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Here is the text we could read:

MPC 140 (5/30/11)ofpagePETITION FOR APPOINTMENT OF GUARDIAN OF MINORCommonwealth of Massachusetts The Trial Court Probate and Family Court Docket No.In the Interests of:Last NameFirst NameMiddle NameMinorDivision1.Information about the Minor:Last NameM.I.First Name(Zip)(State)(City/Town)(Apt, Unit, No. etc.)(Address)Current ageDate of BirthCounty of Residence:3.Information about the Petitioner(s):2.The Petitioner is:orthe Minor  a person or persons interested in the welfare of the Minor.Name:First NameM.I.Last Name(Address)(City/Town)(State)(Zip)Primary Phone #: Relationship to Minor:(Apt, Unit, No. etc.)Name:First NameM.I.Last Name(Address)(City/Town)(State)(Zip)Primary Phone #: Relationship to Minor:(Apt, Unit, No. etc.)4.Information about the Biological Mother/parent one and Father/parent two:Last NameM.I.Mother's/Parent One Name Deceased(Zip)(State)(City/Town)(Apt, Unit, No. etc.)(Address)Last NameM.I.Father's/Parent Two Name Deceased(Zip)(State)(City/Town)(Apt, Unit, No. etc.)(Address)5.Is there a nomination of a guardian by will or other writing signed by a parent or guardian? Yes NoIf Yes, attach copy of document.6.Venue for this proceeding is proper in this county/Division of the Probate and Family Court because the minor resides in the county/Division. the guardian was nominated in a will which was or could be probated in this county/Division.7.The best interests of the Minor will be served by appointment of a guardian for the Minor.MPC 140 (5/30/11)ofpage8.The minor is unmarried and parent(s) consent to the appointment of a guardian.Attach Notarized Consent of Parent(s). all parental rights have been terminated by prior court order. Attach a copy of the court order to this Petition. a signed voluntary surrender.  Attach a copy of the surrender to this Petition. death. If available, attach a copy of the death certificate to this Petition. Parent or parents are unavailable to exercise their parental rights because: (Briefly explain) Parent or parents are unfit to exercise their parental rights because: (Briefly explain) Guardianship has previously been granted to a third party who has died or become incapacitated, and the guardianhas not appointed a successor guardian by will or written instrument.  Describe and attach order or any relevant documents.9.11.Petitioner is requesting the following person be appointed as Guardian:charges pending for assault resulting in bodily injury to the minor.  Petitioner is not being investigated and does not have charges pending for neglect of the minor. Petitioner is requesting to be appointed as Guardian and is not currently being investigated nor does he/she have  10. I request that sureties required on the bond be waived by the court.He/She has priority for appointment as guardian pursuant to G.L.c. 190B, § 5-207 because the proposed Guardianis nominated by the Minor and the Minor is 14 years of age or older.  Attach Nomination of Minor.Name:First NameM.I.Last Name(Address)(City/Town)(State)(Zip)Primary Phone #: Relationship to Minor:(Apt, Unit, No. etc.)12. Who, other than you, had primary care and custody of the Minor during the 60 days prior to filing this Petition?