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Middlesex Probate and Family Court
Docket No. Commonwealth of Massachusetts
SURVIVING SPOUSE, CHILDREN, Date Filed: 6/16/2021 10:12 AM
The Trial Court
Case Number:
HEIRS AT LAW Probate and Family Court
G. L. c. 190B, § 3-301
Original Form Amended Form
Estate of:
Paul L. Tocci, Jr. Middlesex Division
First Name Middle Name Last Name
Date of Death: December 8, 2020
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. 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 1 AND LINE 2.
1. The Decedent did not leave a surviving spouse. left a surviving spouse:
NAME OF SURVIVING SPOUSE ADDRESS (omit if since deceased)
38 Martin Drive
Diane A. Tocci
Sudbury, MA 01776
2. a. The Decedent 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
Paul L. Tocci, III 12 Brook Street, Fitchburg, MA 01420 Yes No Yes
Brooke S. Tocci 93 Maplewood Drive, Hanover, MA 02339 Yes No Yes
161 Route One, Unit B, Newburyport, MA Yes No Yes
Jessica E. Tocci
01950
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. All of the children listed in 2a survived the Decedent.
b. The following children listed in 2a died before the Decedent:
NAME OF PREDECEASED CHILD DATE OF DEATH
c. The predeceased child(ren) listed in 3b:
did not leave surviving descendants (children, grandchildren, etc.) (biological or adopted).
left the following surviving descendants (children, grandchildren, etc.) (biological or adopted):
MPC 162 (4/15/16) SCH page 1 of 3
Middlesex Probate and Family Court
NAME OF SURVIVING DESCENDANT RELATIONSHIP
Date Filed:TO
ADDRESS (omit if since deceased) 6/16/2021A MINOR
10:12 AM
OF PREDECEASED CHILD DECEDENT Case Number:
Yes
Yes
Complete line 4 ONLY if the Decedent left NO surviving descendants (children, grandchildren, etc.). Otherwise STOP
and go to line 7 and line 8.
4. The Decedent did not leave a surviving parent. left a surviving parent or parents:
NAME OF SURVIVING PARENT(S) ADDRESS (omit if since deceased)
For deaths on or after March 31, 2012:
Complete line 5 ONLY if the Decedent left NO surviving spouse, descendants (children, grandchildren, 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 go to line 7 and line 8.
5. a. The Decedent did not leave a surviving sibling. left the following surviving sibling(s) (biological or adopted,
whole or half-blood):
NAME OF SURVIVING SIBILING ADDRESS (omit if since deceased) A MINOR
Yes
Yes
b. One or more of the Decedent's siblings died before the Decedent and left surviving descendants (biological or
adopted):
NAME OF SURVIVING DESCENDANT
ADDRESS (omit if since deceased) RELATIONSHIP TO DECEDENT A MINOR
OF PREDECEASED SIBLING
Yes
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):
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.
MPC 162 (4/15/16) SCH page 2 of 3
Middlesex Probate and Family Court
Date Filed: 6/16/2021 10:12 AM
ADDRESS RELATIONSHIP TO Case Number:
NAME OF HEIR A MINOR
(Omit ifsince deceased) DECEDENT
1 'Yes
Yes
11] After a reasonable diligent search, the heirs at law are unknown or unascertainable.(Requires a formal proceeding.)
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
NAME OF HEIR AND "(Guardian ad !item required
LEGAL DISABILITY (Provide docket number or proof of
RELATIONSHIP TO DECEDENT unless waived. See
instructions) appointment for any court appointed
fiduciary.)
1 1Minor List age: Guardian
__] Incapacitated or protected person Conservator
(adjudicated or alleged)
___I Unrepresented*
[__J Minor List age: ri Guardian
Incapacitated or protected person Conservator
(adjudicated or alleged) L Unrepresented*
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:
NAME/ADDRESS OF
NAME OF SINCE DECEASED HEIR DATE OF REPRESENTATIVE
REPRESENTED BY (Providedocket number or proof of
AND RELATIONSHIP TO DECEDENT DEATH
appointment for any court appointed
fiduciary.)
Personal Representative
(Required for an informal proceeding)
Unrepresented
(Formal proceeding required)
Personal Representative
(Required for an informal proceeding)
Unrepresented
(Formal proceeding required)
SIGNED UNDER THE PENALTIES OF PERJURY
I certify under the penalties of perjury that the foregoing statem nts e bestpi.my know1,1ge-and belief.
