Preview
ax Court
led. 99 2:16 PM
PETITION FOR FORMAL Docket No. Commonwealth of Massachuratisy
| nber:
The Trial Court
[xX] PROBATE OF A WILL Probate and Family Court
[JADJUDICATION OF INTESTACY
[XJAPPOINTMENT OF A PERSONAL REPRESENTATIVE
(CloTHer:
PURSUANT TO G. L. c. 190B, § 3-402
EX] Original Form ([] Amended Form
Estate of: Middlesex Division
Pauline M. Mood:
First Name Middle Name Last Name
Date of Death: January 22, 2024
1. GENERAL INFORMATION
The Petitioner(s) (hereafter "Petitioner"), an interested person, makes the following statements:
1 Information about the Decedent:
Name: Pauline M Moody Age at death 96
First Name Middle Name Tast Name
Also known as:
Name
Street Address: 128 Jewett Street Newton MA 02458
TAddress) (Apt Unit, No. ete} (ciyrTrowny State Tp)
The Decedent was domiciled in Newton
, MA
(CiyiTowny Clatey
A death certificate issued by a public officer is in the possession of the court or accompanies this Petition.
(2 A death certificate issued by a public officer is not in the possession of the court and does not accompany this Petition.
The circumstances which make it impossible for a death certificate to be provided are (See G. L. c. 190B, §§ 3-402(b),
4-107):
Information about the Petitioner:
Name: Thomas Manugian
First Name MT. Cast Name
8809 Tuscany Isles Dr Punta Gorda FL 33950
TAddress) TARE, Unit, No- ete.) TCayiTowny State) (Zip)
Mailing Address, if different:
TAaareSSy TApt, Unit, No. ete) (CiyiTowny Siate) ip)
Primary Phone #: Email: manugit@comcast.net
The Petitioner's interest in the estate is as follows (e.g., Personal Representative named in a will, surviving spouse, heir,
devisee, Public Administrator, creditor, etc. See G. L. c. 190B, § 1-201(24)): Personal Representative named in will
MPC 160 (12/11/20) page 1 of 5
ed. 20) 024 1 PM Ca er
ax Pra! Court
Name: Gail Nicholson
First Name MT Cast Name
17 Roosevelt Court Stoughton MA 02072
TAddress) (Apt, Unit, No. ete) TCiyiTown) Giatey ip)
Mailing Address, if different:
TAdaress) TApt Uni, No ete) ———~Toiyrrewny statey
Primary Phone #: 781-341-9121 Email: Nick2654@msn.com
The Petitioner's interest in the estate is as follows (e.g., Personal Representative named in a will, surviving spouse, heir,
devisee, Public Administrator, creditor, etc. See G. L. c. 190B, § 1-201(24)): Personal Representative named in will
This Petition is filed within the time period permitted by law. See G. L. c. 190B, § 3-108. Three years or less have passed
since the Decedent's death, or the following circumstances authorize tardy proceedings (include statutory reference):
FORM ALERT: Do not use this form to file a late probate proceeding pursuant to G. L. c. 190B, § 3-108(4). Use form
MPC 161.
4. Venue for this proceeding is proper in this county because on the date of death, the Decedent:
was domiciled in this county. [7] was not domiciled in Massachusetts, but had property located in this county at:
(Address) (Apt, Unit, No. ete) TCiyrrowny Gtatey ip)
The Petitioner shall give notice once by citation to the Division of Medical Assistance. To do so, the Petitioner shall
send a copy of the citation when issued by the court together with a copy of this Petition and death certificate by
certified mail at least fourteen (14) days before the return day to the Division of Medical Assistance, Estate Recovery
Unit, P.O. Box 15205, Worcester, MA 01615-0205. For specific details, see the citation's Order of Notice.
I. PERSONS INTERESTED IN THE ESTAT!
The Decedent's surviving spouse, children, heirs at law and devisees (if any), so far as known or ascertainable with
reasonable diligence by the Petitioner are as stated in form MPC 162 Surviving Spouse. Children, Heirs at Law AND if
the Decedent died with a will, form MPC 163 Devisees incorporated herein.