(G.L. c. 190B, §5-206): No one or Person listed belowDates of careName:First NameM.I.Last Name(Address)(City/Town)(State)(Zip)Primary Phone #: Relationship to Minor:(Apt, Unit, No. etc.)13.If mother and father are deceased, list brothers and sisters or adult relatives, for example aunt, uncle, grandparent who can be found:MPC 140 (5/30/11)ofpageName:First NameM.I.Last Name(Address)(City/Town)(State)(Zip)(Apt, Unit, No. etc.)Primary Phone #: Relationship to Minor:Name:First NameM.I.Last Name(Address)(City/Town)(State)(Zip)(Apt, Unit, No. etc.)Primary Phone #: Relationship to Minor:14.Is any person currently acting as a Guardian or Conservator for the Minor in Massachusetts or elsewhere? No YesIf Yes, identify:Name:First NameM.I.Last Name(Address)(City/Town)(State)(Zip)(Apt, Unit, No. etc.)Primary Phone #: Relationship to Minor:If a conservatorship case exists or you are also filing a Petition for Appointment of Conservator, do not complete section 15.  Please note that a guardianship case does not provide authority over substantial funds. 15.Does the Minor have any assets, e.g. bank accounts, property, and anticipated income, e.g. Social Security, interest? No YesIf Yes, identify:              Do not list bank account numbers or Social Security numbers.Description of Assets, e.g. Bank Accounts, PropertyEstimated Value of Property or Amount of Income                                                                                                                                 TotalThe Petitioner shall provide notice to the parents, Minor if 14 years of age or older, and persons listed in paragraphs 11-13 of the time and place for a hearing on this Petition in accordance with Probate and Family Court Standing Order 4-09.  Notice requirements may be different if an emergency guardianship is sought.The Petitioner/Co-Petitioners is/are interested in the welfare and best interests of the Minor and request/s that an  appointment of a guardian be made after notice and hearing.In addition, I/We request that the Court:MPC 140 (5/30/11)ofpageSIGNED UNDER THE PENALTIES OF PERJURYI affirm or swear under oath that I have read the foregoing petition and that the statements set forth therein are true and correct to the best of my knowledge.Signature of PetitionerDateSignature of Co-Petitioner (if applicable)DateBBO No.:Primary Phone #: (Address)(Apt, Unit, No. etc.)(City/Town)(State)(Zip)Print NameAttorney for Petitioner

Petition for Appointment of Guardian of Minor

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): 4
Fields(s): 153
Average fields per page: 38
Reading Level: Grade 15
LIST Grouping(s): FA-00-00-00-00, ES-00-00-00-00, ES-02-00-00-00, ES-05-00-00-00.

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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.

form_page_set_text_field__1 was form1[0].#pageSet[0].Page1[0].TextField4[0] (0.61 conf)
form_page_set_text_field__2 was form1[0].#pageSet[0].Page1[0].TextField4[1] (0.41 conf)
form_body_page_text_field__1 was form1[0].BodyPage1[0].S1[0].TextField4[0] (0.41 conf)
