MPC 360 (3/19/12) DMDSUR
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page
DEMAND FOR SURETIES
G.L. c. 190B, § 3-605
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
Estate of:
Last Name
First Name
Date of Death:
Division
1.
Information about the Applicant:
Last Name
Name:
First Name
M.I.
(Address)
(City/Town)
(State)
(Zip)
(Apt, Unit, No. etc.)
Primary Phone #:
2.
I have the following financial or property interest or claim in this estate as a:
Heir
(Identify relationship to the Decedent G.L. c. 190B, § 2-103)
Creditor
Other:
(state interest)
3.
The value of my interest or claim is in excess of $5,000.00.
4.
The Applicant gave notice of this Demand to the Personal Representative on
by mailing to the following address:
(Apt, Unit, No. etc.)
(Address)
(Zip)
(State)
(City/Town)
I demand that the Personal Representative give sureties on the official bond.
5.
(date)
(Print name)
SIGNED UNDER THE PENALTIES OF PERJURY
Date:
Signature of Applicant
Date:
Signature of Co-Applicant (if applicable)
B.B.O. #
Primary Phone #:
(State)
(City/Town)
(Address)
(Apt, Unit, No. etc.)
Information on Attorney for Applicant
I certify under the penalties of perjury that the foregoing statements are true to the best of my knowledge and belief.
Signature of Attorney
Email:
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