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MPC 140 (5/30/11)
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PETITION FOR APPOINTMENT OF
GUARDIAN OF MINOR
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
In the Interests of:
Last Name
Middle Name
Minor
Division
1.
Information about the Minor:
Last Name
M.I.
First Name
(Zip)
(State)
(City/Town)
(Apt, Unit, No. etc.)
(Address)
Current age
Date of Birth
County of Residence:
3.
Information about the Petitioner(s):
2.
The Petitioner is:
or
the Minor
a person or persons interested in the welfare of the Minor.
Name:
First Name
M.I.
Last Name
(Address)
(City/Town)
(State)
(Zip)
Primary Phone #:
Relationship to Minor:
(Apt, Unit, No. etc.)
Name:
First Name
M.I.
Last Name
(Address)
(City/Town)
(State)
(Zip)
Primary Phone #:
Relationship to Minor:
(Apt, Unit, No. etc.)
4.
Information about the Biological Mother/parent one and Father/parent two:
Last Name
M.I.
Mother's/Parent One Name
Deceased
(Zip)
(State)
(City/Town)
(Apt, Unit, No. etc.)
(Address)
Last Name
M.I.
Father's/Parent Two Name
Deceased
(Zip)
(State)
(City/Town)
(Apt, Unit, No. etc.)
(Address)
5.
Is there a nomination of a guardian by will or other writing signed by a parent or guardian?
Yes
No
If Yes, attach copy of document.
6.
Venue for this proceeding is proper in this county/Division of the Probate and Family Court because
the minor resides in the county/Division.
the guardian was nominated in a will which was or could be probated in this county/Division.
7.
The best interests of the Minor will be served by appointment of a guardian for the Minor.
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Massachusetts Guardianship Form
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