SCAS Manual

7/28/2019 SCAS Manual

1/100

!

"#$"!

!

%&'!()**)+&,*'--*!".)//!#/)0.*!$120*345!"'420+'!

!

63/,7-''4!()7,)/!

!

8&0//09*!:433;*!


2/100

!"

"

%)>/'!3N!#37-'7-*!

,^^

!

KW

9OE!!

'W

O9OCH!

9ODC!

#&)9-'4!DP!>d

O9ODG!

,/

OO9OJE!

>

MJ!

#&)9-'4!>

9OGB!

W

O9OHD!

HK!!

$99'710+'*!

!

!

!

!


3/100

#"

"


4/100

Q"

"

)7/"A%):":%&3"8*:,():&*3"%1;&/":1")441(;*,-%E"$%&"9218;"2&4197,=&/":%,-";21


5/100

["

"

$%&"4*1- ,79"1@":%&"K1I)20)2/"1@@,4&",7":%&"B%,**,;-"C211D-">18-&"


6/100

]"

"

'+.'R-" ,701*0& (&7:",7"*&9,-* ):,0&"2&@12("417:,78& /":1"921A",7":%&"*):& "NOab-")7/"&)2* 3"NOOb- E".:":%,-"

;1,7:G ":%&";21CN#QQ";21;1-&/"2&@12(-":%):"A18*/"%)0&"()/&",:"&)-,&2"@12",7/,0,/8)*";*),7:,@@-":1"41**&4:":%&"

L8/9(& 7:- ":%&3"%)/"A17",7"-() **"4*),(- "4182:")7/"@187/")"-;17-12",7"':):& "K&;2&- &7:):,0& "B)8* "V&()D,-"

RP[G"UV"RPaE"$%&"


7/100

P"

"

"

?7/&2":%&"*&)/&2-%,;"1@"B)-T8)*&")7/"+%8G":%&"&7:,2&"-3-:&("1@":2),7,79"A)-"2&0)(;&/"-1":%):"7&A"

01*87:&&2-"5\41(;&2-\6"*&)27&/":%&"21;&-"1@"-()**"4*),(-"4182:";214&/82&",7"-()**"9218;-"*&/"


8/100

a"

"

SNN0+'!843-3+3/!

c182"@,2-:":,(&",7":%&"1@@,4&"4)7"1@:&7"d" idc" FW"$>d" dj.+$" '.Jd" J.FSCMjE" F@"318"2&) *,=&":%):"318"%)0&":%&"D&3")@:&2"

318"%)0&"*&@:G",((&/,) :&*3"2&:827".") 7/"


9/100

O"

"

.:":%,-";1,7:G",@"318"/1"71:")*2&)/3"%)0&":%&";%17&"1@@":%&"%11DG":%&";%17&"A,**"2,79E"B,4D",:"8;G")7/"318"

A,**"


10/100

Nb"

"

()-()**4*),(-k9(),*E41(E"Y&"A,**"71:"


11/100

NN"

"

"

NE"$%&"17*3";8**"/1A7"(&78"%)-")"*,-:"1@"&0&23"01*87:&&2E"',(;*3"-421**"/1A7":1"3182"7)(&G"4*,4D",:G")7/"

:%&7";2&-- ":%&"\S19",7\"5!940340-5"*,-:-"18:"4*,&7:-":%):"4822&7:*3"7&&/":1"


12/100

N!"

"

QE"B8:")7")//,:,17)*"78(


13/100

N#"

"

M74&"318"%)0&"@,7,-%&/",7;8::,79"/):)",7:1":%&"4)-&",7@1"-&4:,17G"4*,4D"17":%&":)d" BKM+dV?Kd'E" F@"318"/1"

71:G"3182"2&T8&-:-"A,**"(1-:"*,D&*3"WM$"


14/100

NQ"

"

h"B21


15/100

N["

"

$%):"&(),*"A,**"


16/100

N]"

"

""NE"X1":1"9(),*E41(")7/"*19",7:1":%&")44187:E"$%&"9(),*"8-&27)(&",-"()-()**4*),(-")7/":%&";)--A12/",-"

'+.'NO][E"

"""!E"d(),*-")2&"4):&912,=&/"


17/100

NP"

"

#&)9-'4!C!

`'7'4)/!843+'1,4'!

'()** "4*),(-"4182:",-":%&"A)3",7"A%,4%"J)- -) 4%8- &::- "4,:,=&7-")7/"


18/100

Na"

"

x +17-&7:,79":1"(&/,):,17"92!$(&2%(;2&0&7:"&,:%&2";)2:3"@21("@,*,79")"-()**"4*),(G"-%18*/"(&/,):,17"@),*":1"*&)/":1")7")92&&(&7:E"$%&2&",-"71"%)2("/17&":1"):"*&)-:" %,0"(&/,):,17"A%&7")"

/,-;8:&")2,-&-E"F@",:"/1&-"71:"A12DG")"4*),("4)7"@1**1AE"

x J&/,):,17",-"8-8)**3"417/84:&/"):"71"41-:":1":%&":A1";)2:,&-")7/",-")*A)3-"/17&"A,:%18:")"*)A3&2E"

Y%3"-%18*/";)2:,&-"4%1-&"(&/,):,17n"F:"A12D-E"Y%&7";&1;*&"01*87:)2,*3"(&/,):&G":%&"10&2A%&*(,79"

()L12,:3"1@"/,-;8:&-")2&"-&::*&/E".*-1G";&1;*&"A%1"91":%2189%"(&/,):,17")2&"(12&"*,D&*3":1"


19/100

NO"

"

.*:%189%")2


20/100

!b"

"

%1*/"17:1":%,-")-";1:&7:,)*"&0,/&74&",7"4182:E"F@"71:G"%1A&0&2G"%&"4)7")--8(&":%&"*&::&2"A)-"

2&4&,0&/".$(*2&'(.$(%4!(3#,$%()*.$$(6.#*(#$(&2%(,!%5,&!9(%2(4#6;"

\0/07?!)!#/)0.!

\0/07?!)!".)//! #/)0.",- ":%&"7&I:"-:& ;E"F@":%&"A2,:& 2"1@" )"/&() 7/"*&::&2"/1&- "71:"%)0& "%,-"/&()7/- "(&:"

A,:%,7":%&"-;)7"1@":,(&"-;&4,@,&/",7":%&"*&::&2"5)9),7G"#b"/)3-h",-")";1;8*)2":,(&"A,7/1A6G"%&"()3"91"

@12A)2/")7/"@,*&")"4*),(",7"-()**"4*),(-"4182:E"B*),7:,@@-"-%18*/"%1*/"17:1")"41;3"1@":%&"/&()7/"*&::&2")7/"

)*-1":)D&"71:&"1@")73",7:&2)4:,17-"


21/100

!N"

"

,@"%,-")4:,17"512"@),*82&":1")4:6"4)8-&-",7L823":%):"14482-"A,:%,7"J)--)4%8-&::-")7/",@"%&"2&98*)2*3"-1*,4,:-"

1A&0&2G"71"4*),("A,**"


22/100

!!"

