JV-077 (Rev. 03/18/2013)
PETITION TO RESIGN APPOINTMENT
AS GUARDIAN OF A MINOR
DOCKET NUMBER
Trial Court of Massachusetts
Juvenile Court Department
Guardianship of Minor
DIVISION
DATE SIGNATURE OF GUARDIAN
I/We, the petitioner(s) who was/were appointed by this Court on to be the guardian/
co-guardians with custody of the above named minor, represent(s) that it is inconvenient for me/us to
continue to serve as guardian/co-guardians for the following reason(s):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
I/We, resign the appointment of guardianship of and
respectfully ask this Court to accept my/our resignation and appoint some other suitable person(s) to serve
as guardian/co-guardians with custody of the minor.
SIGNATURE OF CO-GUARDIAN
PRINT OR TYPE NAME
ADDRESS
PRINT OR TYPE NAME
ADDRESS
TELEPHONE NUMBER
TELEPHONE NUMBER
