Fillable Mpc440 Notarized Waiver Consent Guardianship Of Minor Fill (Commonwealth of Massachusetts)

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Mpc440 Notarized Waiver Consent Guardianship Of Minor Fill (Commonwealth of Massachusetts)

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BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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MPC 440 (5/30/11) NWC
of
page
NOTARIZED WAIVER AND CONSENT
TO PETITION FOR
GUARDIANSHIP OF MINOR
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
In the Interests of:
Last Name
Middle Name
Minor
Division
I STATE THAT:
I am
the mother
the father
1.
of the above-named minor
2.
I acknowledge that a Petition for Guardianship of Minor requesting the appointment of (name)
First Name
Last Name
M.I.
as guardian(s) of the person of the above-named minor has been or will be filed.
3.
I understand that if the court appoints a temporary guardian, the guardianship will continue for 90 days and can be
extended for additional 90 day periods.
4.
I understand that if the court appoints a permanent guardian, the guardianship will continue until the minor attains
age 18 or upon marriage, or until otherwise terminated by the court.
5.
I understand if the court appoints a temporary or permanent guardian, I may be required to pay child support, if I
otherwise have an obligation to do so under the law.
By signing this document, I consent to this guardianship and waive my rights to notice of hearings as required by the statutes.
Signature of Father or Interested Person
(Print name)
(Zip)
(State)
(City/Town)
(Street address)
(Apt, Unit, No. etc.)
Date
Signature of Mother or Interested Person
(Print name)
(Zip)
(State)
(City/Town)
(Street address)
(Apt, Unit, No. etc.)
Date
NOTARIZATION
, ss
Date
On this
day of
, 20
,
personally appeared
before me, the undersigned notary public, and proved to me through satisfactory evidence of identification, which was
, to be the person whose name is signed on the preceeding or attached document
in my presence.
Signature of Notary Public
(Print name)
My Commission Expires
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MPC 440 (5/30/11) NWC
In the Interests of:
of
page
Last Name
Middle Name
Docket No.
NOTARIZATION
, ss
Date
On this
day of
, 20
,
personally appeared
before me, the undersigned notary public, and proved to me through satisfactory evidence of identification, which was
, to be the person whose name is signed on the preceeding or attached document
in my presence.
Signature of Notary Public
(Print name)
My Commission Expires
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Mpc440 Notarized Waiver Consent Guardianship Of Minor Fill (Commonwealth of Massachusetts)

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Completed 27 July 2020

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