MPC 351 (1/16/13)
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GENERAL TRUST PETITION FOR
APPOINTMENT OF
GUARDIAN AD LITEM-TRUST
G.L. c. 203E, §§ 305(b)
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
case name
Division
Petitioner is:
1.
(Address)
(Apt, Unit, No. etc.)
(City/Town)
(State)
(Zip)
First Name
Last Name
M.I
Primary Phone #:
Interest of the Petitioner in the matter (e.g. Trustee, other interested person, etc.):
Name:
The Petitioner seeks the appointment of a Guardian ad Litem
2.
from a court approved list
OR
the following proposed person:
(Address)
(Apt, Unit, No. etc.)
(City/Town)
(State)
(Zip)
Name:
First Name
Last Name
M.I
Primary Phone #:
BBO number:
The proposed Guardian ad Litem has experience to serve, unrelated to any interested person, and has no interest
3.
adverse to the interests of the person to be represented.
The Guardian ad Litem is to represent the interests of the following:
4.
(Address)
(Apt, Unit, No. etc.)
(City/Town)
(State)
(Zip)
Name:
First Name
Last Name
M.I
Primary Phone #:
The interest to be represented is:
a minor whose date of birth is:
(date of birth)
.
a person with a disability (within the meaning of G.L. c. 190B).
an unborn person.
a person whose identity or address is unknown.
a designated class of persons who are not ascertained or not in being.
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MPC 351 (1/16/13)
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The appointment of a Guardian ad Litem is necessary for the following reasons (specify statutory authority and specific
reasons for such appointment):
5.
Notice of this proceeding:
6.
is requested.
should be dispensed with for the following reasons (specify reasons):
SIGNED UNDER THE PENALTIES OF PERJURY
Date:
Signature of Petitioner
(Print name)
B.B.O. #
Primary Phone #:
(Zip)
(State)
(City/Town)
(Address)
(Apt, Unit, No. etc.)
Information on Attorney for Petitioner, if any
Signature of Attorney
Email:
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