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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\ J\ 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.