12.18
DATE
DOCKET NO.
PLAINTIFF DEFENDANT
COUNTY/COURT DIVISION
Trial Court of Massachusetts
AFFIDAVIT OF COMPLIANCE
AND PLAINTIFF'S ENTITLEMENT
TO JUDGMENT
Mass. R. Civ. P. 55.1(b)(1)
PLAINTIFF OR PLAINTIFF'S COUNSEL
SIGNED UNDER THE PENALTIES OF PERJURY
The undersigned hereby states that:
1. I have personally reviewed the documentation filed and served in this action pursuant to
Rule 8.1;
2. The documentation meets all requirements of Rule 8.1(c)-(f) (with any exceptions specifically stated here):
3. The documentation establishes the plaintiff's entitlement to judgment in the amount claimed.
X
THIS FORM IS REQUIRED IN ALL CASES SUBJECT TO MASS. R. CIV. P. 8.1
I am an unrepresented plaintiff
I am counsel for the plaintiff
Please check one:
AND
CERTIFICATE OF SERVICE
I, , attorney for the above-named plaintiff or unrepresented plaintiff, certify that
on I gave notice of the foregoing document to the defendant in the following manner:
name
date
name
address
city/town/zip code
at the following address:
