Fillable Mpc854 Combined Inventory Fill (Commonwealth of Massachusetts)

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Mpc854 Combined Inventory Fill (Commonwealth of Massachusetts)

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The Mpc854 Combined Inventory Fill (Commonwealth of Massachusetts) form is 3 pages long and contains:

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File type: PDF

U.S.A. forms for Commonwealth of Massachusetts

BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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MPC 854 (3/19/12) IFIL
of
page
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
Division
Estate of:
Conservatorship of:
Other:
After completing attached Schedules of Personal Property and Real Estate, insert the total from each Schedule on the line
below.
I am the
Temporary
Permanent
Conservator who is
Personal Representative
Special Personal Representative
Public Administrator
Receiver
accurate report of the estate's personal property and real estate.
FOR CONSERVATORSHIPS
first class mail postage prepaid
delivery in hand
I have delivered a copy of this Inventory by
to the Protected Person (if over 14) and to any parent or guardian who lives with the Protected Person
Other:
appointed on
(date)
and I certify that this Inventory contains a complete and
SUMMARY OF ATTACHED SCHEDULES
SCHEDULE OF PERSONAL PROPERTY:
SCHEDULE OF REAL ESTATE:
TOTALS
(If you are completing this on-line, the totals will auto-fill.)
(Print name)
SIGNED UNDER THE PENALTIES OF PERJURY
Date:
Signature of Fiduciary
Date:
Signature of Co-Fiduciary (if applicable)
B.B.O. #
Primary Phone #:
(Zip)
(State)
(City/Town)
(Address)
(Apt, Unit, No. etc.)
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:
MPC 854 (3/19/12) IFIL
of
page
SCHEDULE OF PERSONAL PROPERTY
Item No.
Account and Number
Description of Personal Property
Value
Total
Note: LIST CURRENT BALANCE (IF ANY) OF ANY LOAN OR LIEN ON EACH ITEM. If necessary, attach additional pages
and continue with Item No. 15 etc. until completed. Enter total values of all Personal Property items above, and insert same
amount on "Schedule of Personal Property" line on front page of this Inventory.
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MPC 854 (3/19/12) IFIL
of
page
SCHEDULE OF REAL ESTATE
Item No.
Description of Real Estate
Value
Total
Note: INCLUDE THE STREET ADDRESS, TITLE REFERENCE, AND CURRENT BALANCE (IF ANY) OF ANY
MORTGAGE OR LIEN FOR EACH ITEM OF REAL ESTATE. "Value" in the right column means fair market value without
deduction for any mortgage or lien on the property. If necessary, attach additional pages, continuing with Item No. 15 etc.
until completed. Enter total values of all Real Estate items above, and insert same amount on "Schedule of Real Estate" line
on front page of this Inventory.
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Mpc854 Combined Inventory Fill (Commonwealth of Massachusetts)

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Completed 26 July 2020

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