Fill - Free fillable Motion For Temporary Guardianship Jv 130 (Commonwealth of Massachusetts) PDF form

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:

1. An emergency exists requiring the appointment of a temporary guardian as any delay in the appointment will cause

immediate and substantial harm to the health, safety or welfare of the minor, and no other person has authority to act in

the circumstances.

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: __________________________________

____________________________________________

Signature of Moving Party

____________________________________________

Signature of 2nd Moving Party

____________________________________________________________________________________________

WHEREFORE, PETITIONER(S) REQUEST(S) THAT THIS COURT:

_____________________________________________________________________________________________

Date: _________________________________

_____________________________________________

Signature of Attorney

____________________________

BBO No.

ATTORNEY SIGNATURE IF APPLICABLE

JV-130 (09/09)

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