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DE-221
ATTORNEY OR PARTY WITHOUT ATTORNEY (Namo, State Bar number, and address) FOR COURT USE ONLY
+— Byron Nelson, ESQ. CSBN 274059
821 13TH STREET, SUITE F
MODESTO, CA 95354 Electronically Filed
12/24/2020 12:26 PM
tevepone no: 209-677-3814 FAX NO. (Optional): Superior Court of California
E-MAIL ADDRESS (Optionay: Seniorsbyron@gmail.com County of Stanislaus
ATTORNEY FOR (Name). Angelica Castellanos Mora Clerk of the Court
SUPERIOR COURT OF CALIFORNIA, COUNTY OF Stanislaus
street aporess: 801 10th Street, 4th Floor By: Guadalupe Reynoso, Deputy
MAILING ADDRESS:
city ano zip cove: Modesto, 95354
$435.00 PAID
srancu name: Probate
ESTATE OF (Name): CASE NUMBER:
J Jesus Rangel Macias a.k.a., Chuy-Rangel Macias PR-20-001188
DECEDENT
HEARING
PATE EBRUARY 24, 2021
[J SPOUSAL (] DOMESTIC PARTNER PROPERTY PETITION
DEPT. TIME a.m.
Petitioner (name). Angelica Castellanos Mora requests
a. [XZ] determination of property passing to the surviving spouse or surviving registered domestic partner without administration
(Fam. Code, § 297.5, Prob. Code, § 13500).
b. (2) confirmation of property belonging to the surviving spouse or surviving registered domestic partner (Fam. Code, § 297.5,
Prob. Code, §§ 100, 101).
c. ] immediate appointment of a probate referee. Stacy P. Speiller
‘This case nas been assigned to Judge
Petitioner is 22
Department, ‘for all purposes including Tria.
a. [XJ surviving spouse of the decedent
b. (.] personal representative of (name): , surviving spouse.
c. LL] guardian or conservator of the estate of (name): , Surviving spouse.
d. [] surviving registered domestic partner of the decedent.
e. [_] personal representative of (name): , surviving registered domestic partner.
f. C) conservator of the estate of (name): , surviving registered domestic partner.
Decedent died on (date): 11/22/2020
Decedent was
a. [Z]) a resident of the California county named above
b. () a nonresident of California and left an estate in the county named above.
c. EX) intestate (CC) testate and a copy of the will and any codicil is affixed as Attachment 4c
(Attach copies of will and any codicil, a typewritten copy of any handwritten document, and an
English translation of any foreign-language document.)
a. (Complete in all cases) The decedent is survived by
(1){2} no child (J child as follows: (J natural or adopted (C) natural, adopted by a third party,
(2) (QJ no issue of a predeceased child. (2) issue of a predeceased child.
b. Decedent [_} is EQ) is not survived by a stepchild or foster child or children who would have been adopted by
decedent but for a legal barrier. (See Prob. Code, § 6454.)
(Complete only if no issue survived the decedent. Check only the first box that applies.)
a. [] The decedent is survived by a parent or parents who are listed in item 9.
b. (.] The decedent is survived by a brother, sister, or issue ofa deceased brother or sister, all of whom are listed in item 9.
Administration of all or part of the estate is not necessary for the reason that all or a part of the estate is property passing to the
surviving spouse or surviving registered domestic partner. The facts upon which petitioner bases the allegation that the property
described in Attachments 7a and 7b is property that should pass or be confirmed to the surviving spouse or surviving registered
domestic partner are stated in Attachment 7.
a. & Attachment 74 contains the legal description (if real property add Assessor's Parcel Number) of the deceased spouse's
or registered domestic partner's property that petitioner requests to be determined as having passed to the surviving
spouse or partner from the deceased spouse or partner. This includes any interest in a trade or business name of any
unincorporated business or an interest in any unincorporated business that the deceased spouse or partner was
operating or managing at the time of death, subject to any written agreement between the deceased spouse or partner
and the surviving spouse or partner providing for a non pro rata division of the aggregate value of the community property
assets or quasi-community assets, or both.
