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Claim Of Appeal-Small Claims Judgment - Massachusetts

Claim Of Appeal-Small Claims Judgment Form. This is a Massachusetts form and can be used in Housing Court Statewide .
 Fillable pdf Last Modified 4/7/2005
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COMMONWEALTH OF MASSACHUSETTS ________________,SS: HOUSING COURT DEPARTMENT _______________ DIVISION / / / - / / / / / / SMALL CLAIMS NO. CLAIM OF APPEAL FROM A SMALL CLAIMS JUDGMENT Plaintiffs Name, Address and Zip Code _____________________________________ _____________________________________ _____________________________________ _________________________________ Telephone Defendants Name, Address and Zip Code ______________________________________ ______________________________________ ______________________________________ _________________________________ Telephone I hereby claim a trial of this small claims before a Housing Court jury, pursuant to Ge neral Laws chapter 218, 23 and Chapter 185C, 3. I received the courts Notice of Judgment in this case on __________________ _____, 20____. I state on oath that this claim of jury trial is intended in good faith, and there are questions of fact and law requiring a jury trial, specifically : ________________________________________________________________________ _____ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ This is signed under the penalties of perjury: _________________________ _____________ ________________________________________________________________________ _____________ Date: Defendants Signature: American LegalNet, Inc. www.USCourtForms.com
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