Here is the text we could read:
TRIAL COURT OF
MASSACHUSETTS
COMPLAINT FOR CERTIFICATE
AFTER DEATH
(G.L. c. 185, § 97)
COURT USE ONLY
COURT DEPARTMENT
COUNTY
LAND COURT
CASE NAME
[In the matter of]
DOCKET NUMBER (REQUIRED)
___-SBQ-_______-____-____
Complaint for new Certificate of Title after death of: ___________________________________________________
_________________________________________________________________, the registered owner(s) named in
Certificate/Memorandum of Unit Ownership No. ______________ issued from the ____________________ Registry
District.
1. The Plaintiff(s) is/are the sole heir(s) at law -or-
devisee(s) under the will of the deceased owner(s)
named above, late of _____________________________ in ______________________ County.
2. The Probate & Family Court _________________ Division has granted letters testamentary, or of administration,
on the estate(s) of the deceased owner(s).
3. More than thirty (30) days have elapsed since the entry of judgment and no appeal therefrom has been taken, or
any appeal taken has resulted in the entry of judgment pursuant to the rescript of the Supreme Judicial Court or
Appeals Court.
Check if applicable and attach a written Addendum sheet to this Complaint form.
There are additional facts described on the attached Addendum, which is incorporated herein by reference.
Accordingly, the Plaintiff(s) request(s) that the Land Court issue a new Certificate of Title.
Waiver of Notice by Personal Representative
I, ____________________________________________, the Personal Representative of the estate(s) of the above-
named deceased owner(s), ______________________________________________________________________,
hereby waive notice of the foregoing complaint and assent to the requested relief thereof, and further make oath to
the best of my knowledge and belief that all debts, charges, and claims against the estate(s) of the deceased
owner(s) are paid, and that no suits against the estate(s) are pending.
Executed under penalty of perjury,
DATE
SIGNATURE
Note: In the absence of the appointment of a Personal Representative, one heir or devisee must sign this
section. All Plaintiffs or their attorney(s) must complete the section entitled “Listing of All Plaintiffs,” on
page 3 of this form. Add additional pages as necessary.
SAD (formerly LCP-2) (10-2019)
www.mass.gov/courts/forms
www.masscourts.org
Page 1 of 3
TRIAL COURT OF
MASSACHUSETTS
LAND COURT
COMPLAINT FOR CERTIFICATE
AFTER DEATH
(G.L. c. 185, § 97)
DOCKET NUMBER (REQUIRED)
___-SBQ-_______-____-____
Filing Requirements Checklist
Submit attested copies of the following documents:
Deceased Owner’s Certificate of Title (or Memorandum of Unit Ownership)
Probate Court Docket Sheet
Allowed Petition (pre-MUPC) -or- Petition for Formal (MPC 160)
Citation (and a copy of the publication)
Approved Bond(s)
Will (if testate) and all Codicils (if any)
Inventory (if filed)
Surviving Spouse, Children, Heirs at Law Form (MPC 162) (if filed)
Devisees Form (MPC 163) (if testate and filed)
Decree and Order on Petition for Formal Adjudication (MPC 755) (unless the Probate and Family Court
Decree is otherwise part of a pre-MUPC filing)
If any Probate Court filings have been amended, submit attested copies of the same
Land Court Subsequent Complaint Filing Fee of $50.00
Submit attested copies of the following documents only if they were filed with the Probate Court:
Petition for Late and Limited Formal Testacy and/or Appointment (MPC161)
Decree and Order on Petition for Late and Limited Formal Testacy and/or Appointment (MPC 757)
Petition for Order of Complete Settlement (MPC 855)
First and Final Account (including all Accounts if more than one)
Decree and Order for Complete Settlement (MPC 790)
Note: Additional documents may be requested by the Court.
File this original Complaint and one copy of the Complaint.
SAD (formerly LCP-2) (10-2019)
www.mass.gov/courts/forms
www.masscourts.org
Page 2 of 3
TRIAL COURT OF
MASSACHUSETTS
LAND COURT
COMPLAINT FOR CERTIFICATE
AFTER DEATH
(G.L. c. 185, § 97)
DOCKET NUMBER (REQUIRED)
___-SBQ-_______-____-____
Listing of All Plaintiffs
(Add additional pages as necessary)
PLAINTIFF
PLAINTIFF’S LAWYER (IF ANY)
INTEREST CLAIMED
PRINT NAME
PRINT NAME
PHONE
EMAIL
PHONE
EMAIL
PHONE
EMAIL
PHONE
EMAIL
ADDRESS
ADDRESS
BBO NUMBER
PLAINTIFF
PLAINTIFF’S LAWYER (IF ANY)
INTEREST CLAIMED
PRINT NAME
PRINT NAME
ADDRESS
ADDRESS
BBO NUMBER
PLAINTIFF
PLAINTIFF’S LAWYER (IF ANY)
INTEREST CLAIMED
PRINT NAME
PRINT NAME
ADDRESS
ADDRESS
BBO NUMBER
PLAINTIFF
PLAINTIFF’S LAWYER (IF ANY)
INTEREST CLAIMED
PRINT NAME
PRINT NAME
SIGNATURES
PLAINTIFF’S SIGNATURE
LAWYER’S SIGNATURE
SIGNATURES
PLAINTIFF’S SIGNATURE
LAWYER’S SIGNATURE
SIGNATURES
PLAINTIFF’S SIGNATURE
LAWYER’S SIGNATURE
SIGNATURES
PLAINTIFF’S SIGNATURE
LAWYER’S SIGNATURE
X
X
X
X
X
X
X
X
PHONE
EMAIL
PHONE
EMAIL
PHONE
EMAIL
PHONE
EMAIL
ADDRESS
ADDRESS
BBO NUMBER
SAD (formerly LCP-2) (10-2019)
www.mass.gov/courts/forms
www.masscourts.org
Page 3 of 3
Complaint for Certificate After Death
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts.
To learn more about the project, check out our about page.
Downloads: You can download both the original form (last checked 2023-03)
and the machine-processed form with normalized data fields.
About This Form:
- Sourced from www.mass.gov (2023-03)
- Page(s): 3
- Fields(s): 69
- Average fields per page: 23
- Reading Level: Grade 8
- LIST Grouping(s):
Unknown
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Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions.
When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
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We've done our best to group similar variables togther to avoid overwhelming the user.
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citation_copy_publication
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Suggested Screen 10:
account_including_accounts
Suggested Screen 11:
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Suggested Screen 12:
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Suggested Screen 13:
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