See Prob. Cade, § 13688 for required fling ofa list of known creditors of a business and other information in certain instances. If required, include in Attachment 7a,
Page 1 of 2
Form Adopted for Mandatory Use SPOUSAL OR DOMESTIC PARTNER PROPERTY PETITION Family Code, § 297.5;
Judicial Council of California DE-22: | Essential Probate Code, § 13850
[Rev. January1, 2014] CEB
cebcom {\Forms:
(Probate-Decedents Estates)
ESTATE OF (Name): CASE NUMBER
J Jesus Rangel Macias a.k.a., Chuy-Rangel Macias DECEDENT|
7. b. i Attachment 7b contains the legal description (if real property add Assessor's Parcel Number) of the community or quasi-
community property petitioner requests to be determined as having belonged under Probate Code sections 100 and 101
and Family Code section 297.5 to the surviving spouse or surviving registered domestic partner upon the deceased
spouse's or partner's death, subject to any written agreement between the deceased spouse or partner and the surviving
spouse or partner providing for a non pro rata division of the aggregate value of the community property assets or
quasi-community assets, or both.
There [J] exists [XJ does not exist a written agreement between the deceased spouse or deceased registered
domestic partner and the surviving spouse or surviving registered domestic partner providing for a non pro rata division of the
aggregate value of the community property assets or quasi-community assets, or both. (If petitioner bases the description of the
property of the deceased spouse or partner passing to the surviving spouse or partner or the property to be confirmed to the
surviving spouse or partner, or both, on a written agreement, a copy of the agreement must be attached to this petition as
Attachment 8.)
The names, relationships, ages, and residence or mailing addresses so far as known to or reasonably ascertainable by petitioner
of (1) all persons named in decedent's will and codicils, whether living or deceased, and (2) all persons checked in items 5 and 6
(2) are listed below CQ] are listed in Attachment 9
Name and relationship Age Residence or mailing addres:
10. The names and addresses of all persons named as executors in the decedent's will and any codicil or appointed as personal
representatives of the decedent's estate [2] are listed below (C) are listed in Attachment10 [J none
11 (CC) The petitioner is the trustee of a trust that is a devisee under decedent's will. The names and addresses of all persons
interested in the trust who are entitled to notice under Probate Code section 13655(a)(2) are listed in Attachment 11.
12 A petition for probate or for administration of the decedent's estate
a. () is being filed with this petition.
b. C) was filed on (date):
c. (Q) has not been filed and is not being filed with this petition
13. Number of pages attached:
Date: 12/19/2020
Byron Nelson
>
(TYPE OR PRINT NAME)
| declare under penalty of perjury under the laws of the State of California that th ‘bn (SIGNATURE OF ATTORNEY)
going is true and correct.
Date: 12/19/2020
(TYPE OR PRINT NAME)
CAM eens
(SIGNATURE OF PETITIONER)
i
DE-224 Rov. January 1, 2014] SPOUSAL OR DOMESTIC PARTNER PROPERTY PETITION Page
2 of 2
CEB Essential
cab.com f\Forms-
(Probate-Decedents Estates)
Attachment 7
Declaration of Petitioner in support of: Facts upon which petitioner bases the
allegation that the property described in Attachments 7a is property that should pass
or be confirmed to petitioner as the surviving spouse.
i I am the Petitioner and surviving spouse ofJ Jesus Rangel Macias a.k.a., Chuy-
Rangel Macias (“decedent”).
The decedent and I were married on December 08, 2010 (a true and correct copy
of our marriage certificate is attached hereto) and remained married until the
decedent’s death on November 22, 2020 (a true and correct copy of the
decedent’s death certificate is attached hereto).
10
The decedent and I purchased the real property at issue herein located at 412 Mt.
11 Everest Court, Modesto, CA 95358 (“Mt. Everest Court Home”) on October 24,
2014. (See copy of 2014 Grant Deed attached hereto). We were married at the time
12 of purchase but title was only taken the name of the decedent.
13
The title was taken only in the name of the decedent because I did not have good
14 credit. In order to obtain the loan I had to sign an Interposal Transfer Grant Deed (a
true and correct copy is attached hereto) at the same time as execution of the 2014
15 Grant Deed to the Decedent. This document was never explained to me but I was
told that because I did not have good credit and because I was not employed (I was
16
the homemaker throughout the marriage but did not work outside of the home) that I
a could not be on the loan or title to the Mt. Everest Court Home.