(1) There are additional heirs at law who are not known to the Petitioner.
FORM ALERT: Failure to submit this information will result in a delay in processing your case.
Il, TESTACY STATUS
7. The Decedent died (select one):
(1 Intestate (without a will)
After the exercise of reasonable diligence, the Petitioner is unaware of any unrevoked testamentary instrument relating
to property in Massachusetts, or (2 see attached statement of why such an instrument is not being probated.
{X] Testate (with a will)
The date of the Decedent's last will is April 20, 2016
[2 The dates of all codicils are
(select one of the following):
{The original will is in the possession of the court or accompanies this Petition.
(J The original will is lost, destroyed or otherwise unavailable and
(1 a copy of the original will accompanies this Petition OR
(1a statement of its contents is attached and incorporated herein.
MPC 160 (12/11/20) page 2 of 5
Aidk 25 aé CO Ourt
Date 299
02: 6PM
{(C] The will has been probated in the state or county of umber:
An authenticated copy of the will and proof of its probate are filed with this Petition.
The will and any codicils are referred to as the will. The Petitioner, to the best of his or her knowledge, believes the will
was validly executed. After the exercise of reasonable diligence, the Petitioner is unaware of any instrument revoking the
will and believes that the will is the Decedent's last will.
IV. APPOIN’
(if requested)
The Petitioner requests that the following qualified person, who is 18 years of age or older, be appointed Personal
Representative: Self only. (1 Self and other(s): (2 Other(s):
Name of other(s):
First Name MT Last Name’
Address’ (Apt UAE No atG. (Ciyrrowny Bratey ip)
Mailing Address, if different:
TRAATESS) Apt, Unit, No-etc ) Ciyrowny rate) Ip)
Primary Phone #: Email:
9. Select all that apply:
{X All or some of the nominees have priority for appointment:
by statute. See G. L. c. 190B, § 3-203.
(J) by renunciation and/or nomination. Persons with higher or equal rights to appointment are:
First Name MT Tast Name
FORM ALERT: Any required renunciations/nominations using form MPC 455 must accompany this Petition.
(CJ The nominee(s) without priority for appointment are:
First Name MT. Cast Name
C Persons with priority have failed to request appointment or to nominate the above nominee and administration is
necessary.
10. Select one of the following:
No court has appointed a Personal Representative and no such appointment proceeding is pending in
Massachusetts or elsewhere.
(2) Acourt has appointed a Personal Representative, whose appointment has not been terminated, or an appointment
proceeding is pending in the State of and the Personal Representative's name and
address is:
First Name MT. LastName
Address) (Apt, Unit No ete.) CiyiTowny (late) (Zip)
MPC 160 (12/11/20) page 3 of 5
Aidk 25 aé CO Ourt
Date 299
02: 6PM
41, Select one of the following: umber
(1 A bond with sureties in the penal sum amount of $ has been or will be filed.
A bond without sureties has been or will be filed and is permissible because:
{1 The will waives sureties on the bond and no interested person has demanded that a bond with sureties be filed.
(1 All devisees (if a will is filed) or heirs (if no will is filed) have waived sureties in writing using form MPC 455 and
all waivers are filed with this Petition or are in the possession of the court.
FORM ALERT: All persons seeking appointment must file a bond using form MPC 801.
12. The Petitioner requests (Select one of the following):
Unsupervised administration
([] The Decedent died intestate (without a will).
] The will directs unsupervised administration or is silent on the issue.
(JJ The will directs supervised administration, but circumstances have changed since the execution of the will
and there is no necessity for supervised administration because:
(] Supervised administration
(C The will directs supervised administration.
(J The will directs unsupervised administration, but it is necessary for protection of persons interested in the estate
because:
(C1 No will directs supervised administration but it is necessary under the circumstances, specifically:
413. [] The appointment of a Special Personal Representative is necessary pursuant to G. L. c. 190B, § 3-614 (See separate
motion and affidavit filed with this Petition).
Vv. JEF TED
Wherefore the Petitioner requests that the court:
[X] Admit the Decedent's will to formal probate and determine the heirs.
(2) Determine that the Decedent died without a will and determine the heirs.
