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Docket No. Commonwealth of Massachusetts
SURVIVING SPOUSE, CHILDREN, - The Trial Court
HEIRS AT LAW Probate and Family Court
||
BPS
G. L. c. 190B, § 3-301
{Original Form (1) Amended Form
Estate of:
Alvaro
First Name Middle Name
Lizarralde
LastName
Worcester E1Pivigion
OCT 1 2 2929
Date of Death: July 1, 2023
7
FORM USE: This fotm:must be used to identify a Decedent's surviving spouse, children and heirs at law. Heirs at law are
persons entitled to receive the Decedent's property under the intestacy succession laws if there is no will. For dates of death
onjor after March 31, 2012, the Massachusetts Uniform Probate Code, G. L. c: 190B, § 2-101, et seq., should be consulted,
For deaths prior to that date, see applicable law.
Instructions: Complete ALL applicable sections of this'form. For step by step instructions on how to complete this form, click
on the instructions link above or see Instructions:MPC 958.
ALL|PETITIONERS MUST COMPLETE LINE 4 AND LINE 2.
-
The Decedent [X] did not leave a surviving spouse. (J left a surviving spouse:
i
a (ME c DDRE: if
' The Decedent [XJ did not have children (bilo or adopted), {£1 had the following children (biological or adopted):
OER, eae AVING!
e ‘OUSE
ClyYes [No OYes
OYes [INo CYes
OYes [No CYes
(1 b. The surviving spouse has surviving descendants (children, grandchildren, etc;) who are not descendants of the
Decedent.
Complete line 3.ONLY if the Decedent left children in line 2a who are also heirs at law.
3.) (a. Allofthe children listed in 2a survived the Decedent.
(-b. The followingci ildren listed in 2a died before the Decedent:
pie
OF: DEX ED:
we He
ae
c.. The predeceased child(ren) listed in 3b
CO did not leave surviving descendants (children, grandchildren, etc.) (biological or adopted),
(1 left the following surviving descendants (children, grandchildren, etc.) (biological or adopted)
when aa cle ne
ZOF:SURVI ESCE! NT: LATIONSHIP
FP PREDE ED. CHI
ADDRES: ince deceai
DECEDE'!
MINOR
CyYes
CyYes
Complete line 4 ONLY ifthe Decedent.left NO surviving descendants (children, grandchildren, etc.). Otherwise STOP
and go to line 7 and line 8.
4. 1 The Decedent [X} did not leave a.surviving parent. [—] left a'surviving parent or parents:
so SURVI PARE! (S$ ADI gs
For deaths on or after March 31, 2012:
|
Complete line 5 ONLY if the Decedent left NO surviving spouse, descendants (children, grandchitdren, etc. ) or parents.
Otherwise STOP and go to line 7 and line 8.
For deaths prior to March 31, 2012:
Complete line 5 ONLY if the Decedent left NO-surviving descendants (children, | grandchildren, etc.) or parents.
Otherwise STOP and goto line 7 and line 8.
'5.|a. The Decedent [[] did not'leave a surviving sibling. [J left the following surviving sibling(s) (Giological or adopted,
whole or half-blood):
eae Ee et ING § DDI fomit
Guillermo Alonso Lizarralde Pedraza Calle 128 C # 52-65 OyYes
Bogota, Colombia
T
OYes
Nn
b. [[] One or more.of the Decedent's siblings died before the Decedent and left surviving descendants (biological or
adopted):
WIEZO}
a ESCEN!
ADDRESS (0 decease: ‘RE ‘FIONSHIP. NT
BL
OyYes
For deaths on or after March 31, 2012:
Complete line 6 ONLY if the Decedent left NO surviving spouse, descendants (children, grandchildren, etc.), parents,
siblings or descendants of any predeceased sibling. Otherwise STOP and go to line 7 and line 8.
For deaths prior to March 31, 2012:
Complete line 6 ONLY if the Decedent left NO surviving descendants (children, grandchildren, etc.), parents, siblings or
descendants of any predeceased sibling. Otherwise STOP and go to line 7 and line 8.
6./ List the heirs as defined by the law in effect on the Decedent's date of death: (Select-one):
(1 The heirs at law are as follows:
For assistance, see the Instructions and the Massachusetts Degree of Kinship
Chart (MPC 960). See also line 7 and
line 8. 1 ~
weet oan ae ne
aie Sante.
XNA HEIR: DEN:
(Yes
yes
T ~
( After a reasonable diligent search, the heirs at law are unknown of unascertainable. (Requires a formal proceeding.)
>
ALL|PETITIONERS MUST COMPLETE LINE 7 AND LINE 8, if applicable.
7. oer: of theaes heirs at law (surviving ‘spouse, children, etc.) are under a legal disability except for:
Fe IAME/ADDRESS OF
D-BY:
fAMETO HEIRAN (Gua
IL
RELATIONSHIP aC ate 3
led")
m oe fiduciary.)
Minor: List age: CiGuardian
(FJ Incapacitated or protected person | ["] Conservator
(adjudicated or alleged) (Unrepresented*
[E1 Minor List.age: (CJGuardian
C1 Incapacitated or protected person | [] Conservator
{adjudicated or alleged) (Unrepresented*
8.| NONE:of'the heirs at law (suring spouse, Children, etc.) who survived the Decedent are deceased atththe-time of this
filing except for:
ae
Pay i
‘NEIRE DE SING
4 EFI ivi
IONS! re (Pro
Eas
OF Personal Representative
id for an informal proceeding)
(J Unrepresented
(Formal proceeding required)
(1 Personal Representative
(Required for
an informal proceeding)
QO Unrepresented
(Formal proceeding required)
'
SIGNED UNDER THE PENALTIES OF. PERJURY
{ certify. under the ao of perjury that the foregoing statements are true to the best.of my knowledge and belief.
F-2 P2022
Date: ne
Signature of Petftténér’
Cniles Lizaycr Id, eé
‘(Print namey:
sadn eae whey nde
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| Docket No. Commonwealth of Massachusetts SURVIVING SPOUSE, CHILDREN, - The Trial Court HEIRS AT LAW Probate and Family Court || BPS G. L. c. 190B, § 3-301 {Original Form (1) Amended Form Estate of: Alvaro First Name Middle Name Lizarralde LastName Worcester E1Pivigion OCT 1 2 2929 Date of Death: July 1, 2023 7 FORM USE: This fotm:must be used to identify a Decedent's surviving spouse, children and heirs at law. Heirs at law are persons entitled to receive the Decedent's property under the intestacy succession laws if there is no will. For dates of death onjor after March 31, 2012, the Massachusetts Uniform Probate Code, G. L. c: 190B, § 2-101, et seq., should be consulted, For deaths prior to that date, see applicable law. Instructions: Complete ALL applicable sections of this'form. For step by step instructions on how to complete this form, click on the instructions link above or see Instructions:MPC 958. ALL|PETITIONERS MUST COMPLETE LINE 4 AND LINE 2. - The Decedent [X] did not leave a surviving spouse. (J left a surviving spouse: i a (ME c DDRE: if ' The Decedent [XJ did not have children (bilo or adopted), {£1 had the following children (biological or adopted): OER, eae AVING! e ‘OUSE ClyYes [No OYes OYes [INo CYes OYes [No CYes (1 b. The surviving spouse has surviving descendants (children, grandchildren, etc;) who are not descendants of the Decedent. Complete line 3.ONLY if the Decedent left children in line 2a who are also heirs at law. 3.) (a. Allofthe children listed in 2a survived the Decedent. (-b. The followingci ildren listed in 2a died before the Decedent: pie OF: DEX ED: we He ae c.. The predeceased child(ren) listed in 3b CO did not leave surviving descendants (children, grandchildren, etc.) (biological or adopted), (1 left the following surviving descendants (children, grandchildren, etc.) (biological or adopted) when aa cle ne ZOF:SURVI ESCE! NT: LATIONSHIP FP PREDE ED. CHI ADDRES: ince deceai DECEDE'! MINOR CyYes CyYes Complete line 4 ONLY ifthe Decedent.left NO surviving descendants (children, grandchildren, etc.). Otherwise STOP and go to line 7 and line 8. 4. 1 The Decedent [X} did not leave a.surviving parent. [—] left a'surviving parent or parents: so SURVI PARE! (S$ ADI gs For deaths on or after March 31, 2012: | Complete line 5 ONLY if the Decedent left NO surviving spouse, descendants (children, grandchitdren, etc. ) or parents. Otherwise STOP and go to line 7 and line 8. For deaths prior to March 31, 2012: Complete line 5 ONLY if the Decedent left NO-surviving descendants (children, | grandchildren, etc.) or parents. Otherwise STOP and goto line 7 and line 8. '5.|a. The Decedent [[] did not'leave a surviving sibling. [J left the following surviving sibling(s) (Giological or adopted, whole or half-blood): eae Ee et ING § DDI fomit Guillermo Alonso Lizarralde Pedraza Calle 128 C # 52-65 OyYes Bogota, Colombia T OYes Nn b. [[] One or more.of the Decedent's siblings died before the Decedent and left surviving descendants (biological or adopted): WIEZO} a ESCEN! ADDRESS (0 decease: ‘RE ‘FIONSHIP. NT BL OyYes For deaths on or after March 31, 2012: Complete line 6 ONLY if the Decedent left NO surviving spouse, descendants (children, grandchildren, etc.), parents, siblings or descendants of any predeceased sibling. Otherwise STOP and go to line 7 and line 8. For deaths prior to March 31, 2012: Complete line 6 ONLY if the Decedent left NO surviving descendants (children, grandchildren, etc.), parents, siblings or descendants of any predeceased sibling. Otherwise STOP and go to line 7 and line 8. 6./ List the heirs as defined by the law in effect on the Decedent's date of death: (Select-one): (1 The heirs at law are as follows: For assistance, see the Instructions and the Massachusetts Degree of Kinship Chart (MPC 960). See also line 7 and line 8. 1 ~ weet oan ae ne aie Sante. XNA HEIR: DEN: (Yes yes T ~ ( After a reasonable diligent search, the heirs at law are unknown of unascertainable. (Requires a formal proceeding.) > ALL|PETITIONERS MUST COMPLETE LINE 7 AND LINE 8, if applicable. 7. oer: of theaes heirs at law (surviving ‘spouse, children, etc.) are under a legal disability except for: Fe IAME/ADDRESS OF D-BY: fAMETO HEIRAN (Gua IL RELATIONSHIP aC ate 3 led") m oe fiduciary.) Minor: List age: CiGuardian (FJ Incapacitated or protected person | ["] Conservator (adjudicated or alleged) (Unrepresented* [E1 Minor List.age: (CJGuardian C1 Incapacitated or protected person | [] Conservator {adjudicated or alleged) (Unrepresented* 8.| NONE:of'the heirs at law (suring spouse, Children, etc.) who survived the Decedent are deceased atththe-time of this filing except for: ae Pay i ‘NEIRE DE SING 4 EFI ivi IONS! re (Pro Eas OF Personal Representative id for an informal proceeding) (J Unrepresented (Formal proceeding required) (1 Personal Representative (Required for an informal proceeding) QO Unrepresented (Formal proceeding required) ' SIGNED UNDER THE PENALTIES OF. PERJURY { certify. under the ao of perjury that the foregoing statements are true to the best.of my knowledge and belief. F-2 P2022 Date: ne Signature of Petftténér’ Cniles Lizaycr Id, eé ‘(Print namey: sadn eae whey nde