Trial Court of Massachusetts Land Court Department DOCKET NUMBER COURT USE ONLY CIVIL COVER SHEET (For use in all Land Court case types except tax foreclosures, mortgage foreclosures under the Servicemembers Civil Relief Act, and all cases related to original and subsequent registration under G. L. c. 185, 2471) CASE NAME V. LOCUS ADDRESS/DESCRIPTION CITY/TOWN PART I 226 TYPE OF ACTION Using the list below, place the Number 2231224 next to the main cause of action asserted in your complaint. Place an 223X224 next to each other cause of action asserted in your complaint. Is this complaint verified? Yes No Any related cases (open or closed) filed in the Land Court Department? Yes No Case No(s). ZAC Appeal from Zoning/Planning Board G.L. c. 40A, 247 17 PAR Partition G.L. c. 241 ZAD Appeal from Planning Board G.L. c. 41, 247 81BB RED Redemption G.L. c. 60, 247 76 ZJA Validity of Zoning G.L. cc. 240, 247 14A, 185, 247 1 (j 275) SP Specific Performance of Contracts G.L. c. 185, 247 1 (k) ZEN Enforcement of Zoning G.L. c. 40A, 247 7 MBF Determine Municipal Boundaries G.L. c. 42, 247 12 COT Remove Cloud on Title G.L. c. 240, 247 6 - 10 MFE Determine Boundaries of Flats G.L. c. 240, 247 19 DOM Discharge of Old Mortgage G.L. c. 240, 247 15 CNC Certiorari G.L. c. 249, 247 4 LVT Affirm Tax Foreclosure - Land of Low Value G.L. c. 60, 247 80B MAN Mandamus G.L. c. 249, 247 5 MTB Try Title G.L. c. 240, 247 1 - 5 TRE Trespass to Real Estate Involving Title G.L. c. 185, 247 1 (o) MWA Recover Freehold Estate (Writ of Entry) G.L. c. 237 EQA Equitable Action Involving Any Right, Title or Interest in Land G.L. c. 185, 247 1 (k) MRC Determine Validity of Encumbrances G.L. c. 240, 247 11 - 14 CER Enforce Restrictions G.L. c. 240, 247 10A - 10C AHA Affordable Housing Appeal G.L. c. 40B, 247 21 MAD Determine Fiduciary Authority G.L. c. 240, 247 27 OTA Other SIGNATURE OF SELF - REPRESENTED PLAINTIFF DATE PART II 226 UNIFORM COUNSEL CERTIFICATE (SJC RULE 1:18) I hereby certify that I have complied with requirements of Rule 5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC Rule 1:18) requiring that I provide my clients with information about court-connected dispute resolution services and discuss with them the advantages and disadvantages of the various methods of dispute resolution. SIGNATURE OF ATTORNEY BBO NUMBER DATE ADRCC (03/2019) www.mass.gov/courts/landcourt Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com