Agreement For Judgment And For Payment Order printable pdf download

D O C K E T N U MB E R

AGREEMENT FOR JUDGMENT

Trial Court of Massachusetts

Small Claims Session

AND FOR PAYM ENT ORDER

P LA IN T IFF(S ) W H O A R E P A R T IE S T O T H IS A G R E E M E N T

C O U R T D IV IS IO N

VS.

D E FE N D A N T (S ) W H O A R E PA R TIE S T O T H IS AG R E E ME N T

R E Q U E ST E D D A T E O F P AYM E N T R E V IE W

C heck here if defendant has m oved and write new address above or on back of court copy

N o payment review requested

JUDGMENT FOR PLAINTIFF(S). It is hereby agreed that in this small claim the Court may enter a judgment

for the plaintiff(s) named above and against the defendant(s) named above for:

_____________ DAMAGES

Plus PREJUDGMENT INTEREST from ___________________

(date)

at the 12% statutory rate or the _______% contractual rate

_____________ COSTS

Prejudgment interest is waived by the plaintiff.

_____________ ATTORNEY FEES

Postjudgment interest is waived by the plaintiff.

(if authorized by contract or statute)

PAYMENT ORDER. It is also agreed that the Court may enter a payment order that requires the defendant(s):

to pay the plaintiff(s) the total amount of the judgment on or before __________________________________

(date).

to pay the plaintiff(s) $ ______________ each

week

month beginning on ________________

(date)

until the total amount of the judgment is paid in full.

This payment order will not be satisfied with any exempt income listed on pg. 2 of this form.

REVISED PAYMENT ORDER. In this small claim the Court has already entered a judgment and it is hereby agreed that the Court

may revise that payment order as follows:

This payment order will not be satisfied with any exempt income listed on pg. 2 of this form.

SATISFIED IN FULL. It is also agreed that this claim or judgment has already been satisfied in full.

(By court rule plaintiff(s) must file an acknowledgment of satisfaction with the court when the judgment has been paid in full.)

JUDGMENT FOR DEFENDANT(S). It is hereby agreed that in this small claim the Court may enter a judgment

for the defendant(s) named above, and the plaintiff(s) shall take nothing on this claim.

DISMISSAL. It is hereby agreed that the Court may enter a judgment dismissing this small claim.

JUDGMENT ON COUNTERCLAIM. It is also agreed that the Court may enter the following judgment on the counterclaim brought

by the above-named defendant(s) against the above-named plaintiff(s):

O T H E R P R O V IS IO N S O R C O M M E N T S

U pon acceptance by the C ourt, a judgm ent and paym ent order will be entered in accordance with the above term s and will be enforceable as an order of the C ourt.

____________________

S IG N A T U R E O F P LA IN T IFF(S ) O R A T T O R N E Y FO R P LA IN T IFF(S )

P R IN T N A M E

D A T E

_ __________________

S IG N A T U R E O F D E F E N D A N T (S ) O R A T T O R N E Y FO R D E FE N D A N T (S )

P R IN T N A M E

D A T E

RECORD OF COURT REVIEW (For optional use by magistrate)

T o be entered as court’s judgm ent and/or paym ent order.

A greem ent was subm itted in open court and R ule 7(a) inquiry m ade of defendant(s) as to any paym ent order.

C LE R K -M AG IS T R A T E / A SS T . C LE R K

D C -S C -8 (3/16)

ass.gov/courts/districtcourt

Agreement For Judgment And For Payment Order

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