DOCKET NO.
MILITARY AFFIDAVIT
DIVISION
Trial Court of Massachussetts District Court Department
DEFENDANT'S NAME, ADDRESS, ZIP CODE AND PHONE
PLAINTIFF'S NAME, ADDRESS, ZIP CODE AND PHONE
_______________________________________________ _______________________________________________ _______________________________________________
_______________________________________________ _______________________________________________ _______________________________________________
MILITARY AFFIDAVIT
(Mass. R. Civ. P. 55(b)(6))
I, ______________________________________________ , on behalf of _______________________________ , plantiff herein, on oath depose and say that ______________________________________________ , defendant herein, is not in the military service of the United States or any of its allies, as defined in the Servicemembers Civil Relief Act as evidenced by the following facts: ___________________________________________________________
________________________________________________________________________________________________________ ________________________________________________________________________________________________________
Signed under penalties of perjury.
Signature: ______________________________________ Name: _________________________________________ Attorney for: ____________________________________ Address: _______________________________________ Date : _____________________________ Telephone: _____________________________________