DOCKET NO.
TRIAL COURT OF MASSACHUSETTS
JUVENILE COURT DEPARTMENT
COUNTY[IES] DIVISION
MOTION FOR TEMPORARY GUARDIANSHIP
May not be filed without Permanent Guardianship Petition
In the Matter of
Date Guardianship Petition Filed
Now comes the moving party(s)
who state(s) as follows:
2. The nature of the circumstances requiring the appointment of a temporary guardian are:
3. The particular harm sought to be avoided is:
4. The actions which need to be taken by a temporary guardian to avoid harm are:
Appoint
Temporary Guardian Name
Temporary Co-Guardian (if applicable)
as temporary guardian(s) of the minor to serve
with
without
sureties. The bond is attached.
In addition, I /we request that the Court:
SIGNED UNDER PAINS AND 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: __________________________________
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Signature of Moving Party
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Signature of 2nd Moving Party
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WHEREFORE, PETITIONER(S) REQUEST(S) THAT THIS COURT:
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Date: _________________________________
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Signature of Attorney
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BBO No.
ATTORNEY SIGNATURE IF APPLICABLE
JV-130 (09/09)