Fillable Eviction Request Form Norfolk County printable pdf download

NORFOLK SHERIFF’S OFFICE

EVICTION REQUEST FORM

Please ll out and submit this form along with your original Execution for Possession and 300.00 retainer

payment (bank check or money order). Residential Evictions require 48 hour notice be served to the

defendant before an eviction can begin. You will be contacted by a Deputy Sheri when your eviction

has been scheduled.

ATTORNEY INFORMATION

Name ______________________________________________________________________________

Street _______________________________ City/Town ____________________ Zip ___________

Phone____________________________________ Cell: _______________________________________

Email ____________________________________________________________________________

DEFENDANT(s) INFORMATION

Last Name ______________________________ First Name _______________________ M.I. ______

Date of Birth ____________________________ SSN# ______________________________________

Last Name ______________________________ First Name _______________________ M.I. ______

Date of Birth ____________________________ SSN# ______________________________________

Reason for Eviction ___________________________________________________________________

EVICTION INFORMATION | Address of Property

Street _______________________________ City/Town ____________________ Zip ___________

Number of Occupants __________ Number of Rooms __________ Length of Tenancy __________

Moving and Storage Company*

Company Name _______________________________________________________________________

Street _______________________________ City/Town ____________________ Zip ___________

Phone _____________________________________________________________________________________

Asset Check

If an execution on money judgment has been issued the Norfolk Sheri ’s O ce can conduct an

asset check as a courtesy to help you determine what options may be available to you. Please

indicate below whether you would like an asset check to be conducted

NOTES:

* You are responsible for hiring a moving and storage company which meets the statutory criteria for evictions. A list published by the Executive

O ce of Public Safety and Security is available online. The company must be on the list and the tenant’s property must be warehoused within a

reasonable distance from the property where the eviction is to occur. If you have any questions regarding choosing a mover please contact our

o ce. Once you have chosen and retained a mover we will coordinate with the move for the eviction.

PLEASE MAIL THIS FORM ALONG WITH YOUR ORIGINAL EXECUTION FOR POSSESSION AND $300.00

RETAINER PAYMENT TO P.O. BOX 699245 QUINCY, MA 02269. ALTERNATIVELY YOU MAY DROP OFF THE

SERVICE AT OUR OFFICE AT 181 PARKINGWAY QUINCY MA. FOR QUESTIONS OR IF THIS IS AN URGENT

SERVICE PLEASE CALL 781-326-1787

Eviction Request Form Norfolk County