Commonwealth of Massachusetts The Trial Court Probate and Family Court Department Division Docket No: SALE OF REAL ESTATE ADMINISTRATOR-EXECUTOR TO THE HONORABLE JUSTICES OF THE PROBATE AND FAMILY COURT IN AND FOR THE COUNTY OF RESPECTFULLY represents late of in said County of that , deceased gave bond for the faithful performance of 20 duties on that said deceased was at the time of decease the owner of certain real estate situated in , in the County of bounded and described as follows: the same being the real estate of said deceased. That it is for the advantage of all parties interested that the same be sold; that an advantageous offer for the purchase of said real estate has been made to the petitioner in the sum of certify that the estate of said deceased WHEREFORE your petitioner(s) pray(s) that exceed $1000 in value. may be authorized to sell said real estate of said deceased - at private sale in accordance with said offer or for a larger sum - at public auction upon the following terms: and that may become the purchaser(s) of said real estate. Date Date The undersigned, being all persons interested, hereby assent to the foregoing petition. Sale of Real Estate Administrator-Executor CJ-P 76 Page 1 of 4 c.g.f. American LegalNet, Inc. www.FormsWorkFlow.com Commonwealth of Massachusetts The Trial Court Probate and Family Court Department Division Docket No: late of In the County of , deceased the petitioner(s) named in a petition dated and on file in said County, praying for authority to sell certain real estate belonging to the estate of said deceased and therein described, do hereby certify under the penalties of perjury that the names of all persons known to as having or claiming any interest in said real estate derived from any deed or conveyance or mortgage by, through or under any of the of said deceased are as follows: NAME RESIDENCE Moreover, the petitioner(s) TITLE that the Division of Medical Assistance an interested party in this matter due to: the filing of a written claim against the estate pursuant to M.G.L. ch. 118E § 32. the filing of a Notice of Claim pursuant to M.G.L. ch. 197, § 9(d). and request(s) that notice of this petition be sent to the Division of Medical Assistance, P.O. Box 15205, Worcester, Massachusetts 01615-9906 Date Sale of Real Estate Administrator-Executor CJ-P 76 Page 2 of 4 c.g.f. American LegalNet, Inc. www.FormsWorkFlow.com Commonwealth of Massachusetts The Trial Court Probate and Family Court Department Division At a Probate Court held at on the Docket No: in and for said County of in the year of our Lord two thousand day of On the petition of late of in the County, deceased praying for authority to sell the real estate of said deceased, described in said petition - at public auction - at private sale, in accordance with the offer named in said petition or for a larger sum, if shall think best so to dfo; all persons interested having - assented - been duly notified - and no person objecting thereto, it appearing that said offer is an advantageous one and that the interest of all parties concerned will be best promoted by an acceptance of said offer. IT IS DECREED, that the petitioner(s) be authorized to sell and convey - at public auction - at private sale, upon the following terms: for the sum of in acordance with said offer for a larger sum, - if described as follows: shall think best so to do, the real estate of said deceased The Commissioner of the Department of Revenue has the lien on said real estate and it is further decreed that said petitioner(s) may become the purchaser(s) of said real estate. Justice of the Probate and Family Court Sale of Real Estate Administrator-Executor CJ-P 76 Page 3 of 4 pages c.g.f. American LegalNet, Inc. www.FormsWorkFlow.com Docket No: For Petitioner: Sale of Real Estate Administrator - Executor Petition - Citation - Decree Tel. No. BBO No. For Respondent: Filed __________________________ 20 ____ Citation Issued __________________ 20 ____ Returnable ______________________ 20 ____ Allowed ________________________ 20 ____ Decree Recorded Vol. ________Page _______ Tel. No. BBO No. INSTRUCTIONS See M.G.L.A. c. 202 Sale of Real Estate Administrator-Executor CJ-P 76 Page 4 of 4 pages c.g.f. American LegalNet, Inc. www.FormsWorkFlow.com