Commonwealth of Massachusetts The Trial Court Probate and Family Court Department Division Docket No. ( ( (type of fiduciary) ) with Personal Surety ( Bond of ) without ) with Corporate Surety Name of Estate Name and Address of Fiduciary Estimated Real Estate Estimated Personal Estate Penal Sum of Bond, (if applicable) 1, We, the undersigned fiduciary accept appointment as and stand bound - in the aforesaid penal sum - with the undersigned surety or sureties - (if applicable) to perform the statutory conditions of said bond and declare the above estimate to be to my - our best knowledge and belief. Date Signature of Fiduciary - Principal (complete below only if this is a bond with personal sureties) We, the undersigned, as sureties, stand bound jointly and severally in the aforesaid penal sum to perform the statutory condition. Personal Surety's Name and Address Signature Personal Surety's Name and Address Signature The above sureties are in my opinion sufficient. City or Town Office Signature (complete below only if this is a Surety Company Bond) We, the undersigned surety company, a corporation duly organized by law under the state of and having a usual place of business in (Massachusetts address) stand bound as surety, in the aforesaid penal sum, to perform the statutory condition. by Corporate Surety (name) Signature and Title , SS. CJ-P 26 (I /89) , 20 exam i and appr ned oved. Justice-Assistant-Register-of The Probate and Family Court American LegalNet, Inc. www.FormsWorkFlow.com c.g.f.