"


23/100

!#"

"

"

F:",-")*-1"A12:%"D&&;,79",7"(,7/":%):")";*),7:,@@"4)7"17*3"2&410&2":%&"RR@),2"()2D&:"0)*8&RR"@12"/)()9&/"12"

(,--,79";21;&2:3E![

"$%,-",-"&2%":%&"2&;*)4&(&7:"0)*8&"5,E&E"%1A"(84%":%&",:&("A18*/"41-:":1"2&;*)4&"):"

:1/)3R-";2,4&-6G"


24/100

!Q"

"

4182:"A,**";2&-8(&":%,-"/148(&7:"A)-"2&4&,0&/")-"*179")-":%&"@,2-:b4*)--"(),*",-"71:"2&:827&/":1":%&"4182:"

87/&*,0&2&/E!O "

M74&":%&"/&@&7/)7:"2&4&,0&-":%,-"W1:,4&G"%&"%)-"@,0&"1;:,17-#b

"^"

NE "'--/'"H"W1A":%):":%&"/&@&7/)7:"D71A-":%):"%,-"1;;17&7:"\(&)7-"


25/100

!["

"

17":%):"/):&G"12"5!6":%&"/&@&7/)7:"A)-",(;21;&2*3"-&20&/"A,:%"4182:";);&2-"


26/100

!]"

"

$%21A,79")";,*&"1@"&0,/&74&"):")"4*&2DH()9,-:2):&"A,**"


27/100

!P"

"

%,-"2,9%:":1");;&)*"@12")"-8


28/100

!a"

"

x .**";)2:,&-"-%18*/"/2&--",!$1!)%35**0E"'8,:-")2&"877&4&--)23G"


29/100

!O"

"

:1"-%1A"4)8-&"@12")"7&A":2,)*G"):"A%,4%":%&"1:%&2";)2:3"1;;1-&":%&"2&*,&@"@21("L8/9(&7:"2&T8&-:E"Y%,*&"

:%&"4182:"()3";&2(,:")"(1:,17"@12"2&*,&@"@21("L8/9(&7:":1"


30/100

#b"

"

-&--,17-"5:1"A%,4%");;&)*-")2&"/,2&4:&/6" )4'!73-"910&27&/"


31/100

#N"

"

#&)9-'4!B!

#3//'+-037*!

A2**!)%#2&$",-":%&";214&--"


32/100

#!"

"

-:):&(&7:"A,**"


33/100

##"

"

x $%1-&"A%1")2&"17";8-34*!

W17H.;;&)2,79"U8/9(&7:"V&


34/100

#Q"

"

Q]-4)+-07?!(37'5!N43.![37L#339'4)-02'!_'>-34*!

K &";*),7:,@@"5,@"%&"-:,**"A,-%&-":1"

41**&4:"%,-"(17&36"()3"%)0&":1":)D&")//,:,17)*"5-1(&:,(&-"41-:*3")7/",74170&7,&7:6"-:&;-",7"12/&2":1"/1"

-1E"'1(&"1@"%,-"1;:,17-")2&"/,-48--& /"


35/100

#["

"

S>-)07!)!b)?'!`)470*&.'7-!

M


36/100

#]"

"

#&)9-'4!D!

V)71/341Y%'7)7-!V)U!

S)7/*12/m$&7)7:"*)A"/&)*-"A,:%",--8&-"1@"2&)*"&-:):&"*&)-,79E"$%&2&")2&"()73"0&23"-;&4,@,4"*)A-":%):"(8-:"

"#!"?'+" NOa!"Pb

"JEXESE"4E"N[NCG"q"Q5Nb6"PN

"JEXESE"4E"N[NCG"qQ5#C6"P!

"JEXESE"4E"N[NCG"q"Q5NN6E"P#

"JEXESE"4E"NNNG"q"NOO."


37/100

#P"

"

$!%'7)7-L)-Lb0//" ,-")":&7)7:"A%1"%)-"71:"-,97&/")"*&)-& G"

"!&!,.*?$( >5#9!( %2(

"


38/100

#a"

"

$%&"*&)-&"12"2&7:)*")92&&(&7:"4)771:"2&T8,2&":%&":&7)7:":1"9,0&"8;")73"*&9)*"2,9%:-",7"2&:827"@12"2&7:,79"

:%&");) 2:(&7:E"F7";)2:,48*)2G ":%&":&2(- "1@":%&"*&) -& "12"2&7:) *")92&&(& 7:"4)771:";2& 0&7:":%&":&7)7: "@21("

-8,79":%&"*)7/*12/G"2&;12:,79"0,1*):,17-"1@":%&"')7,:)23"+1/&G"12"L1,7,79")":&7)7:-R"87,17PO

E""

$!#395!3N!-&'!V')*'!34!R'7-)/!$?4''.'7- "(8-:"


39/100

#O"

"

h." *)7/*12/",-"2&T8,2& /":1"/&;1- ,:":%&"*)- :"(17:%R-"2&7:",7")"J)- -) 4%8- &::-"0//*!N34! 4'9)04!+3*-*!A,:%,7"#b"/)3-")@:&2":&2(,7):,17"1@":&7)743E"

""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""aQ

"JEXESE"4E"Na]G"q"N[C"


40/100

Qb"

"

h." *)7/*12/"(8-:":2)7- @&2":%&"-&482,:3"/&;1-, :"A,:%")73",7:& 2&- :")4428&/":1")"7&A"*) 7/*12/",@"1A7&2- %,;"

1@":%&"/A&**,79"4%)79&-"%)7/- E"$%,-"(8-:"18-,79"4182:"%) -"4174822&7:"L82,-/,4:,17"A,:%"'()**"+*),(-"+182:E"$%,- "(&)7- ":%):")"-8,:"2&*):&/":1"

%18-,79")7/"@)**,79"87/&2":%&"fPGbbb"*,(,:"4)7"18-,79"12"'()**"+*),(-"+182:E"'()**"

4*) ,(- "/&4,-, 17-"4)7"


41/100

QN"

"

V)-'!8)5.'7-!\''*"4)771:"1A&0&2G")"*)7/*12/"4)7"


42/100

Q!"

"

NE ">&):"!E K&(10)*"1@"414D21)4%&-")7/m12"21/&7:-"#E Z874:,17,79"i,:4%&7-"QE Z874:,17,79"C):%211(-"[E >1:"Y):&2"]E ':284:82)*"F7:&92,:3"PE '71A"K&(10)*"5M7&"(8-:"


43/100

Q#"

"

S-&'4!18-,79")7/"?2?V"@87/-":1"()D&"/,2&4:";)3(&7:":1"*)7/*12/-E"$%&";&2-17"17"

-&4:,17"a"-8


44/100

QQ"

"

J)--)4%8-&::-"X&7&2)*"S)A"()D&-",:"87*)A@8*"@12"*)7/*12/-":1"/,-42,(,7):&")9),7-:")7",7/,0,/8)*"A%1",-"

:%&"2&4,;,&7:"1@"*1AH,741(&"%18-,79E OO "

R33..)-'*!h!",>/'--07?!

