Form 10 - Summary Process Summons And Complaint
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1
2Form 10
Commonwealth of Massachusetts
The Trial Court
Summary Process Summons and Complaint
_________________________ Department
Docket No. ______________________
_________________________ Division
Entry Date _______________________
_________________________ ,ss.
THIS IS A COURT NOTICE OF A PROCEEDING TO EVICT YOU - PLEASE READ IT CAREFULLY
IMPORTANTE: ESTE DOCUMENTO ES UNA NOTICIA DE UNA CORTE, RESPECTO A
PROCEDIENTES PARA DESALOJARLE
TO: ___________________________________________________________________________________________
ADDRESS: ____________________________________ CITY: _______________________ ZIP: _ ______________
You are hereby summoned to appear before the Judge of the Court at the time and place listed below:
DAY: ___________________________________ DATE: ________________ TIME: ________________________
COURT LOCATION: ________________________________________ ROOM: ___________________ to answer
the complaint of:
LANDLORD/OWNER: _________________________________________________________________________
STREET: ______________________________________ CITY: _______________________ ZIP: ______________
that you occupy the premises at __________________________________________________________________ ,
being within the judicial district of this court, unlawfully and against the right of said Landlord/Owner
because _______________________________________________________________________________________
and further, that $_____________________ rent is owed according to the following account:
ACCOUNT ANNEXED
________________________________________
________________________________________
First or Administrative Justice
________________________________________
________________________________________
Clerk-Magistrate
________________________________________
________________________________________
Signature of Plaintiff or Attorney
Address of Plaintiff’s Attorney
________________________________________
________________________________________
Date of Signature of Plaintiff or Attorney
Telephone Number of Plaintiff or Attorney
NOTICE TO OCCUPANTS: At the hearing on _____________________________ , you (or your attorney) must
appear in person to present your defense. You (or your attorney) must also file a written answer to this com-
plaint. (Answer form 2 is available in the clerk’s office.) You must file (deliver or mail) the answer with the
court clerk and serve (deliver or mail) a copy on the landlord (or landlord’s attorney) at the address shown
above. The answer must be received by the court clerk and received by the landlord (or the landlord’s attor-
ney) no later than Monday _____________________________________ before the hearing date.
IF YOU DO NOT FILE AND SERVE AN ANSWER, OR IF YOU DO NOT DEFEND AT THE TIME OF THE
HEARING, JUDGMENT MAY BE ENTERED AGAINST YOU FOR POSSESSION AND THE RENT AS
REQUESTED IN THIS COMPLAINT.
NOTIFICATION PARA LAS PERSONAS DE HABLA HISPANA: SI USTED NO PUEDE LEER INGLES
TENGA ESTE DOCUMENTO LEGAL TRADUCIDO CUANTO ANTES.
Summary Process Form 1 (amended 7/86)
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