18 Despite the fact that title was taken only in the name of the decedent the Mt. Everest
Court Home at issue herein was purchased during our marriage and it was paid for
19
from the employment funds of the decedent which was our sole source of income
20 during the marriage. Furthermore, I have and continue to pay all costs, taxes,
insurance for the Mt. Everest Court Home.
21
22
The decedent and I understood that the Mt. Everest Court Home to belonged to us
both. It was our desire and intent to pay off the loan quickly and add me on title to
23 the home as wife to the decedent. We budgeted and sacrificed monthly so that larger
payments could be applied to the home loan.
24
a8
I declare under penalty of perjury under the laws of the State of California that the
26 foregoing is True and Correct.
27
Dated:
28 /2.-19-2020
Angélica Castellanos Mora
Attachment 7a
A 50% interest in the real property located at 412 Mt Everest Court, Modesto, CA
95358 and legally described as follows:
LOT 17 IN BLOCK 9851 OF MOUNTAIN HOMES ESTATES, IN THE CITY OF
MODESTO, AS PER MAP FILED FOR RECORD OCTOBER 15, 1980 IN BOOK
29 OF MAPS, PAGE 48, STANISLAUS COUNTY RECORDS.
APN: 056-062-066-000
10
11
Attachment 7b
12
13
14 A 50% interest in the real property located at 412 Mt Everest Court, Modesto, CA
15 95358 and legally described as follows:
16
LOT 17 IN BLOCK 9851 OF MOUNTAIN HOMES ESTATES, IN THE CITY OF
17 MODESTO, AS PER MAP FILED FOR RECORD OCTOBER 15, 1980 IN BOOK
29 OF MAPS, PAGE 48, STANISLAUS COUNTY RECORDS.
18
APN: 056-062-066-000
19
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DE-221 ATTORNEY OR PARTY WITHOUT ATTORNEY (Namo, State Bar number, and address) FOR COURT USE ONLY +— Byron Nelson, ESQ. CSBN 274059 821 13TH STREET, SUITE F MODESTO, CA 95354 Electronically Filed 12/24/2020 12:26 PM tevepone no: 209-677-3814 FAX NO. (Optional): Superior Court of California E-MAIL ADDRESS (Optionay: Seniorsbyron@gmail.com County of Stanislaus ATTORNEY FOR (Name). Angelica Castellanos Mora Clerk of the Court SUPERIOR COURT OF CALIFORNIA, COUNTY OF Stanislaus street aporess: 801 10th Street, 4th Floor By: Guadalupe Reynoso, Deputy MAILING ADDRESS: city ano zip cove: Modesto, 95354 $435.00 PAID srancu name: Probate ESTATE OF (Name): CASE NUMBER: J Jesus Rangel Macias a.k.a., Chuy-Rangel Macias PR-20-001188 DECEDENT HEARING PATE EBRUARY 24, 2021 [J SPOUSAL (] DOMESTIC PARTNER PROPERTY PETITION DEPT. TIME a.m. Petitioner (name). Angelica Castellanos Mora requests a. [XZ] determination of property passing to the surviving spouse or surviving registered domestic partner without administration (Fam. Code, § 297.5, Prob. Code, § 13500). b. (2) confirmation of property belonging to the surviving spouse or surviving registered domestic partner (Fam. Code, § 297.5, Prob. Code, §§ 100, 101). c. ] immediate appointment of a probate referee. Stacy P. Speiller ‘This case nas been assigned to Judge Petitioner is 22 Department, ‘for all purposes including Tria. a. [XJ surviving spouse of the decedent b. (.] personal representative of (name): , surviving spouse. c. LL] guardian or conservator of the estate of (name): , Surviving spouse. d. [] surviving registered domestic partner of the decedent. e. [_] personal representative of (name): , surviving registered domestic partner. f. C) conservator of the estate of (name): , surviving registered domestic partner. Decedent died on (date): 11/22/2020 Decedent was a. [Z]) a resident of the California county named above