NOTICE OF INFORMAL PROBATE G.L. c. 190B, § 3-306 Estate of: First Name Middle Name Docket No. Commonwealth of Massachusetts The Trial Court Probate and Family Court Division Last Name Also Known As: Date of Death: To all persons who have or may have some interest in the above-captioned estate and, if interested, to the Office of the Attorney General and the Department of Veterans Affairs, notice is hereby given on that the Petitioner (date) of First Name M.I. Last Name (City/Town) (State) intends to file with the above-named Probate and Family Court, not sooner than seven (7) days after this notice, a Petition for Informal Probate of a Will Petition for Informal Appointment of Personal Representative, to serve First Name M.I. Last Name with of without surety on the bond (City/Town) (State) The estate is being administered under informal procedure by the Personal Representative under the Massachusetts Uniform Probate Code without supervision by the Court. Inventory and accounts are not required to be filed with the Court, but interested parties are entitled to notice regarding the administration from the Personal Representative and can petition the Court in any matter relating to the estate, including distribution of assets and expenses of administration. Interested parties are entitled to petition the Court to institute formal proceedings and to obtain orders terminating or restricting the powers of Personal Representatives appointed under informal procedure. A copy of the Petition and Will, if any, can be obtained from the Petitioner. MPC 550 (10/23/12) NTCIP American LegalNet, Inc. www.FormsWorkFlow.com page 1 of 2 Docket No. Estate of: First Name Middle Name Last Name RETURN OF SERVICE I, specified below: (name) , hereby certify that notice was given to each interested person as To: at: (address) by first-class mail hand delivery On: (date) To: at: (address) by first-class mail hand delivery On: (date) To: at: (address) by first-class mail hand delivery On: (date) To: at: (address) by first-class mail hand delivery On: (date) The following interested persons have assented and waived notice and the assents and waivers are filed with this Notice or are in the possession of the Court: 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 Attorney for the Petitioner or Petitioner if Pro Se Signature of Attorney for the Petitioner or Petitioner if Pro Se (Address) (City/Town) (State) (Apt, Unit, No. etc.) (Zip) (Address) (City/Town) (State) (Apt, Unit, No. etc.) (Zip) Primary Phone #: B.B.O. #: Primary Phone #: B.B.O. # MPC 550 (10/23/12) NTCIP American LegalNet, Inc. www.FormsWorkFlow.com page 2 of 2