COMPLAINT TO DECLARE 
CERTAIN PROVISIONS VOID 
Pursuant to G.L. c. 184, § 23B & 
Land Court Standing Order 2-21 

COURT USE ONLY 

COURT DEPARTMENT 

COUNTY 

DOCKET NUMBER 

TRIAL COURT OF 
MASSACHUSETTS 

LAND COURT 

PLAINTIFF(S) NAME(S) 

PROPERTY ADDRESS 

GENERAL INSTRUCTIONS 

•

•

The filer may complete and file this Complaint form when language in a land record claims to forbid or restrict the transfer 
or use of property based on race, color, religion, national origin or sex.  There is no filing fee due for filing this Complaint.

• Attach to this Complaint: (1) a copy of the current (or, if not prepared, the last prepared) certificate of title (if registered 

land) or the most recent deed (if recorded land) and (2) a copy of the document or instrument that contains the challenged 
language.

File this Complaint with the Land Court Recorder’s Office at 3 Pemberton Square, Boston, MA 02108.  The court may 
order relief forthwith, require parties to be served with notice of the case, or hold a hearing.  The court may order the entry 
of a declaratory judgment, a new or amended certificate of title, the entry or cancellation of a memorandum upon a 
certificate of title, or any other relief it considers proper.

1. The Plaintiff(s) is/are the       Owner(s)       Register of Deeds        Recorder       Assistant Recorder       Other Interested

Person (describe as necessary) __________________________________________________________________________.

2. The property at issue is described in a document/instrument (attached hereto) dated ___________, and is

 recorded in Book _______, Page _______ at the ______________ Registry of Deeds.

 registered, see Cert. of Title No(s). ____________________________________, Lot(s) ______________ on

iiiiiiiiLand Court Plan(s) _____________________________ at the ______________ Land Registration District.

3. The land records for the property contain a provision that violates G.L. c. 184, § 23B, which appears in a document/

instrument (attached hereto) dated ___________, and is

 recorded in Book _______, Page _______ at the ______________ Registry of Deeds.

 registered as Doc. No. ____________ at the ______________ Land Registration District.

4. Accordingly, the Plaintiff(s) request that the court, in its discretion, order the entry of a declaratory judgment declaring such

provision void, and/or ordering the entry of a new or amended certificate of title, the entry or cancellation of a

memorandum upon a certificate of title, or any other relief upon such terms as the Court may consider proper.

FILER NAME (ATTORNEY OR PLAINTIFF(S)) 

B.B.O. NUMBER (IF APPLICABLE) 

FIRM OR AGENCY NAME (IF APPLICABLE) 

OFFICE OR HOME PHONE NUMBER 

STREET ADDRESS 

CITY/TOWN 

DATED 

MOBILE PHONE NUMBER 

APT/UNIT # 

FAX NUMBER 

STATE 

ZIP CODE 

E-MAIL ADDRESS

SIGNATURE 

X

VP – Remedies for Void Provisions (09-2021) 

www.mass.gov/courts/landcourt 
www.masscourts.org 

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