LSNJ All Purpose Application/ Certification in Support of OTSC for Tenancy Post Judgment Relief.
__________________________
(Tenant’s name address and telephone number)
__________________________
__________________________
__________________________
__________________________
__________________________
Defendant Pro Se
SUPERIOR COURT OF NEW JERSEY LAW DIVISION, SPECIAL CIVIL PART
__________________________________________________
:
________________________________________
(Landlord’s name as it appears on eviction complaint) : __________ COUNTY
: (county where eviction complaint was filed)
:
Plaintiff : Landlord/Tenant Division
:
: : Docket No; LT_________
:
: CIVIL ACTION
vs. : CERTIFICATION IN SUPPORT
: OF DEFENDANT’S
___________________________ : ORDER TO SHOW CAUSE
(Tenant’s name) :
:
Defendant :
______________________________:
_________________________________, of full age, hereby certifies as follows:
(Defendant’s name)
1. I am the defendant in the above-captioned matter.
2. I have resided at______________________________
(Address of defendant’s apartment)
since approximately ______________________________
(Date when defendant moved into the apartment)
3. I currently pay $ per:
( check one) ______ week ______ month.
4. I presently reside with the following persons:
Name Age Relationship
_________________ __________ ___________________
_________________ __________ ___________________
_________________ __________ ___________________
_________________ __________ ___________________
_________________ __________ ___________________
5. I make this certification in support of my application to
(choose the type(s) of relief that you are requesting)
_____Set aside the Judgment for Possession pursuant ot Rule 4:50-1
_____Stay the Warrant For Removal based upon hardship pursuant to
N.J.S.A. 2A: 42-10-1
6. A Judgment for Possession was entered on _________________
(Date of judgment)
I believe that the Judgment for Possession should be set aside for the following reasons:
______ a. I tried to give my landlord the money that I owed to him on or
before the date of the eviction hearing but he refused it.
______ b. I did not have the rent money on the day of my hearing but I
have it now.
______ c. My landlord did not give me any notice of the problem before
he filed the complaint.
______ d. I did not get a summons and complaint from my landlord and
the warrant for Removal is the first court paper that I have received.
______ e. The landlord misrepresented to me that the case was settled and
that I did not have to go to court and he/she went to court and got a
Judgment for Possession against me.
______ f. Other _____________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
7. A Warrant of Removal was issued in the above matter on
____________________, 20_____.
(Date on the Warrant of Removal)
8. If I am locked out of my residence my family and I will suffer severe
hardship. The reasons that I am applying to stop the Warrant of Removal are as
follows:
(Choose the appropriate statement)
a. _____ I am unable to move my belongings out of my apartment in time for the date of the execution of the Warrant of Removal.
b. _____ My family has another apartment but it is not available until
______________________ which is after the date for the execution of
(Date when new apartment is available)
Warrant of Removal.
c. _____ My family and I have no place to move to.
d. _____ I am terminally ill and moving out of the apartment and
becoming homeless will cause medical complications. ( Attached to this
certification as Exhibit _________is a statement from my doctor
( A, B,C, etc. )
explaining my condition).
e. ________ My _________________________________ is ill and moving
(Child, spouse partner, other relative who lives with you)
out of my apartment and becoming homeless will cause medical
complications (Attached to this certification as Exhibit _________ is a
(A.B.C. etc.)
statement from his/her doctor explaining his her condition).
9. The full amount of money that I owe to my landlord is $_______________.
10. (Check the appropriate statement)
____ I have contacted my landlord to advise him/her that I am making this
application. I have contacted him/her by
___________________________________________________________
___________________________________________________________
___________________________________________________________
(Describe the manner in which you contacted the landlord ex: by faxing papers to the landlord, by telephone, in person, etc. )
____ I have not been able to contact my landlord to advise him/her that I am
making this application. However, I have made the following attempts to
contact him/her:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
(Describe the efforts that you have made to try to contact the landlord)
I hereby certify that the forgoing statements made by me are true to the
best of my knowledge. I understand that if any of the foregoing statements are
willfully false I am subject to punishment.
_________________________ ________________________________
(The date on which you sign this document) (Your signature)
________________________________
(Your name printed)
(Fill out only your name and address. The judge will fill out the rest of this order and sign it. )
__________________________
(Tenant’s name address and telephone number)
__________________________
__________________________
__________________________
__________________________
__________________________
Defendant Pro Se
SUPERIOR COURT OF NEW JERSEY LAW DIVISION, SPECIAL CIVIL PART
__________________________________________________
:
________________________________________
(Landlord’s name as it appears on eviction complaint) : __________ COUNTY
: (county where eviction complaint was filed)
:
Plaintiff : Landlord/Tenant Division
:
: : Docket No; LT_________
:
vs. : CIVIL ACTION
:
___________________________ : ORDER TO SHOW CAUSE
(Tenant’s name) :
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