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.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. Get expert advice on filing a verified complaint form in New Jersey, including landlordtenant disputes and pursuing owed amounts. Verified Complaint – A form that details the reasons for the eviction whether for non-payment of rent or other reasons. New Jersey Verified Complaint form. , based upon the facts set forth in the Verified Complaint and supporting. Certifications and Brief filed herewith; and it appearing that. Woodbridge, New Jersey; Counsel for Harris FRC Corporation.