On March 14, 2024 a
No Value
was filed
involving a dispute between
Painter, Edward M.,
and
for Estates and Administration
in the District Court of Middlesex County.
Preview
rt
DEVISEES
Docket No. Comnidiig §eT thor ‘Wiass augers
1e tial Court’
M
ume:
G. L. c. 190B, § 3-301 Probate and Family Court
[x] Original Form (Amended Form
Estate of:
Middlesex ion
Carole Ann Painter
First Name Middle Name Last Name
Date of Death: October 22, 2023
Form Use: This form must be used to identify a Decedent's devisees. Devisees are persons, entities, charitable
organizations, or trusts designated in a will to receive the Decedent's personal or real property. In the case of a devise to an
existing trust or trustee, or to a trustee or trust established by the will, the trust or trustee is the devisee and the beneficiaries
are not devisees. For additional information, the Massachusetts Uniform Probate Code, G. L. c. 190B should be consulted.
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 959.
ALL PETITIONERS MUST COMPLETE LINE 1 AND LINE 2.
1 The Decedent left a will dated March 15, 2007 _ LD The dates of all codicils are:
_ The will and any codicils are referred to as the will.
2. The following devisees named in the will to inherit personal or real property were living at the time of the Decedent's
death. (Note: If the devisee is a trust, list the name of the trust and trustees. If any devisee is a charity, list the name of
the charity and provide notice to the Massachusetts Attorney General. See G. L. c. 190B and Uniform Practice XXXIV).
ISEE
106 W Acton Road 1] Yes
Edward M. Painter Son
Stow, MA 01775
7700 81st Place SE Yes
Helen P. Kelly Daughter
Mercer Island, WA 98040-5926
Painter Revocable Living Trust, 106 W Acton Road Yes
Trust
Edward M. Painter as Trustee Stow, MA 01775
3. [%] The following devisees named in the will to inherit personal or real property were not living at the time of the
Decedent's death.
Howard O. Painter, Jr. 9/27/2019 Spouse
4. [_] Ifthe will names one or more persons to take in place of the pre-deceased devisee, or if the anti-lapse statute (G. L. c.
190B, § 2-603) applies, list the contingent devisee(s). Do not include residuary devisees named elsewhere.
oO Yes
[1 Yes
MPC 163 (4/15/16) DEV page 4 of 2
DocuSign Envelope ID: AC6BEC08-1E5B-47CC-A3B3-CC83DDAFDBC3 M nd Family Court
ALL PETITIONERS MUST COMPLETE LINE 5 AND LINE 6, if applicable. Filed 2024 12 PMVi
5. NONE of the devisees are under legal disability except for: umber:
NAME/ADDRESS
fiduciary.
(]Minor List agi [Guardian
[_] Incapacitated or protected person | [_]Conservator
(adjudicated or alleged) [J Unrepresented*
[Unborn or unascertained
(_]Minor List age: []Guardian
[1 Incapacitated or protected person | [] Conservator
(adjudicated or alleged) [Unrepresented*
[Unborn or unascertained
6. NONE of the devisees who survived the Decedent are deceased at the time of this ing except for:
(Personal Representative
(Required for an informal proceeding)
L_] Unrepresented
(Formal proceeding required)
(Personal Representative
(Required for an informal proceeding)
(] Unrepresented
(Formal proceeding required)
SIGNED UNDER THE PENALTIES OF PERJURY
| certify under the penalties of perjury that the foregoing sera. a true to the best of my knowledge and belief.
3/5/2024
Date: y
Signilure of Petitioner
Edward M. Painter
(Print namey
MPC 163 (4/15/16) DEV page 2 of 2
Document Filed Date
March 14, 2024
Case Filing Date
March 14, 2024
Category
Estates and Administration
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rt DEVISEES Docket No. Comnidiig §eT thor ‘Wiass augers 1e tial Court’ M ume: G. L. c. 190B, § 3-301 Probate and Family Court [x] Original Form (Amended Form Estate of: Middlesex ion Carole Ann Painter First Name Middle Name Last Name Date of Death: October 22, 2023 Form Use: This form must be used to identify a Decedent's devisees. Devisees are persons, entities, charitable organizations, or trusts designated in a will to receive the Decedent's personal or real property. In the case of a devise to an existing trust or trustee, or to a trustee or trust established by the will, the trust or trustee is the devisee and the beneficiaries are not devisees. For additional information, the Massachusetts Uniform Probate Code, G. L. c. 190B should be consulted. 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 959. ALL PETITIONERS MUST COMPLETE LINE 1 AND LINE 2. 1 The Decedent left a will dated March 15, 2007 _ LD The dates of all codicils are: _ The will and any codicils are referred to as the will. 2. The following devisees named in the will to inherit personal or real property were living at the time of the Decedent's death. (Note: If the devisee is a trust, list the name of the trust and trustees. If any devisee is a charity, list the name of the charity and provide notice to the Massachusetts Attorney General. See G. L. c. 190B and Uniform Practice XXXIV). ISEE 106 W Acton Road 1] Yes Edward M. Painter Son Stow, MA 01775 7700 81st Place SE Yes Helen P. Kelly Daughter Mercer Island, WA 98040-5926 Painter Revocable Living Trust, 106 W Acton Road Yes Trust Edward M. Painter as Trustee Stow, MA 01775 3. [%] The following devisees named in the will to inherit personal or real property were not living at the time of the Decedent's death. Howard O. Painter, Jr. 9/27/2019 Spouse 4. [_] Ifthe will names one or more persons to take in place of the pre-deceased devisee, or if the anti-lapse statute (G. L. c. 190B, § 2-603) applies, list the contingent devisee(s). Do not include residuary devisees named elsewhere. oO Yes [1 Yes MPC 163 (4/15/16) DEV page 4 of 2 DocuSign Envelope ID: AC6BEC08-1E5B-47CC-A3B3-CC83DDAFDBC3 M nd Family Court ALL PETITIONERS MUST COMPLETE LINE 5 AND LINE 6, if applicable. Filed 2024 12 PMVi 5. NONE of the devisees are under legal disability except for: umber: NAME/ADDRESS fiduciary. (]Minor List agi [Guardian [_] Incapacitated or protected person | [_]Conservator (adjudicated or alleged) [J Unrepresented* [Unborn or unascertained (_]Minor List age: []Guardian [1 Incapacitated or protected person | [] Conservator (adjudicated or alleged) [Unrepresented* [Unborn or unascertained 6. NONE of the devisees who survived the Decedent are deceased at the time of this ing except for: (Personal Representative (Required for an informal proceeding) L_] Unrepresented (Formal proceeding required) (Personal Representative (Required for an informal proceeding) (] Unrepresented (Formal proceeding required) SIGNED UNDER THE PENALTIES OF PERJURY | certify under the penalties of perjury that the foregoing sera. a true to the best of my knowledge and belief. 3/5/2024 Date: y Signilure of Petitioner Edward M. Painter (Print namey MPC 163 (4/15/16) DEV page 2 of 2