On December 17, 2021 a
Party Statement
was filed
involving a dispute between
Keane, Matthew,
and
for Estates and Administration
in the District Court of Essex County.
Preview
“BILE
D DCL Ta
£2 P3741 FA
Affidavit
M.G.L. ¢. 65C, § 14(a)
RE: John P. Keane, Jr., a/k/a John Keane (“Decedent”)
Late of: 1485 Memoli Lane, #3, Fort Myers, FL 33919
Date of Death: August 21, 2019
I, Matthew Keane, after first being duly sworn, do depose and say that:
1.1 am:
(Check One:)
(a) the duly appointed and qualified Personal Representative of the Estate of
the Decedent filed with the Circuit Court, Lee County, Probate Division, Case No.
20CP001200
or
(b) a person in actual or constructive possession of property of the Decedent.
2. At the time of his death, the Decedent owned an interest in real estate situated at
14-5 Woodman Way, Newburyport, Essex County, Massachusetts, as more particularly
described in a certain deed from Shea Brothers Investments LLC to John Keane, dated on or
about January 2, 2018 and recorded with Essex South District Registry of Deeds in Book 36453,
Page 528.
3. (Check all that apply:)
X__(a) The gross estate of the decedent does not necessitate a Federal estate tax filing.
X__(b) The gross estate of the decedent does not necessitate a Massachusetts estate tax filing.
4, This affidavit is given pursuant to and in accordance with the provisions of Massachusetts
General Laws Chapter 65C, Section 14(a).
[SIGNATURE PAGE FOLLOWS]
Executed under the pains and penalties of perjury this 16th day of December, 2021
GUE
Matthew Keane, Personal Representative
COMMONWEALTH OF MASSACHUSETTS
Essex, ss.
On this 16 day of December, 2021, before me, the undersigned notary public, personally
appeared Matthew Keane, and proved to me through satisfactory evidence of identification, which
was 0 photographic identification with signature issued by a federal or state government agency,
u oath or affirmation of a credible witness, personal knowledge of the undersigned, to be the
person whose name is signed on the preceding or attached document(s), and acknowledged that
Lt
the contents of the foregoing instrument are true and accurate.
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saesteetenniyy,
Rin % Garten blic
mmission Expires: 5/14 [200-4
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|
Document Filed Date
December 17, 2021
Case Filing Date
December 17, 2021
Category
Estates and Administration
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Preview
“BILE D DCL Ta £2 P3741 FA Affidavit M.G.L. ¢. 65C, § 14(a) RE: John P. Keane, Jr., a/k/a John Keane (“Decedent”) Late of: 1485 Memoli Lane, #3, Fort Myers, FL 33919 Date of Death: August 21, 2019 I, Matthew Keane, after first being duly sworn, do depose and say that: 1.1 am: (Check One:) (a) the duly appointed and qualified Personal Representative of the Estate of the Decedent filed with the Circuit Court, Lee County, Probate Division, Case No. 20CP001200 or (b) a person in actual or constructive possession of property of the Decedent. 2. At the time of his death, the Decedent owned an interest in real estate situated at 14-5 Woodman Way, Newburyport, Essex County, Massachusetts, as more particularly described in a certain deed from Shea Brothers Investments LLC to John Keane, dated on or about January 2, 2018 and recorded with Essex South District Registry of Deeds in Book 36453, Page 528. 3. (Check all that apply:) X__(a) The gross estate of the decedent does not necessitate a Federal estate tax filing. X__(b) The gross estate of the decedent does not necessitate a Massachusetts estate tax filing. 4, This affidavit is given pursuant to and in accordance with the provisions of Massachusetts General Laws Chapter 65C, Section 14(a). [SIGNATURE PAGE FOLLOWS] Executed under the pains and penalties of perjury this 16th day of December, 2021 GUE Matthew Keane, Personal Representative COMMONWEALTH OF MASSACHUSETTS Essex, ss. On this 16 day of December, 2021, before me, the undersigned notary public, personally appeared Matthew Keane, and proved to me through satisfactory evidence of identification, which was 0 photographic identification with signature issued by a federal or state government agency, u oath or affirmation of a credible witness, personal knowledge of the undersigned, to be the person whose name is signed on the preceding or attached document(s), and acknowledged that Lt the contents of the foregoing instrument are true and accurate. a saesteetenniyy, Rin % Garten blic mmission Expires: 5/14 [200-4 oo co 18, oe oy Gk, wy 0 “aft, EP oS us Us! ae oe Men |