NOTICE: This is a public document, which means the document as submitted will be available to the public upon request. Landlords must file a Verified Complaint, Summons and Return of Service and Landlord Case Information Statement with the court.Get expert advice on filing a verified complaint form in New Jersey, including landlordtenant disputes and pursuing owed amounts. The Verified Complaint Landlord Tenant New Jersey form, known formally as Appendix XI-X, is a legal document used in the state of New Jersey for landlords. The Verified Complaint for Nonpayment of Rent form is a critical document for landlords in New Jersey facing rent-related disputes with their tenants. Scope of Agency Operations.