_COMMONWEALTH OF MASSACHUSETTS



Blank  Proposed Order

Instructions and form

Instructions

Use this form to tell the court exactly what you want it to order.

1. In the blank for _________ DIVISION, put the county for the court where you are filing this proposed order.

2. In the blank for PROBATE & FAMILY COURT No._______, put the docket number for the case, if you know it.

3. The plaintiff is the person who filed the complaint that started the case.

4. The defendant is the other person in the case.

5. You are submitting this proposed order, so put your name in the blank under “submitted by”.

6. On the blank lines, write or type the things you want the court to order.

7. The date at the bottom of the form is for the judge to fill in

8. The blank above Justice of the Probate and Family Court is where the judge signs the order.

See blank proposed order form on next page…

COMMONWEALTH OF MASSACHUSETTS

TRIAL COURT

__________________________ DIVISION PROBATE & FAMILY COURT

No.__________________________

____________________________ Plaintiff

V.

__________________________ Defendant

1

PROPOSED ORDER

Submitted by

__________________________________

Name of party

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

______________________________ ________________________________________

dated Justice of the Probate & Family Court

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