COMMONWEALTH OF MASSACHUSETTS __________________SS: HOUSING COURT DEPARTMENT _______________________ DIVISION / / /SP-/ / / / / / _____________________________________ Plaintiff/Landlord VS. ______________________________________ Defendant/Tenant MILITARY AFFIDAVIT I, ______________________________________________, state for an affidavit under penalties of perjury, and from my own personal knowledge, that I am the plaintiff in this action, that the defendant is not an infant or incompet ent person, and is not in the military service, as defined in the Servicemembers Civ il Relief Act, but is residing at: _____________ ________________________________________________________________________ __. ______________________________________________ Signature and Date: ______________________________________________ Name: ______________________________________________ Address and Telephone: ___________________________________________ Copies (given) (mailed) to parties on: _____________________________________ American LegalNet, Inc. www.USCourtForms.com