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Fill and Sign the Appellate Division Second Departmentseptember Lawcom Form

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JOHN LAWYER, ESQ. [insert court house information and address] 12 MAIN STREET ANYWHERE, USA Attorneys for Plaintiff ________________________________ JOHN DOEPlaintiff(s), vs. JOHN SMITH, [insert address] Defendant(s). __________________________________ SUPERIOR COURT OF NEW JERSEY LAW DIVISION:SPECIAL CIVIL PART [INSERT] COUNTY DOCKET NO.: LT CIVIL ACTION LANDLORD-TENANT Non-Payment of Rent Other NOTICE TO TENANT : The purpose of this complaint is to permanently remove you and your belongings from the premises. If you wish to contest this action, you must bring all witnesse s, photos, documents, rent receipts, and other evidence to court for the trial. The phone number of the court is show at the top of this form. You may be eligible for housing assistance. To determine your eligibility, you must imme diately contact the welfare agency in your county at [insert] Division of Social Services, [insert address]. FIRST COUNT 1. Tenant(s) now resides and is in occupancy and possession of the premises owned by the Plaintiff/landlord and noted as above as being the address of the tenant. 2. The tenant is in possession of these premises under a written lease agreement which expired on [insert date]. 3. The property under which the tenant is in occupancy is a residential premises which is for sale and in fact, is under a contract for sale and is scheduled to close in [insert]. 4. Accordingly, on [insert date] a Notice to Quit for Possession was served by way of certified and regular mail pursuant to N.J.S.A. 2A:18-61.1(l)(3). Appended hereto as Exhibit 1 is a true copy of the sixty (60) day Notice to Quit served upon the tenant. 5. The tenant has refused to vacate the premises despite the statutory mandate that the tenant must vacate. 6. Therefore, a judgment for possession is sought pursuant to the violation of N.J.S.A. 2A:18-61.1(l)(3). 7. Landlord has registered the leasehold and notified the tenant in accordance wit h N.J.S.A. 46:8-29. Judgment is demanded for possession of the premises together with costs. WHEREFORE, the plaintiff demands judgment for possession along with any other just relief this court deems as necessary. I certify that the matter in controversy is not the subject of any other court acti on or arbitration proceeding, now pending or contemplated, and that no other parties should be joi ned in this action, except (list exceptions or indicate none). NONE Dated: _______________________________ JOHN LAWYER, ESQ. If you cannot afford an attorney, you may call [insert] County Legal Services (Telephone: [insert] Si ud no puede pagar un abogado, puede llamar a Servicos Legales, (Telephono: [insert] If you can afford to pay a lawyer but do not know one, you may call the Lawyer Referral Service of the local County Bar Association (Telephone: [insert] Si ud puede pagar los servicos de un abogado, pero no conoce a ninguno, puede llamar a las oficianas del Servico de Referencias de abogados de la Asociacion de Abogados del Condado local (Telefono: [insert]Demand: $ 0.00 Service/filing fee: $ Total: $ Trial Date: ______________ SUPERIOR COURT OF NEW JERSEY LAW DIVISION, SPECIAL CIVIL PARTCIVIL ACTION Docket No. LANDLORD/TENANT ( ) Non-Payment of Rent (xx) Other SUMMONS THE STATE OF NEW JERSEY TO: John Smith, Defendant-Tenant(s), YOU ARE HEREBY SUMMONED to answer to annexed complaint of: John Doe, Plaintiff-Landlord in a civil action in tenancy in the Special Civil Pa rt, to be held at: [insert court information]. AND TAKE NOTICE that unless you appear and state your defense before the court on _____________, ____________, at 9:00 a.m., the Plaintiff-Landlord may proceed in the suit and judgment may be entered against you for the relief demanded in the complaint. DATE: Clerk of the Special Civil Part COURT OFFICER ฀S RETURN OF SERVICE Docket No: DATE: TIME: WM WF BM BF OTHER HEIGHT: WEIGHT: MUSTACHE BEARD GLASSES NAME: RELATIONSHIP: DESCRIPTION OF PREMISES: AFFIX COPY OF SUMMONS AND COMPLAINT TO THE DOOR OF TENANT ฀S PREMISES PURSUANT TO R. 6:2-3(b). I hereby certify the above return to be true and accurate. ________________________ Court Officer

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