COMMONWEALTH OF MASSACHUSETTS
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SS: HOUSING COURT DEPARTMENT
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DIVISION
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SP-/ / / / / /
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Plaintiff/Landlord
VS.
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Defendant/Tenant
STIPULATION FOR RENT, REPAIRS, AND REVIEW
The undersigned parties hereby stipulate and agree as follows:
1. The tenant shall pay rent of $_____________on ______________________ for __________________
to __________________________and shall pay rent of $____________________ on ______________
_____________________ for ___________________________ to ____________________________all
pending further agreement or further order.
2. The landlord shall make the following repairs to the premises according to the following
schedule:
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3. The Housing Specialist shall view conditions at the premises on __________________________
at __________________o’clock, and shall report to the parties and to the court [orally]
[in writing] on __________________________________ at ___________________o’clock.
4. The parties shall appear in court on ___________________________ at _____________________
o’clock for further review or trial on the merits of the action.
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5. The parties further agree as follows:
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ONCE APPROVED BY THE JUDGE, THIS AGREEMENT BECOMES A COURT ORDER AND BOTH
PARTIES ARE LEGALLY REQUIRED TO FOLLOW IT. If questions arise, please consult the Housing
Specialist.
I UNDERSTAND THAT I HAVE THE RIGHT TO A HEARING ON MY CASE BEFORE A JUDGE,
BUT INSTEAD, I CHOOSE TO SIGN THIS AGREEMENT.
__________________________________________ __________________________________________
Signed and dated by Landlord: Signed and dated by Tenant:
__________________________________________ __________________________________________
Plaintiff(s) Attorney: Defendant(s) Attorney:
_____________________________________ __________________________________________
Housing Specialist: Judge:
Copies (given) (mailed) to parties on: __________________________________
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