Commonwealth of Massachusetts Division The Trial Court Probate and Family Court Department Docket No. SALE OF REAL ESTATE ADMINISTRATOR - EXECUTOR DEBTS, LEGACIES, CHARGES OF ADMINISTRATION Name of Deceased Domicile at Death (street address) (city or town) (zip) Date of Death TO THE HONORABLE JUSTICES OF THE PROBATE AND FAMILY COURT RESPECTFULLY represent(s) and administrator/trix of the estate executor/trix of the will - of $ $ $ $ $ That the debts due from the deceased, as nearly as they can now be ascertained, as shown by the list herewith filed, amount to The legacies given in the will amount to The charges of administration amount to Total The value of the personal estate in the hands of the petitioner(s) (exclusive of the widow's allowance) is The personal estate is therefore insufficient to pay the debts - legacies - and the charges of administration, and it is necessary for that purpose to sell some all of the real estate to raise the sum of An advantageous offer for the purchase of the real estate hereinafter described has been made to the petitioner(s) in the sum of The real estate which the petitioner(s) propose(s) to sell is situated in in the County of $ $ , bounded and described as follows: I/We certify that the estate of the deceased does does not exceed $1000 in value. WHEREFORE your petitioner(s) request(s) that he/she/they may be authorized to sell the real estate of the deceased at private sale in accordance with this offer, or at public auction for a larger sum for the payment of these debts - legacies - and charges of administration upon the following terms: and that he/she/they may become the purchaser(s) of this real estate. CJ-P 75 (4/09) American LegalNet, Inc. www.FormsWorkFlow.com I/We certify under the penalties of perjury that the following is, to the best of my/our knowledge and belief, a list of debts which appear due from the estate of Name of Creditor Residence, or Usual Place of Business Nature of Debt Security Amount Moreover, the petitioner(s) certify/certifies that MassHealth is is not an interested party in this matter due to: the filing of a written claim against the estate pursuant to G.L. c. 118E, s 32. the filing of a Notice of Claim pursuant to G.L.c. 197, s 9(d). Notice of this petition has been sent to MassHealth, P.O. Box 15205, Worcester, Massachusetts 01615-0205., if required Date Administrator /trix Executor /trix Administrator /trix Executor /trix The undersigned, being all persons interested, assent to the foregoing petition. Print Name Residence Relationship Check if Applicable Minor Incompetent Minor Incompetent Sign if you assent to the Petition CJ-P 75 (4/09) American LegalNet, Inc. www.FormsWorkFlow.com