WPCZ m(e#f2k\Hx2?X;@В6캉eبx9%hdI$c8=l haؐx]}[yٓmxոDgsN D_;y+fb^`(wcn|<$tµipyCҳMw7(6+|25YQh)7)4z-3Z- (!-{h3{}a1+;k'ec饥%W'Ox6XB:jw'@tG y\ew(=lL8QY:Y`:})\3n׮R檞I8-:=?¬N-ȆŦ&mW`u`_}ĉ"Wl8b=bD9rXqJE^.$۹HQ=^9(֖3IE3o+ wfy[Ld5)cyOe#U/NG % 0: ^ w 4   m f! a# 7 N  D5 B4 4 4 0VQ 0V AS P 0DHP LaserJet 4100 Series PCL,,,,0(9 Z6Times New Roman RegularX($USUS.,%C:L X-53|xUTABLE ALevel 1Level 2Level 3Level 4Level 5 ]"USUS.,  _ XXForLandCourtUseOnly  Received򀀀  Approved򀀀YYYY)!dxdx d(.3$ !USUS.,  (.3$ !USUS.,  c]\dXE<<CLevel 1Level 2Level 3Level 4Level 5($$   1  !USUS.,  _  XX   sb?/+b~~- 3 `@E 3tt  e s   XX  XX@%#XX<#XXLandCourt#XX#Ԉ t @&%XXApplicationforappointmentas r @ Commissionerforpartitionofrealestate,G.L.c.24112 x   J    `    %&Name:0   ` ___________________________________________________  (#(#    `     h #&% #(typeorprint)%&    FirmName:0 ` ___________________________________________________2 j ` (#` (#    `     h      p   Address:0 ` __________________________________________________~ ` (#` (#    `    #&%#^o? \%&(StreetandNumber)#&% \^o?#%&Ԁ Bz     ` ____________________________________________________   x   Ѐ#&%)#v %&(CityorTown)#&% v#%&   h #&%h#v %&(State)#&% v#v %&(ZipCode)#&% v7#%&     `  #&%Ѓ#v %&0  0h(#(# h(#h(#  v#v Z #  vTelNo._______________B.B.O._Ԁ#____________EMailAddress__________________Fax.No.________________#v   # vԀ  #v j # vv IcertifythatIwasadmittedtopracticebeforetheSupremeJudicialCourton__________________________,thatIremainingoodstandingto N practicebeforethecourtsoftheCommonwealthofMassachusetts,thatIhavehadnodisciplineimposedwithinthelasttenyears,andthatIhave  neverbeenconvictedofanyfelony. R IfurthercertifythatIhaveatleasttenyearsexperiencepracticingintherealestatefield,includingatleastthreecasesinvolvingthepartitionof  realestateatleastoneofwhichhasbeencompleted,eitherthroughpartitionontheground# v #v Ԁorasale. ,d # v #*v ThreepartitioncasesinwhichIhavebeeninvolvedare:   * Y ddd Xdd Xdd X(#(#,dd ,Fdd ,[dd ,Fdd +  R!R    @l Court/Division "  @7 7  DocketNumber  #   CaseName $  . Role*  %    &    '    (    )   R*   R+   R,   R-   L.   L/   L0  L1  *ascommissioner,attorneyforpetitionerorrespondent,orasaG.A.L. R1 Ihavecurrentlyineffectprofessionalliabilityinsurancethatwouldcovermyactivitiesasapartitioncommissionerwithcoverageof$100,000or V3 more.Theinsurancecompanywhichissuedthepolicyis: ,4 # v#________________________________ V! 6   ,4 ,(NameofCompany# ,,4S#v )# v# "R!7    `     h Thepolicynumberis:______________________     p      |#"9 Theliabilitylimitsofthepolicyare:_________________ %<$;    `     h HaveyoueverservedasapartitioncommissionerintheCommonwealth?Y___N___Ifyes,howmanytimes___? &%=  IREQUESTandIWILL acceptappointmentsfrom(pleaselistnomorethantwocounties),andIwillcomplywith (L'? thetimestandardsthatapplyandgoverncompletionofmywork,asorderedbytheCourt. ((@   1._______________________0 h 0h(#h(#0(#(#2._______________________b*)B(#(# 0,XXhXT$%XX0IhaveattachedtothisApplicationa copyofmyresume ,whichiscurrent,accurateandcomplete. x   +"+D Icertifyunderthepenaltiesofperjurythatalloftheaboveinformationistrue. t-,F Date:__________________________0 h 0h(#h(#__________________________________________v .4.H(#(# # v#   h   Signature /.I Mailto:LandCourt,226CausewayStreet,Boston,MA02114,Attn:Ellen_Bransfield_,CourtAdministrator