Fill and Sign the Passed Away on Form

Notice to Beneficiaries Page 1 of 1 NOTICE TO BENEFICIARIES Name: Name : Address: Address: Address: Address: City: City: State, Zip State, Zip Name: Name: Address: Address: Address: Address: City: City: State, Zip State, Zip Name: Name: Address: Address: Address: Address: City: City: State, Zip State, Zip Ladies and Gentlemen: If you have not been made aware, I regret to inform you that , whose address was , , Massachusetts, passed away on . You are a named beneficiary in the Will. I am named as the executor or personal representative in the Will. I will probate the will in the appropriate Court of County, Massachusetts. Please contact me for more information. With kindest regards, I am Sincerely yours, Si gnature Print /Type Name Notice to Beneficiaries By Publication Page 1 of 1 NOTICE TO BENEFICIARIES BY PUBLICATION NOTICE is hereby given that of County, Massachusetts, whose residence address was , , Massachusetts, at the time of death, departed this life on the day of , 20 . Beneficiaries named in the Will whose present residence address are unknown to me are the following: Name: Last Know n Address: Name: Last Known Address: Name: Last Known Address: TO: If you are aware of the present residence address of the any of the above named persons, please contact the undersigned at . If you are one of the above named persons, you are hereby notified that you are named as a beneficiary in the Last Will and Testame nt of , now deceased, and you should contact me at the address above. DATED this the day of , 20 . Signature Print Name: Executor/Personal Representative of , Deceased