Martin, a minor Cumberland County
Pennsylvania
Deborah L.Martin, individually
Deborah l..Martin, Trustee Ad Litem,,
fnr all persons entitled to share in thei
~recoverv for the wrongful death off
Galen Martin
Petitioners 01 - -, '~ '~ ~ Civil Term
Estate of Juergen H. Staudte and Great
American Insurance Company
Respondentsi Civil Action l.aw
Settlement Approval
Praecipe to Issue a Writ of Summons
Dear Mr. Long:
Please issue a writ of summons in the above captioned matter.
William P. D~g~s,'~q.
Attorney for Petition~
April 27, 2001
Commonwealth of Pennsylvania
County of Cumberland
[-~ii'"J]'i'"~'~'"~bnt of H6ii~" In the Court of Common Pleas of
Cumberland County
iN. Martin, a mmor
Pennsylvania
i Deborah L. Martin, individually
~rah L. Martin, Trustee Ad Litem, !
for all persons entitled to share in the
recovery for the wrongful death of
Galen Martin
Petitioners 01 - .2 ¥ ~ a~ Civil Term
vs
Estate of Juergen H. Staudte and Great
American Insurance Company
Respondents Civil Action Law
Settlement Avvroval
Writ of Summons
To: Estate of Juergen H. Staudte and Great American Insurance Company
c/o Jack Denny
Great American Insurance Companies
Aviation Division
4849 Greenville Avenue
Dallas, Texas 75206
You are hereby notified that Deborah L. Martin,
individually
and
Deborah L. 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 (~_~,,t~ /? ~a~,l,~ _
~ ~ Deputy Prothonotary
Iqilliam P. Dour?las, Esq.
Supreme Court I.D. #37926
Douglas, Douglas & Douglas
27 lq. Hi,~;h St.
Carlisle, PA 17013
Telephone (717) 24.2-1790
{.iS~i;~.-~-;¥{~7~;-~;~?'3?-Ft~;i~;-'iq7i ......... ii~"~6'~;~';'~'~'~'~E'i~' ~'~4'gi~'&' .......
Martin, a minor i Cumberland County
Deborah L.Martin, individually } Pennsylvania
Deborah L.Martin, Trustee Ad Litem,}
for all persons entitled to share in thei
recovery for the wrongful death ofi
Galen Martin
Petitionersl 01- ~qq~ Civil Term
VS
Estate of Juergen H. Staudte and Great
American Insurance Company
Respondents Civil Action Law
Settlement A roval
Praecipe to Mark Docket Settled and Discontinued
Dear Mr. Long:
Please mark the above captioned matter settled and discontinued.
date: June 8, 2001
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