On August 16, 2022 a
Party Notice
was filed
involving a dispute between
Symonowicz, Kimberley A.,
and
for Estates and Administration
in the District Court of Worcester County.
Preview
Worcester Probate and Family Court
Date Filed: 8/16/2022 12:19 PM
Docket No. Commonwealth of Massachusetts Case Number:
K ASSENT AND WAIVER OF NOTICE
The Trial Court
RENUNCIATION NOMINATION Probate and Family Court
K WAIVER OF SURETIES
Worcester Division
Estate of Donna J. Rene
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 Petition for Informal Probate of a Will and Appointment of Personal Representative
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 (Select ONE of the appropriate boxes below.)
(A) I renounce my right to appointment as Personal Representative and my right to nominate, if any.
(B) Q I renounce my right to appointment as Personal Representative and nominate:
Name: to serve in my place.
First Name M.l. Last Name
(C) Q I assent to the nomination of:
Name: to serve as Personal Representative with
First Name M.l. Last Name
me or to apply for appointment.
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: Io j-Aol Signature of Interested Person
Kimberley A. Symonowicz
(Print name)
14 Bel Arbor Drive
(Address) (Apt, Unit, No. etc.)
Paxton MA 01612
(City/Town) (State) (Zip)
Primary Phone #: (508) 450-9286
MPC 455 (10/23/12) AWR page 1 of 1
Document Filed Date
August 16, 2022
Case Filing Date
August 16, 2022
Category
Estates and Administration
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Worcester Probate and Family Court Date Filed: 8/16/2022 12:19 PM Docket No. Commonwealth of Massachusetts Case Number: K ASSENT AND WAIVER OF NOTICE The Trial Court RENUNCIATION NOMINATION Probate and Family Court K WAIVER OF SURETIES Worcester Division Estate of Donna J. Rene 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 Petition for Informal Probate of a Will and Appointment of Personal Representative 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 (Select ONE of the appropriate boxes below.) (A) I renounce my right to appointment as Personal Representative and my right to nominate, if any. (B) Q I renounce my right to appointment as Personal Representative and nominate: Name: to serve in my place. First Name M.l. Last Name (C) Q I assent to the nomination of: Name: to serve as Personal Representative with First Name M.l. Last Name me or to apply for appointment. 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: Io j-Aol Signature of Interested Person Kimberley A. Symonowicz (Print name) 14 Bel Arbor Drive (Address) (Apt, Unit, No. etc.) Paxton MA 01612 (City/Town) (State) (Zip) Primary Phone #: (508) 450-9286 MPC 455 (10/23/12) AWR page 1 of 1