MPC 504 (5/30/11)
NOTICE OF HEARING
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
RESPONDENT
In the Interests of:
Last Name
First Name
Division
To All Interested Persons:
A hearing on:
IMPORTANT NOTICE
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.
a copy of which was previously sent on
(date)
OR
a copy of which is attached, will be held at the following time and location:
(name of pleading)
Date
(Signature of Petitioner or Attorney for Petitioner)
(apt., unit, etc.)
(Print name)
B.B.O. # (attorneys only)
Primary Phone:
(State)
(City/Town)
A CERTIFICATE OF SERVICE STATING THAT NOTICE HAS BEEN GIVEN MUST BE FILED WITH THE COURT
(Address)
Date:
Time:
Probate & Family Court Location
:
AM
PM
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