form_body_page_text_field__2 was form1[0].BodyPage1[0].S1[0].TextField4[1] (0.41 conf)
form_body_page_text_field__3 was form1[0].BodyPage1[0].S1[0].TextField4[2] (0.41 conf)
form_body_page_text_field__4 was form1[0].BodyPage1[0].S1[0].TextField4[3] (0.41 conf)
form_body_page_drop_list was form1[0].BodyPage1[0].S1[0].DropDownList1[0] (0.37 conf)
form_body_page_text_field__5 was form1[0].BodyPage1[0].S4[0].TextField4[0] (0.41 conf)
form_body_page_text_field__6 was form1[0].BodyPage1[0].S4[0].TextField4[1] (0.41 conf)
form_body_page_text_field__7 was form1[0].BodyPage1[0].S4[0].TextField4[2] (0.41 conf)
form_body_page_text_field__8 was form1[0].BodyPage1[0].S4[0].TextField5[0] (0.41 conf)
form_body_page_text_field__9 was form1[0].BodyPage1[0].S4[0].TextField4[3] (0.41 conf)
form_body_page_text_field__10 was form1[0].BodyPage1[0].S4[0].TextField4[4] (0.41 conf)
form_body_page_text_field__11 was form1[0].BodyPage1[0].S4[0].TextField4[5] (0.41 conf)
form_body_page_text_field__12 was form1[0].BodyPage1[0].S4[0].TextField4[6] (0.41 conf)
form_body_page_text_field__13 was form1[0].BodyPage1[0].S4[0].TextField5[1] (0.41 conf)
form_body_page_text_field__14 was form1[0].BodyPage1[0].S4[0].TextField5[2] (0.41 conf)
form_body_page_text_field__15 was form1[0].BodyPage1[0].S4[0].TextField4[7] (0.41 conf)
form_body_page_text_field__16 was form1[0].BodyPage1[0].S3[0].TextField4[0] (0.41 conf)
form_body_page_text_field__17 was form1[0].BodyPage1[0].S3[0].TextField4[1] (0.41 conf)
form_body_page_text_field__18 was form1[0].BodyPage1[0].S3[0].TextField4[2] (0.41 conf)
form_body_page_text_field__19 was form1[0].BodyPage1[0].S3[0].TextField4[3] (0.41 conf)
form_body_page_text_field__20 was form1[0].BodyPage1[0].S3[0].TextField4[4] (0.41 conf)
form_body_page_text_field__21 was form1[0].BodyPage1[0].S3[0].TextField4[5] (0.41 conf)
form_body_page_text_field__22 was form1[0].BodyPage1[0].S3[0].TextField5[0] (0.41 conf)
form_body_page_text_field__23 was form1[0].BodyPage1[0].S3[0].TextField4[6] (0.41 conf)
form_body_page_text_field__24 was form1[0].BodyPage1[0].S3[0].TextField4[7] (0.41 conf)
form_body_page_text_field__25 was form1[0].BodyPage1[0].S3[0].TextField4[8] (0.41 conf)
form_body_page_text_field__26 was form1[0].BodyPage1[0].S3[1].TextField4[0] (0.41 conf)
form_body_page_text_field__27 was form1[0].BodyPage1[0].S3[1].TextField4[1] (0.41 conf)
form_body_page_text_field__28 was form1[0].BodyPage1[0].S3[1].TextField4[2] (0.41 conf)
form_body_page_text_field__29 was form1[0].BodyPage1[0].S3[1].TextField4[3] (0.41 conf)
form_body_page_text_field__30 was form1[0].BodyPage1[0].S3[1].TextField4[4] (0.41 conf)
form_body_page_text_field__31 was form1[0].BodyPage1[0].S3[1].TextField4[5] (0.41 conf)
form_body_page_text_field__32 was form1[0].BodyPage1[0].S3[1].TextField5[0] (0.41 conf)
form_body_page_text_field__33 was form1[0].BodyPage1[0].S3[1].TextField4[6] (0.41 conf)
form_body_page_text_field__34 was form1[0].BodyPage1[0].S3[1].TextField4[7] (0.41 conf)
form_body_page_text_field__35 was form1[0].BodyPage1[0].S3[1].TextField4[8] (0.41 conf)
form_body_page_text_field__36 was form1[0].BodyPage1[0].S5[0].TextField4[0] (0.41 conf)
