Commonwealth of Massachusetts

S U  F F O  L K  , S S .                                                                                                      BOSTON  MUNICIPAL  COURT  DEPARTMENT

    Civil Action No. 

APPLICATION PURSUANT TO MASS. R. CIV. P. 33(a) FOR
ENTRY OF JUDGMENT FOR                             - AS APPROPRIATE.

T h e

   

s a y s  th a t o n  

an d  the provisio n s o f M ass. R . C iv. P . 3 3 (a) have been co m plied  w ith, an d that the party in terro gated  has failed  to

serve tim ely an sw ers o r o bjection s thereto  w ithin  fo rty-five (4 5 ) d ays or su ch sho rter or lo n ger tim e as the co u rt

o n  m o tio n  w ith o r w ithou t n o tice m ay specify, o r the parties m ay stipu late, pu rsu an t to M ass. R . C iv. P . 2 9 .

2 0  

 , in terro g a to rie s  w e re  s e rv e d  u p o n  th e  

,

to  fu rth e r a n s w e r in te rro g a to ries w ith in  

days, and that the party interrogated has failed  to  serve such

fu rth e r a n sw e rs  w ith in  s a id  tim e.

2 0  

 , th e  C o u rt o rd e re d  th e

2 0  

 , a  fin a l re q u e s t fo r a n sw e rs  to  in te rro g a to rie s  w a s  s e rv e d

(a n d  a  c o p y  o f s a id  req u e s t is a c c o m p a n ie d  h e re w ith ), a n d  th e p ro v is io n s  o f  M a s s . R . C iv . P . 3 3 (a ) h a v e  b e e n

c o m p lie d  w ith , a n d  th a t th e  p a rty  in te rro g a te d  h a s  fa iled  to  s e rv e tim e ly  a n s w e rs  o r o b je c tio n s  th e re to  w ith in

fo rty  (4 0 ) d a y s  o r s u c h  o th e r p e rio d  a s  w a s  p re s crib e d  b y  o rd e r o f th e  C o u rt a p p e a rin g  o n  re c o rd , o r w ith in  s u c h

fu rth e r tim e  a s  th e  p a rtie s  h a v e a g ree d .

m a k e (s ) a p p lic a tio n  th a t ju d gm e n t b e  en te re d  fo r 

in  a c co rd a n c e  w ith  th e  p ro v is io n  o f R u le

W h e re fo re , th e  

3 3 (a ).

D a te d  a t B o s to n , M a s s a c h u s e tts , th is  

    d a y  o f 

            , 2 0  

.

T H IS  S T A T E M E N T  IS  M A D E  U N D E R  T H E  P E N A L T IE S  O F  P E R J U R Y .

Plaintiff(s)

Defendant(s)

T h e 

s a y s  th a t o n  

T h e 

s a y s  th a t o n  

u p o n  th e

 A p p t o a n s . t o o r i g i n a l i n t s .

(cid:57)*

(cid:57)*

 f u r . a n s .

 A p p t o 

      Print or Type

Atty. for Plff - Deft.

      Print or Type

Address

      Signed

      Tel. No. 

      BBO No. 

N O T E S :     A  p la in t if f  f ilin g  t h is  a p p lic a t io n  w h o s e  c la im  is  f  o r  a  s u m  c e r t a in  o r fo r  a  s u m  w h ic h  c a n  b y  c o m p u t a tio n  b e  m a d e  c e r t a in  s h o u ld  a ls o  f ile  a  R e q u e s t  f o r

J u d g m e n t  fo r  R e lie f  p e r R u le  5 5 ( b ) (1 )  ( fo r m  B M C - C V - 0 2 9 ) .   A  p la in t if f  f ilin g  t h is  a p p lic a tio n  w h o s e  c la im  is  n o t  a  s u m  c e rt a in  o r  a  s u m  w h ic h  c a n n o t  b y  c o m p u t a t io n

b e  m a d e  c e r t a in  s h o u ld  m a rk  t h is  m a t t e r  f o r  a  h e a r in g  o n  t h e  a s s e s s m e n t  o f d a m a g e s ,  w ith  n o tic e  t o  th e  d e f e n d a n t .

A  d e f e n d a n t filin g  t h is  a p p lic a t io n  n e e d  n o t  a c c o m p a n y  it  w it h  a n y  a d d it io n a l p a p e r s ,  u n le s s  a  d e f e n d a n t ’s  e x e c u t io n  is  t o  b e  re q u e s t e d .

BMC-CV-009

APPLICATION PER RULE 33(a)

(Rev. 6/10  swf)