COMMONWEALTH OF MASSACHUSETTS __________________SS: HOUSING COURT DEPARTMENT _______________________ DIVISION / / /SP-/ / / / / /
_____________________________________ Plaintiff/Landlord VS. ______________________________________ Defendant/Tenant MILITARY AFFIDAVIT
I, ______________________________________________, state for an affidavit under penalties of perjury, and from my own personal knowledge, that I am the plaintiff in this action, that the defendant is not an infant or incompetent person, and is not in the military service, as defined in the `Servicemembers Civil Relief Act', but is residing at: _____________ __________________________________________________________________________.
______________________________________________ Signature and Date: ______________________________________________ Name: ______________________________________________ Address and Telephone: ___________________________________________
Copies (given) (mailed) to parties on: _____________________________________