THE COMMONWEALTH OF MASSACHUSETTS
Housing Court Department

_______________________Division

________________________Address

________________________________

STATEMENT OF MATERIAL FACTS
(Please Print)

__________________,SS:

No. /  /   /C / V /   /   /   /   /   /

___________________________
 Plaintiff(s)

_________________________________
Defendant(s)

BRIEFLY STATE THE FACTS:

Address: ___________________________

   ___________________________

      Tel:     ___________________________

Address: ___________________________

   ___________________________

Tel:     ___________________________

                                       

  

     

Signed under the pains and penalties of perjury on: __________________________

        Date:

Signature: _____________________________________



Statement of Material Facts

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts. To learn more about the project, check out our about page.

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

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About This Form:

• Sourced from www.mass.gov (2023-03)
• Page(s): 1
• Fields(s): 15
• Average fields per page: 15
• Reading Level: Grade 9
• LIST Grouping(s): GO-00-00-00-00.

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