HomeMy WebLinkAbout04-30-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s)named below,who is/are 18 years of age or older,apply(ies)for Letters as specified below, and in support thereof aver(s)the
following and respectfully requests the grant of Letters in the appropriate form:
Gary L Mozingo Sr
Decedent's Information rJ
Name: Victoria J MOZINGO File No: 21 `^'CILI
a/k/a: Vickie Mozingo (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 04/12/2013 Age at Death: 64
Decedent was domiciled at death in Cumberland County, PA (state)with his/her last
principal residence at 309 West Creek Road,Newburg 17240 Hopewell Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 309 V,ec�5 ( _- Asa �� rSG�,� �zG. PA. �'Al
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania...................... All personal property $ 10.000.00
If not domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvani a.................................................................... $
TOTAL ESTIMATED VALUE $ 10,000.00
Real estate in Pennsylvania situated at
(Attach additional sheets,if necessary.)
Street address,Post Office and Zip Code City,Township or Borough County
n _' :.
❑ A. Petition for Probate and Grant of Letters Testamentary C C> ``' FT 11
Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated ::" `^ _L-')"no e.
Codicil(s)
thereto dated M C,
State relevant circumstances(e.g.,renunciation,death of executor,etc.)
C'
Except as follows:after the execution of the instrument(s)offered for probate, Decedent did not marry,was-f�pt,�iv4d,vu not aVa o to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§33230,and did not have a'dildloorn or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ::0 r J r l
❑NO EXCEPTIONS ❑ EXCEPTIONS
v
❑X B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.nc.t.a.,pedente lite,durante absentia.durante minoritate
If Administration,c.t.a or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
Except as follows:Decedent was not a party to pending divorce proceeding herein the grounds for divorce had been established as defined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
❑
X NO EXCEPTIONS ❑ EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
Name Relationship Address
Shelly V PORTER Daughter 95 Independence Dr
Shippensburn,PA 17257
Gary L MOZINGO,Jr. Son 50 Sergeantsville Rd
Flemington,NJ 08822
Gary L MOZINGO Sr Husband 309 W Creek Rd
Newburg,PA 17240
Form RW-O2 rev.10-11-2011 Copyright(c)2011 form software only The Lackner Group,Inc. Page 1 of 2 p\
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Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
RE rlf-�)=ICE 0
COUNTY OF Cumberland } (`) ' ' . OF li ILL S
Petitioner(s)Printed Name Petitioner(s)Printed Address
Gary L Mozingo Sr 309 W Creek Rd '
Newburg, PA 17240
CLERK O;y
OR "HAMS' COURT
CUMBERLAND CO., PA
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and
belief of Petitioner(s)and that,as Personal Representative(s)of the ecedent,P itioner(s)will well and truI administer the estate according to law.
Sworn to or affirmed and subscribed before ' -^`� -� Data
me t i 3o day Of. %���- Z°13 Date
., r
By:t Date
or the Register Date
BOND Required? ❑ YES [�rNO To the Register of Wills:
FEES: _
Please enter my appearance by my signature below:
Letters.......................................... $ Ld Attorney Signature:
(,5 )Short Certificate(s)......... G 5
( Z )Renunciation(s)..............
( )Codicil(s)................ .......
( )Affidavit(s).............. ....... Printed Name: Forest N Myers
Bond............................................. Supreme Court
Commission..................... ............ ID Number: 18064
Other
Firm Name: Law Office Forest N Myers
Address: 137 Park Place West
Shippensburg,PA 17257
Phone: 717/532-9046
Automation Fee................... ........ h
Fax:
JCSFee...............................
.......
TOTAL........ ........................ ....... $ ` , C50 E-mail: fnmyers @lawofficeforestmyers.com
DECREE OF THE REGISTER
Date of Death: 04/1212013
Social Security No:
Estate of Victoria J MOZINGO File No: 21 -
a/k/a: Vickie Mozingo
AND NOW, f 1 t�j 1 ` �1(\ 'CiL _ , in consideration of the foregoing Petition,
satisfactory proof having ileen presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Gary L Mozingo Sr
in the above estate and(if applicable)that the instrument(s)dated
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
Y�
Register of Wills ? 4
off"
Copyright(c)2011 form software only The Lackner Group,Inc. � � !Pa 2 of 2
RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Victoria J MOZINGO , Deceased
1, Shelly V PORTER in my capacity/relationship as
nn ame
Daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Gary L. MOZINGO, Sr.
x,013 ?!
(Date) (Signatur Shtt V PORTER
(y_
Cl-
,l.
LU _—j cv rL 95 Independence Dr
- ,,' � r✓ (Street Address)
r. U) Shippensburg, PA 17257
__j (City,State,ZIP)
tf CL_ CC]
LU
U.1
cc V
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
that he or she executed the re �,.��tion for the
Of purp ses stat d within on th. ay
0
Deputy for Register of Wills No ry, P I _C014—MO EH OF PENNSYLVANIA
M m s on E pire$ Notarial Seal
re9ory L.Apeman,Notary Public
(Signature and seal of Notary o other d1h"e*WiifPiil Curn and County
administer oaths. Show date o expire dy 3,2016
MEMBER PENNSYLVANIA ASSOCIATION OF NOTARIES
Form RW-06 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc.
RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Victoria J MOZINGO , Deceased
1, Gary L MOZINGO,Jr. in my capacity/relationship as
nn ame
Son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Gary L. MOZINGO, Sr.
w
(Date)
(Signature Gary L M
r.
1 50 Sergeantsville Rd
CD H (Street Address)
LL.I _ 3 rr-
ca � � Flemington, NJ 08822
(City,State,Zip)
� Q-1 m
Executed ReWster's`64we Executed out of Register's Office
Sworn tdir a irnetl and subsibed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
that he or she executed the renuncin for the
Of purp9pes stated within on
of
7
Deputy for Register of Wills No Pu OOMMONWEALTH OF PENNSYLVANIA M m xpir s: Notarial Seal
(Signature and seal of Not a or of ��e� n,Notary Public
administer oaths. Show da of ex i a County
mmhsion res May 3,2016
MEMBER PENNSYLVANIA ASSOCIATTON OF NOTARIES
Form RW-06 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc.