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Docket No. Commonwealth of Massachusetts
SURVIVING SPOUSE, CHILDREN. The Trial Court
HEIRS AT LAW WO23P3570EA
Probate and Family Court
G. L. c. 190B, § 3-301
o Original Form [Amended Form
Estate of:
Alvaro
Middle Name
Lizarralde
Tast Name
Worcester ZZ FIL Bigjsion
lame
1 - DEC 04 2023
Date of Death: July 1, 2023
TAI
FORM_USE: This form 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
on or after March 31, 2012, the Massachusetts Uniform Probate Code, G.'L. c. 1908, 8 2-101, et seq:; should be consulted.
For deathspprior to that date, see applicable law.
¢ how to complete this form, click
{nstructions: Complete ALL applicable sections of this form. For step "y step instructions on
on the instructions link above or.see Instructions MPC 958.
§
-
ALL PETITIONERS MusT COMPLETE LINE 1 AND LINE 2.
1 The Decedent [X] did not leave a surviving spouse. Cleft a surviving spouse: 2
NAME OF SURVIVING SPOUSE ADDRESS (omit if since deceased)
v
2. a. TheDecedent [XJ did not have children (biological or adopted).[_} had the following children (biological or adopted)
CHILD OF SURVIVING A
NAME OF DECEDENT'S CHILD ADDRESS (omit if deceased)
SPOUSE MINOR
(Yes (No (Yes
CYes [No [Yes
(Yes [No (Yes
(1b. 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.
(Fl b. The following children listed in 2a died before the Decedent:
NAME OF PREDECEASED CHILD DATE OF DEATH
\
XX
c.. The predeceased child(ren) listed in 3b:
did not leave surviving descendants (children, grandchicren, etc.) (biological or adopted).
CT left the following surviving descendants (children, grandchildren, etc.) (biological or adopted): -
(3
mMipe Wao {AIABIARN SO Rann
NAME OF SURVIVING DESCENDANT RELATIONSHIP TO
ADDRESS (omit if since deceased) A MINOR
OF PREDECEASED CHILD DECEDENT
iS a LYes
~
(Yes
= T T
\
Complete line 4 ONLY.if the Decedent left NO. surviving descendants (children, grandchildren, etc.). Otherwise stor
‘and go to line 7 and line 8.
4. The Decedent KX did not leave a surviving parent. [[] left a surviving parent or parents:
NAME OF SURVIVING PARENT(S) ADDRESS (omitif since deceased)
-
7 ~ x
r :
For deaths on or after March 31, 2012:
Complete line 5 ONLY if the Decedent left NO surviving spouse, descendants (children, grander, etc.) or parents.
Otherwise STOP and go to line 7 and |line 8.
'
S '
For deaths prior to! March 31, 2012: vy
. Complete line & ONLY if the Decedent left NO surviving descendants (children, grandchildren, etc.) or parents.
Otherwise STOP and go to line 7 and line 8. )
‘5, a. TheDecedent [] did notleavea surviving sibling, left the following: surviving sbinals) (biological or adopted,
whole or half-biood):
NAME OF SURVIVING SIBILING ADDRESS (omit if since deceased) AMINOR
Calle.128 C # 62-65. (Yes
Guillermo Alfonso Lizarralde Castro - Bogota, Colombia
(Yes
)
b. [] One or more of the Decedent's siblings died before the Décedent and left surviving descendants (biological or
adopted):
NAME OF SURVIVING DESCENDANT RELATIONSHIP TO DECEDENT | A MINOR
ADDRESS (omit if since deceased)
OF PREDECEASED SIBLING
. DyYes
4
For deaths on or after March 31, 2012: 5
Complete line 6 ONLY if the Decedent left NO surviving spouse, descendants (children, grandchildren, etc.] ) parents,
siblings or deccendants of any predeceased sibling. Otherwise STOP and go to line 7 and| line 8.
For deaths prior to March 31, 2012: \ i
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 ge to line 7 and line 8.
‘ 1
-
6 List the heirs as defined by the law in effect on the Decadent's ‘date ot death. (Select ne):
-
‘oO 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.
MDP 1R9 (AIM BIMAN SO nan a wt a
ADDRESS RELATIONSHIP TO
NAME OF HEIR A MINOR
(Omit
if since deceased) DECEDENT
(Yes
CYes
>
Oo After a reasonable diligent search, the heirs at law are unknown or unascertainable. (Requires a formal proceeding.)
J ~ a
ALL PETITIONERS MUST COMPLETE LINE 7 AND LINE 8, if applicable. }
7.’ NONE of the Decedent's heirs at law (surviving spouse, children, etc. ) are under a legal disability except! for:
NAME/ADDRESS OF
REPRESENTED BY REPRESENTATIVE
NAME OF HEIR AND LEGAL DISABILITY * (Guardian ad litem
(Provide docket number or proof of
RELATIONSHIP TO DECEDENT required unless waived.
t court appointed
for any
ntmen
‘See Instructions) appoi
)
Minor List age: [Guardian
Ci lncapacitated or protected person | ["]Conservator
{adjudicated or alleged) [1 uUnrepresented*
(Minor List age: [Guardian
~
Li Incapacitated or protected person | [_]Conservator
(adjudicated or alleged) EUnrepresented*
T .
8 NONE of the heirs at law (surviving spouse, children, etc. ) who survived the Decedent are deceased ‘at the time of this
filing except for: Z
NAME/ADDRESS OF
NAME OF SINCE DECEASED HEIR DATE OF REPRESENTATIVE
REPRESENTED BY (Provide docket number or proof of
AND RELATIONSHIP TO DECEDENT} DEATH appointment for any court appointed
fiduciary.)
OF Personal Representative :
proceeding)
o Unepreseted J.
ing required)
(Personal Representative
Oo Unteprenertod
proceeding required)
t
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
47
Date: [1-73-2023 Alan yatvreallsan
Signature of Petitiéner
Cre los Lizacrlde,
he L
(Print name),
MD 4189 (AMER SCH nan nt
Preview
Docket No. Commonwealth of Massachusetts SURVIVING SPOUSE, CHILDREN. The Trial Court HEIRS AT LAW WO23P3570EA Probate and Family Court G. L. c. 190B, § 3-301 o Original Form [Amended Form Estate of: Alvaro Middle Name Lizarralde Tast Name Worcester ZZ FIL Bigjsion lame 1 - DEC 04 2023 Date of Death: July 1, 2023 TAI FORM_USE: This form 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 on or after March 31, 2012, the Massachusetts Uniform Probate Code, G.'L. c. 1908, 8 2-101, et seq:; should be consulted. For deathspprior to that date, see applicable law. ¢ how to complete this form, click {nstructions: Complete ALL applicable sections of this form. For step "y step instructions on on the instructions link above or.see Instructions MPC 958. § - ALL PETITIONERS MusT COMPLETE LINE 1 AND LINE 2. 1 The Decedent [X] did not leave a surviving spouse. Cleft a surviving spouse: 2 NAME OF SURVIVING SPOUSE ADDRESS (omit if since deceased) v 2. a. TheDecedent [XJ did not have children (biological or adopted).[_} had the following children (biological or adopted) CHILD OF SURVIVING A NAME OF DECEDENT'S CHILD ADDRESS (omit if deceased) SPOUSE MINOR (Yes (No (Yes CYes [No [Yes (Yes [No (Yes (1b. 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. (Fl b. The following children listed in 2a died before the Decedent: NAME OF PREDECEASED CHILD DATE OF DEATH \ XX c.. The predeceased child(ren) listed in 3b: did not leave surviving descendants (children, grandchicren, etc.) (biological or adopted). CT left the following surviving descendants (children, grandchildren, etc.) (biological or adopted): - (3 mMipe Wao {AIABIARN SO Rann NAME OF SURVIVING DESCENDANT RELATIONSHIP TO ADDRESS (omit if since deceased) A MINOR OF PREDECEASED CHILD DECEDENT iS a LYes ~ (Yes = T T \ Complete line 4 ONLY.if the Decedent left NO. surviving descendants (children, grandchildren, etc.). Otherwise stor ‘and go to line 7 and line 8. 4. The Decedent KX did not leave a surviving parent. [[] left a surviving parent or parents: NAME OF SURVIVING PARENT(S) ADDRESS (omitif since deceased) - 7 ~ x r : For deaths on or after March 31, 2012: Complete line 5 ONLY if the Decedent left NO surviving spouse, descendants (children, grander, etc.) or parents. Otherwise STOP and go to line 7 and |line 8. ' S ' For deaths prior to! March 31, 2012: vy . Complete line & ONLY if the Decedent left NO surviving descendants (children, grandchildren, etc.) or parents. Otherwise STOP and go to line 7 and line 8. ) ‘5, a. TheDecedent [] did notleavea surviving sibling, left the following: surviving sbinals) (biological or adopted, whole or half-biood): NAME OF SURVIVING SIBILING ADDRESS (omit if since deceased) AMINOR Calle.128 C # 62-65. (Yes Guillermo Alfonso Lizarralde Castro - Bogota, Colombia (Yes ) b. [] One or more of the Decedent's siblings died before the Décedent and left surviving descendants (biological or adopted): NAME OF SURVIVING DESCENDANT RELATIONSHIP TO DECEDENT | A MINOR ADDRESS (omit if since deceased) OF PREDECEASED SIBLING . DyYes 4 For deaths on or after March 31, 2012: 5 Complete line 6 ONLY if the Decedent left NO surviving spouse, descendants (children, grandchildren, etc.] ) parents, siblings or deccendants of any predeceased sibling. Otherwise STOP and go to line 7 and| line 8. For deaths prior to March 31, 2012: \ i 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 ge to line 7 and line 8. ‘ 1 - 6 List the heirs as defined by the law in effect on the Decadent's ‘date ot death. (Select ne): - ‘oO 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. MDP 1R9 (AIM BIMAN SO nan a wt a ADDRESS RELATIONSHIP TO NAME OF HEIR A MINOR (Omit if since deceased) DECEDENT (Yes CYes > Oo After a reasonable diligent search, the heirs at law are unknown or unascertainable. (Requires a formal proceeding.) J ~ a ALL PETITIONERS MUST COMPLETE LINE 7 AND LINE 8, if applicable. } 7.’ NONE of the Decedent's heirs at law (surviving spouse, children, etc. ) are under a legal disability except! for: NAME/ADDRESS OF REPRESENTED BY REPRESENTATIVE NAME OF HEIR AND LEGAL DISABILITY * (Guardian ad litem (Provide docket number or proof of RELATIONSHIP TO DECEDENT required unless waived. t court appointed for any ntmen ‘See Instructions) appoi ) Minor List age: [Guardian Ci lncapacitated or protected person | ["]Conservator {adjudicated or alleged) [1 uUnrepresented* (Minor List age: [Guardian ~ Li Incapacitated or protected person | [_]Conservator (adjudicated or alleged) EUnrepresented* T . 8 NONE of the heirs at law (surviving spouse, children, etc. ) who survived the Decedent are deceased ‘at the time of this filing except for: Z NAME/ADDRESS OF NAME OF SINCE DECEASED HEIR DATE OF REPRESENTATIVE REPRESENTED BY (Provide docket number or proof of AND RELATIONSHIP TO DECEDENT} DEATH appointment for any court appointed fiduciary.) OF Personal Representative : proceeding) o Unepreseted J. ing required) (Personal Representative Oo Unteprenertod proceeding required) t 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 47 Date: [1-73-2023 Alan yatvreallsan Signature of Petitiéner Cre los Lizacrlde, he L (Print name), MD 4189 (AMER SCH nan nt