Inventory (Without Schedules)
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Inventory (Without Schedules) Form. This is a Massachusetts form and can be use in Probate And Family Court Statewide.
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Tags: Inventory (Without Schedules), MPC 854a, Massachusetts Statewide, Probate And Family Court
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
INVENTORY
Estate of:
Conservatorship of:
Division
Other:
After completing attached Schedules of Personal Property and Real Estate, insert the total from each Schedule on the line
below.
I am the
Conservator who is
Temporary
Permanent
Personal Representative
Special Personal Representative
Public Administrator
Receiver
Other:
appointed on
and I certify that this Inventory contains a complete and
(date)
accurate report of the estate's personal property and real estate.
FOR CONSERVATORSHIPS
I have delivered a copy of this Inventory by
delivery in hand
first class mail postage prepaid
to the Protected Person (if over 14) and to any parent or guardian who lives with the Protected Person
SUMMARY OF ATTACHED SCHEDULES
(If you are completing this on-line, the totals will auto-fill.)
TOTALS
SCHEDULE OF PERSONAL PROPERTY:
SCHEDULE OF REAL ESTATE:
SIGNED UNDER THE PENALTIES OF PERJURY
I certify under the penalties of perjury that the foregoing statements are true to the best of my knowledge and belief.
Date:
Signature of Fiduciary
Date:
Signature of Co-Fiduciary (if applicable)
Information on Attorney for Fiduciary
Signature of Attorney
(Print name)
(Address)
(City/Town)
(Apt, Unit, No. etc.)
(State)
(Zip)
Primary Phone #:
B.B.O. #
Email:
MPC 854 (3/19/12)
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