F7"()73"4)-&-G":&7)7:-"A,**"-%)2&")7");)2:(&7:"A,:%")71:%&2";&2-17E"Y%,*&"%,-"()3"%&*;"A,:%"*17&*,7&--")7/")@@12/)


45/100


46/100

Q]"

"

4%)79&"12":&2(,7) :&")":&7) 743"12",742& )- &"2&7:"A,:%,7"-,I"(17:%- "1@")":&7)7:R-"417:)4:,79":%&"C1)2 /"1@"

>&)*:%G"L1,7,79")":&7)7:-R"129)7,=):,17G"12"&I&24,-,79"1:%&2"*&9)*"2,9%:-G":%&"*)7/*12/R-")4:,17-"4)7"1A&0&2G",@":%&"A,:%,7":%&":%2&&"

(17:%-":%&"*)7/*12/")44&;:-";)3(&7:"1@":%&")(187:"A17",7":%&"-8(()23";214&--")4:,17")7/":%&"

4822&7:"2&7:G"%&m-%&"4)771:"8-&":%&"&I&48:,17ENb [

"

""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""Nb !

"JEXESE"4E"Na]G"qNa"Nb #

"


47/100

QP"

"

JE!


48/100

Qa"

"

#&)9-'4!J!

,0/107?!9'4.0-*@!+37-4)+-*@! )4>0-4)-037G")7/":%&" ,)4)7-5! \,71E"J1-:"1@":%&",7@12():,17"

,7":%,-"4%);:&2"A,**"-&&(")*(1-:"*,D&")";214&/82)*"98,/&":1"2&)4%,79":%&"X8)2)7:3"Z87/E"F7")"78:-%&**G":%,-"

@87/")** 1A-"@12";)3(& 7:-"1@"8;":1"fNbGbb b"17"/&4,-,17-"A%&2&"417:2)4:12- "%)0&"1(&"F(;210&(&7:"L1


49/100

QO"

"

x F7:&2,12"B),7:,79"x Y)**")7/"Z*112"+10&2,79-"x Z&74,79"x Z2&&-:)7/,79"J)-1723"Y)**-"x .


50/100

[b"

"

#,*-3.)45! )71!R')*37)>/'! QNN34-! .')7*! -&)-!)+-037!&)*!>''7!-);'7!>5!34!37!>'&)/N!3N!)7!)??40'2'1!

&3.'3U7'4! -3!*'+,4'!)!*)-0*N)+-345! 4'*3/,-037!-3!)!10*9,-'!>'-U''7!)!&3.'!0.9432'.'7-! +37-4)+-34!

)71!)!&3.'3U7'4O!%&0*! *-)71)41! .)5! >'!*)-0*N0'1!>5!)//!3N! -&'!N3//3U07?P!

F)I!*,>.0--07?! '201'7+'!-3!-&'!N,71!)1.070*-4)-34! -&)-!)!U40-!3N!']'+,-037!N34!)!.37'-)45! +3,4-!

g,1?.'7-!U)*! *'42'1!,937!-&'!+37-4)+-34!>5!)! +37*-)>/' !34!*&'40NN!)-!-&'!+37-4)+-34e*!/)*-! ;73U7!>,*07'**!)114'**O! $7!)4>0-4)-037! )U)41!.,*-! >'!+372'4-'1!-3!)!+3,4-!g,1?.'7-!07!341'4!-3!3>-)07!)!

U40-!3N!']'+,-037!N34!*'420+'!>5!)!+37*-)>/'! 34!*&'40NN!,937!-&'!+37-4)+-34i!

F>I! 0N!-&'!+37-4)+-34! 0*!>)7;4,9-@! *,>.0--07?!'201'7+'!-3!-&'!N,71!)1.070*-4)-34! N43.! -&'!X70-'1!"-)-'*!

:)7;4,9-+5! #3,4-!+37N04.07?! -&)-!-&'!+37-4)+-34!&)*! N0/'1!N34!>)7;4,9-+5i!

F+I! *,>.0--07?!'201'7+'!-3!-&'!N,71!)1.070*-4)-34! -&)-!)!*'420+'!3N!+3,4-!34!)4>0-4)-037!341'4!U)*!

)--'.9-'1!)-!)//!;73U7!34!*,*9'+-'1! )114'**'*! 3N!-&'!+37-4)+-34!>5!)!+37 *-)>/'! 34!)?'7-!3N!-&'!*-)-'i!

F1I! 0N!)!+/)0.!0*!9439'4/5!.)1'! >'N34'!*.)//! +/)0.*!+3,4-@!*,>.0--07?! '201'7+'!-3!-&'!N,71!

)1.070*-4)-34! -&)-!)!73-0+'!-3!*&3U!+),*'! &)*! >''7!*'42'1! ,937!-&'!+37-4)+-34! >5!)!+37*-)>/'! 34!*&'40NN!)-!-&'!+37-4)+-34e*!/)*-!;73U7!>,*07'**!)114'**@! )71!-&)-! -&'!+37-4)+-34! &)*! N)0/'1!-3!9)5!-&'!

+/)0.!)71!&)*!N)0/'1! -3!1'N'71!-&'!+/)0.ENN P"

Z,7)* *3G":%&2&")2& "*,(,:- "17":%&")(187: -")7/";12:,17- "1@":%&"L8/9(&7:- ":%):"4)7"


51/100

[N"

"

#37-4)+-*!

F:",-"%,9%*3"2&41((&7/&/":%):")"417-8(&2"9&:")"417:2)4:"@12")73"L1'07?!

0723/2'1O">&" ()3"7&,:%&2"*&7/":%&"(17&3"%,(-&*@G"712") 4:",7")- -14, ):,17"A,:%")73"*&7/, 79",7-:,:8:,17",@"

:%&"*1)7",-"-&482&/"


52/100

[!"

"

A18*/"*,D&":%&"417:2)4:12":1":)D&G"-84%")-"@,7,-%,79":%&"L1


53/100

[#"

"

"

$1",7,:,):&":%,-";214&--G":%&";*),7:,@@"-%18*/"/1":%&"@1**1A,79^ N! a"

NE '&*&4:")7")2


54/100

[Q"

"

#&)9-'4!M!

#37*,.'4!V)U!

+17-8(&2"S)A",-"),(&/"):";2&0&7:,79"1A&0&2":%&2&",-")7",(;12:)7:"&I4&;:,17E"F@":%&"


55/100

[["

"

x M7&"(8-:"%)0&"-8@@&2&/")4:8)*"(17&:)23"/)()9&-"5&E9E"A)-:&/"(17&36"87*&--"17&";210&-":%):":%,-"87@),2";2)4:,4&"()3"4)8-&")"*1--"1@"(17&3"12";21;&2:3"

x $%&"41(;*),7,79";)2:3"(8-:"A2,:&")"#bH/)3"/&()7/"*&::&2"+%);:& 2"O#."2&T8,2&- ":%):")"417-8(&2"A%1"0/0-5!

