COMMONWEALTH OF MASSACHUSETTS
________________,SS: HOUSING COURT DEPARTMENT
_______________ DIVISION
No. __________________
_________________________
PLAINTIFF(S)
VS.
________________________
DEFENDANT(S)
Waiver of Jury Trial
The plaintiff and defendant in the above entitled matter hereby waive
a jury trial previously claimed in this case, and consent to submit this
matter to a bench trial.
___________________________ Dated: _______________
Signature of Plaintiff
___________________________ Dated: ________________
Signature of Defendant
(select county)
(select court)
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