"Lessee", the person in whose name a safe deposit box stands on the books of a credit union;
"Rent", the amount due to a credit union for the rental or use of a safe deposit box;
"Safe deposit box", a box or safe in the vault of a credit union.
COMMONWEALTH OF MASSACHUSETTS
County of ____
We, ___ an authorized official of ___ and ___ a notary public not in the general employ of said credit union, hereby certify that on the ___ day ___ (insert year), we were present and witnessed the forcible opening of Safe No. ___ leased in the name of ___ in the vaults of the ___ office of said credit union; that the contents of said safe were removed, examined, listed and then enclosed in a package and sealed in our presence. We further certify that the following is a true and complete list of all the contents removed from said safe.
(Allow space here for listing of contents.)
___________________________________________________________________
Signature of officer. Title.
___________________________________________________________________
Name of Credit Union
___________________________________________________________________
Signature of notary public not in the general employ of said credit union.
Mass. Gen. Laws ch. 171, § 75