$%&2&",-"71"\)-",-\"-)*&",7"J)--)4%8-&::-E"F7-:&)/G")**"911/-")7/"-&20,4&-"41(&"A,:%")7",(;*,&/"A)22)7:3"

1@"(&24%) 7:)


56/100

[]"

"

:1",7-;&4:":%&"911/-G"%&"4)771:"4*),("717H@8*@,**(&7:"1@":%&",(;*,&/"A)22)7:3"1@"(&24%)7:)


57/100

[P"

"

x X7+37*+037)>/'! #37-4)+-!#/),*'*"H"F@"17&";)2:3":1":%&"417:2)4:":)D&-"87@),2")/0)7:)9&"1@":%&"1:%&2";)2:3R-",7))0,79":%&"2&:827";1*,43"17*3"17":%&"2&4&,;:"A18*/"71:"

-):,-@3":%,-"*)A"


58/100

[a"

"

+*&)2")7/"+17-;,4818-"V,-4*1-82&"(&)7-":%):")"(&24%)7:"(8-:"/,-4*1-&"A%&:%&2")73";21/84:-"512";)2:-"

1@")";21/84:6"@12"-)*&")2&"8-&/")7/m12"/&@&4:,0&",7"-1(&"A)3E"M:%&2",7@12():,17":%):"A18*/")@@&4:")"

74430")* 1@")**")/0&2:,-&/";21/84:-"(8-:"


59/100

[O"

"

$%&"+11*,79HM@@"B &2,1/",-":%&";&2,1/"1@":,(&")@:& 2")";824%)-& "/82,79"A%,4%")"-)*&- "417:2)4:"()3"'4*&09*" H",@G")@:&2" -,97,79")"417:2) 4:":1"L1,7")"%&)*:%"4*8


60/100

]b"

"

\%#e*!()0/!)71!%'/'9&37'!S41'4!R,/'!

$%&"Z&/&2)*"$2)/&"+1((,--,17R-"J),*"12"$&*&;%17&"M2/&2"K8*&"410&2-")**"(&24%)7/,-&"12/&2&/"


61/100

]N"

"

W7*3/2'7+5!34!:)7;4,9-+5!3N!-&'!:,5'4!

."-&**&2"()3"2&@8-&":1"-&**"911/-":1")"


62/100

]!"

"

#&)9-'4!G!

$,-3!V)U!

.8:1(1'4!3N!$--'.9-*!

$%&"S&(17"S)A"/&@,7&-")"2&)-17)


63/100

]#"

"

WN!)!_'N'+-!8'4*0*-*!

F@")"/&@&4:"-:,** "&I,-:- ")@:&2")"2&) -17)5#9!( %2(\!-(_(I!.$!9(A.,( I!62&(I.-G" M@@,4&"1@"+17-8(&2" .@@),2-")7/" C8-,7&--"

K&98*):,17"N] ]

"JEXESE"4E"ObG"q"PW"


64/100

]Q"

"

b&)-!0*!)!V'.37!X71'4!%&0*!V)Ud!

F7"12/&2"@12")"4)2":1"


65/100

]["

"

$110-037)/!W7N34.)-037!

F7-;&4:,17"-:,4D&2-"@21(";2&0,18-"1A7&2-")2&" 73-":2)7-@&2)1A&0&2G":%&"1A7&2"(8-:"-:,**";210&":%):"/)()9&-"2&*):&/":1"-)@&:3"12"&(,--,17"/&@&4:-"

:1:)*"(12&":%)7"Nbu"1@":%&";824%)-&";2,4&E NP N"

F7"12/&2":1"T8)*,@3"@12")73"2&@87/G":%&"/)()9&-"2&*):&/":1"-)@&:3"12"&(,--,17"/&@&4:-"(8-:":1:)*"(12&"

:%)7"Nbu"1@":%&";824%)-&";2,4&E"C83&2-")2&" 73-"&*,9,5#9!( %2(I!62&( =#9(I.-G" M@@,4&" 1@"+17-8(&2" .@@),2-" )7/"C8-,7&--" K&98*):,17G" !bbN"NP N

"=(W.$$.)45$!%%$( A2&$56!( >5#9!( %2(I!62&( =#9(I.-G" M@@,4&" 1@"+17-8(&2" .@@),2-" )7/"C8-,7&--" K&98*):,17G" !bbN"NP !

"JEXESE"4E"ObG"q"PW"NmQ"5N6"


66/100

]]"

"

5!6"K&;),2"/&@&4:-":%):",(;),2":%&"8-&"12"-)@&:3"1@":%&"0&%,4*&"@12")-"*179")-":%&"0&%,4*&",-"87/&2":%&"

2&T8,2&/"A)22)7:3E"

5#6"$%&"/&)*&2"(8-:",7482")73")7/")**"41-:-")--14,):&/"A,:%"2&;),2,79":%&"0&%,4*&"/82,79":%&"A)22)7:3"

;&2,1/G"


67/100

]P"

"

"

W(8SR%$[%P! WN!-&'!1')/'4!3NN'4*! 53,!)!N,//!4'N,71!,71'4! -&'!/)U@!)71!53,! 4'N,*'!-3!)++'9-!0-@!=SX!

bWVV![S%! :Q! Q[%W%VQ_! %S! \XR%


68/100

]a"

"

:,(&"A,**":)D&",7:1")44187:":%&")9&"1@":%&"0&%,4*&G"(,*&)9&"17":%&"0&%,4*&G";2,4&";),/G")7/"1:%&2"

@)4:12-ENa #"

$4>0-4)-037!

()7,N)+-,4'4!"937*34'1!$4>0-4)-037!

J)73"0&%,4*&"()78@)4:82&2-"1@@&2":%&,2"1A7",7H%18-&"(&/,):,17G"A,:%"()78@)4:82&2-R"2&;2&-&7:):,0&-"

)7/",7/&;&7/&7:"417-8(&2")/014):&-"17":%&"2&0,&A,79";)7&*-E"J)78@)4:82&2-R"\=17&"2&;2&-&7:):,0&-\"

A,**",70&-:,9):&";21


69/100

]O"

"

"

$1"T8)*,@3"@12":%,-")2


70/100

Pb"

"

X7-4,'!"-)-'.'7-*!

."2&;),2"-%1;"()3"71:"()D&")73"-:):&(&7:-"A%,4%",:"D71A-":1"


71/100

PN"

"

"-34)?'!#3*-*!

."2&;),2"-%1;"4)7"17*3"4%)29&"-:12)9&"41-:-"@12")"0&%,4*&",@":%&"417-8(&2",-",7@12(&/"


72/100

P!"

"

1@":%&")44,/&7:"5,E&E",:-"@),2"()2D&:"0)*8&6"12":%&"41-:"1@")44,/&7:H2&*):&/"2&;),2-E"$%,-",-":%&"17*3"

&I4&;:,17"51:%&2":%)7"/18


73/100

P#"

"

#&)9-'4!H!

8'4*37)/!_0*9,-'*!

B&2-17)*"V,-;8:&-")2&"*&9)*"417@*,4:-":%):")2,-&":%):"/1"71:"4*&)2*3"@,:":%&"1:%&2"4%);:&2-E"$%&-&"/,-;8:&-"

:3;,4)**3")2,-&"@21("-,:8):,17-",7"A%,4%")";&2-17"@&&*-"87@),2*3"A2179&/"


74/100

PQ"

"

?-8)**3G")";*),7:,@@"A,**"A)7:":1"&-:)


75/100

P["

"

[,0*)7+'!

