COMMONWEALTH OF MASSACHUSETTS ________________,SS: HOUSING COURT DEPARTMENT _______________ DIVISION CIVIL ACTION NO. / / / -/ / / / / / _________________________ PLAINTIFF(S) VS. ________________________ DEFENDANT(S) CIVIL CONTEMPT COMPLAINT The undersigned ______________________________________ complains of ______ ________________________________________________________________________ ______ that in the above captioned matter, this Court issued the attached Order on ________________________________________and that as shown by the attache d affidavit, ______________________________________violated said Order by: ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ WHEREFORE, the undersigned prays that a contempt summons issue, that a hearing be held, that appropriate relief be granted, and that appropriat e penalties be imposed. Signed under penalties of perjury this ____________ day of ___________________, 20____. ___________________________________ Name: ___________________________________ Address: ___________________________________ ___________________________________ Telephone: American LegalNet, Inc. www.USCourtForms.com