DOCKET NO. SUMMONS TO DEFENDANT Massachusetts Trial Court G.L. c. 209A or G.L. c. 258E PLAINTIFF’S NAME COURT NAME & ADDRESS DEFENDANT’S NAME & ADDRESS + , DATE OF COURT HEARING TIME OF COURT HEARING . - TO THE DEFENDANT NAMED ABOVE: The Plaintiff named above has filed with this court the attached: G G Complaint for Protection from Abuse pursuant to Massachusetts General Laws chapter 209A, section 3, requesting that you be ordered not to abuse the Plaintiff and for other relief as indicated. Complaint for Protection from Harassment pursuant to Massachusetts General Laws chapter 258E, section 3, requesting that you be ordered not to harass or abuse the Plaintiff and for other relief as indicated. A judge will conduct a hearing on the Plaintiff’s Complaint at this court on the date and time shown above. YOU ARE HEREBY SUMMONED TO APPEAR before this Court at that date and time if you wish to be heard on whether the Court should issue the requested Order. At that hearing, you will have an opportunity to cross-examine any witnesses offered by the Plaintiff. You may also offer witnesses or other evidence on your behalf and you may be heard on whether the Court should issue the requested Order. If you wish, you may retain counsel to represent you at that hearing. IF YOU DO NOT APPEAR AT THE HEARING, EITHER PERSONALLY OR BY COUNSEL, THE COURT MAY ISSUE THE REQUESTED ORDER WITHOUT HEARING FROM YOU. Whether or not you appear at the hearing, if the Court issues an Order that you are to refrain from abusing or harassing the Plaintiff, to refrain from contacting the Plaintiff or the Plaintiff’s minor child, or to vacate the Plaintiff’s household, multiple family dwelling or workplace, ANY VIOLATION OF THAT ORDER IS A CRIMINAL OFFENSE, punishable by imprisonment or fine or both. TESTE OF FIRST JUSTICE DATE ISSUED WITNESS: CLERK-MAGISTRATE / ASST. CLERK X [court seal] CERTIFICATE OF SERVICE I certify that on this date I served this Summons and a copy of the Plaintiff’s Complaint for Protection on the Defendant: G G DATE by mailing them by first class mail to the Defendant at the address shown above. Other: SIGNATURE OF PERSON MAKING SERVICE TITLE X FA/HA-10 (5/10) ATENCION: ESTE ES UN AVISO OFICIAL DE LA CORTE. SI USTED NO SAVE LEER INGLÈS, OBTENGA UNA TRADUCCIÒN. American LegalNet, Inc. www.FormsWorkFlow.com