Application To The Probate And Family Court Department For Appointment As Guardian Ad Litem

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Application
Mail Application to:
For court use only
Probate and Family Court
to the
Administrative Office
Reviewed
Probate and Family Court Department
John Adams Courthouse
for appointment as
One Pemberton Square
Entered
Guardian ad Litem
Mezzanine
Boston, MA 02108
in actions involving:
attn. fee gen.
Probate of W ills — G.L. c. 192, §§ 1B, 1C; Uniform Practice XXVI
Proceedings for arbitration or com prom ise by fiduciaries — G.L. c. 204, §§ 13, 14, 16, 18
Accounts and settlem ents — G.L. c. 206, §§ 24, 30; Com plaint or Petition for Instructions
and for appointment as:
Com missioner for insolvent estate — G.L. c. 198, § 2
Administrator — G.L. c. 192, § 1 et seq.
Trustee — G.L. c. 203, §§ 4, 5, 12
CATEGORY
Name:
D
(Street and Number)
Firm Name:
(Street and Number)
Address:
(Street and Number)
(City or Town)
(State)
(Zip Code)
Telephone No.
(
)
B.B.O. #
(Area Code)
E-Mail Address
I certify that I was admitted to practice before the Supreme Judicial Court on
,
that I remain in good standing to practice before the courts of the Commonwealth of Massachusetts, and that I have not
been convicted of any felony.
I further certify
G that I have at least three years of experience practicing probate law in the Probate and Family Courts of
Massachusetts, (one of the years may have been serving a term as a law clerk for the Probate and Family Court
Department), or
G that I have at least three years of experience as an Assistant Register in the Probate and Family Court,
and that I have the required experience and expertise to serve as a guardian ad litem in matters relating to probate of
wills and estates pursuant to G.L. c. 192, § 1 et seq. and Uniform Practice XXVI; in proceedings for arbitration or
compromise by fiduciaries pursuant to G.L. c. 204, §§ 13, 14, 16 and 18; in proceedings relating to accounts and
settlements pursuant to G.L. c. 206, §§ 24 and 30; in proceedings for appointment or replacement of trustees pursuant
to G.L. c. 203, §§ 4, 5 and 12; or to serve as an administrator pursuant to G.L. c. 192, or as a trustee pursuant to G.L.
c. 203, or as a commissioner for an insolvent estate pursuant to G.L. c. 198.
I have currently in effect professional liability insurance with coverage of $100,000 or more. The insurance company
which issued the policy is:
(Name of Company)
The policy number is:
(Policy Number)
The limits of liability are:
(Limits of Liability)
I request and I WILL accept appointments from the following (not more than four) divisions of the Probate and Family
Court Department:
G Barnstable
G Berkshire
G Bristol
G Dukes
G Essex
G Franklin G Ham pden
G Ham pshire
G Middlesex
G Nantucket
G Norfolk
G Plym outh
G Suffolk
G W orcester
I understand that I will be required each year, after 2001, to complete six hours of continuing legal education in the
probate field to remain on the list for these appointments. I agree that, if I am appointed as a guardian ad litem,
administrator, trustee or commissioner and a person with an appearance in the case requests a certificate of my
professional liability insurance, I will provide the certificate within seven days of the request. I understand that, to remain
on the list, I must mail to the List Coordinator each October, after 2000, a certificate of my good standing with the
Supreme Judicial Court dated that October.
I have attached to this Application a copy of my resume and a certificate of my good standing with the Supreme
Judicial Court. The certificate was issued not more than 30 days ago.
I certify under the penalties of perjury that all of the above information is true.
Date:
(Signature of Applicant)
[10/00N]

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