Fillable Mpc330 Verified Motion For Appt Temp Conservator Fill (Commonwealth of Massachusetts)

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Mpc330 Verified Motion For Appt Temp Conservator Fill (Commonwealth of Massachusetts)

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BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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MPC 330 (5/30/11) MVER
of
page
The within Motion hereby is
ALLOWED (see Order Appointing Temporary Conservator).
DENIED.
JUSTICE OF THE PROBATE AND FAMILY COURT
Date
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
Alleged Incapacitated Person/Respondent
on Petition filed
In the Interests of:
Last Name
First Name
Middle Name
Division
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
Last Name
Middle Initial
who states as follows:
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.
1.
The nature of the circumstances requiring the appointment of a Temporary Conservator are:
2.
The particular harm sought to be avoided is:
3.
The actions which need to be taken by a Temporary Conservator to avoid the harm are:
4.
Respondent:
Does
does not
Uncertain.
have a Durable Power of Attorney/Agent in the Commonwealth or elsewhere or
First Name
Name:
Primary Phone #:
Last Name
Middle Name
(Address)
(City/Town)
(State)
(Zip)
(Apt, Unit, No. etc.)
Information about the Durable Power of Attorney/Agent:
attached
unavailable.
already filed with the Court
A copy of the Durable Power of Attorney is
5.
MPC 330 (5/30/11) MVER
of
page
WHEREFORE, PETITIONER REQUESTS THAT THIS HONORABLE COURT:
Appoint
Petitioner(s)
or
Last Name
M.I.
First Name
or
Some suitable person.
as Temporary Conservator(s) of the Respondent to serve sureties for the following reasons:
with
without
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)
B.B.O. #
(Address)
(Apt, Unit, No. etc.)
(City/Town)
(State)
(Zip)
Primary Phone #:
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Mpc330 Verified Motion For Appt Temp Conservator Fill (Commonwealth of Massachusetts)

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Completed 26 July 2020

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