b. () a nonresident of California and left an estate in the county named above. c. EX) intestate (CC) testate and a copy of the will and any codicil is affixed as Attachment 4c (Attach copies of will and any codicil, a typewritten copy of any handwritten document, and an English translation of any foreign-language document.) a. (Complete in all cases) The decedent is survived by (1){2} no child (J child as follows: (J natural or adopted (C) natural, adopted by a third party, (2) (QJ no issue of a predeceased child. (2) issue of a predeceased child. b. Decedent [_} is EQ) is not survived by a stepchild or foster child or children who would have been adopted by decedent but for a legal barrier. (See Prob. Code, § 6454.) (Complete only if no issue survived the decedent. Check only the first box that applies.) a. [] The decedent is survived by a parent or parents who are listed in item 9. b. (.] The decedent is survived by a brother, sister, or issue ofa deceased brother or sister, all of whom are listed in item 9. Administration of all or part of the estate is not necessary for the reason that all or a part of the estate is property passing to the surviving spouse or surviving registered domestic partner. The facts upon which petitioner bases the allegation that the property described in Attachments 7a and 7b is property that should pass or be confirmed to the surviving spouse or surviving registered domestic partner are stated in Attachment 7. a. & Attachment 74 contains the legal description (if real property add Assessor's Parcel Number) of the deceased spouse's or registered domestic partner's property that petitioner requests to be determined as having passed to the surviving spouse or partner from the deceased spouse or partner. This includes any interest in a trade or business name of any unincorporated business or an interest in any unincorporated business that the deceased spouse or partner was operating or managing at the time of death, subject to any written agreement between the deceased spouse or partner and the surviving spouse or partner providing for a non pro rata division of the aggregate value of the community property assets or quasi-community assets, or both. See Prob. Cade, § 13688 for required fling ofa list of known creditors of a business and other information in certain instances. If required, include in Attachment 7a, Page 1 of 2 Form Adopted for Mandatory Use SPOUSAL OR DOMESTIC PARTNER PROPERTY PETITION Family Code, § 297.5; Judicial Council of California DE-22: | Essential Probate Code, § 13850 [Rev. January1, 2014] CEB cebcom {\Forms: (Probate-Decedents Estates) ESTATE OF (Name): CASE NUMBER J Jesus Rangel Macias a.k.a., Chuy-Rangel Macias DECEDENT| 7. b. i Attachment 7b contains the legal description (if real property add Assessor's Parcel Number) of the community or quasi- community property petitioner requests to be determined as having belonged under Probate Code sections 100 and 101 and Family Code section 297.5 to the surviving spouse or surviving registered domestic partner upon the deceased spouse's or partner's death, subject to any written agreement between the deceased spouse or partner and the surviving spouse or partner providing for a non pro rata division of the aggregate value of the community property assets or quasi-community assets, or both. There [J] exists [XJ does not exist a written agreement between the deceased spouse or deceased registered domestic partner and the surviving