Docket No. REQUEST FOR COPIES Case Name: Type of Case (i.e. Divorce, Guardianship, Estate and Administration, etc.): Commonwealth of Massachusetts The Trial Court Probate and Family Court Division Approximate Filing Date: I am requesting: a copy of a Certificate of Divorce Absolute. a subsequent copy of a Letter of Authority or Appointment. a certified copy of a Judgment of Divorce Nisi. Cost $20.00 $25.00 Subtotal This does not include any supporting documents. If you are looking for a copy of your separation $20.00 agreement or any other supporting documents, please contact the court where the case was filed for more information. an attested copy of a Voluntary Statement. a certified copy of a Decree and Order of Appointment of a Guardian of a Minor. a certified copy of a Decree and Order of Appointment of Guardian for an Incapacitated Person. a certified copy of a Decree and Order of Appointment of a Conservator. a Certificate of Name Change for more information on obtaining copies of other documents see instructions for requesting copies Delivery Address: (Print Name) (Address) (Apt, Unit, No. etc.) (City/Town) (State) (Zip) $7.50 $22.00 $22.00 $21.00 $20.00 Total Primary Phone #: Email Address: Payment must by made by Attorney's Check, Money Order, Bank Certified Check, or by Bank Cashier's Check (Make check payable to Commonwealth of Massachusetts) Method of payment included: Attorney's Check Money Order Bank Certified Check Bank Cashier's Check FOR COURT USE ONLY Date copies sent: By: (initials) Unable to verify case is located in this division (request returned to sender or phone call made). Other: American LegalNet, Inc. www.FormsWorkFlow.com PFC 18 (11/2/15)