TRIAL COURT OF 
MASSACHUSETTS 

LAND COURT 

NOTICE OF VOLUNTARY 
WITHDRAWAL OF LAND 
FROM THE REGISTRATION SYSTEM 
(G.L. c. 185, § 52) 

COURT USE ONLY 

COURT DEPARTMENT 

COUNTY 

DOCKET NUMBER 

___-SBQ-_______-___-____

The owners of the fee simple estate in all of a parcel of land that has been registered under G.L. c. 185 hereby withdraw the 

land from the provisions of that chapter pursuant to G.L. c. 185, § 52.  The land withdrawn is described on Certificate of Title 

No. __________________,  in  Book  __________,  at  Page  __________,  issued  from  the  ________________________  Land 

Registration District and is shown on Land Court Plan No. _______________ as follows: 

 All the land described in the Certificate of Title   -or-       Part of the land described in the Certificate of Title
DESCRIPTION REQUIRED (Include the Land Court designation by which the land is described, e.g., “Lot 4 on
Land Court Plan 12345D,” and specify the particular parcel designated on the certificate (if any) if withdrawal is
sought as to less than all the land described in the certificate.)

 The description of the land in the form contained in the Certificate of Title is attached hereto as Exhibit A.  The street

address of the land (if any) is: ____________________________________________________________________________

ORWD (07-2022) 

www.mass.gov/courts/landcourt 
www.masscourts.org 

Page 1 of 2 

TRIAL COURT OF 
MASSACHUSETTS 

NOTICE OF VOLUNTARY 
WITHDRAWAL OF LAND 
FROM THE REGISTRATION SYSTEM 
(G.L. c. 185, § 52) 

DATE 

ADDRESS 

DOCKET NUMBER 

___-SBQ-_______-___-____ 

SIGNATURE OF OWNER 
X
PRINT NAME / CAPACITY / ENTITY 

SIGNATURE OF OWNER 
X
PRINT NAME / CAPACITY / ENTITY 

SIGNATURE OF OWNER 
X
PRINT NAME / CAPACITY / ENTITY 

SIGNATURE OF OWNER 
X
PRINT NAME / CAPACITY / ENTITY 

DATE 
DATE 

ADDRESS 

DATE 

ADDRESS 

DATE 

ADDRESS 

Commonwealth of Massachusetts Notary Acknowledgment 

On ____________________, before me, the undersigned notary public, ___________________________________________ 

____________________________________________________________________________________________________ 

____________________________________________________________________________________________________ 

(name(s)  of  document  signer(s))  personally  appeared,  and  proved  to  me  through  satisfactory  evidence  of  identification,  which 

was/were  ___________________________________________________________________________________________, 

to be the person(s) whose name is/are signed on this Notice of Voluntary Withdrawal of Land from the Registration System, 

and acknowledged to me that this Notice was signed voluntarily for its stated purpose. 

COUNTY 

SIGNATURE AND SEAL OF NOTARY PUBLIC 

Land Court Endorsement 
 Option 1:  Pursuant to G.L. c. 185, § 52, the Court approves the Voluntary Withdrawal from the Registration System of the
land described above, subject to all registered rights outstanding as of this date.

 If checked, this Court endorsement is conditioned upon the recording of a Condominium Master Deed, in which the
land described in Exhibit A attached hereto is contained, at the ____________________ Registry of Deeds.

DATE 

SIGNATURE OF JUSTICE 

 Option 2:  Attached hereto is the endorsement of the Court.

ORWD (07-2022) 

www.mass.gov/courts/landcourt 
www.masscourts.org 

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