MPC 730A (5/30/11)
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EXHIBIT A
LIMITATIONS TO CONSERVATORSHIP
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
In the Interests of:
Last Name
Middle Name
Protected Person
Division
Exhibit to
an Order or
a Decree and Order dated
The Protected Person shall retain the following rights or responsibilities:
To have and spend $ cash per week.
To manage and use a checkbook (with a monthly limit of $ ).
To plan a budget, including monthly expenditures, and to direct the conservator in expenditures.
To purchase and give gifts to individuals chosen by the protected person (not to exceed $ per month).
To make gifts or donations to organizations chosen by the protected person (not to exceed $ per
To make decisions concerning purchase or sale of the protected person's home.
donation).
(Address)
(Zip)
(State)
(The home located at
is not to be sold without prior authorization of the court.)
To deposit, withdraw, dispense, or invest monetary assets.
To establish and use credit.
To pay, settle, prosecute, or contest a claim.
To enter into a contract, financial commitment, or lease arrangement.
To continue or participate in the operation of a business.
To manage the protected person's property and investments.
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