Assent And Waiver Of Notice-Renunciation-Waiver Of Sureties {MPC 455}

ASSENT AND WAIVER OF NOTICE RENUNCIATION NOMINATION WAIVER OF SURETIES Docket No. Commonwealth of Massachusetts The Trial Court Probate and Family Court Division Case Name As a person interested in the above-captioned case: (Check all that apply.) SECTION I. ASSENT AND WAIVER OF NOTICE I hereby assent to the Name of Pleading filed with the Court and I waive my right to any statutory notice related to that specific pleading. I request that the relief requested in that pleading be allowed. FOR ESTATE AND ADMINISTRATION CASES ONLY: SECTION II. RENUNCIATION/NOMINATION (A) (B) (Select ONE of the appropriate boxes below.) I renounce my right to appointment as Personal Representative and my right to nominate, if any. I renounce my right to appointment as Personal Representative and nominate: Name: First Name M.I. Last Name to serve in my place. (C) I assent to the nomination of: Name: me or to apply for appointment. First Name M.I. Last Name to serve as Personal Representative with SECTION III. WAIVER OF SURETIES I assent to the Personal Representative(s) serving without sureties on the bond. SIGNED UNDER THE PENALTIES OF PERJURY I certify under the penalties of perjury that the foregoing statements are true to the best of my knowledge and belief. Date: Signature of Interested Person (Print name) (Address) (Apt, Unit, No. etc.) (City/Town) (State) (Zip) Primary Phone #: MPC 455 (10/23/12) AWR page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com