Date:l JCAM,L -LC
gnat of Petitioner
Paul L. Tocci, III
(Print name)
MPC 162(4/15/16) SCH page 3 of 3
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Middlesex Probate and Family Court Docket No. Commonwealth of Massachusetts SURVIVING SPOUSE, CHILDREN, Date Filed: 6/16/2021 10:12 AM The Trial Court Case Number: HEIRS AT LAW Probate and Family Court G. L. c. 190B, § 3-301 Original Form Amended Form Estate of: Paul L. Tocci, Jr. Middlesex Division First Name Middle Name Last Name Date of Death: December 8, 2020 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. 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 1 AND LINE 2. 1. The Decedent did not leave a surviving spouse. left a surviving spouse: NAME OF SURVIVING SPOUSE ADDRESS (omit if since deceased) 38 Martin Drive Diane A. Tocci Sudbury, MA 01776 2. a. The Decedent 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 Paul L. Tocci, III 12 Brook Street, Fitchburg, MA 01420 Yes No Yes Brooke S. Tocci 93 Maplewood Drive, Hanover, MA 02339 Yes No Yes 161 Route One, Unit B, Newburyport, MA Yes No Yes Jessica E. Tocci 01950 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. All of the children listed in 2a survived the Decedent. b. The following children listed in 2a died before the Decedent: NAME OF PREDECEASED CHILD DATE OF DEATH c. The predeceased child(ren) listed in 3b: did not leave surviving descendants (children, grandchildren, etc.) (biological or adopted). left the following surviving descendants (children, grandchildren, etc.) (biological or adopted): MPC 162 (4/15/16) SCH page 1 of 3 Middlesex Probate and Family Court NAME OF SURVIVING DESCENDANT RELATIONSHIP Date Filed:TO ADDRESS (omit if since deceased) 6/16/2021A MINOR 10:12 AM OF PREDECEASED CHILD DECEDENT Case Number: Yes Yes Complete line 4 ONLY if the Decedent left NO surviving descendants (children, grandchildren, etc.). Otherwise STOP and go to line 7 and line 8. 4. The Decedent did not leave a surviving parent. left a surviving parent or parents: NAME OF SURVIVING PARENT(S) ADDRESS (omit if since deceased) For deaths on or after March 31, 2012: Complete line 5 ONLY if the Decedent left NO surviving spouse, descendants (children, grandchildren, 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 go to line 7 and line 8. 5. a. The Decedent did not leave a surviving sibling. left the following surviving sibling(s) (biological or adopted, whole or half-blood): NAME OF SURVIVING SIBILING ADDRESS (omit if since deceased) A MINOR Yes Yes b. One or more of the Decedent's siblings died before the Decedent and left surviving descendants (biological or adopted): NAME OF SURVIVING DESCENDANT ADDRESS (omit if since deceased) RELATIONSHIP TO DECEDENT A MINOR OF PREDECEASED SIBLING Yes 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): 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. MPC 162 (4/15/16) SCH page 2 of 3 Middlesex Probate and Family Court Date Filed: 6/16/2021 10:12 AM ADDRESS RELATIONSHIP TO Case Number: NAME OF HEIR A MINOR (Omit ifsince deceased) DECEDENT 1 'Yes Yes 11] After a reasonable diligent search, the heirs at law are unknown or unascertainable.(Requires a formal proceeding.) 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 NAME OF HEIR AND "(Guardian ad !item required LEGAL DISABILITY (Provide docket number or proof of RELATIONSHIP TO DECEDENT unless waived. See instructions) appointment for any court appointed fiduciary.) 1 1Minor List age: Guardian __] Incapacitated or protected person Conservator (adjudicated or alleged) ___I Unrepresented* [__J Minor List age: ri Guardian Incapacitated or protected person Conservator (adjudicated or alleged) L Unrepresented* 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: NAME/ADDRESS OF NAME OF SINCE DECEASED HEIR DATE OF REPRESENTATIVE REPRESENTED BY (Providedocket number or proof of AND RELATIONSHIP TO DECEDENT DEATH appointment for any court appointed fiduciary.) Personal Representative (Required for an informal proceeding) Unrepresented (Formal proceeding required) Personal Representative (Required for an informal proceeding) Unrepresented (Formal proceeding required) SIGNED UNDER THE PENALTIES OF PERJURY I certify under the penalties of perjury that the foregoing statem nts e bestpi.my know1,1ge-and belief. Date:l JCAM,L -LC gnat of Petitioner Paul L. Tocci, III (Print name) MPC 162(4/15/16) SCH page 3 of 3