MPC 730 (7/7/11)
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DECREE AND ORDER OF
APPOINTMENT OF CONSERVATOR
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
In the Interests of:
Last Name
Middle Name
Protected Person
Division
After hearing on the Petition for Appointment of Conservator filed on
The Court finds the requirements of G.L. c. 190B, §5-407(b) have been met and a basis exists for the conservatorship.
The Court appoints the following person(s) as Conservator(s) (hereafter "Conservator") of the Protected Person who
is
a disabled person.
a minor.
Last Name
Name:
First Name
M.I.
(Address)
(State)
(Zip)
Primary Phone #:
(Apt, Unit, No. etc.)
Last Name
Name:
First Name
M.I.
(Address)
(State)
(Zip)
Primary Phone #:
(Apt, Unit, No. etc.)
The appointment of a Conservator is not a determination of incapacity of the Protected Person.
Except as limited below, the Conservator shall have:
All powers over the property and business affairs of the Protected Person which are or may be necessary for the best
interest of the Protected Person and the Protected Person's immediate family pursuant to G. L. c. 190B, §§5-423(c)
(1-7) & (14-24) (unless otherwise limited by this Decree).
Findings):
The following additional powers for minor Protected Persons pursuant to G. L. c. 190B, §5-407(c). (See Separate
The following additional powers for adult Protected Persons pursuant to G. L. c. 190B, §5-407(d), counsel having
been appointed and a substituted judgment having been made (See Separate Findings):
The above powers and duties of the Conservator are limited by the following restrictions:
The powers and duties of the Conservator DO NOT include those powers retained by the Protected Person as set
forth in Exhibit A which is incorporated and merged herein.
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MPC 730 (7/7/11)
In the Interests of:
Last Name
Middle Name
of
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Docket No.
The Court orders the following:
1.
The Conservator shall file with the Court a Conservator's Inventory within ninety (90) days of this appointment unless
otherwise ordered by this Court.
The Conservator shall file with the Court a Conservator's Plan for managing, expending and distributing the assets of
2.
the Protected Person's estate with the Court on or by
(date)
.
3.
The Conservator shall file with the Court a Conservator's Account one year from the date of this appointment unless
otherwise ordered by the Court and annually thereafter until the Conservator's appointment is terminated unless
otherwise ordered by the Court. The first Account of the Conservator must be presented for allowance within
fifteen (15) months of the date of this Decree unless otherwise ordered by the Court.
Forms are available at the Court's Registry office or online at the Court's Web site.
4.
The Conservator(s) shall serve:
without surety on his, her or their bond:
because the person has a priority of appointment under G. L. c. 190B, §5-409(a)(1) and the person nominating
the Conservator expressly waived the requirement.
for the following good cause:
pursuant to G.L. c. 190B, §5-410.
with personal or corporate surety on his, her or their bond in the amount of
5.
The appointment of counsel in this matter, if any, shall terminate upon the entry of this Decree unless otherwise ordered
by this Court.
NO LETTERS OF CONSERVATORSHIP SHALL ISSUE UNTIL THE BOND IS FILED AND APPROVED.
The Court grants the following additional powers including those powers enumerated at G. L. c. 190B, §§5-423(c) (8-13)
specified below:
6.
The parties shall comply with a stipulation or agreement of the parties dated
7.
(date)
which is filed with the Court and expressly made a part of this Decree and Order.
8.
If this conservatorship was issued on the basis of minority, the conservatorship shall terminate when the protect person
attains majority.
The Court further orders:
9.
Date
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