Fillable Commonwealth of Massachusetts - Housing Court Department Division - Verified Complaint and Motions for Temporary Restraining Order and Preliminary Injunction

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Commonwealth of Massachusetts - Housing Court Department Division - Verified Complaint and Motions for Temporary Restraining Order and Preliminary Injunction

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The Commonwealth of Massachusetts - Housing Court Department Division - Verified Complaint and Motions for Temporary Restraining Order and Preliminary Injunction form is 3 pages long and contains:

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  • 7 check-boxes
  • 37 other fields

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BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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COMMONWEALTH OF MASSACHUSETTS
______________SS: HOUSING COURT DEPARTMENT
____________________ DIVISION
CIVIL ACTION NO.
/ / / - / / / / / /
_____________________________ PLAINTIFF(S)
VS.
_____________________________ DEFENDANT(S)
VERIFIED COMPLAINT, and MOTIONS FOR TEMPORARY
RESTRAINING ORDER and PRELIMINARY INJUNCTION FOR
UNLAWFUL EVICTION, UTILITY TERMINATION OR
BREACH OF QUIET ENJOYMENT (G.L. c. 186, §14)
Part 1: NAME OF PLAINTIFF(S) (the tenant): ___________________________________________
ADDRESS (of apartment or rental house): _________________________________________
____________________________________________________________________________
TELEPHONE NUMBER: ______________________________________________________
Part 2: NAME OF DEFENDANT (the landlord): __________________________________________
ADDRESS: __________________________________________________________________
TELEPHONE NUMBER: ______________________________________________________
Part 3: A. On or about (date) ______________________________, the defendant (landlord):
G Locked me out of the premises or otherwise attempted to regain possession of the premises
without judicial process.
G Turned off or failed to restore the utility service (heat, gas, electricity, hot water, water).
G Otherwise directly or indirectly interfered with my quiet enjoyment of the premises.
Specifically explain what happened: (Use additional pages if necessary.)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
(select county)
(select court)
Click to Print
-2-
B. By engaging in the above acts, the defendant/landlord has cost me the following sums of money
(fill this in only if tenant wishes to claim specific money losses):
List of Expenses/Property Loss:
ITEM AMOUNT
_______________________________________ $________________
_______________________________________ $________________
_______________________________________ $________________
_______________________________________ $________________
_______________________________________ $________________
_______________________________________ $________________
_______________________________________ $________________
+________________
TOTAL: $________________
C: My landlord is therefore liable to me for three (3) times the above amount or three (3) times
my monthly rent, $_________________
(enter amount) whichever is larger. (G.L. c. 186,
§§14, 15F).
Part 4: THEREFORE, I ask that the Court:
A. Issue a Temporary Restraining Order, Preliminary Injunction, and Permanent Injunction
restraining and enjoining the defendant from (check where appropriate):
________
Denying me possession of the premises;
________
Depriving me of utility service;
________
Denying me possession of my personal belongings;
________
Otherwise interfering with my right to quiet enjoyment of the premises.
B. Award me money damages in the amount of $_____________
(the greater of three (3)
times monthly rent or actual damages) plus costs.
C. Award such other relief as the Court deems appropriate.
D. Issue a Short Order of Notice.
-3-
E. Schedule a Preliminary Injunction Hearing prior to the expiration of any Temporary Restraining Order
that my be granted.
Respectfully submitted,
_________________________________
PLAINTIFF’S SIGNATURE
_________________________________
ADDRESS
_________________________________
_________________________________
Telephone
VERIFICATION
I, _______________________________, have personal knowledge of all of the facts stated above
and hereby swear under the pains and penalties of perjury that all of those facts are true and accurate.
_________________________________
_______________________________________
DATE: SIGNATURE
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Commonwealth of Massachusetts - Housing Court Department Division - Verified Complaint and Motions for Temporary Restraining Order and Preliminary Injunction

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Completed 20 May 2020

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