."78,-)74&",-"42&):&/"A%&7"17&";)2:3",7:&7:,17)**3"&79)9&-",7")4:,17-",7:&7/&/":1"%)2)--"12"/,-:82


76/100

P]"

"

#E $%&"/&@&7/)7:R-")4:,17-"4)8-&/":%&";*),7:,@@"/,-:2&--"QE W "

$%&",7:&7:"1@":%&")4:"7&&/"71:"


77/100

PP"

"

41;;&2";,;&-"A18*/"%)0&G":%&"%1(&1A7&2"4)7"2&410&2":%&"41-:"1@")4:8)**3"4122&4:,79":%&"


78/100

Pa"

"

,70)*,/E"F7"-%12:G",@":%&";*),7:,@@"4)7";210&":%):"%&"A)-"()/&"87)A)2&"1@")73"/,-4*),(&2G"%&"()3"-844&&/"

,7"4170,74,79":%&"4*&2D"()9,-:2):&":1"28*&",7"%,-"@)012E"

840.)!\)+0'!

F@")";*),7:,@@",-")


79/100

PO"

"

#&)9-'4!E!

#4'10-Y_'>0-!V)U!

V,-;8:&-"1@:&7")2,-&"10&2":%&";)3(&7:"1@"/&


80/100

ab"

"

V877,79"5:%&";2)4:,4&"1@")"42&/,:12":23,79":1"&74182)9&":%&";)3(&7:"1@"/&


81/100

aN"

"

1A&0&2G":%&"42&/,:12"(8-:"71:,@3":%&"/&1(&- :&) /".4:E"$%&">1(& -:& )/".4: ")**1A- "

%1(&1A7&2-":1";21:&4:":%&,2";2,74,;)*";*)4&"1@"2&-,/&74&"@21("41**&4:,17-")4:,17-":%):"(,9%:"1:%&2A,-&"

@124&":%& "-)*& "1@":%&"%1(&":1";) 3"@12")7"18:-:) 7/,79"/&


82/100

a!"

"

#4'10-!_0*9,-'*!

+1792&--";)--&/":%&"Z),2"+2&/,:"C,**,79".4:",7"NOPQ":1"%&*;"417-8(&2-"2&-1*0&"/,-;8:&-"A,:%"42&/,:12-")7/"

:1"&7-82&"@),2"%)7/*,79"1@"42&/,:")44187:-E"$%&".4:"9&7&2)**3");;*,&-"17*3":1"\1;&7"&7/\"42&/,:")44187:-G"

A%,4%",74*8/&"42&/,:"4)2/-G"2&01*0,79"4%)29&")44187:-"5-84%")-"/&;)2:(&7:"-:12&")44187:-6G")7/"

10&2/2)@:"4%&4D,79E"$%&".4:"410&2-":%&";&2,1/,4"5#9!(%2(A,!9#%N" J)--)4%8-&::-" .::127&3" X&7&2)*R-" M@@,4&" Y&5#9!(%2(A,!9#%N" J)--)4%8-&::-" .::127&3" X&7&2)*R-" M@@,4&" Y&


83/100

a#"

"

#4'10-!5#9!(%2(A,!9#%N" J)--)4%8-&::-" .::127&3" X&7&2)*R-" M@@,4&" Y&


84/100

aQ"

"

,7:&2&-:G"A%&2&":%&"9218;":%):"


85/100

a["

"

%1A&0&2E!# P"$%&2&@12&G"*1)7-":%):")2&"1


86/100

a]"

"

$99'710+'*!

!

!

!

!

!

!

!

!

!

!

!!

"


87/100

AGREEMENT FOR JUDGMENTAND FOR PAYMENT ORDER

DOCKET NUMBER

Trial Court of MassachusettsSmall Claims Session

PLAINTIFF(S) WHO ARE PARTIES TO THIS AGREEMENT

VS.

COURT DIVISION

DEFENDANT(S) WHO ARE PARTIES TO THIS AGREEMENT

* Check here if defendant has moved and write new address above or on back of court copy

REQUESTED DATE OF PAYMENT REVIEW

* No payment review reque

* 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

$ _____________ COSTS

$ _____________ ATTORNEY FEES(if authorized by contract or statute)

* Plus PREJUDGMENT INTEREST from ___________________(da

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

* Prejudgment interest is waived by the plaintiff.

* Postjudgment interest is waived by the plaintiff.

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 Coumay 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 judgmentdismissing this small claim.

* JUDGMENT ON COUNTERCLAIM. It is also agreed that the Court may enter the following judgment on thecounterclaim brougby the above-named defendant(s) against the above-named plaintiff(s):

OTHER PROVISIONS OR COMMENTS

Upon acceptance by the Court, a judgment and payment order will be entered in accordance with the above terms and will be enforceable as an order of the Court.

X ____________________SIGNATURE OF PLAINTIFF(S) OR ATTORNEY FOR PLAINTIFF(S) PRINT NAME DATE

X _ __________________SIGNATURE OF DEFENDANT(S) OR ATTORNEY FOR DEFENDANT(S) PRINT NAME DATE

RECORD OF COURT REVIEW (For optional use by magistrate)

* To be entered as courts judgment and/or payment order. * Agreement was submitted in open court and Rule 7(a) inquiry made of defendant(s) as to any payment order.

XCLERK-MAGISTRATE / ASST. CLERK

C-SC-8 (4/11) www.mass.gov/courts/districtcourt


88/100

INCOME THAT IS EXEMPT FROM PAYMENT ORDERS

1. ALL INCOME FROM THE FOLLOWING SOURCES is exempt by law from any payment order:

Unemployment Benefits (G.L. c. 151A, 36)

Workers Compensation Benefits (G.L. c. 152, 47)

Social Security Benefits (42 U.S.C. 401)

Federal Old-Age, Survivors & Disability Insurance Benefits (42 U.S.C. 407) Supplementary Security Income (SSI) for Aged, Blind & Disabled (42 U.S.C. 1383[d][1])

Other Disability Insurance Benefits up to $400 weekly (G.L. c. 175, 110A)

Emergency Aid for Elderly & Disabled (now G.L. c. 117A)

Veterans Benefits

Federal Veterans Benefits (38 U.S.C. 5301[a])Special Benefits for Certain WW II Veterans (42 U.S.C. 1001)Medal of Honor Veterans Benefits (38 U.S.C. 1562)State Veterans Benefits (G.L. c. 115, 5)

Transitional Aid to Families with Dependent Children (AFDC) Benefits (G.L. c. 118, 10)

Maternal Child Health Services Block Grant Benefits (42 U.S.C. 701) Other public assistance benefits (G.L. c. 235, 34, fifteenth)

2. In addition, A PORTION OF WAGES OR EMPLOYMENT-BASED RETIREMENT PAYMENTS

is exempt by law from any payment order. The exempt amount is

$400 or 85% of your weekly gross earnings, whichever is greater.

Massachusetts law exempts the greater of 85% of the debtors gross earnings or 50 times the greater of the Federal minimum wage ($7.25 as of7/24/09) or the Massachusetts minimum wage ($8.00 per G.L.c. 151, 1) for each week or portion thereof. (G.L. c. 224, 16 & c. 246, 28). TheFederal exemption (15 U.S.C. 1671-1677) is not applicable as it will always be less than the Massachusetts exemption.