spouse or surviving registered domestic partner providing for a non pro rata division of the aggregate value of the community property assets or quasi-community assets, or both. (If petitioner bases the description of the property of the deceased spouse or partner passing to the surviving spouse or partner or the property to be confirmed to the surviving spouse or partner, or both, on a written agreement, a copy of the agreement must be attached to this petition as Attachment 8.) The names, relationships, ages, and residence or mailing addresses so far as known to or reasonably ascertainable by petitioner of (1) all persons named in decedent's will and codicils, whether living or deceased, and (2) all persons checked in items 5 and 6 (2) are listed below CQ] are listed in Attachment 9 Name and relationship Age Residence or mailing addres: 10. The names and addresses of all persons named as executors in the decedent's will and any codicil or appointed as personal representatives of the decedent's estate [2] are listed below (C) are listed in Attachment10 [J none 11 (CC) The petitioner is the trustee of a trust that is a devisee under decedent's will. The names and addresses of all persons interested in the trust who are entitled to notice under Probate Code section 13655(a)(2) are listed in Attachment 11. 12 A petition for probate or for administration of the decedent's estate a. () is being filed with this petition. b. C) was filed on (date): c. (Q) has not been filed and is not being filed with this petition 13. Number of pages attached: Date: 12/19/2020 Byron Nelson > (TYPE OR PRINT NAME) | declare under penalty of perjury under the laws of the State of California that th ‘bn (SIGNATURE OF ATTORNEY) going is true and correct. Date: 12/19/2020 (TYPE OR PRINT NAME) CAM eens (SIGNATURE OF PETITIONER) i DE-224 Rov. January 1, 2014] SPOUSAL OR DOMESTIC PARTNER PROPERTY PETITION Page 2 of 2 CEB Essential cab.com f\Forms- (Probate-Decedents Estates) Attachment 7 Declaration of Petitioner in support of: Facts upon which petitioner bases the allegation that the property described in Attachments 7a is property that should pass or be confirmed to petitioner as the surviving spouse. i I am the Petitioner and surviving spouse ofJ Jesus Rangel Macias a.k.a., Chuy- Rangel Macias (“decedent”). The decedent and I were married on December 08, 2010 (a true and correct copy of our marriage certificate is attached hereto) and remained married until the decedent’s death on November 22, 2020 (a true and correct copy of the decedent’s death certificate is attached hereto). 10 The decedent and I purchased the real property at issue herein located at 412 Mt. 11 Everest Court, Modesto, CA 95358 (“Mt. Everest Court Home”) on October 24, 2014. (See copy of 2014 Grant Deed attached hereto). We were married at the time 12 of purchase but title was only taken the name of the decedent. 13 The title was taken only in the name of the decedent because I did not have good 14 credit. In order to obtain the loan I had to sign an Interposal Transfer Grant Deed (a true and correct copy is attached hereto) at the same time as execution of the 2014 15 Grant Deed to the Decedent. This document was never explained to me but I was told that because I did not have good credit and because I was not employed (I was 16 the homemaker throughout the marriage but did not work outside of the home) that I a could not be on the loan or title to the Mt. Everest Court Home. 18 Despite