ORDER FOR INFORMAL APPOINTMENT OF SUCCESSOR PERSONAL REPRESENTATIVE 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: 1. A Petition has been filed requesting Informal Appointment of a Successor Personal Representative. 2. Upon consideration of the Petition, I determine that all of the following are true: a. The Petitioner is an interested person and has filed a complete and verified Petition. b. Any required notices have been given or waived by all interested persons. c. The previously appointed Personal Representative(s) was/were appointed on has tendered a resignation which is in possession of the Court. died on (date) (date) and . is now under a guardianship or conservatorship. was removed by Decree and Order of the Court on (date) . other: 3. The person whose appointment is sought has priority entitling that person to appointment with or without appropriate nominations and/or renunciations. Any Will to which the requested appointment relates has been formally or informally probated. The following person(s) is/are qualified to serve and is/are appointed Successor Personal Representative(s): First Name M.I. Last Name First Name M.I. Last Name (Address) (City/Town) (State) (Apt, Unit, No. etc.) (Address) (City/Town) (State) (Apt, Unit, No. etc.) (Zip) (Zip) Primary Phone #: 4. The Successor Personal Representative(s) shall serve: Without surety on the bond because Primary Phone #: Language in the Will waives the requirement of a surety bond. All of the heirs or devisees have filed a written waiver of sureties on the bond. The Personal Representative is a bank or trust company authorized under G.L. c. 190B §3-603. With personal corporate surety on the bond with the penal sum amount of . MPC 760 (10/23/12) JSA American LegalNet, Inc. www.FormsWorkFlow.com page 1 of 2 Docket No. Estate of: First Name Middle Name Last Name 5. Letters of Authority for Personal Representative shall issue. The Successor Personal Representative(s) shall comply with all relevant requirements under the law and the appointment is subject to termination as provided in G.L. c. 190B, §§ 3-608-612. Date Justice Magistrate The Petition is DENIED/DECLINED because: Date Justice NOTE: Magistrate The Denial of a Petition for Informal Appointment of Successor Personal Representative cannot be appealed. A formal proceeding may be initiated. If this Petition is allowed the Petitioner must publish an Informal Publication Notice (MPC 551) once in a newspaper designated by the Register. The Publication shall not be more than thirty (30) days after informal appointment pursuant to G.L. c. 190B, § 3-306(b). MPC 760 (10/23/12) JSA American LegalNet, Inc. www.FormsWorkFlow.com page 2 of 2