DEFENDANTS WORKSHEET FOR CALCULATING EXEMPT AMOUNTOF WAGES OR EMPLOYMENT-BASED RETIREMENT PAYMENTS

Write the amount of your weekly gross earnings here = $ _____________

If your weekly gross earnings areless than $400,enter the amount of your weekly gross earnings

If your weekly gross earnings are$400$470, enter $400

If your weekly gross earnings aremore than $470,enter 85% of your weekly gross earnings

$This is the amount of your

weekly gross earnings that is exemptfrom any payment orders.

DC-SC-8-Obverse (4/11) www.mass.gov/courts/districtcourt


89/100

APPEARANCE OF COUNSEL Trial Court of Massachusetts

District Court Department

CASE NAME:

_____________________________________________

v.__________________________________________________

To the Clerk-Magistrate:

Please enter my appearance as attorney for ____________________________________________

in the above numbered court action.

DOCKET NUMBER:

DISTRICT COURT

ATTORNEY NAME

STATE ZIP CODE

B.B.O. NUMBER (Required)

TELEPHONE NUMBER

X__________________________________________________SIGNATURE OF ATTORNEY

_____________________________DATE

DC-CR-19 (6/06)

STREET ADDRESS

ATTORNEY FIRM

CITY / TOWN

___________________________

http://trialcourtweb.jud.state.ma.us/courtsandjudges/courts/districtcourt/formsfordownload.html


90/100

PLAINTIFFS NAME, ADDRESS AND ZIP CODE

DEFENDANTS NAME, ADDRESS AND ZIP CODE

DEFENDANTS CLAIM OFAPPEAL

DOCKET NO. Trial Court of MassachusettsDistrict Court Department

Small Claims Session

DISTRICT COURT FROM WHICH APPEALED

PLAINTIFFS ATTORNEY

DEFENDANTS DAYTIME TELEPHONE NO.

DEFENDANTS ATTORNEY

Pursuant to General Laws chapter 218, section 23, I appeal from the decision of the magistrate in this smallclaim, and request a trial (check only one):

by a District Court judge.

by a District Court jury of six persons.

I understand that if I request a trial by a judge, I will not have any right in the future to a trial by a jury.

I received the courts Notice of Judgment in this case on ______________________________________.

I state under the penalties of perjury that this claim of trial by a judge or a jury is intended in good faith, andthat there are questions of fact and law requiring trial by a judge or a jury, specifically:

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

This is signed under the penalties of perjury.

DATE DEFENDANTS SIGNATURE

DC-SC-4 (6/96)

VS.

Date


91/100

INSTRUCTIONS TO DEFENDANT WHO WISHES TO APPEAL

1. Massachusetts General Laws chapter 218, section 23 (which is reproduced below) permits a defendant to appeal from magistrates decision in a small claim for trial before either a District Court judge or a jury. If you request a trial by a judge, you will nhave any right in the future to a trial by a jury.

2. Generally the plaintiff does not have any right of appeal in a small claim. However, the plaintiff may appeal from a magistratedecision in any counterclaim that was brought by the defendant against the plaintiff.

3. To claim an appeal, you must file this form or an equivalent claim of appeal within 10 days of receiving the courts Notice

Judgment form notifying you of the magistrates decision. Saturdays, Sundays and holidays are included in counting the 10-dperiod, but if the tenth day falls on a Saturday, Sunday or legal holiday, you may file your claim of appeal on the following business daFile this form in the clerk-magistrates office of the court where the small claim was tried. Within the 10-day period, you must also pathe $25 filing fee for the appeal required by G.L. c. 218 23. Make your check payable to Clerk-Magistrate. Also within the 10 dayou must generally post a $100 appeal bond. See Section 23 below for those situations when a higher bond, or no bond, is requireYou must do all of these things timely or your appeal will be dismissed.

4. You are entitled to a trial by either a judge or a jury only for disputed questions of fact. Section 23 requires you to specthose disputed facts in your claim of appeal. If a judge finds that no legally-significant facts in this claim are disputed, the judge mdecide your appeal without a jury and without conducting a trial, by a procedure known as summary judgment, in which the judgapplies the law to undisputed facts.You should be prepared to inform the judge about which relevant facts the plaintiff and thdefendant agree on, and which relevant facts they disagree about.

5. Generally, the magistrates earlier decision will be prima facie evidence in the trial by a judge or a jury. This means that t

judge or the jury will be told about the magistrates decision. It also means that the judge or the jury could again decide in the plaintifffavor even if the plaintiff chooses to rest entirely on the magistrates prior decision and presents no other evidence before the judge the jury.

6. There is no right to a jury trial for certain types of claims, including claims under the Massachusetts Consumer Protection Ac(General Laws chapter 93A). If you request a jury trial for such a claim, the judge may decide to submit your appeal to a jury (for eitherbinding verdict or an advisory verdict), or may determine them himself or herself without a jury.

7. You will be notified by the clerk-magistrates office when to appear for a pretrial conference or for trial. Please notify the clermagistrates office if you change your address.

Excerpts from General Laws chapter 218, section 23

(as amended by St. 1992, c. 379)

A plaintiff beginning a cause under the [small claims] procedure shall be deemed to have waived a trial by jury and any right appeal to a jury of six session in the district court department. If, however, said cause shall be appealed to a jury of six session in tdistrict court department by the defendant as hereinafter provided, the plaintiff shall have the same right to claim a trial by a jury of six.

The defendant may, within ten days after receipt of the magistrates finding, file in the court where the cause was determined claim of trial by jury, or in the alternative for a trial before a single justice and shall file his affidavit that there are questions of law and fain the cause requiring a trial by jury or a single justice, with the specifications thereof, and that such trial is intended in good faith.

A defendants claim for trial by jury or by a single justice shall be accompanied by twenty-five dollars for the entry of the cause the court of the department to which the case has been appealed, and a bond in the penal sum of one hundred dollars, with such sureor sureties as may be approved by the plaintiff or the clerk or an assistant clerk of the district court department, payable to the othparty or parties to the cause, conditioned to satisfy any judgment and costs which may be entered against him in the jury of sproceeding or a proceeding before a single justice in said cause waiting thirty days after the entry thereof. Notwithstanding thforegoing, in any action brought by a tenant of residential premises pursuant to [G.L. c. 186, 15B], bond shall be given in an amoun

equal to three times the amount of the security deposit or balance thereof to which the tenant is entitled, plus interest at the rate of fivpercent from the date when such payment became due, together with court costs and an amount equal to a reasonable attorneys fefor service which had been performed by an attorney, if any, or which may be expected to be performed by an attorney during tpendency of the appeal.

A finding for the plaintiff in the district court department shall be prima facie evidence for the plaintiff in the trial by jury of six before a single justice. At such trial the plaintiff may, but need not, introduce evidence.

No bond shall be required of . . . a defendant in an action of tort arising out of the ownership, operation, maintenance, control ouse of a motor vehicle or trailer as defined in [G.L. c. 90, 1] if the payment of any judgment for costs which may be entered against himis secured, in whole or in part, by a motor vehicle liability bond or policy or a deposit as provided in [G.L. c. 90, 34D].

The court shall waive the requirement of a bond in the amount of one hundred dollars if it is satisfied that the defendant hainsufficient funds available to him to furnish the necessary bond and that the defendants appeal is not frivolous.


92/100

FINANCIAL STATEMENTOF JUDGMENT DEBTOR

DOCKETNUMBER Trial Court of MassachusettsSmall Claims Session

CASE NAME CURRENT COURT

NAME OF JUDGMENT DEBTOR (the person who lost the case and owes money)

HOME ADDRESS HOME TELEPHONE NUMBER DATE OF BIRTH

SOCIAL SECURITY NUMBER DRIVERS LICENSE NUMBER & STATE MARITAL STATUS NO. & AGE OF CHILDREN LIVING WITH YOU

OCCUPATION EMPLOYERS NAME & ADDRESS HOW LONG WITH EMPLOYER

INCOME(list all sources) ASSETS(list value of all assets)

Your Gross Pay: $ . . . . . . . . . . . . per week

Your Take-Home Pay: $ . . . . . . . . . . . . per week

Spouses Take-Home Pay: $ . . . . . . . . . . . . per week

Child Support Income: $ . . . . . . . . . . . . per week

Pension: $ . . . . . . . . . . . . per week

AFDC/SSI: $ . . . . . . . . . . . . per week

Other (itemize on back): $ . . . . . . . . . . . . per week

Total Weekly Income: $ . . . . . . . . . . . . per week

Real Estate you own or co-own RESIDENCE OTHER

Address: . . . . . . . . . . . . . . . . . . . . . . . .

Other Owner(s): . . . . . . . . . . . . . . . . . . . . . . . .

Mortgage Balance: $ . . . . . . . . . $ . . . . . . . .

Fair Market Value: $ . . . . . . . . . $ . . . . . . . .

Rental Income: $ . . . . . . . . . $ . . . . . . . .

Vehicle(s)/Boat(s) You Own VEHICLE/BOAT 1 VEHICLE/BOAT 2

Year/Make & Model: . . . . . . . . . . . . . . . . . . . . . . . .

Purchase Year: . . . . . . . . . . . . . . . . . . . . . . . .

Purchase Price: $ . . . . . . . . . . . . $ . . . . . . . .

Amount Owed: $ . . . . . . . . . . . . $ . . . . . . . .

Bank Accounts CHECKING SAVINGS

Bank/Credit Union: . . . . . . . . . . . . . . . . . . . . . . . .

Account No.: . . . . . . . . . . . . . . . . . . . . . . . .

Balance: $ . . . . . . . . . . . . $ . . . . . . . .

Expected Tax Refund: $ . . . . . . . . . . . . . . . . . . . . . . .

How much money do you have in cash? $ . . . . . . . . . . . . .

Have you disposed of or transferred any asset since this claim wa

brought? (If so, explain on back.) ! No ! Yes

(List on back anything of value not listed above that you own orco-own, or that is held for you by another.)

EXPENSES

Rent/Mortgage: $ . . . . . . . . . . . per week

Utilities: $ . . . . . . . . . . . per week

Food: $ . . . . . . . . . . . per week

Alimony/Child Support: $ . . . . . . . . . . . per week

Child Care: $ . . . . . . . . . . . per week

Transportation: $ . . . . . . . . . . . per week

Insurance: $ . . . . . . . . . . . per week

Entertainment (including cable): $ . . . . . . . . . . . per week

Other (itemize on back): $ . . . . . . . . . . . per week

Total Weekly Expenses: $ . . . . . . . . . . . per week

DEBTS(list all debts not included above in your expenses e.g., credit card debts)CREDITOR NATURE OF DEBT DATE OF ORIGIN TOTAL DUE WEEKLY PAYME

1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . $ . . . . . . . .

2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . $ . . . . . . . .

3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . $ . . . . . . . .

Under the penalties of perjury, I swear that the above information is complete and accurate to the best of my personal knowledge.

DATE SIGNED SIGNATURE OF JUDGMENT DEBTOR

X

Pursuant to Uniform Small Claims Rule 9(c), all information in this affidavit is CONFIDENTIAL.It shall be available to any other party to this litigation, but shall not be available for public inspection unless the Court so order



93/100

INCOME THAT IS EXEMPT FROM PAYMENT ORDERS

1. ALL INCOME FROM THE FOLLOWING SOURCES is exempt by law from any payment order:

Unemployment Benefits (G.L. c. 151A, 36)

Workers Compensation Benefits (G.L. c. 152, 47)

Social Security Benefits (42 U.S.C. 401)

Federal Old-Age, Survivors & Disability Insurance Benefits (42 U.S.C. 407) Supplementary Security Income (SSI) for Aged, Blind & Disabled (42 U.S.C. 1383[d][1])

Other Disability Insurance Benefits up to $400 weekly (G.L. c. 175, 110A)

Emergency Aid for Elderly & Disabled (now G.L. c. 117A)

Veterans Benefits

Federal Veterans Benefits (38 U.S.C. 5301[a])Special Benefits for Certain WW II Veterans (42 U.S.C. 1001)Medal of Honor Veterans Benefits (38 U.S.C. 1562)State Veterans Benefits (G.L. c. 115, 5)

Transitional Aid to Families with Dependent Children (AFDC) Benefits (G.L. c. 118, 10)

Maternal Child Health Services Block Grant Benefits (42 U.S.C. 701) Other public assistance benefits (G.L. c. 235, 34, fifteenth)

2. In addition, A PORTION OF WAGES OR EMPLOYMENT-BASED RETIREMENT PAYMENTS

is exempt by law from any payment order. The exempt amount is

$400 or 85% of your weekly gross earnings, whichever is greater.

Massachusetts law exempts the greater of 85% of the debtors gross earnings or 50 times the greater of the Federal minimum wage ($7.25 as of7/24/09) or the Massachusetts minimum wage ($8.00 per G.L.c. 151, 1) for each week or portion thereof. (G.L. c. 224, 16 & c. 246, 28). TheFederal exemption (15 U.S.C. 1671-1677) is not applicable as it will always be less than the Massachusetts exemption.

DEFENDANTS WORKSHEET FOR CALCULATING EXEMPT AMOUNTOF WAGES OR EMPLOYMENT-BASED RETIREMENT PAYMENTS

Write the amount of your weekly gross earnings here = $ _____________

If your weekly gross earnings areless than $400,enter the amount of your weekly gross earnings!

If your weekly gross earnings are$400$470, enter $400!

If your weekly gross earnings aremore than $470,enter 85% of your weekly gross earnings!

$This is the amount of your

weekly gross earnings that is exemptfrom any payment orders.

DC-SC-6 (4/11) www.mass.gov/courts/districtcourt


94/100

MOTION TO THE COURT

AND AFFIDAVIT

CASE DOCKET NO. Trial Court of Massachusetts


___________________________________ VS. _________________________________

PLAINTIFF / COMMONWEALTH DEFENDANTDISTRICT CO

On behalf of the in this case, I respectfully request the Court:

Continuance: to continue this case which is presently scheduled for _________________________________________

Eventon __________________________, until _________________________, for the reasons given on page 2 of this form.

Remove default: to order that the default, default order, or default judgment that was entered on ____________________ be

aside, and that this case be restored to the court's calendar, for the reasons given on page 2 of this form.