the fact that title was taken only in the name of the decedent the Mt. Everest Court Home at issue herein was purchased during our marriage and it was paid for 19 from the employment funds of the decedent which was our sole source of income 20 during the marriage. Furthermore, I have and continue to pay all costs, taxes, insurance for the Mt. Everest Court Home. 21 22 The decedent and I understood that the Mt. Everest Court Home to belonged to us both. It was our desire and intent to pay off the loan quickly and add me on title to 23 the home as wife to the decedent. We budgeted and sacrificed monthly so that larger payments could be applied to the home loan. 24 a8 I declare under penalty of perjury under the laws of the State of California that the 26 foregoing is True and Correct. 27 Dated: 28 /2.-19-2020 Angélica Castellanos Mora Attachment 7a A 50% interest in the real property located at 412 Mt Everest Court, Modesto, CA 95358 and legally described as follows: LOT 17 IN BLOCK 9851 OF MOUNTAIN HOMES ESTATES, IN THE CITY OF MODESTO, AS PER MAP FILED FOR RECORD OCTOBER 15, 1980 IN BOOK 29 OF MAPS, PAGE 48, STANISLAUS COUNTY RECORDS. APN: 056-062-066-000 10 11 Attachment 7b 12 13 14 A 50% interest in the real property located at 412 Mt Everest Court, Modesto, CA 15 95358 and legally described as follows: 16 LOT 17 IN BLOCK 9851 OF MOUNTAIN HOMES ESTATES, IN THE CITY OF 17 MODESTO, AS PER MAP FILED FOR RECORD OCTOBER 15, 1980 IN BOOK 29 OF MAPS, PAGE 48, STANISLAUS COUNTY RECORDS. 18 APN: 056-062-066-000 19 20 a4. 22 23 24 gs 26 27 28 ‘Ss Ny ie aes es a8 SEAN a | 2H ip Siv.vi a OA KATY Sj oil we 9.49 4 (9100)Op VEN S10) S30) a Sok 48 Ss § hy a lids COUNTY of STANISLAUS We 3S MODESTO, CALIFORNIA Bt e eo y} " j={=z STREET MUST BELICENSE LEGIELE MAKE AND HO CERTIFICATE CRASURES, SC ORM HI WHITEDUTS, On OFOR MARRIAGE OTHER ALTERATIONS 4-201 102373 = TOCAL FESS TARTTON HONS Ta RST ANE 8 woot, c zi g_sEsus, t ia fc: onAent Last TELA NAME AT BATH (F DEFER THAN TG) 3 a5 RANGEL MACTAS fe bare oF ainTH awoocere 3 SAECOUTAY OF AT] ‘TFREV,ARRUGESSROP | 5A LAST WAARIAGEEROP ENDED Oi TS DATE ENDED MDEICOR) a8 05/20/1976 MEXICO 1 oem peCESO GnuEXTCOTERUSHOPCA! 8/19/2010 fe anoRESS | an [e. STarzcouNTAY 3.2 CODE 62 oa224FULLALGEN AVE SIRT EOF FAI HUPATENT MODESTO CALTFORNTA, 95358 =i TOR STATE OF BIRTH (F OUTS USS ENTER COUNTER) J_TESUS RANGEL BARBOSA {mex FA FUL BIRTH NAME OF MOTHERVP ARENT {11, STATE OF SiNTH OF CUTSIOE Us, ENTER COUNT) MARISELA MACTAS CEBALLOS | MEXICO. TEA FRET nave yee woSLE ANGELICA t = == Fac: current AST 20. AST HAE AT BIRTH (F OFFERED TUGT EO) a a6 [DATE a5 ag ge bs 7, CASTELLANOS MORA OF 08/08/1980 ine @uEOSory]| STATECONN MEXICO OF OAT TE ¥ FREY MARAUGESSADH 16h LAST MARANGESAUP ENDED BW fear Joocan cosso mawiuwerormusmPauA! 94/9: fa STaTBSOONTAY TI ATE ENDED (aMDBEOe fa. oP cone 0! eg E og [FIA224FULL ALG RTH NAWE OF FA HEAP ARENT MODESTO rorya | 9 : g TRIB STATEOF Sit (f OUTSIDE US: ENTER COUNTRY f PBA FOUL HATH NACASTELLANOS OF HOTHERA CHAVEZ. 