eFiling: 3/16/2018
Trial Court of
Massachusetts
VERIFICATION OF
DEFENDANT'S ADDRESS
BY PLAINTIFF IN TRADE OR COMMERCE
OR PURSUING ASSIGNED DEBT
DOCKET NO.:
PLAINTIFF(S)
DEFENDANT(S)
This form must be filed along with the
Complaint for any claim incurred in the course
of plaintiff's trade or commerce, or for assigned
debt. Use separate forms for multiple
defendants if they have different addresses.
ADDRESS OF DEFENDANT(S)
Pursuant to Uniform Small Claims Rule 2(b) and Joint Standing Order 2-15, upon personal
knowledge, the defendant's address shown above has been verified in the following manner:
Check at least one
of these methods:
Verified with the following municipal record within the past 12 months:
Municipal Record (e.g. street list or tax records):
Date verified:
Verified with Registry of Motor Vehicles records within the past 12 months.
Date verified:
Verified by receipt of correspondence from the defendant with that return address
within the past 12 months.
Date correspondence received:
Other verification from the defendant within the past 12 months that address is
current:
Describe:
Check at least two
of these methods:
OR
A letter was mailed to the defendant at the above address by first class mail on:
and has not been returned to sender by the postal service.
Date within 6 months, and at least 4 weeks before filing this civil action:
Verified using the following online database (other than white pages or other
unpaid general telephone directory) within the past 6 months:
Name and source of database:
Verified with an additional source, specifically:
DATE SIGNED PLAINTIFF OR PLAINTIFF'S ATTORNEY (SIGNED UNDER THE PENALTIES OF PURJURY)
x
BMC:
District:
Housing:
COURT NAME (Select Only One Court):
Residential Mailing
