COMMONWEALTH OF MASSACHUSETTS

COUNTY OF HAMPSHIRE

COMPLAINT OF VICIOUS OR BARKING DOG

Section 157, Chapter 140, General Laws

 

DATE:†††††††††††† ††††††††††††††††††††††† †††††††††††

 

I hereby make complaint that a dog or dogs owned or harbored by:

 

††††††††††††††††††††††† ††††††††††††††††††††††† ††††††††††††††††††††††† ††††††††††††††††††††††† ††††††††††††††††††††††† †††††††††††††††††††††††

†††††††††† Name††††††††††††††††††††††† ††††††††††††††Address

 

Residing in my vicinity on or near †††††††††††††††† ††††††††††††††††††††††† ††††††††††††††††††††††† †††††††††††††††††††††††

 

is a nuisance by reason of †††††††† ††††††††††††††††††††††† ††††††††††††††††††††††† ††††††††††††††††††††††† †††††††††††††††††††††††

 

  1. VICIOUS DISPOSITION (state facts): ††††††††††† ††††††††††† ††††††††††† ††††††††††† †††††††††††

 

 

 

 

 

  1. EXCESSIVE BARKING (state facts): ††††††††††† ††††††††††† ††††††††††† ††††††††††† †††††††††††

 

††††††††††† ††††††††††† ††††††††††† ††††††††††† ††††††††††† ††††††††††† ††††††††††† ††††††††††† ††††††††††† ††††††††††† †††††††††††

 

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  1. OTHER DISTURBANCE (state facts): ††††††††††† ††††††††††† ††††††††††† ††††††††††† †††††††††††

 

 

 

 

 

 

  1. SOURCE OF ANNOYANCE TO A SICK PERSON RESIDING IN THE VICINITY (state facts):

 

 

 

 

 

 

 

This complaint is made under penalties of perjury.

 

Complaintantís Signature: ††††††† ††††††††††††††††††††††† ††††††††††††††††††††††† †††††††Phone: ______________

 

Print Name:††††† ††††††††††††††††††††††† ††††††††††††††††††††††† †††††††††††††††††††††††

 

Address: ††††††††† ††††††††††††††††††††††† ††††††††††††††††††††††† †††††††††††††††††††††††