1 ex: {Hae STARE Or GAT F OUT SCE US ENTER COUNTRY MA DEL ROSARIO DE LA MORA CANO | MEXICO eons sOesESRIES ws 1Ave SCCM lneOawenon ‘CORRECTUR TO THePOULT SEST OFOF OUR fenLine kNONLEDWIDER TEs OFT GIAE os GuIroM\A TMT We ME UaUMWIED No TAT TNE RESON Sere FURIE OSCLANE Thar NO LEGAL & IssuAce OF AIDEN SND Oe RTIEATOF HARA SE Is kNOWN TOUS. We AGINOWLEDGE NECEIPT oF THe AEOFiMa WV REGUIED BY FAMILY COCE SECTION 358 AD HEMESYfe Mena TOME APPLY FON AUSCISE 8 SGNATUREoF PERSON USTED WFELOS TATO x SRTORE GF ERE ISTEB RCES TORT # rl Hess AAs Cé | Co extellanes re USSD Jsrsosicr SeExotGOPENERYnen eveCERT Treeo at aur TORETae wanneD av Pant ave anak APEC Hie PEnSOu PeRraRana Treo name lPensons cowed er A OFROM cual SOO Seen on tHeriaseeeOFtrans No MEpete mies ane rvsleaity GHTEFACTORY a cats one,a Soe" palesai.auc ACTOR us tar esreson anes Sees Sanchothe rae Or aurora To See tan sa. SSUE Dare WOOTEN {SB EXPHeS or TENOMDOCEYY) Test NAIC OF COUNTY CERT Hab, SIGNATURE OF CLERK OA DERITY GLERR k 12/08/2010 BE MARRIAGE LENSE NONGER !{Zap03/08/2012 COUNTY OF SSE | Gee Lundriga: {25G, RETUAW COMPLETED MARTIAGE USENG= fovPuinda Jackson TO INCLUDE RECRESS) & Pee 10-0002435-00 Stanislaus 11021 1 svmer sv. 101 MODESTO, CA. 95354 Tell, RAVE OF PERSON WITNESSING MARRIAGE (TYPE OR PRINT CLEARLH) 5a 83 oes !DBPIWA LONTR: ze ge: FESS. Cy, STATECOUNTRY, AND Ti eed 0; MANCIN) WAY MODEST) 7A 9535 -—— 1278, HARE OF PERSON WTHESGING MARIAGE (WPE OR PRINT CLEAALH) 25 5g POD BEE Crm born a.) 1M. WTRE :G = gEa: Fc. Ab 5S, iy, STATECUUNIAY, AND ZIPCODE Ten OL LAANEL AL Was TERED, GESLARE a GF GALFORMIA PrNCESPERLADESTD CA 535, By faeceamace win AWS OF USER ESTATE rs Le PESTA enaMGhHUSTSONTake MACE HIMETEEIM ASOUERRIED OF CACMPITS WERE OSES WV VET ARTE Aen oF Marsa THAR ¥t CINTONN GF MARBINGE 2. COUNTY OF HARRIAGE yo BE ASE/ IE OF BENSON SOLE IS WAAR LMORESTY Tate er DERGUNATION t STAAISCA WF CLERGH 38 es » LoD t; Se BC. ALE OF PERSON SOLEUS NORAINGE (T1FE GR PRINT CLEAR = Aten = PeLeainlaT ahi Ss SOE TERRES : ORIYINED MINISTER PRPS ar aE NEW MIDDLE ANOTAST NAME OF PERSON LISTED WTATD [FLMODETO CA _ 95357 & gs a Ze 0A FIST — MUST BE SAME ASTA ANT] FOR USE UPON SOLENNIATION GF THE MARRIAa# GEE REVERSE FOR FORMATION’ {308 MODLE 1300. S LAST —— 52 EW NODE ARATE OF PEROT CSTE TERT = SIA FAST = MUST BE SAME AS T2A FOR SE UBD SOC BIEATION OF THE WARRGE (See REVERSE TOT AFOUIETORT {oie MODE THC, a pee LAS TEST EST aa SEATED POT TEE SRST sie | ae Lundrigan Love BEC 2? onin i ‘STATE OF CALIFORNIA, DEPAATMENT OF PUBLIC HEALTH, CFFISE OF VITAL RECORDS. ‘yser7 (ev012010) & = = STATE OF CALIFORNIA COUNTY OF STANISLAUS. }s CERTIFIED COPY DATE ISSUED OF VITAL RECOR, a l - IiilAl *SO- 424509% sos “ SNH, iy = URE KS This true and exact ‘production of the document officially registered an we placed 1 file in the of af th inislaus County Clerk-Recorder. AY, Ge oy, %% Bul at \m | Li ce UNDAIGAN. cide Loanfer S 8SS EER 42 ss 7% sT ANISLAUS COUNTY CAALIF 4 Wf Thi slid urles prepared one ed border displasin nt ye n cl Kok a 4 y *y : ty. wen 5 RAL FOBON i olnanaai cas a 9 oe iy, s Ry TE NEP on sRNRSOEL i yi =) ie 7 VAG OL C1 3 | — i eA i = a Si Be 2 7 Saye ABE a 42 ee Ny mn We REZ Es COUNTY OFSTO STANISLAUS a Aare a Amy MODE: STO CALIFORNIA xy SS 1 7 qei, we & 3052020267969 CERTIFICATE OF DEATH3202050005218 ey Te EEA soc ayant on ARS TOCA REGISTRATION NOME HAN GFCRCEDENT- FIT (Gey [tess RANGEL MACIAS Gin Sea IN FR, a aS a CHUY- RANGEL MACIAS J Tan STAEFOREIN COUNT 16, SOSA RECUR NER TBE TS Me 05/20/1976 3 | RT |e STAD FONE OPIATE ero Geran MEXICO, NONE ves [XJ [Jus] MARRIED 11/22/2020 0832 a (ewan Tapes] WAS CEEEDENT MERION NOVEAN? Gye rwanda ‘SE GECEDENT'S AGE= Up cv ma ba ed aw POMONA 02 EX] *s MEXICAN Tse MEXICAN 3 7, SOAL GSEUPATON pe wa an ot We DONOT SEED a 1 RO OF BISRERS OR NGUST fp,gsay ow and TUES. arpa a Fe] a ARS CCST 4 RESIDENTIAL WOOD FRAMING [RL CEEDENTS RESIDENCE ire wd aw, oreo) CONSTRUCTION INDUSTRY 3 | > 224 ALGEN AVE ij MODESTO TERE