form_body_page_text_field__37 was form1[0].BodyPage1[0].S5[0].TextField4[1] (0.41 conf)
form_body_page_text_field__38 was form1[0].BodyPage1[0].S5[0].TextField4[2] (0.41 conf)
form_body_page_check_box__1 was form1[0].BodyPage1[0].S5[0].CheckBox1[0] (0.39 conf)
form_body_page_text_field__39 was form1[0].BodyPage1[0].S5[0].TextField5[0] (0.41 conf)
form_body_page_text_field__40 was form1[0].BodyPage1[0].S5[0].TextField4[3] (0.41 conf)
form_body_page_text_field__41 was form1[0].BodyPage1[0].S5[0].TextField4[4] (0.41 conf)
form_body_page_text_field__42 was form1[0].BodyPage1[0].S5[0].TextField4[5] (0.41 conf)
form_body_page_text_field__43 was form1[0].BodyPage1[0].S5[0].TextField4[6] (0.41 conf)
form_body_page_text_field__44 was form1[0].BodyPage1[0].S6[0].TextField4[0] (0.41 conf)
form_body_page_text_field__45 was form1[0].BodyPage1[0].S6[0].TextField4[1] (0.41 conf)
form_body_page_text_field__46 was form1[0].BodyPage1[0].S6[0].TextField4[2] (0.41 conf)
form_body_page_check_box__2 was form1[0].BodyPage1[0].S6[0].CheckBox1[0] (0.39 conf)
form_body_page_text_field__47 was form1[0].BodyPage1[0].S6[0].TextField5[0] (0.41 conf)
form_body_page_text_field__48 was form1[0].BodyPage1[0].S6[0].TextField4[3] (0.41 conf)
form_body_page_text_field__49 was form1[0].BodyPage1[0].S6[0].TextField4[4] (0.41 conf)
form_body_page_text_field__50 was form1[0].BodyPage1[0].S6[0].TextField4[5] (0.41 conf)
form_body_page_text_field__51 was form1[0].BodyPage1[0].S6[0].TextField4[6] (0.41 conf)
form_page_radio_button_list__1 was form1[0].BodyPage1[0].S7[0].RadioButtonList[0] (0.36 conf)
form_page_radio_button_list__2 was form1[0].BodyPage1[0].S7[0].RadioButtonList[1] (0.36 conf)
form_body_page_check_box__3 was form1[0].BodyPage1[0].S8[0].CheckBox1[0] (0.39 conf)
form_body_page_check_box__4 was form1[0].BodyPage1[0].S8[0].CheckBox1[1] (0.39 conf)
form_page_set_text_field__3 was form1[0].#pageSet[0].Page2[0].TextField4[0] (0.41 conf)
form_page_set_text_field__4 was form1[0].#pageSet[0].Page2[0].TextField4[1] (0.41 conf)
form_body_page_check_box__5 was form1[0].BodyPage1[0].S10[0].CheckBox1[0] (0.39 conf)
form_body_page_check_box__6 was form1[0].BodyPage1[0].S10[0].CheckBox1[1] (0.39 conf)
form_body_page_check_box__7 was form1[0].BodyPage1[0].S10[0].CheckBox1[2] (0.39 conf)
form_body_page_check_box__8 was form1[0].BodyPage1[0].S10[0].CheckBox1[3] (0.39 conf)
form_body_page_check_box__9 was form1[0].BodyPage1[0].S10[0].CheckBox1[4] (0.39 conf)
form_body_page_check_box__10 was form1[0].BodyPage1[0].S10[0].CheckBox1[5] (0.39 conf)
form_body_page_hid_text_l_g__1 was form1[0].BodyPage1[0].HidText1[0].LG1[0] (0.45 conf)
form_body_page_check_box__11 was form1[0].BodyPage1[0].S11[0].CheckBox1[0] (0.39 conf)
form_body_page_hid_text_l_g__2 was form1[0].BodyPage1[0].HidText2[0].LG1[0] (0.45 conf)
form_body_page_check_box__12 was form1[0].BodyPage1[0].S12[0].CheckBox1[0] (0.39 conf)
form_body_page_hid_text_l_g__3 was form1[0].BodyPage1[0].HidText3[0].LG1[0] (0.45 conf)
form_body_page_check_box__13 was form1[0].BodyPage1[0].S14[0].CheckBox1[0] (0.39 conf)
form_body_page_check_box__14 was form1[0].BodyPage1[0].S14[0].CheckBox1[1] (0.39 conf)
