Fillable Mpc503-notice-of-appt-of-temp-guardian-conservator-notice-of-right-to-hearing-fill

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MPC 503 (5/30/11)
NOTICE OF APPOINTMENT OF
TEMPORARY GUARDIAN AND/OR
CONSERVATOR AND NOTICE OF
RIGHT TO HEARING PURSUANT TO
G.L. c. 190B, §§ 5-204, 5-308, 5-412A
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
Incapacitated Person/Protected Person/Ward
In the Interests of:
Last Name
First Name
First Name
(Print name)
Date:
Last Name
Middle Name
Division
To:
(name of Incapacitated Person/Protected Person/Ward)
The Court appointed a
temporary guardian
temporary conservator
for you. Details of the appointment are included
in the attached Order. Appointment of a
temporary guardian
temporary conservator
is NOT a final determination of
your incapacity pursuant to G. L. c. 190B, §5-101(9) or disability pursuant to G. L. c. 190B, §5-401(c).
You may file a motion to vacate the Order of the Court or take any other appropriate action and the Court will hold a hearing
as expeditiously as possible after said filing.
The outcome of this proceeding may limit or completely take away the above-named person's right to
make decisions about personal affairs or financial affairs or both. The above-named person has the
right to ask for a lawyer. Anyone may make this request on behalf of the above-named person. If
the above-named person cannot afford a lawyer, one may be appointed at State expense.
IMPORTANT NOTICE
Signature of Petitioner or Attorney for Petitioner
B.B.O. #
(Zip)
(State)
(City/Town)
(Address)
(Apt, Unit, No. etc.)
IF NOT PRESENT AT THE HEARING, THIS NOTICE MUST BE PERSONALLY SERVED ON THE
INCAPACITATED PERSON/PROTECTED PERSON/WARD AND GIVEN TO THOSE NAMED IN THE
PETITION, ALONG WITH A COPY OF THE ORDER APPOINTING TEMPORARY GUARDIAN OR ORDER
APPOINTING CONSERVATOR. A CERTIFICATE OF SERVICE STATING THAT SUCH NOTICE HAS BEEN
GIVEN SHALL BE FILED WITH THE COURT WITHIN 7 DAYS FOLLOWING THE APPOINTMENT.
(Attorneys only)
Primary Phone #:
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Completed 5 November 2019

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