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PETITION FOR INFORMAL
(1 PROBATE OF WILL
Docket No.
Conn Se
Probate and Family Cot
atts, PMVi
umber:
KK] APPOINTMENT OF PERSONAL
REPRESENTATIVE
PURSUANT TO G.L. c. 190B, § 3-301
X] Original Form [LD Amended Form
Estate of:
Brian Thomas Syrjala Middlesex Divi ion
First Name ~Middle Name Last Name
Date of Death: December 21, 2023
I. GENERAL INFORMATION
The Petitioner(s) (hereafter “Petitioner"), an interested person, makes the following statements:
4 Information about the Decedent:
Name: Brian Thomas Syrjala Age atdeath 51
First Name Middle Name Last Name
Also known as: Brian T. Syrjala
ame
Street Address: 30 Winter Street Natick MA 01760
(Address) (Apt, Unit, No. etc.) CityTowny Ctatey (Zip)
The Decedent was domiciled in Natick Massachusetts ,
(City/Town) ‘(Blafe)
FORM ALERT: A death certificate issued by a public officer is in the possession of the court or accompanies this
Petition.
2. Information about the Petitioner:
Name: Michelle Syrjala
First Name MI. Last Name
30 Winter Street Natick MA 01760
TAddress) Cpt, Unit, No. etc) City/Town) Zip)
Mailing Address, if different:
(Address) (Apt, Unit, No. fc.) (City/Town) tate) (Zip)
Primary Phone #: (617) 851-6562 Email: michelle.syrjala@gmail.com
The Petitioner's interest in the estate is as follows (e.g., Personal Representative named in a will, surviving spouse, heir,
devisee, etc. See G. L. c. 190B, § 1-201(24)): Surviving Spouse
This Petition is filed within the time period permitted by law (See G. L. c. 190B, § 3-108). Three years or less have passed
since the Decedent's death, or the following circumstances authorize tardy proceedings (include statutory reference):
FORM ALERT: Do not use this form to file a late probate proceeding pursuant to G. L. c. 190B, § 3-108(4). Use form
MPC 161,
4. Venue for this proceeding is proper in this county because on the date of death, the Decedent:
1] was domiciled in this county. [_] was not domiciled in Massachusetts, but had property located in this county at:
(Address) pt, Unik, No. etc) (City/Town) (Statay (Zip)
MPC 150 (12/11/20) Doc ID: 9f1a6fcf16a329b6d671 9aget 72667 p508gd9
nd Family Court
5. The Petitioner gave written notice seven (7) days prior to petitioning for informal probate or sending.a pry
copy of this Petition and death certificate by certified mail to Division of Medical Assistance, Estate Recov umber:
P.O. Box 15205, Worcester, MA 01615-0205.
ll. INTERESTED
PERSONS IN THE ESTATE
6. The Decedent's surviving spouse, children, heirs at law and devisees (if any), so far as known or ascertainable with
reasonable diligence by the Petitioner are as stated in form MPC 162 Surviving Spouse, Children, Heirs at Law AND if
the Decedent died with a will, form MPC 163 Devisees incorporated herein.
(1 There are additional heirs at law who are not known to the Petitioner (Formal proceeding required).
FORM ALERT: Failure to submit this information will result in a delay in processing your case.
Ill. TESTACY STATUS.
7. The Decedent died (select one)
XX] Intestate (without a will)
After the exercise of reasonable diligence, the Petitioner is unaware of any unrevoked testamentary instrument relating
to property in Massachusetts, or [(C see attached statement of why such an instrument is not being probated
LD Testate (with a will)
The date of the Decedent's last will is
[7] The dates of all codicils are
(select one of the following).
(1 The original will is in the possession of the court or accompanies this Petition.
C1 The original will has been probated in Massachusetts and the Petitioner adopts the statements in the
Petition for probate.
CJ The original will has been probated in the state or country of
An authenticated copy of the will and proof of its probate are filed with this Petition.
The will and any codicils are referred to as the will. The Petitioner, to the best of his or her knowledge, believes the
will was validly executed. After the exercise of reasonable diligence, the Petitioner is unaware of any instrument
revoking the will and believes that the will is the Decedent's last will.
IV. APPOINTMENT OF PERSONAL REPRESENTATIVE
(if requested)
8. [X] The Petitioner requests that the following qualified person, who is 18 years of age or older, be appointed Personal
Representative: KK] Self only C1 Self and other(s): (1 Other(s)
Name of other(s):
First Name MI. Last Name
(Address) Apt, Unit, No. (City/Towny Ctatey ip)
etc.)
