COMMONWEALTH OF MASSACHUSETTS ________________,SS: HOUSING COURT DEPARTMENT _______________ DIVISION / / / - / / / / / / SMALL CLAIMS ACTION: ANSWER TO CLAIM (Please print or type) I, the Defendant in the above referred-to Small Claims Action, understand that in this Answer, I must state fully and specifically what facts set out in the Plaintiff’s Statement of Claim I deny, and what facts I admit, and I do so as follows: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ NOTE TO DEFENDANT: If you admit the plaintiff’s Claim and desire time to pay, please so indicate above. Date: __________________ ___________________________________________ Signature of Defendant(s) Attorney, his/her address) or Attorney and, if by _____________________________________________________ Street State Zip Code ___________________________ Small Claims Form 2A (4-79) American LegalNet, Inc. www.USCourtForms.com