Administration De Bonis Non With the Will Annexed-With-Without-Sureties
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Administration De Bonis Non With the Will Annexed-With-Without-Sureties Form. This is a Massachusetts form and can be use in Probate And Family Court Statewide.
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Tags: Administration De Bonis Non With the Will Annexed-With-Without-Sureties, CJ-P4, Massachusetts Statewide, Probate And Family Court
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
__________ Division
Docket No.
Administration De Bonis Non
With The Will Annexed - With - Without - Sureties
Name of Decedent
Domicile at Death
(street and no.)
(city or town)
Date of Death
(County)
(zip)
Will allowed
(date)
Name and address of executor/executrix appointed
Name and address of Petitioner(s)
Status
The petitioner(s) hereby certif
that a copy of this document, along with a copy of the decedent's death
certificate has been sent by certified mail to the Division of Medical Assistance, P.O. Box 15205, Worcester,
Massachusetts 01615-9906.
Petitioner(s) represent(s) that said executor/executrix has -died -resigned -become incapacitated - without
having fully executed said will and pray(s) that he/she/they or some other suitable person
of
(street and no.)
(city or town)
(county)
(zip)
be appointed administrator/administratrix with the will annexed of the estate not already administered -withwithout - sureties on his/her/their bond and, certif
under the penalties of perjury that the statements
herein contained are true to the best of his/her/their knowledge and belief.
Date
Signature(s)
The undersigned hereby assent to the foregoing petition.
DECREE
All persons interested having been notified in accordance with the law or having assented and no objections being
made thereto, it is decreed that
of
in the County of
be appointed
administrator/administratrix with the will annexed of said estate not already administered, first giving bond, with
sureties, for the due performance of said trust.
Date
JUSTICE OF THE PROBATE AND FAMILY COURT
CJ-P 4 (I 1/01)
pcpfc - c.g.f.
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Docket No.
For Petitioner:
Administration De Bonis Non
Tel. No. (
With The Will Annexed
)
With/Without Sureties
B.B.O. #
Petition
- Decree
For Respondent:
Filed
,20
Citation Issued
,20
Returnable
,20
B.B.O. #
Allowed
,20
Publication in the
Recorded Vol.
Tel. No. (
)
Page
Instructions
Refer to Massachusetts General Laws Chapter 193, Section 9.
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