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Certificate Of Service Form. This is a Massachusetts form and can be use in Probate And Family Court Statewide.
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Tags: Certificate Of Service, MPC 500, Massachusetts Statewide, Probate And Family Court
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
CERTIFICATE OF SERVICE OF:
(type of pleading)
Division
In the Interests of:
First Name
Middle Name
Last Name
RESPONDENT
[Fill in the blank lines, check the boxes that show how the above was served, and sign where indicated.]
On Respondent:
, a disinterested person over the age of eighteen (18), hereby
I,
(name)
I served in hand a copy of
certify under the penalties of perjury that on
(date)
on
at
(Respondent's name)
(address)
Date:
Signature:
On Other Interested Persons:
, hereby certify under the penalties of perjury that a copy of
I,
(name)
was served:
by
On:
certified/registered mail
first-class mail
hand delivery
(name)
Date
at:
(address)
by
On:
certified/registered mail
first-class mail
hand delivery
(name)
Date
at:
(address)
by
On:
certified/registered mail
first-class mail
hand delivery
(name)
Date
at:
(address)
by
On:
certified/registered mail
first-class mail
hand delivery
(name)
Date
at:
(address)
The following interested persons' assents have been filed with the court:
Date:
MPC 500 (5/30/11)
Signature:
American LegalNet, Inc.
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