The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

Trial Court of Massachusetts
Juvenile Court Department

Division

APPOINTMENT OF AGENT
(SEALED)

I,                                                                             of
(Name)

(Street and No.)

                                                                                                                                                             appoint

(City or Town)

(County)

(State)

(Zip Code)

 

        of

(Name)

(Street and No.)

(City or Town)

(County)

(State)

(Zip Code)

as my agent and do stipulate and agree that service of legal process against me by

                                                                               of
(Name)

(Street and No.)

(City or Town)

(County)

(State)

(Zip Code)

seeking enforcement of the post-adoption agreement entered into on

(Date)

shall have the like effect as if made on me personally.  I hereby revoke any previous appointment of agent.

Date:

Signature:

Signed in the presence of

(Name and Address of Witness)

Signature:

(PRINCIPAL)

(WITNESS)

ACCEPTANCE

I,                                                                             of
(Name)

(Street and No.)

                                                                                                                                                              accept

(City or Town)

(County)

(State)

(Zip Code)

the appointment.

Date:

Signature:

(AGENT)

If the agent is no longer able to serve, the person nominating the agent must name a new agent by completing another
appointment of agent form and filing the form with the court.

JV-021  (Rev. 12/18/2013)

Appointment of Agent

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.mass.gov (2023-03)
Page(s): 1
Fields(s): 20
Average fields per page: 20
Reading Level: Grade 7
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

transaction_set_text_field__1 was transaction[0].#pageSet[0].Page1[0].UntitledSubform[0].TextField1[0] (0.57 conf)
transaction_set_text_field__2 was transaction[0].#pageSet[0].Page1[0].UntitledSubform[0].TextField1[1] (0.40 conf)
transaction_set_text_field__3 was transaction[0].#pageSet[0].Page1[0].UntitledSubform[0].TextField1[2] (0.40 conf)
transaction_set_text_field__4 was transaction[0].#pageSet[0].Page1[0].UntitledSubform[0].TextField1[3] (0.40 conf)
transaction_set_text_field__5 was transaction[0].#pageSet[0].Page1[0].UntitledSubform[0].TextField1[4] (0.40 conf)
transaction_data_drop_list was transaction[0].Page1[0].DataDropDownList[0] (0.36 conf)
transaction_page_name__1 was transaction[0].Page1[0].Name[0] (0.38 conf)
transaction_page_street__1 was transaction[0].Page1[0].Street[0] (0.38 conf)
transaction_page_city_state__1 was transaction[0].Page1[0].City_State[0] (0.33 conf)
transaction_page_agent_nm was transaction[0].Page1[0].Agent_nm[0] (0.39 conf)
transaction_page_agent was transaction[0].Page1[0].Agent_Street[0] (0.39 conf)
transaction_agent_city_state was transaction[0].Page1[0].Agent_City_State[0] (0.34 conf)
transaction_page_name__2 was transaction[0].Page1[0].Name[1] (0.38 conf)
transaction_page_street__2 was transaction[0].Page1[0].Street[1] (0.38 conf)
transaction_page_city_state__2 was transaction[0].Page1[0].City_State[1] (0.33 conf)
transaction_page_date was transaction[0].Page1[0].Date[0] (0.38 conf)
transaction_page_street__3 was transaction[0].Page1[0].Street[2] (0.38 conf)
transaction_page_name__3 was transaction[0].Page1[0].Name[2] (0.38 conf)
transaction_page_city_state__3 was transaction[0].Page1[0].City_State[2] (0.33 conf)
transaction_page_street__4 was transaction[0].Page1[0].Street[3] (0.38 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Appointment of Agent

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02