Fill and Sign the Massachusetts Affidavit Form

IN THE SMALL CLAIMS COURT OF ______________________ COUNTY FOR THE COMMONWEALTH OF MASSACHUSETTS _________________________ (Name of Plaintiff) Plaintiff v. Case No. ______ _________________________ ( Name of Defendant) Defendant AFFIDAVIT OF ___________________________ ( Name of Affiant) IN SUPPORT OF MOTION TO QUASH SERVICE AND TO DISMISS ACTION FOR LACK OF JURISDICTION STATE OF ____________________, County of ) ss. BEFORE ME, the undersigned notary public, on this day personally appeared __________________________ ( affiant’s name) , who under oath stated as follows: 1. My name is _________________________ ( name of affiant) ; I am a resident of the County of ___________ , State of _______________________ (name of state) ; my address is _____________________________________________________________________________ (affiant’s address) . I am over eighteen (18) years of age, and I am legally competent to make this Affidavit based on my personal knowledge as ( specify capacity, for example: the duly authorized president of XXX, a Texas corporation) ___________________________________ ___________________________________________________. I make this affidavit voluntarily and not under duress. The information contained herein is true and correct. 2. Personal jurisdiction over _________________________________ (name of corporation) , a ___________________ (name of state) corporation in any litigation or other form of dispute resolution alleging or involving any act or omission or course of conduct of either plaintiff or defendant arising from, occasioned by, or regarding or referable to that certain written agreement executed on or about __________________________ (date) between plaintiff and defendant lies exclusively in the courts of the State of ____________________ (name of state) , and venue lies exclusively in ___________________ (name of county) County, __________________ (name of state) . Affiant attaches hereto as Exhibit A, a copy of the aforesaid written mutual agreement between the parties, and by this reference incorporates the mutual agreement in this affidavit as if fully set forth herein. The language in which the parties consent that the interpretation and enforcement of the mutual agreement is to be governed by the laws of the State of ___________ (name of state) appears at page ____ of the mutual agreement, and the parties consent that venue is be in ___________________ (name of county) County, _________________ (name of state) , appears at page of the agreement. AFFIDAVIT IN SUPPORT OF SPECIAL APPEARANCE Page 1 Executed at __________________ , ___________________ (name of state) , this _ ______ day of ________ , 2______. (Name of affiant) S ubscribed and sworn to before me on ______________________ (date) by _____________________________ (name affiant) . Notary Public Printed Name: My Commission Expires: AFFIDAVIT IN SUPPORT OF SPECIAL APPEARANCE Page 2