Mailing Address, if different
(Address) (Apt, Unit, No. etc.) (City/Town) Gtatey (Zip)
Primary Phone #:
9, All nominees listed above have priority for appointment:
XX] _ bystatute. See G. L. c. 190B, § 3-203
(1s by renunciation and/or nomination. Persons with higher or equal rights to appointment are
First Name MT. Last Name
FORM ALERT: All required renunciations/nominations using form MPC 455 must accompany this Petition.
MPC 150 (12/11/20) Doc ID: 9f1a6fcf16a329b6d671 9aget 72667 p508gd9
M Pro amilyfy Cour
fe Filed 43:34 PM
10. Select one of the following: umber:
XI No court has appointed a Personal Representative and no such appointment proceeding is pending in
Massachusetts or elsewhere.
(1 Acourt has appointed a Personal Representative, whose appointment has not been terminated, or an appointment
proceeding is pending in the State of and the Personal Representative’s name and
address is:
First Name MI Tast Name
Wddressy Apt, Unit, No. etc, (City/Town) State) (Zip)
11. Select one of the following:
C1 Abond with sureties in the penal sum amount of $ has been filed.
1 A bond without sureties has been filed and is permissible because:
(1 The will waives sureties on the bond and no interested person has demanded that a bond with sureties be filed.
] All devisees (if a will is filed) or heirs (if no will is filed) have waived sureties in writing using form MPC 455 and
all waivers are filed with this Petition or are in the possession of the court.
FORM ALERT: All persons seeking appointment must file a bond using form MPC 801.
V. RELIEF REQUESTE!
Wherefore, the Petitioner requests that the court/magistrate:
(Admit the Decedent's will to informal probate.
Appoint the nominee(s) with priority for appointment as Personal Representative of the estate in an
unsupervised administration to serve KI without J with sureties on the bond and that Letters be issued.
SIGNED UNDER THE PENALTIES OF PERJURY
| certify under the penalties of perjury that the foregoing statements are true tone best ofmyrlen Jedge and belief.
Date: 03/11/2024
Signature of Petitioner
Information on Attorney for Petitioner, if any
Questo Larente
Signature of Attorney 7 Jessica Parenti
‘Print name)
1900 West Park Drive Ste 280
‘Cddress) Tpt, Unit, No. ofc.)
Westborough MA 01581
CiyTowny State) Tip)
Primary Phone #: (508) 333-7480
B.B.O. # 656337
Email: jessica@parentilaw.com
MPC 150 (12/11/20) Doc ID: 9f1a6fcf16a329b6d671 9aget 72667 9508gd9
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Lr PETITION FOR INFORMAL (1 PROBATE OF WILL Docket No. Conn Se Probate and Family Cot atts, PMVi umber: KK] APPOINTMENT OF PERSONAL REPRESENTATIVE PURSUANT TO G.L. c. 190B, § 3-301 X] Original Form [LD Amended Form Estate of: Brian Thomas Syrjala Middlesex Divi ion First Name ~Middle Name Last Name Date of Death: December 21, 2023 I. GENERAL INFORMATION The Petitioner(s) (hereafter “Petitioner"), an interested person, makes the following statements: 4 Information about the Decedent: Name: Brian Thomas Syrjala Age atdeath 51 First Name Middle Name Last Name Also known as: Brian T. Syrjala ame Street Address: 30 Winter Street Natick MA 01760 (Address) (Apt, Unit, No. etc.) CityTowny Ctatey (Zip) The Decedent was domiciled in Natick Massachusetts , (City/Town) ‘(Blafe) FORM ALERT: A death certificate issued by a public officer is in the possession of the court or accompanies this Petition. 2. Information about the Petitioner: Name: Michelle Syrjala First Name MI. Last Name 30 Winter Street Natick MA 01760 TAddress) Cpt, Unit, No. etc) City/Town) Zip) Mailing Address, if different: (Address) (Apt, Unit, No. fc.) (City/Town) tate) (Zip) Primary Phone #: (617) 851-6562 Email: michelle.syrjala@gmail.com The Petitioner's interest in the estate is as follows (e.g., Personal Representative named in a will, surviving spouse, heir, devisee, etc. See G. L. c. 190B, § 1-201(24)): Surviving Spouse This Petition is filed within the time period permitted by law (See G. L. c. 190B, § 3-108). Three years or less have passed since the Decedent's death, or the following circumstances authorize tardy proceedings (include statutory reference): FORM ALERT: Do not use this form to file a late probate proceeding pursuant to G. L. c. 190B, § 3-108(4). Use form MPC 161, 4. Venue for this proceeding is proper in this county because on the date of death, the Decedent: 1] was domiciled in this county. [_] was not domiciled in Massachusetts, but had property located in this county at: (Address) pt, Unik, No. etc) (City/Town) (Statay (Zip) MPC 150 (12/11/20) Doc ID: 9f1a6fcf16a329b6d671 9aget 72667 p508gd9 nd Family Court 5. The Petitioner gave written notice seven (7) days