On August 15, 2022 a
Party Statement
was filed
involving a dispute between
Leonard, Sheila E,
and
for Estates and Administration
in the District Court of Worcester County.
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SUSPICIOUS DEATH AFFIDAVIT
PURSUANT TO GL. c. 190B, § 2-803
Docket No. Commonwealth of Massachusetts
22P2807EA The Trial Court
pot Probate and Family Court
Estate of:
Drew Patrick
Worcester Division
Leonard
Date of Death:
First Name Middle Name
June 10, 2022
Tast Name
cma
AUG 1.5 2022
1. I hereby certify that, except as noted in paragraph 3 below, none of the following: The Personal Representative named in
the Will, the Special Personal Representative whose appointment is sought, the person(s) who has requested to be
appointed or been proposed as a Personal Representative or, any person proposed to replace the Personal
Representative who has resigned or been removed, did feloniously and intentionally kill the Decedent.
2. [hereby certify that, except as noted in paragraph 3 below, no person who is entitled to a share in the estate either under
the Will itself or by operation of law, by descent or distribution, elective share, omitted spouse or child's share, exempt
property, family allowance or through a share of the Decedent's property as a joint tenant or tenant by the entirety, did
feloniously and intentionally kill the Decedent.
3. Indicate the name(s) of the person(s) described in the preceding paragraphs who has charges pending, is under
indictment, has been charged or convicted of any of the crimes listed in connection with the death of the Decedent:
Name:
FirstName
MI. Last Name
SIGNED UNDER THE PENALTIES OF PERJURY
| certify under the penalties of perjury that the foregoing statements are true to the best of my knowledge and belief.
be. EX come
Date August 5, 2022
Signature of Petitioner
Sheila E. Leonard
Print name}
43 Shore Road
Address) Apt, Unit, No. ef.)
North Brookfield MA 01535
(CityTown) —Bratey Tiny
Primary Phone # 774-200-0694
Date
s BAD A7E (21404491 AEGN
‘Signature of Co-Petitioner (if applicable)
(rnt name}
Cddressy Apt, Unit, No. ete)
(City/Town) Gtatey py
Primary Phone #
Document Filed Date
August 15, 2022
Case Filing Date
August 15, 2022
Category
Estates and Administration
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SUSPICIOUS DEATH AFFIDAVIT PURSUANT TO GL. c. 190B, § 2-803 Docket No. Commonwealth of Massachusetts 22P2807EA The Trial Court pot Probate and Family Court Estate of: Drew Patrick Worcester Division Leonard Date of Death: First Name Middle Name June 10, 2022 Tast Name cma AUG 1.5 2022 1. I hereby certify that, except as noted in paragraph 3 below, none of the following: The Personal Representative named in the Will, the Special Personal Representative whose appointment is sought, the person(s) who has requested to be appointed or been proposed as a Personal Representative or, any person proposed to replace the Personal Representative who has resigned or been removed, did feloniously and intentionally kill the Decedent. 2. [hereby certify that, except as noted in paragraph 3 below, no person who is entitled to a share in the estate either under the Will itself or by operation of law, by descent or distribution, elective share, omitted spouse or child's share, exempt property, family allowance or through a share of the Decedent's property as a joint tenant or tenant by the entirety, did feloniously and intentionally kill the Decedent. 3. Indicate the name(s) of the person(s) described in the preceding paragraphs who has charges pending, is under indictment, has been charged or convicted of any of the crimes listed in connection with the death of the Decedent: Name: FirstName MI. Last Name SIGNED UNDER THE PENALTIES OF PERJURY | certify under the penalties of perjury that the foregoing statements are true to the best of my knowledge and belief. be. EX come Date August 5, 2022 Signature of Petitioner Sheila E. Leonard Print name} 43 Shore Road Address) Apt, Unit, No. ef.) North Brookfield MA 01535 (CityTown) —Bratey Tiny Primary Phone # 774-200-0694 Date s BAD A7E (21404491 AEGN ‘Signature of Co-Petitioner (if applicable) (rnt name} Cddressy Apt, Unit, No. ete) (City/Town) Gtatey py Primary Phone #