form_body_page_check_box__15 was form1[0].BodyPage1[0].S13[0].CheckBox1[0] (0.39 conf)
form_body_page_text_field__52 was form1[0].BodyPage1[0].S13[0].TextField4[0] (0.41 conf)
form_body_page_text_field__53 was form1[0].BodyPage1[0].S13[0].TextField4[1] (0.41 conf)
form_body_page_text_field__54 was form1[0].BodyPage1[0].S13[0].TextField4[2] (0.41 conf)
form_body_page_text_field__55 was form1[0].BodyPage1[0].S13[0].TextField4[3] (0.41 conf)
form_body_page_text_field__56 was form1[0].BodyPage1[0].S13[0].TextField4[4] (0.41 conf)
form_body_page_text_field__57 was form1[0].BodyPage1[0].S13[0].TextField4[5] (0.41 conf)
form_body_page_text_field__58 was form1[0].BodyPage1[0].S13[0].TextField5[0] (0.41 conf)
form_body_page_text_field__59 was form1[0].BodyPage1[0].S13[0].TextField4[6] (0.41 conf)
form_body_page_text_field__60 was form1[0].BodyPage1[0].S13[0].TextField4[7] (0.41 conf)
form_body_page_text_field__61 was form1[0].BodyPage1[0].S13[0].TextField4[8] (0.41 conf)
form_body_page_check_box__16 was form1[0].BodyPage1[0].S23[0].CheckBox1[0] (0.39 conf)
form_body_page_check_box__17 was form1[0].BodyPage1[0].S23[0].CheckBox1[1] (0.39 conf)
form_body_page_text_field__62 was form1[0].BodyPage1[0].S24[0].TextField4[0] (0.41 conf)
form_body_page_text_field__63 was form1[0].BodyPage1[0].S24[0].TextField4[1] (0.41 conf)
form_body_page_text_field__64 was form1[0].BodyPage1[0].S24[0].TextField4[2] (0.41 conf)
form_body_page_text_field__65 was form1[0].BodyPage1[0].S24[0].TextField4[3] (0.41 conf)
form_body_page_text_field__66 was form1[0].BodyPage1[0].S24[0].TextField4[4] (0.41 conf)
form_body_page_text_field__67 was form1[0].BodyPage1[0].S24[0].TextField4[5] (0.41 conf)
form_body_page_text_field__68 was form1[0].BodyPage1[0].S24[0].TextField4[6] (0.41 conf)
form_body_page_text_field__69 was form1[0].BodyPage1[0].S24[0].TextField4[7] (0.41 conf)
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form_body_page_text_field__76 was form1[0].BodyPage1[0].S16[0].TextField4[3] (0.41 conf)
form_body_page_text_field__77 was form1[0].BodyPage1[0].S16[0].TextField4[4] (0.41 conf)
form_body_page_text_field__78 was form1[0].BodyPage1[0].S16[0].TextField4[5] (0.41 conf)
form_body_page_text_field__79 was form1[0].BodyPage1[0].S16[0].TextField5[0] (0.41 conf)
form_body_page_text_field__80 was form1[0].BodyPage1[0].S16[0].TextField4[6] (0.41 conf)
form_body_page_text_field__81 was form1[0].BodyPage1[0].S16[0].TextField4[7] (0.41 conf)
form_body_page_text_field__82 was form1[0].BodyPage1[0].S16[0].TextField4[8] (0.41 conf)
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form_body_page_text_field__84 was form1[0].BodyPage1[0].S17[0].TextField4[1] (0.41 conf)
form_body_page_text_field__85 was form1[0].BodyPage1[0].S17[0].TextField4[2] (0.41 conf)
form_body_page_text_field__86 was form1[0].BodyPage1[0].S17[0].TextField4[3] (0.41 conf)
form_body_page_text_field__87 was form1[0].BodyPage1[0].S17[0].TextField4[4] (0.41 conf)
form_body_page_text_field__88 was form1[0].BodyPage1[0].S17[0].TextField4[5] (0.41 conf)
form_body_page_text_field__89 was form1[0].BodyPage1[0].S17[0].TextField5[0] (0.41 conf)