prior to petitioning for informal probate or sending.a pry copy of this Petition and death certificate by certified mail to Division of Medical Assistance, Estate Recov umber: P.O. Box 15205, Worcester, MA 01615-0205. ll. INTERESTED PERSONS IN THE ESTATE 6. The Decedent's surviving spouse, children, heirs at law and devisees (if any), so far as known or ascertainable with reasonable diligence by the Petitioner are as stated in form MPC 162 Surviving Spouse, Children, Heirs at Law AND if the Decedent died with a will, form MPC 163 Devisees incorporated herein. (1 There are additional heirs at law who are not known to the Petitioner (Formal proceeding required). FORM ALERT: Failure to submit this information will result in a delay in processing your case. Ill. TESTACY STATUS. 7. The Decedent died (select one) XX] Intestate (without a will) After the exercise of reasonable diligence, the Petitioner is unaware of any unrevoked testamentary instrument relating to property in Massachusetts, or [(C see attached statement of why such an instrument is not being probated LD Testate (with a will) The date of the Decedent's last will is [7] The dates of all codicils are (select one of the following). (1 The original will is in the possession of the court or accompanies this Petition. C1 The original will has been probated in Massachusetts and the Petitioner adopts the statements in the Petition for probate. CJ The original will has been probated in the state or country of An authenticated copy of the will and proof of its probate are filed with this Petition. The will and any codicils are referred to as the will. The Petitioner, to the best of his or her knowledge, believes the will was validly executed. After the exercise of reasonable diligence, the Petitioner is unaware of any instrument revoking the will and believes that the will is the Decedent's last will. IV. APPOINTMENT OF PERSONAL REPRESENTATIVE (if requested) 8. [X] The Petitioner requests that the following qualified person, who is 18 years of age or older, be appointed Personal Representative: KK] Self only C1 Self and other(s): (1 Other(s) Name of other(s): First Name MI. Last Name (Address) Apt, Unit, No. (City/Towny Ctatey ip) etc.) Mailing Address, if different (Address) (Apt, Unit, No. etc.) (City/Town) Gtatey (Zip) Primary Phone #: 9, All nominees listed above have priority for appointment: XX] _ bystatute. See G. L. c. 190B, § 3-203 (1s by renunciation and/or nomination. Persons with higher or equal rights to appointment are First Name MT. Last Name FORM ALERT: All required renunciations/nominations using form MPC 455 must accompany this Petition. MPC 150 (12/11/20) Doc ID: 9f1a6fcf16a329b6d671 9aget 72667 p508gd9 M Pro amilyfy Cour fe Filed 43:34 PM 10. Select one of the following: umber: XI No court has appointed a Personal Representative and no such appointment proceeding is pending in Massachusetts or elsewhere. (1 Acourt has appointed a Personal Representative, whose appointment has not been terminated, or an appointment proceeding is pending in the State of and the Personal Representative’s name and address is: First Name MI Tast Name Wddressy Apt, Unit, No. etc, (City/Town) State) (Zip) 11. Select one of the following: C1 Abond with sureties in the penal sum amount of $ has been filed. 1 A bond without sureties has been filed and is permissible because: (1 The will waives sureties on the bond and no interested person has demanded that a bond with sureties be filed. ] All devisees (if a will is filed) or heirs (if no will is filed) have waived sureties in writing using form MPC 455 and all waivers are filed with this Petition or are in the possession of the court. FORM ALERT: All persons seeking appointment must file a bond using form MPC 801. V. RELIEF REQUESTE! Wherefore, the Petitioner requests that the court/magistrate: (Admit the Decedent's will to informal probate. Appoint the nominee(s) with priority for appointment as Personal Representative of the estate in an unsupervised administration to serve KI without J with sureties on the bond and that Letters be issued. SIGNED UNDER THE PENALTIES OF PERJURY | certify under the penalties of perjury that the foregoing statements are true tone best ofmyrlen Jedge and belief. Date: 03/11/2024 Signature of Petitioner Information on Attorney for Petitioner, if any Questo Larente Signature of Attorney 7 Jessica Parenti ‘Print name) 1900 West Park Drive Ste 280 ‘Cddress) Tpt, Unit, No. ofc.) Westborough MA 01581 CiyTowny State) Tip) Primary Phone #: (508) 333-7480 B.B.O. # 656337 Email: jessica@parentilaw.com MPC 150 (12/11/20) Doc ID: 9f1a6fcf16a329b6d671 9aget 72667 9508gd9