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Docket No. MILITARY AFFIDAVIT Commonwealth of Massachusetts The Trial Court Probate and Family Court Division case name In the matter of the Petition of (Name of Petitioner(s)) for (Description of Petition) . A. B. None of the interested parties or heirs-at-law are in the military service of the United States or of any of its allies. First Name M.I. Last Name is currently in the military service of the United States or one of its allies and HAS assented. C. First Name M.I. Last Name is currently in the military service of the United States or one of its allies and HAS NOT assented. D. First Name M.I. Last Name HAS NOT assented and I am unable to determine his/her military status. Signed under the penalties of perjury. Date: Signature of Attorney for Petitioner or Petitioner, if pro se Print Name (Address) (Apt, Unit, No. etc.) (City/Town) (State) (Zip) Primary Phone # B.B.O. # Email NOTE 1. A separate Military Affidavit must be filed for each person for whom B., C., or D. above applies. 2. If defendant, an interested party, or an heir-at-law is in military service, the Court shall appoint an attorney to represent that person and protect his/her interest in accordance with the Service Members Civil Relief Act which provides an umbrella of protection whereby those on active duty status can request a delay in proceedings if they can show that their military responsibilities preclude their proper representation in Court. Reset Form MPC 470 (3/19/12) American LegalNet, Inc. www.FormsWorkFlow.com page 1 of 1