Affidavit Of Solvency
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Affidavit Of Solvency Form. This is a Massachusetts form and can be use in Probate And Family Court Statewide.
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Tags: Affidavit Of Solvency, Massachusetts Statewide, Probate And Family Court
Co m m o nwe a lth o f Ma ssa c h use tts
Th e Tria l Co urt
Pro b a te a nd F m ily Co urt De p a rtm e nt
a
__________Division
Docket No:
In Re: The Estate of
AFFIDAVIT OF SOLVENCY
(Pursuant to M.G.L. Chapter 205, sec. 4A)
to the best of
do hereby certify that
,
I/We
my/our
Name
knowledge and belief the real and personal property of the estate exceeds the
debts of the decedent and the charges of
his/her
last sickness and funeral, the anticipated costs of
the settlement of this estate, and any allowance anticipated to be payable under the provisions of
General Laws chapter 196.
SWORN to under the pains and penalties of perjury this
, 20
day of
.
Signature
Signature
(Please Print) Name
(Please Print) Name
(Please Print) Address
(Please Print) Address
(Please Print) Town
Rev. 2003
State
Zip
(Please Print) Town
State
Zip
pcpfc - c.g.f.
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