COMMONWEALTH OF MASSACHUSETTS ________________,SS: HOUSING COURT DEPARTMENT _______________ DIVISION / / / - / / / / / / SMALL CLAIMS NO.
_________________________ PLAINTIFF(S) VS. ________________________ DEFENDANT(S)
SMALL CLAIMS COUNTERCLAIM
I, the defendant, wish to enter a counterclaim against the plaintiff in this case for a total of $ _________________. My Counterclaim is based on the following: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________
______________________________ DEFENDANT'S SIGNATURE
______________________ DATE