form_body_page_text_field__90 was form1[0].BodyPage1[0].S17[0].TextField4[6] (0.41 conf)
form_body_page_text_field__91 was form1[0].BodyPage1[0].S17[0].TextField4[7] (0.41 conf)
form_body_page_text_field__92 was form1[0].BodyPage1[0].S17[0].TextField4[8] (0.41 conf)
form_body_page_check_box__18 was form1[0].BodyPage1[0].S18[0].CheckBox1[0] (0.39 conf)
form_body_page_check_box__19 was form1[0].BodyPage1[0].S18[0].CheckBox1[1] (0.39 conf)
form_body_page_text_field__93 was form1[0].BodyPage1[0].S20[0].TextField4[0] (0.41 conf)
form_body_page_text_field__94 was form1[0].BodyPage1[0].S20[0].TextField4[1] (0.41 conf)
form_body_page_text_field__95 was form1[0].BodyPage1[0].S20[0].TextField4[2] (0.41 conf)
form_body_page_text_field__96 was form1[0].BodyPage1[0].S20[0].TextField4[3] (0.41 conf)
form_body_page_text_field__97 was form1[0].BodyPage1[0].S20[0].TextField4[4] (0.41 conf)
form_body_page_text_field__98 was form1[0].BodyPage1[0].S20[0].TextField4[5] (0.41 conf)
form_body_page_text_field__99 was form1[0].BodyPage1[0].S20[0].TextField5[0] (0.41 conf)
form_body_page_text_field__100 was form1[0].BodyPage1[0].S20[0].TextField4[6] (0.41 conf)
form_body_page_text_field__101 was form1[0].BodyPage1[0].S20[0].TextField4[7] (0.41 conf)
form_body_page_text_field__102 was form1[0].BodyPage1[0].S20[0].TextField4[8] (0.41 conf)
form_body_page_check_box__20 was form1[0].BodyPage1[0].S21[0].CheckBox1[0] (0.39 conf)
form_body_page_check_box__21 was form1[0].BodyPage1[0].S21[0].CheckBox1[1] (0.39 conf)
form_body_page_row_text_field__1 was form1[0].BodyPage1[0].Table1[0].Table1[0].Row[0].TextField4[0] (0.41 conf)
form_body_page_table_row_asset__1 was form1[0].BodyPage1[0].Table1[0].Table1[0].Row[0].Asset[0] (0.38 conf)
form_body_page_row_text_field__2 was form1[0].BodyPage1[0].Table1[0].Table1[0].Row[1].TextField4[0] (0.41 conf)
form_body_page_table_row_asset__2 was form1[0].BodyPage1[0].Table1[0].Table1[0].Row[1].Asset[0] (0.38 conf)
form_body_page_row_total was form1[0].BodyPage1[0].Table1[0].Table1[0].FooterRow[0].Total[0] (0.40 conf)
form_body_page_hid_text_l_g__4 was form1[0].BodyPage1[0].HidText4[0].LG1[0] (0.45 conf)
form_page_set_text_field__7 was form1[0].#pageSet[0].Page2[2].TextField4[0] (0.41 conf)
form_page_set_text_field__8 was form1[0].#pageSet[0].Page2[2].TextField4[1] (0.41 conf)
form_date_time_field__1 was form1[0].S22[0].DateTimeField2[0] (0.37 conf)
form_date_time_field__2 was form1[0].S22[0].DateTimeField1[0] (0.37 conf)
form_text_field__1 was form1[0].S23[0].TextField4[0] (0.41 conf)
form_text_field__2 was form1[0].S23[0].TextField4[1] (0.41 conf)
form_text_field__3 was form1[0].S23[0].TextField4[2] (0.41 conf)
form_text_field__4 was form1[0].S23[0].TextField4[3] (0.41 conf)
form_text_field__5 was form1[0].S23[0].TextField5[0] (0.41 conf)
form_text_field__6 was form1[0].S23[0].TextField4[4] (0.41 conf)
form_text_field__7 was form1[0].S23[0].TextField4[5] (0.41 conf)
form_text_field__8 was form1[0].S23[0].TextField4[6] (0.41 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

form_page_set_text_field__1
form_page_set_text_field__2
form_body_page_text_field__1
form_body_page_text_field__2
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