COMMONWEALTH OF MASSACHUSETTS ,SS: HOUSING COURT DEPARTMENT DIVISION CRIMINAL ACTION NO. / / /- / / / / / / __________________________ Plaintiff VS. __________________________ Defendant CRIMINAL SUMMONS You are hereby summoned in the name of the Commonwealth of Massachusetts to appear before the ____________________Court at ______________________________________________________________at ____________oclock ____.m., on ____________day, _____________, 200____, all to answer to a Complaint made on oath this day before this court, a coy of which accompanies this Summons. Please be advised that a Default Warrant will issue for your arrest if you fail to appear in Court at the time and place above mentioned. Witness, ___________________Justice, at _______Massachusetts, this ____________day of ________________________, 200___. ____________________________ Clerk-Magistrate NOTIFICACION PARA LAS PERSONAS DE HABLA HISPANA: SI USTED NO PUEDE LEER INGLES, TENGA ESTE DOCUMENTO LEGAL TRADUCIDO CUANTO ANTES. NOTICE TO OFFICER SERVING SUMMONS To any officer who is authorized to serve criminal process in the Commonwealth, and to the Court Officers of this Court, GREETING: We command you in the name of the Common wealth of Massachusetts, forthwith to serve this Summons and accompanying Complaint, in hand to the person listed herein at the address listed above, or by leaving an attested copy hereof at the American LegalNet, Inc. www.USCourtForms.com>>>> 2defendants dwelling or usual place of abode with some person of suitable age and discretion then residing therein, in any case at least twenty-four (24) hours prior to the return hour specified in this Summons. MrCrP Rule 6(c)(3). Please make your return of service pursuant to the following: OFFICERS RETURN I, the undersigned officer, certify that I am authorized to serve criminal process in the commonwealth of Massachusetts, and, acting within this authority, and at the direction of this Court, I have served this Summons and the accompanying Complaint by giving the same in hand to the Defendant named therein, namely: _____________________________________________________, service being made at _________oclock _____.m.,on _____________, 200___, at _______________ _______________________________________ ____, (by in hand delivery to the defendant) or (by leaving at last and usual place of abode of defendant, and with a person of suitable age and discretion). ______________________________ OFFICER ______________________________ AUTHORITY Please Return Your Service to: Housing Court , Massachusetts ( ). American LegalNet, Inc. www.USCourtForms.com