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Revised effective 07/14/2020 by 07/14/2020 Order, CN 10822 (Appendix XI-B) page 1 of 2
NOTICE
: This is a public document, which means the document as submitted will be available to the public upon request.
Therefore, do not enter personal identifiers on it, such as Social Security number, driver’s license number, vehicle plate
number,
insurance policy number, active financial account number, active credit card number, or military status.
Plaintiff or Filing Attorney Information:
Name
Superior Court of New Jersey
NJ Attorney ID Number
Law Division, Special Civil Part
Address
County
Email
Telephone Number
Docket Number: LT -
Plaintiff(s)
(to be provided by the court)
versus
Civil Action
SUMMONS
LANDLORD/TENANT
Defendant (s)
Defendant Information:
Name:
Nonpayment
Address:
Other
Commercial
Email
Residential
Phone:
NOTICE TO TENANT: The purpose of the attached complaint is to permanently remove you and your belongings from
the premises. You will be notified when a court proceeding is scheduled. Please contact the Office of the Special Civil
Part at ext. regarding your case. Please go to njcourts.gov for general information on
landlord/tenant actions.
If you cannot afford to pay for a lawyer, free legal advice may be available by contacting Legal Services at
. If you can afford to pay a lawyer but do not know one, you may call the Lawyer Referral Services of
your local county Bar Association at .
You may be eligible for housing assistance. To determine your eligibility, you must immediately contact the welfare agency in
your county at , telephone number .
If you need an interpreter or an accommodation for a disability, you must notify the court immediately.
Si ud. no tiene dinero para pagar a un abogado, es posible que pueda recibir consejos legales gratuitos si se comunica con
Servicios Legales (Legal Services) al . Si tiene dinero para pagar a un abogado pero no conoce
ninguno puede llamar a Servicios de Recomendación de Abogados (Lawyer Referral Services) del Colegio de Abogados (Bar
Association) de su condado local al .
Es posible que pueda recibir asistencia con la vivienda si se comunica con la agencia de asistencia publica (welfare agency) de
su condado al , telefono .
Si necesita un interprete o alguna acomodación para un impedimento fisico, tiene que notificárselo inmediatamente al tribunal.
Date:
Clerk of the Superior Court
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Revised effective 07/14/2020 by 07/14/2020 Order, CN 10822 (Appendix XI-B) page 2 of 2
COURT OFFICER’S RETURN OF SERVICE (FOR COURT USE ONLY)
Docket Number: ________________________Date: __________________Time: ______________
WM ___ WF ___ BM ___ BF OTHER _____ HT ____ WT _____ AGE ___ MUSTACHE ___ BEARD ___ GLASSES___
NAME: ____________________________RELATIONSHIP: __________
Efforts Made to Personally Serve __________________________________________________________________________
_____________________________________________________________________________________________________
Description of Premises if Posted __________________________________________________________________________
_____________________________________________________________________________________________________
I hereby certify the above to be true and accurate: _________________________________________________________
Special Civil Part Officer
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Completed 28 January 2021

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