(SEAL) 

     COMMONWEALTH OF MASSACHUSETTS 

LAND COURT 

DEPARTMENT OF THE TRIAL COURT 

Docket Number:  

ORDER OF NOTICE

TO: 

[NAME OF DEFENDANT(S)] 

[NAME OF PLAINTIFF(S)] 

and to all persons entitled to the benefit of the Servicemembers Civil Relief Act, 50 U.S.C. c. 50  
§3901  (et seq).:

claiming to have an interest in a Mortgage covering real property in [CITY/TOWN,  
NUMBEREDADDRESS], given by [NAME OF MORTGAGOR] to [NAME OF 
MORTGAGEE], dated [DATE], and recorded in [NAME OF REGISTRY] in Book [], Page [],  
has/have filed with this court a complaint for determination of Defendant’s/Defendants’ 
Servicemembers status.  

If you now are, or recently have been, in the active military service of the United States of 
America, then you may be entitled to the benefits of the Servicemembers Civil Relief Act.  If  
you object to a foreclosure of the above-mentioned property on that basis, then you or your 
attorney must file a written appearance and answer in this court at Three Pemberton Square, 
Boston, MA 02108 on or before  _____________________ 
challenge the foreclosure on the ground of noncompliance with the Act. 

          or you may lose the opportunity to 

Witness,   Gordon H. Piper,   Chief Justice of this Court on __________________. 

Attest:

______________________________
Deborah J.  Patterson 
Recorder 

(PLEASE SEE REVERSE FOR RETURN ON ORDER OF NOTICE) 

RETURN ON ORDER OF NOTICE 

I hereby on oath state that I have published a copy of the within order of notice in the  

____________________________________ , a newspaper published in                                                     

____________________________________, in the County of__________________________

and said Commonwealth, to wit: on the  ____________   day of __________________________  
20           ,   a copy of which publication is hereto attached, and by mailing by certified or 

registered mail a copy of said notice not less than fourteen days before the return day for each  
defendant named in said complaint, that I am enclosing herewith certified or registered mail 

receipts therefore, or successfully served Deputy Sheriff services;  and that I recorded  
on___________________________________________________________________ a copy of  
said notice in the registry of deeds in which the mortgage is/are recorded. 

__________________________, 20                 ______________________________________ 

Subscribed and sworn to before me 

_________________________________________ 
Notary Public 

1. Photocopy only the front side of this Order of Notice for your Publication and Service. 
2. This return must be executed properly and returned to the Land Court with signed  

Certified Mail green cards (if any) stapled to the front of this form like W-2 Forms on a tax  
return and the actual newspaper clipping taped below (tape top and bottom only).   

NOTE: 

TAPE 
AD 
HERE 

TAPE 2nd
COLUMN HERE 
IF NEEDED 

(04-19-19)