Verified Motion For Appointment Of Temporary Conservator
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Verified Motion For Appointment Of Temporary Conservator Form. This is a Massachusetts form and can be use in Probate And Family Court Statewide.
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Tags: Verified Motion For Appointment Of Temporary Conservator, MPC 330, Massachusetts Statewide, Probate And Family Court
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
VERIFIED MOTION FOR APPOINTMENT OF Docket No.
TEMPORARY CONSERVATOR PURSUANT
TO G.L. c.190B, ยง 5-412A
Division
In the Interests of:
First Name
Middle Name
Last Name
Alleged Incapacitated Person/Respondent
on Petition filed
The court shall encourage the development of maximum self-reliance and independence of the Protected Person
and make protective orders only to the extent necessitated by the Protected Person's limitations or other
conditions warranting the conservatorship.
Now comes the moving party
First Name
Middle Initial
Last Name
who states as follows:
1.
An emergency exists requiring the appointment of a Temporary Conservator as any delay in the appointment will cause
substantial harm to the property, income or entitlements of the Respondent or those entitled to the Respondent's support
occurring prior to the return date, and no other person has authority to act in the circumstances.
2. The nature of the circumstances requiring the appointment of a Temporary Conservator are:
3. The particular harm sought to be avoided is:
4. The actions which need to be taken by a Temporary Conservator to avoid the harm are:
The within Motion hereby is
ALLOWED (see Order Appointing Temporary Conservator).
DENIED.
Date
JUSTICE OF THE PROBATE AND FAMILY COURT
MPC 330 (5/30/11)
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5. Respondent:
does not have a Durable Power of Attorney/Agent in the Commonwealth or elsewhere or
Does
Uncertain.
Information about the Durable Power of Attorney/Agent:
Name:
First Name
(Address)
Middle Name
Last Name
(State)
(City/Town)
(Apt, Unit, No. etc.)
(Zip)
Primary Phone #:
A copy of the Durable Power of Attorney is
attached
already filed with the Court
unavailable.
WHEREFORE, PETITIONER REQUESTS THAT THIS HONORABLE COURT:
Appoint
Petitioner(s)
or
or
First Name
Last Name
M.I.
Some suitable person.
as Temporary Conservator(s) of the Respondent to serve
with
without sureties for the following reasons:
In addition, I request that the Court:
SIGNED UNDER THE PENALTIES OF PERJURY
I affirm or swear under oath that I have read the foregoing Motion and that the statements set forth therein are true
and correct to the best of my knowledge.
Date
Signature of Moving Party
Date
Signature of Attorney for Moving Party
(Print name)
(Address)
(City/Town)
(Apt, Unit, No. etc.)
(State)
(Zip)
Primary Phone #:
B.B.O. #
MPC 330 (5/30/11)
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