MPC 854a (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:
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