Docket No. PETITION FOR APPROVAL OF COMPROMISE G.L. c. 190B, §§3-1101, 3-1102 Commonwealth of Massachusetts The Trial Court Probate and Family Court Division Case Name Date of Death/Appointment/Instrument Petitioner(s) (hereafter "Petitioner"), an interested person, makes the following statements: 1. Information about the Petitioner: Name: Last Name M.I. First Name (Address) (Apt, Unit, No. etc.) (City/Town) (State) (Zip) Mailing Address, if different: (Apt, Unit, No. etc.) (Address) (City/Town) (State) (Zip) Primary Phone #: Interest of the Petitioner (e.g., Personal Representative, trustee, heir, devisee, etc.-see G.L. c. 190B § 1-201(24)): . 2. Personal Representative or Trustee was appointed on: . (date) 3. A controversy has arisen as to: admission to probate of a Will dated administration of the estate; ; date(s) distribution of the estate; an accounting; construction of a Will; construction of a Trust created by a written instrument dated the Fiduciary's power and authority; ; date(s) approval of arbitration of ; other controversy growing out of an estate or Will or trust created by a written instrument as follows: 4. All interested parties who claim a vested interest in said estate or trust, whose interest will be affected by the proposed arbitration or compromise have reached a written agreement to compromise said controversy, a copy of which agreement is filed with this Petition. MPC 250 (5/25/12) page 1 of American LegalNet, Inc. www.FormsWorkFlow.com 2 5. The interested parties and their interest in the estate or trust are: Name Address State Interest Indicate if this person is: Minor Incompetent Minor Incompetent Minor Incompetent Minor Incompetent Minor Incompetent 6. There may be unborn persons or persons whose identity cannot be ascertained or whose whereabouts are unknown and cannot be reasonably ascertained. The Petitioner requests that the Court find that the contest or controversy is in good faith and that the effect of the agreement upon the interests of parties represented by fiduciaries or their representatives is just and reasonable and that the Court approve the agreement and compromise. Petitioner requests that the Court order the to execute the agreement. (e.g. Personal Representative, Trustee, etc.) Petitioner requests that the Court order the estate trust administer the (e.g. Personal Representative, Trustee, etc.) in accordance with the agreement. 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 Petitioner Date: Signature of Co-Petitioner (if applicable) Information on Attorney for Petitioner Signature of Attorney (Print name) (Address) (City/Town) (Apt, Unit, No. etc.) (State) (Zip) Primary Phone #: B.B.O. # Email: MPC 250 (5/25/12) page 2 of American LegalNet, Inc. www.FormsWorkFlow.com 2