On September 13, 2021 a
Party Statement
was filed
involving a dispute between
Gillespie, Jaelee May,
and
for Estates and Administration
in the District Court of Barnstable County.
Preview
Le
VOLUNTARY ADMINISTRATION Docket No. Commonwealth of Massachusetts
STATEMENT ' Probate and Family Court
PURSUANT TO G. L. c. 190B, § 3-1201
BAaLPe! 444
Estate of: Barnstable Division
Ryan Annelle Gillespie
First Name Middle Name Tast Name
Date of Death: June 5, 2024
The Petitioner(s) (hereafter "Petitioner"), an interested person, makes the following statements:
4. Information about the Decedent:
Name: R JON ho ae. \2 Gillespie
T"First Name iddle"Namié Tast Name
Also known as: lamin Wr
Name ut
Domicile at death: 115 Bayview St A West Yarmouth MA 02673
(Address) TApt, Unit, No. ete.) (City/Town) (Statey TZipy
2. Information about the Petitioner:
Name: JaeLee May Gillespie
First Name MI Tast Name
3 Main Dennis MA 02638
(Address) ‘Apt, Unit, No. étc}) (City/Town) Ctatey Tip)
Mailing Address, if different:
Address) (Apt, Unit, No- ete.) CiyrTowny —Biatey— Tipp
Primary Phone #: 774-212-9376 .
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)): Daounhter-
es
3. At least 30 days have elapsed since the death of Decedent.
4. A death certificate issued by a public officer is in the possession of the court or accompanies this statement.
5. [XJ 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.
6. [XJ 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.
MPC 170 (4/15/16) page 1 of 3 |Docket No.
Estate of: Ryan Annelle Gillespie
First Name Middle Name Tast Name BAael¥yyosy
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: |2013 Chevy Volt - LGLAD GEUYDULIA2060 nla
Total:
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
Jo POD Mann ok enna MK Heir
Devisee
G. ese” 026 m3 (J Joint Owner
Taeyoh 293 Mair sk CenniS ma jArter
UO Devisee
Al N\eepre” 036 33 CO Joint owner
CD Heir
C Devisee
CJ Joint Owner
OC Heir
CI Devisee
C1 Joint Owner
OC Heir
CO Devisee
CJ Joint Owner
MPC 170 (4/15/16) page 2 of 3d 30 AYLSIOGY
YOY 30 ALNAGS
OreY ef 44s 1eg2~ Sew Docket No.
Estate of: Ryan Annelle Gillespie
First Name Middle Name Tast Name B AR) R Hy eA
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: September 12, 2021 4 0
lature of Petiti
Information on Attorney for Petitioner, if any
‘Signature of Attorney
(Print namey
Addressy (Apt. Unit, No. etc.)
(cityrTowny (State) Ty
Primary Phone #:
B.B.O. #
Email:
(Do Not Write Below This Line-For Court Use Only)
J ut
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.
713/202) Conon Mth Tvcw
Register of Probate
Date:
MPC 170 (4/15/16) page 3 of 3
Document Filed Date
September 13, 2021
Case Filing Date
September 13, 2021
Category
Estates and Administration
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Le VOLUNTARY ADMINISTRATION Docket No. Commonwealth of Massachusetts STATEMENT ' Probate and Family Court PURSUANT TO G. L. c. 190B, § 3-1201 BAaLPe! 444 Estate of: Barnstable Division Ryan Annelle Gillespie First Name Middle Name Tast Name Date of Death: June 5, 2024 The Petitioner(s) (hereafter "Petitioner"), an interested person, makes the following statements: 4. Information about the Decedent: Name: R JON ho ae. \2 Gillespie T"First Name iddle"Namié Tast Name Also known as: lamin Wr Name ut Domicile at death: 115 Bayview St A West Yarmouth MA 02673 (Address) TApt, Unit, No. ete.) (City/Town) (Statey TZipy 2. Information about the Petitioner: Name: JaeLee May Gillespie First Name MI Tast Name 3 Main Dennis MA 02638 (Address) ‘Apt, Unit, No. étc}) (City/Town) Ctatey Tip) Mailing Address, if different: Address) (Apt, Unit, No- ete.) CiyrTowny —Biatey— Tipp Primary Phone #: 774-212-9376 . 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)): Daounhter- es 3. At least 30 days have elapsed since the death of Decedent. 4. A death certificate issued by a public officer is in the possession of the court or accompanies this statement. 5. [XJ 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. 6. [XJ 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. MPC 170 (4/15/16) page 1 of 3 |Docket No. Estate of: Ryan Annelle Gillespie First Name Middle Name Tast Name BAael¥yyosy 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: |2013 Chevy Volt - LGLAD GEUYDULIA2060 nla Total: 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 Jo POD Mann ok enna MK Heir Devisee G. ese” 026 m3 (J Joint Owner Taeyoh 293 Mair sk CenniS ma jArter UO Devisee Al N\eepre” 036 33 CO Joint owner CD Heir C Devisee CJ Joint Owner OC Heir CI Devisee C1 Joint Owner OC Heir CO Devisee CJ Joint Owner MPC 170 (4/15/16) page 2 of 3d 30 AYLSIOGY YOY 30 ALNAGS OreY ef 44s 1eg2~ Sew Docket No. Estate of: Ryan Annelle Gillespie First Name Middle Name Tast Name B AR) R Hy eA 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: September 12, 2021 4 0 lature of Petiti Information on Attorney for Petitioner, if any ‘Signature of Attorney (Print namey Addressy (Apt. Unit, No. etc.) (cityrTowny (State) Ty Primary Phone #: B.B.O. # Email: (Do Not Write Below This Line-For Court Use Only) J ut 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. 713/202) Conon Mth Tvcw Register of Probate Date: MPC 170 (4/15/16) page 3 of 3