PARENT(S)' CONSENT TO PETITION Trial Court of ...s)' Consent to Petition for...2. I/we acknowledge...
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JV-074 (Rev. 03/15/2013) PARENT(S)' CONSENT TO PETITION FOR GUARDIANSHIP OF MINOR DOCKET NUMBER Trial Court of Massachusetts Juvenile Court Department Guardianship of Minor DIVISION I state that: Then personally appeared before me the above named parent(s) who made oath that the foregoing acceptance was his/her free act and deed. PRINT OR TYPE FULL NAME NOTARY PUBLIC/JUSTICE OF THE PEACE My Commission Expires: NOTARIZATION 2. I/we acknowledge that a Petition for Guardianship of Minor has been filed requesting be appointed as guardian(s) of the above named child. 1. I am/we are the mother the father 4. I/we understand that if the court appoints a guardian(s), I/we may be required to pay child support. 3. I/we understand that if the court appoints a guardian(s), the guardianship will continue until my/our child attains the age of 18, or upon marriage, or when otherwise terminated by the court. By signing this document, I/we consent to this guardianship. SIGNATURE OF MOTHER SIGNATURE OF FATHER PRINT OR TYPE FULL NAME DATE DATE ADDRESS ADDRESS , ss DATE
Transcript of PARENT(S)' CONSENT TO PETITION Trial Court of ...s)' Consent to Petition for...2. I/we acknowledge...
JV-074 (Rev. 03/15/2013)
PARENT(S)' CONSENT TO PETITIONFOR GUARDIANSHIP OF MINOR
DOCKET NUMBERTrial Court of MassachusettsJuvenile Court Department
Guardianship of MinorDIVISION
I state that:
Then personally appeared before me the above named parent(s)
who made oath that the foregoing acceptance was his/herfree act and deed.
PRINT OR TYPE FULL NAME
NOTARY PUBLIC/JUSTICE OF THE PEACEMy Commission Expires:
NOTARIZATION
2. I/we acknowledge that a Petition for Guardianship of Minor has been filed requesting be appointed as guardian(s) of the abovenamed child.
1. I am/we are the mother the father
4. I/we understand that if the court appoints a guardian(s), I/we may be required to pay child support.
3. I/we understand that if the court appoints a guardian(s), the guardianship will continue until my/our childattains the age of 18, or upon marriage, or when otherwise terminated by the court.
By signing this document, I/we consent to this guardianship.
SIGNATURE OF MOTHER SIGNATURE OF FATHER
PRINT OR TYPE FULL NAME
DATE DATE
ADDRESS ADDRESS
, ssDATE
