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  • In the matter of: Walker, Raffie Antonio Voluntary Statement document preview
  • In the matter of: Walker, Raffie Antonio Voluntary Statement document preview
  • In the matter of: Walker, Raffie Antonio Voluntary Statement document preview
  • In the matter of: Walker, Raffie Antonio Voluntary Statement document preview
  • In the matter of: Walker, Raffie Antonio Voluntary Statement document preview
  • In the matter of: Walker, Raffie Antonio Voluntary Statement document preview
  • In the matter of: Walker, Raffie Antonio Voluntary Statement document preview
  • In the matter of: Walker, Raffie Antonio Voluntary Statement document preview
						
                                

Preview

Commonwealth of Massachusetts VOLUNTARY ADMINISTRATION Docket No. The Trial Court STATEMENT Probate and Family Court PURSUANT TOG. L. c. 190B, § 3-1201 QA¥PO3ZEI Estate of: Hampden Division Raffie Antonio Walker First Name Middle Name Last Name saly Date of Death: - je 28, 2020 $a + ale The Petitioner(s) (hereafter “Petitioner"), an interested person, makes the following statements: 3 Information about the Decedent: Name: Raffie Antonio Walker First Name Middle Name Tast Name Also known as: Raffie Walker lame Domicile at death: 414 Shestnut Street 923 Springfield MA 01104 “Apt, Unit, No. ete y ity/Town) Zipy » Information about the Petitioner: Name: Raffie Walker , Jf First Name Tast Name 132 Collins Street 106 Hartford cT 06105 (Apt, Unit, No. etc.) (City/Towny (State) (Zip) Mailing Address, if different: Primary Phone #: 475-321-7493 The Petitioner's interest in the estate is as follows (e.g., Personal Representative named in a will, surviving spouse, heir, devisee, etc. See G. L. c. 190B, §§ 3-1201, 1-201(24)): Heir (Son) At least 30 days have elapsed since the death of Decedent. A death certificate issued by a public officer is in the possession of the court or accompanies this statement. [X] The Petitioner is unaware of any unrevoked will relating to property in Massachusetts. OR C1 The original will and codicil(s) are in the possession of the court or accompanies this statement. The Petitioner is unaware of any instrument revoking the will and believes that the will filed with this court is the decedent's last will. [X] Copies of this statement and the death certificate have been sent by certified mail to the Division of Medical Assistance, Estate Recovery Unit, P.O. Box 15205, Worcester, MA 01615-0205. 7. The probate estate consists entirely of personal property and the total value of all personal property owned by the Decedent and subject to disposition by will or intestate succession at the time of the Decedent's death does not exceed $25,000.00, exclusive of one motor vehicle. / qavilit MDC 1720 (AI1B/48\ naan Docket No. Estate of: Raffie First Name Antonio Middle Name Walker Last Name BYP 0324 8. A-schedule of every asset of the probate estate and the estimated value of each is as follows: Description of Property Estimated Value Motor vehicle make, model, VIN: No vehicle. nla Bank of America Accounts (Adv. Plus Banking) $794.50 Total:| $794.50 9. The following are the names and addresses of all persons who, with the deceased, were joint owners of property. Also listed are the names and addresses of those who would take in the case of intestacy and the names and addresses of those persons and/or charities who would take as devisees under the provisions of any will. Name Address Interest 132 Collins St- Apt. low | Heir ain RolCie D. Walkers Nermpptioatic Hot Cody 1, Ol 0S” CO Devisee CJ Joint Owner 10. No petition is pending or has been granted in any jurisdiction. The undersigned understands that I/we are answerable and accountable to any subsequently appointed Personal Representative of the estate or any other person having a superior right to the estate. 11 The undersigned will act as a Voluntary Personal Representative of the probate estate of the deceased and will administer the same according to law, and apply assets of the probate estate to those persons entitled as creditors, heirs, devisees under any will, and otherwise in accordance with G. L. c. 190B, § 3-1201. SIGNED UNDER THE PENALTIES OF PERJURY | certify under the penalties of perjury that the foregoing statements are true to the best of my knowledge and belief. Date: 9-99-34 C. Dl alo Petitioner Information on Attorney for Petitioner, if any Signature of Attorney Print nae) (Address) Apt, Unit, No. etc.) TCityTowny (Statey Zip) Primary Phone #: B.B.O. # Email: RADA 470 SAAB IAG nana ° a“ 2 Docket No. Estate of: Antonio Walker First Name Middle Name Tast Name (Do Not Write Below This Line-For Court Use Only) uy us CERTIFICATION As Register of Probate having the care and custody of the records pertaining to this court, | certify that the preceding document is a true, exact, complete and unaltered copy of the Statement of Voluntary Administration filed with this court. Date: Register of Probate MDC 170 (AIM 5/48) aor ° me . HAHPOEH OURTi co TINFEB22 Fi 2 Ye a i et ap ah. wih oP. a al a4 ig iy oy, Ay ine te aa i fr", ve ney a ‘ie hip ” ue ‘nag & wn se thet Ve ie. ef 5yee dt aie h ry a ds 4 y e gQee a il 4, or 4 ¥ Meat e ee & ss i y i ie ee “wn ‘a z Al is es ify es fh 4 2 PHB | be mpl is & 5 fe ee fa a vey a ty Ee i \ ae a? nh tye ce Be Me tint i ft i a rite Rd a te rq Vy 5fing 4 ha 9