COMMONWEALTH OF MASSACHUSETTS ,SS: HOUSING COURT DEPARTMENT DIVISION CIVIL ACTION NO. / / /- / / / / / / __________________________ Plaintiff VS. __________________________ Defendant SUMMONS AND ORDER OF NOTICE To the above-named Defendant: You are hereby summoned and required to serve upon plaintiffs attorney, _ ________________ _________________________________, whose address is__________________________________________________an answer to the Complaint which is herewith served upon you, within 20 days after service of this summons upon you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the Complaint. You are also required to file your answer to the Complaint in the office of the Clerk of this Court at _______________, either before such service upon plaintiffs attorney or within a reasonable time thereafter. Unless otherwise provided by Rule 13(a), your answer must state as a counterclaim, any claim which you may have against the plaintiff which arises out of the transaction or occurrence that is the subject matter of the plaintiffs claim or you will thereafter be barred from making such claim in any other action. WE ALSO NOTIFY YOU that application has been made in said action, as appears in the Complaint, for a preliminary injunction and that a hearing upon such application will be held at the court house at said Housing Court, in the __________session, Room _____ without jury of our said court on _______________the ________ day of _________________A.D., 20_____, at _______ oclock .M., at which you may appear and show cause why such application should not be ignored. Witness, ___________________Justice, at _______Massachusetts, the____________day of ________________________, 200___. _______________________ American LegalNet, Inc. Clerk-Magistrate www.USCourtForms.com>>>> 2NOTES: 1. This summons is issued pursuant to Rule 4 of the Massachusetts Rules of Civil Procedure. 2. When more than one defendant is involved, the names of all defendants should appear in the caption. If a separate summons is used for each defendant, ea ch should be addressed to the particular defendant. NOTIFICACION PARA LAS PERSONAS DE HABLA HISPANA: SI USTED NO FUEDE LEER INGLES, TENGA ESTE DOCUMENTO LEGAL TRADUCICO CUANTO ANTES. PROOF OF SERVICE OF PROCESS I hereby certify and return that on _________________, 20____, I served a copy of the within summons and order of notice, together with a copy of the Complaint in this action, upon the within named defendant, in the following manner (See Mass.R. Civ. P. 4(d)(1-5): ________________________________ ________________________________ ________________________________ Dated: , 20___. N.B. TO PROCESS SERVER PLEASE PLACE DATE YOU MAKE SERVICE ON DEFENDANT IN THIS BOX ON THE ORIGINAL AND ON COPY SERVED ON DEFENDANT. American LegalNet, Inc. 2 www.USCourtForms.com