Affidavit - The Real Estate Bar Association for Massachusetts
Affidavit
M.G.L. c. 65C, § 14(a)
RE: ___________________________________________________________ (“Decedent”)
(Name of Decedent)
late of ___________________________________, _________________________, MA
(Street address) (City/ Town)
Date of Death: _________________________
I, ________________________________________, after first being duly sworn, do depose and say that:
1. I am:
(Check One:)
_____ (a) the duly appointed and qualified Executor under the Will/Administrator of the Estate of
the Decedent filed with the ______________________________ County Probate Court Docket No.
______________________________
or
(if there is no executor or administrator of the estate of the Decedent appointed, qualified and
acting within the Commonwealth of Massachusetts)
_____ (b) a person in actual or constructive possession of property of the Decedent.
2. At the time of his/her death, the Decedent owned an interest in real estate situated at
_________________________, _________________________, _________________________ County,
Massachusetts, as more particularly described in a certain deed from
________________________________________to____________________________________ dated
_________________________ and recorded in the _________________________ County Registry of
Deeds at Book _______________, Page _______________, or described by
_________________________ County Registry of Deeds Land Court Records Certificate of Title No.
_________________________.
3. (Check all that apply:)
_____ (a) The gross estate of the decedent does not necessitate a Federal estate tax filing.
_____ (b) The gross estate of the decedent does not necessitate a Massachusetts estate tax filing.
4. This affidavit is given pursuant to and in accordance with the provisions of Massachusetts General
Laws Chapter 65C, Section 14(a).
Executed under the pains and penalties of perjury this _______________ day of
_________________________, 20_____.
________________________________________
REBA Form 32
Notes:
1. This form replaces REBA Forms 2 and 3
2. See IRC Sections 2011 and 2031 and REBA Title Standard No. 3 for Federal estate tax exemption amounts by year of death.
3. See M.G.L. c. 65C § 2A and REBA Title Standard No. 24 for Massachusetts estate tax exemptionamounts by year of death.
4. See M.G.L. c. 65C, § 6(a) for a definition of who may sign this affidavit.
5. In the event the Decedent’s estate has not been probated and no death certificate has been
previously recorded, a death certificate should be recorded with this certificate.
6. While not required by the language of the statute, if a person other than an Executor or
Administrator signs this affidavit, the affidavit should identify the signatory’s relationship to the decedentand how they became in actual or constructive possession of the decedent’s property; i.e. spouse, child,caretaker, etc. This may be a The Land Court requirement regarding Registered Land.
REBA Form 32
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