Free Verified Complaint...(G.L. c. 186, S14) - Massachusetts


File Size: 13.6 kB
Pages: 3
Date: November 21, 2006
File Format: PDF
State: Massachusetts
Category: Court Forms - State
Author: Administrative Office of the Housing Court Department
Word Count: 357 Words, 3,855 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.mass.gov/courts/courtsandjudges/courts/housingcourt/forms/verifiedcomplaint.pdf

Download Verified Complaint...(G.L. c. 186, S14) ( 13.6 kB)


Preview Verified Complaint...(G.L. c. 186, S14)
COMMONWEALTH OF MASSACHUSETTS ______________SS: HOUSING COURT DEPARTMENT ____________________ DIVISION CIVIL ACTION NO. / / / - / / / / / /

_____________________________ PLAINTIFF(S) VS. _____________________________ DEFENDANT(S)

VERIFIED COMPLAINT, and MOTIONS FOR TEMPORARY RESTRAINING ORDER and PRELIMINARY INJUNCTION FOR UNLAWFUL EVICTION, UTILITY TERMINATION OR BREACH OF QUIET ENJOYMENT (G.L. c. 186, 14)

Part 1: NAME OF PLAINTIFF(S) (the tenant): ___________________________________________ ADDRESS (of apartment or rental house): _________________________________________ ____________________________________________________________________________ TELEPHONE NUMBER: ______________________________________________________ Part 2: NAME OF DEFENDANT (the landlord): __________________________________________ ADDRESS: __________________________________________________________________ TELEPHONE NUMBER: ______________________________________________________ Part 3: A. On or about (date) ______________________________, the defendant (landlord):

G G

Locked me out of the premises or otherwise attempted to regain possession of the premises without judicial process. Turned off or failed to restore the utility service (heat, gas, electricity, hot water, water). Otherwise directly or indirectly interfered with my quiet enjoyment of the premises.

G

Specifically explain what happened: (Use additional pages if necessary.) ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

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B.

By engaging in the above acts, the defendant/landlord has cost me the following sums of money (fill this in only if tenant wishes to claim specific money losses): List of Expenses/Property Loss:

ITEM _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________

AMOUNT $________________ $________________ $________________ $________________ $________________ $________________ $________________ +________________ TOTAL: $________________

C:

My landlord is therefore liable to me for three (3) times the above amount or three (3) times my monthly rent, $_________________ (enter amount) whichever is larger. (G.L. c. 186, 14, 15F).

Part 4: THEREFORE, I ask that the Court: A. Issue a Temporary Restraining Order, Preliminary Injunction, and Permanent Injunction restraining and enjoining the defendant from (check where appropriate): ________ ________ ________ ________ Denying me possession of the premises; Depriving me of utility service; Denying me possession of my personal belongings; Otherwise interfering with my right to quiet enjoyment of the premises.

B. Award me money damages in the amount of $_____________ (the greater of three (3) times monthly rent or actual damages) plus costs. C. Award such other relief as the Court deems appropriate. D. Issue a Short Order of Notice.

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E. Schedule a Preliminary Injunction Hearing prior to the expiration of any Temporary Restraining Order that my be granted.

Respectfully submitted,

_________________________________ PLAINTIFF'S SIGNATURE _________________________________ ADDRESS _________________________________

_________________________________ Telephone

VERIFICATION

I, _______________________________, have personal knowledge of all of the facts stated above and hereby swear under the pains and penalties of perjury that all of those facts are true and accurate.

_________________________________ DATE:

_______________________________________ SIGNATURE