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Here is the text we could read:

REQUEST FOR CRIMINAL COMPLAINT
FOR BUILDING CODE VIOLATIONS

To any Justice of Clerk-Magistrate of the                 Housing
Court:
_________________________________________________________________
on behalf of the Commonwealth, on oath complains that:

_________________________________________________________________
was and is the owner of residential premises located at 

________________________________________________________________;

On ____________________________, 200___, a representative of the 
____________________________________________________Program
inspected the said premises and determined that the dwelling did
not comply with the State Building Code, ______C.M.R., §     , and
Gen.L. c. 143, §_______, governing_______________________;

On _____________________________, 200___, pursuant to §___________
of  the  Code,  the  defendant  was  served  with  a  written  order  to
comply;

On  _____________________________,  200___,  and  from  day  to  day
thereafter the defendant has failed to comply with the order, each
such day being a separate offense and a separate and distinct count
of this Complaint;

all in violation of Rule ___________ and Gen.L. c. 148, §________,
and the defendant did so willfully, intentionally, recklessly or
repeatedly.

__________________________
Date:

______________________________
Complainant:

Assigned for hearing on _____________________,200__, at _________
o’clock.

On hearing (Complainant)(Defendant)(both parties)(neither party),
I  find  no  probable  cause  for  the  Complaint.    Process  shall  not
issue. 

On hearing (Complainant)(Defendant)(both parties)(neither party),
and Complainant having sworn or affirmed that the Complaint is true
upon  information  and  belief,  I  find  probable  cause,  and  order
summons to issue returnable _______________________________.

______________________
Date:

___________________________________
Clerk-Magistrate

Request for Criminal Complaint for Building Code Violations

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Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.mass.gov (2023-03)
Page(s): 1
Fields(s): 32
Average fields per page: 32
Reading Level: Grade 11
LIST Grouping(s): GO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

housin_g_cour_division was HOUSING COURT DIVISION (0.61 conf)
text was Text16 (0.35 conf)
complaint was Complaint1 (0.35 conf)
premise_address was Premise_Address1 (0.44 conf)
violation_date__1 was Violation_Date (0.39 conf)
violation_year__1 was Violation_Year (0.33 conf)
program_name was Program_Name (0.39 conf)
cmr was CMR (0.43 conf)
gen_lc_section__1 was GenLc143_Section (0.41 conf)
gen_l_governing was GenL_governing (0.52 conf)
violation_date__2 was Violation_Date1 (0.39 conf)
violation_year__2 was Violation_Year1 (0.39 conf)
violation_date__3 was Violation_Date2 (0.39 conf)
violation_year__3 was Violation_Year2 (0.39 conf)
rule was Rule (0.40 conf)
gen_lc_section__2 was GenLc148_Section (0.41 conf)
submitted_date was SubmittedBy_Date (0.43 conf)
submitted_name was SubmittedBy_Name (0.42 conf)
appearance_date was Appearance_Date (0.31 conf)
appearance_year was Appearance_Year (0.30 conf)
appearance_time was Appearance_Time (0.34 conf)
complainant__1 was Complainant1 (0.35 conf)
defendant__1 was Defendant1 (0.35 conf)
parties__1 was Both_Parties1 (0.32 conf)
neither_party__1 was Neither_Party1 (0.40 conf)
complainant__2 was Complainant2 (0.35 conf)
defendant__2 was Defendant2 (0.35 conf)
parties__2 was Both_Parties2 (0.32 conf)
neither_party__2 was Neither_Party2 (0.40 conf)
summons_return_date was Summons_ReturnDate (0.47 conf)
clerk_date was Clerk_Date (0.37 conf)
clerk_name was Clerk_Name (0.43 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Request for Criminal Complaint for Building Code Violations

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02