COMMONWEALTH OF MASSACHUSETTS __________________, SS: HOUSING COURT DEPARTMENT _______________________ DIVISION / / /SP-_ / / / / /
_____________________________________ Plaintiff/Landlord VS. ______________________________________ Defendant/Tenant NON MILITARY AFFIDAVIT AND AFFIDAVIT OF PAYMENTS MADE
1.
The defendant(s) in the above captioned case is/are not believed in the military service as defined in the Servicemember's Civil Relief Act, and that I know this to be true because: _________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
2.
The defendant(s) has/have PAID rent (or use and occupation) in the amount of
$_____________________ since the action was commenced.
3.
The defendant(s) still OWE rent (or use and occupation) in the amount of $_________________ through _______________________________________________. The defendant(s) still occupy/occupies the premises described in my Complaint or, if the premises are no longer occupied, the defendant(s) vacated the premises on _____________________________________________________________________.
4.
Subscribed and sworn under the pains and penalties of perjury, this ____________ day of ____________________, 200____.
_____________________________________________ Signature of Plaintiff or Plaintiff's Attorney