Remove dismissal: to order that the order for, or judgment of, dismissal that was entered on _____________________ be set

aside, and that this case be restored to the court's calendar, for the reasons given on page 2 of this form.

Speedy trial: to order that the complaints whose numbers are listed above be advanced for speedy trial, for the reasons given

page 2 of this form.

New trial: to order that the court's judgment in this case dated ______________________ be vacated and a new trial ordered

the reasons given on page 2 of this form. Date

Revise or revoke sentence: to revise or revoke the sentence(s) imposed in this case on ____________________ for the reasonsgiven on page 2 of this form. Date

Amend or extend an abuse prevention order: to extend or amend the abuse prevention order under G.L. c. 209A dated

__________________________ in the manner and for the reasons given on page 2 of this form.

Withdraw from representation: to be permitted to withdraw from further representation of the _______________________ in

case for the reasons given on page 2 of this form. Party

Other: (Specify what you are asking the Court to do and the reasons on a separate piece of paper and attach it to this form.)

I have today mailed delivered a copy of this motion to all other parties to this case.

Any statements of fact made in this motion are made under the penalties of perjury and

DATE SIGNED

PRINT NAME ADDRESS PHONE NO.

If motion is agreed to by other party, that party or attorney should sign here to indicate assent.

DATE SIGNED PHONE NO.

FOR CLERK-MAGISTRATE'S USE ONLYThis motion has been scheduled for hearing >

before the Court on this date and time >DATE OF HEARING TIME OF HEARING

DATE CLERK-MAGISTRATE OR DESIGNEE

FOR JUDGE'S USE ONLY

After hearing Without a hearing this motion is Allowed. Denied.

DATE JUSTICE

http://trialcourtweb.jud.state.ma.us/courtsandjudges/courts/districtcourt/formsfordownload.html (Rev 10/09)

Plaintiff Commonwealth Defendant

of my own personal knowledge. based on information that I believe is true.

X

X

X


95/100

Please note that you must comply with any court rules that govern your specific motion. Attach any materials you wish the Court to conside

Include all reasons for your motion; failing to include a reason may bar you from raising it later. As indicated on page one, note that any fac

statements are made under the penalties of perjury.

MOTION TO THE COURT

AND AFFIDAVIT - PAGE 2

CASE DOCKET NO.

http://trialcourtweb.jud.state.ma.us/courtsandjudges/courts/districtcourt/formsfordownload.html (Rev 10/09)


96/100

ACKNOWLEDGMENT OF

SATISFACTION OF JUDGMENTIN COUNTERCLAIM

DOCKET NUMBER

Trial Court of Massachusetts


DEFENDANT(S) FILING THIS FORM

VS.

COURT DIVISION

PLAINTIFF(S) DATE THIS JUDGMENT WAS ENTERED

I (we) hereby certify under the pains of perjury that:

! I am (we are) the defendant(s) who prevailed in a counterclaim

against the above-listed plaintiff(s) in the above-listed small claim or civil action,

! I am (we are) attorney(s) for the defendant(s) who prevailed in a counterclaimagainst the above-listed plaintiff(s) in the above-listed small claim or civil action,

and that the judgment entered by this Court in that counterclaim on the above-listed datefor the defendant(s) and against the plaintiff(s) has been FULLY SATISFIED.

X __________________DEFENDANT DATE PRINT NAME

X __________________ADDITIONAL DEFENDANT DATE PRINT NAME

X

ADDITIONAL DEFENDANT DATE PRINT NAME

X __________________ADDITIONAL DEFENDANT DATE PRINT NAME

OR

X _____________________________ATTORNEY FOR DEFENDANT(S) DATE BBO No.

X __________________ATTORNEY FOR DEFENDANT(S) DATE BBO No.

10/09) www.mass.gov/courts/districtcourt


97/100

ACKNOWLEDGMENT OF

SATISFACTION OF JUDGMENT

DOCKET NUMBER

Trial Court of MassachusettsDistrict Court Department

PLAINTIFF(S) FILING THIS FORM

VS.

COURT DIVISION

DEFENDANT(S) DATE THIS JUDGMENT WAS ENTERED

I (we) hereby certify under the pains of perjury that:

! I am (we are) the plaintiff(s) in the above-listed small claim or civil action,

! I am (we are) the attorney(s) for the plaintiff(s) in the above-listed small claim or civil action,

and that the judgment entered by this Court in this matter against the above-listed defendant(s)

on the above-listed date has been FULLY SATISFIED.

X __________________PLAINTIFF DATE PRINT NAME

X __________________ADDITIONAL PLAINTIFF DATE PRINT NAME

XADDITIONAL PLAINTIFF DATE PRINT NAME

X __________________ADDITIONAL PLAINTIFF DATE PRINT NAME

OR

X _____________________________ATTORNEY FOR PLAINTIFF(S) DATE BBO No.

X __________________ATTORNEY FOR PLAINTIFF(S) DATE BBO No.



98/100

APPEARANCE OF SUBSTITUTE COUNSELTrial Court of MassachusettsDistrict Court DepartmentSmall Claims Session

CASE NAME

VS.

DOCKET NUMBER

COURT DIVISION

To the Clerk-Magistrate:

Pursuant to Trial Court Rule III, Uniform Small Claims Rule 7(b), please enter my appearance for

________________________________________________________________PARTY

as substitute counsel for current counsel of record in the above-numbered court action.

Pursuant to Rule 7(e), this appearance is limited to todays proceedings only and does not displacethe appearance of current counsel of record, and all notices in this matter shall continue to be sentto current counsel of record.

ATTORNEY NAME B.B.O. NUMBER (Required)

ATTORNEY FIRM TELEPHONE NUMBER

STREET ADDRESS EMAIL ADDRESS

CITY/TOWN STATE ZIP CODE

X ________________________________SIGNATURE OF ATTORNEY DATE



99/100

VERIFICATION OF

DEFENDANTS ADDRESS

BY PLAINTIFF IN TRADE OR COMMERCE

OR PURSUING ASSIGNED DEBT

For CourtUse Only

DOCKET NO.

Trial Court of Massachusetts

Small Claims Session

PLAINTIFF(S)

VS.

COURT DIVISION

DEFENDANT(S) This form must be filed along with the StatemenSmall Claim for any claim incurred in the cours

plaintiffs trade or commerce, or for assigned dUse separate forms for multiple defendants if thave different mailing addresses.

MAILING ADDRESS OF DEFENDANT(S)

Pursuant to Uniform Small Claims Rule 2(b), the defendants mailing address shown above has been verified in tfollowing manner:

Check at leastoneof 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 addresswithin the past 12 months.

Date correspondence received:

!Other verification from the defendant within the past 12 months that address is current

Describe:

or

Check at leasttwoof these methods:

! A letter was mailed to the defendant at the above address by first class mail on:

Date within past 6 months, and at least 4 weeks before filing this small claim:

and has not been returned to sender by the postal service.

! Verified using the following online database (other than white pages or other unpaidgeneral telephone directory) within the past 6 months:

Name and source of database:

! Verified with an additional source, specifically:

DATE SIGNED SIGNED UNDER THE PENALTIES OF PERJURY

X __________________________________________________________________________________________PLAINTIFF OR PLAINTIFFS ATTORNEY



100/100

Documents

SCAS Manual