[X] Determine the heirs of the Decedent.
EX] Appoint the nominee(s) as Personal Representative of the estate in a(n) [J] unsupervised
(] supervised administration to serve [
Preview
ax Court led. 99 2:16 PM PETITION FOR FORMAL Docket No. Commonwealth of Massachuratisy | nber: The Trial Court [xX] PROBATE OF A WILL Probate and Family Court [JADJUDICATION OF INTESTACY [XJAPPOINTMENT OF A PERSONAL REPRESENTATIVE (CloTHer: PURSUANT TO G. L. c. 190B, § 3-402 EX] Original Form ([] Amended Form Estate of: Middlesex Division Pauline M. Mood: First Name Middle Name Last Name Date of Death: January 22, 2024 1. GENERAL INFORMATION The Petitioner(s) (hereafter "Petitioner"), an interested person, makes the following statements: 1 Information about the Decedent: Name: Pauline M Moody Age at death 96 First Name Middle Name Tast Name Also known as: Name Street Address: 128 Jewett Street Newton MA 02458 TAddress) (Apt Unit, No. ete} (ciyrTrowny State Tp) The Decedent was domiciled in Newton , MA (CiyiTowny Clatey A death certificate issued by a public officer is in the possession of the court or accompanies this Petition. (2 A death certificate issued by a public officer is not in the possession of the court and does not accompany this Petition. The circumstances which make it impossible for a death certificate to be provided are (See G. L. c. 190B, §§ 3-402(b), 4-107): Information about the Petitioner: Name: Thomas Manugian First Name MT. Cast Name 8809 Tuscany Isles Dr Punta Gorda FL 33950 TAddress) TARE, Unit, No- ete.) TCayiTowny State) (Zip) Mailing Address, if different: TAaareSSy TApt, Unit, No. ete) (CiyiTowny Siate) ip) Primary Phone #: Email: manugit@comcast.net The Petitioner's interest in the estate is as follows (e.g., Personal Representative named in a will, surviving spouse, heir, devisee, Public Administrator, creditor, etc. See G. L. c. 190B, § 1-201(24)): Personal Representative named in will MPC 160 (12/11/20) page 1 of 5 ed. 20) 024 1 PM Ca er ax Pra! Court Name: Gail Nicholson First Name MT Cast Name 17 Roosevelt Court Stoughton MA 02072 TAddress) (Apt, Unit, No. ete) TCiyiTown) Giatey ip) Mailing Address, if different: TAdaress) TApt Uni, No ete) ———~Toiyrrewny statey Primary Phone #: 781-341-9121 Email: Nick2654@msn.com The Petitioner's interest in the estate is as follows (e.g., Personal Representative named in a will, surviving spouse, heir, devisee, Public Administrator, creditor, etc. See G. L. c. 190B, § 1-201(24)): Personal Representative named in will This Petition is filed within the time period permitted by law. See G. L. c. 190B, § 3-108. Three years or less have passed since the Decedent's death, or the following circumstances authorize tardy proceedings (include statutory reference): FORM ALERT: Do not use this form to file a late probate proceeding pursuant to G. L. c. 190B, § 3-108(4). Use form MPC 161. 4. Venue for this proceeding is proper in this county because on the date of death, the Decedent: was domiciled in this county. [7] was not domiciled in Massachusetts, but had property located in this county at: (Address) (Apt, Unit, No. ete) TCiyrrowny Gtatey ip) The Petitioner shall give notice once by citation to the Division of Medical Assistance. To do so, the Petitioner shall send a copy of the citation when issued by the court together with a copy of this Petition and death certificate by certified mail at least fourteen (14) days before the return day to the Division of Medical Assistance, Estate Recovery Unit, P.O. Box 15205, Worcester, MA 01615-0205. For specific details, see the citation's Order of Notice. I. PERSONS INTERESTED IN THE ESTAT! The Decedent's surviving spouse, children, heirs at law and devisees (if any), so far as known or ascertainable with reasonable diligence by the Petitioner are as stated in form MPC 162 Surviving Spouse. Children, Heirs at Law AND if the Decedent died with a will, form MPC 163 Devisees incorporated herein. (1) There are additional heirs at law who are not known to the Petitioner. FORM ALERT: Failure to submit this information will result in a delay in processing your case. Il, TESTACY STATUS 7. The Decedent died (select one): (1 Intestate (without a will) After the exercise of reasonable diligence, the Petitioner is unaware of any unrevoked testamentary instrument relating to property in Massachusetts, or (2 see attached statement of why such an instrument is not being probated. {X] Testate (with a will) The date of the Decedent's last will is April 20, 2016 [2 The dates of all codicils are (select one of the following): {The original will is in the possession of the court or accompanies this Petition. (J The original will is lost, destroyed or otherwise unavailable and (1 a copy of the original will accompanies this Petition OR (1a statement of its contents is attached and incorporated herein. MPC 160 (12/11/20) page 2 of 5 Aidk 25 aé CO Ourt Date 299 02: 6PM {(C] The will has been probated in the state or county of umber: An authenticated copy of the will and proof of its probate are filed with this Petition. The will and any codicils are referred to as the will. The Petitioner, to the best of his or her knowledge, believes the will was validly executed. After the exercise of reasonable diligence, the Petitioner is unaware of any instrument revoking the will and believes that the will is the Decedent's last will. IV. APPOIN’ (if requested) The Petitioner requests that the following qualified person, who is 18 years of age or older, be appointed Personal Representative: Self only. (1 Self and other(s): (2 Other(s): Name of other(s): First Name MT Last Name’ Address’ (Apt UAE No atG. (Ciyrrowny Bratey ip) Mailing Address, if different: TRAATESS) Apt, Unit, No-etc ) Ciyrowny rate) Ip) Primary Phone #: Email: 9. Select all that apply: {X All or some of the nominees have priority for appointment: by statute. See G. L. c. 190B, § 3-203. (J) by renunciation and/or nomination. Persons with higher or equal rights to appointment are: First Name MT Tast Name FORM ALERT: Any required renunciations/nominations using form MPC 455 must accompany this Petition. (CJ The nominee(s) without priority for appointment are: First Name MT. Cast Name C Persons with priority have failed to request appointment or to nominate the above nominee and administration is necessary. 10. Select one of the following: No court has appointed a Personal Representative and no such appointment proceeding is pending in Massachusetts or elsewhere. (2) Acourt has appointed a Personal Representative, whose appointment has not been terminated, or an appointment proceeding is pending in the State of and the Personal Representative's name and address is: First Name MT. LastName Address) (Apt, Unit No ete.) CiyiTowny (late) (Zip) MPC 160 (12/11/20) page 3 of 5 Aidk 25 aé CO Ourt Date 299 02: 6PM 41, Select one of the following: umber (1 A bond with sureties in the penal sum amount of $ has been or will be filed. A bond without sureties has been or will be filed and is permissible because: {1 The will waives sureties on the bond and no interested person has demanded that a bond with sureties be filed. (1 All devisees (if a will is filed) or heirs (if no will is filed) have waived sureties in writing using form MPC 455 and all waivers are filed with this Petition or are in the possession of the court. FORM ALERT: All persons seeking appointment must file a bond using form MPC 801. 12. The Petitioner requests (Select one of the following): Unsupervised administration ([] The Decedent died intestate (without a will). ] The will directs unsupervised administration or is silent on the issue. (JJ The will directs supervised administration, but circumstances have changed since the execution of the will and there is no necessity for supervised administration because: (] Supervised administration (C The will directs supervised administration. (J The will directs unsupervised administration, but it is necessary for protection of persons interested in the estate because: (C1 No will directs supervised administration but it is necessary under the circumstances, specifically: 413. [] The appointment of a Special Personal Representative is necessary pursuant to G. L. c. 190B, § 3-614 (See separate motion and affidavit filed with this Petition). Vv. JEF TED Wherefore the Petitioner requests that the court: [X] Admit the Decedent's will to formal probate and determine the heirs. (2) Determine that the Decedent died without a will and determine the heirs. [X] Determine the heirs of the Decedent. EX] Appoint the nominee(s) as Personal Representative of the estate in a(n) [J] unsupervised (] supervised administration to serve [