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`SUMMARY PROCESS (EVICTION)
`ANSWER TO COMPLAINT
`JD-HM—5 Rev. 12-16
`C.G.S. §§ 478-48, 473-5, 473-7, 473-20
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`STATE OF CONNECTICUT
`SUPERIOR COURT
`www.jud.ct.gov
`47a-208, 478-230, 47a-33, 47a-57, 49-31p
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`Docet umber
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`Name of Fjlaintiff(s) (Landlord(s))
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`Name of Defendant(s) (Tenant(s))
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`LGLJlSr-POV'CWQY) Yiflr‘ Hm 5v?er
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`Address of Court (Number, street, and town)
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`Geographical“
`Judicial
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`Session
`'3 Area Number
`E] District
`Section 1 ‘—- Summary Process (Eviction) Answer
`(This section does not apply to
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`Special Defenses below)
`of thelandlord's Complaint,'please "x" whether you Agree, Disagree or 9 Not Know.
`For each numlpeflred paragraph
`|:]
`Do Not Know
`5. Agree
`[3
`Disagree '
`1. Agree
`Disagree
`Do Not‘Know
`6; Agree Bl Disagree E Do Not Know E]
`Do Not Know [:1
`t 2. Agree
`Disagree [:l
`'3.‘Agree
`Disagree W“ 'Do Not Know |:]
`7. Agree E]
`Disagree [:I H Do Not Know
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`.4. Agree I Do Not Know [3 Disagree [3/ Do Not Know [:I 8. Agree E] Disagree
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`Section 2 — Special Defenses (Facts that show the court that the plaintiff has no legal right to what the plaintiff'has requested
`a
`in this case.)
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`1
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`"x" the boxes next to the statenients below that apply to you and fill in the information requested.
`a.
`All rent has been paid to my landlord.
`which was before the date I received the Notice to Quit.
`b. E] Rent was offered to my landlord on (date):
`c I: No rent is due, under Connecticut Law (section 47a-4a of the Connecticut General Statutes) because there are hoUsing or health
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`code, violations in violation of Connecticut Law (Section 47a-7(a) of the Connecticut General Statutes). List;violations below.
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`|:] Housing Code, D the Health Department, or
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`d. . E] l notified E] ' my land ord,
`of the vidlations listed in section 6 above on (date):
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`e. E] This eviction is being brought because I contacted E] my landlord or D public officials or agencies g
`to complain about my apartment (Sections 47a-20 and 47a-33, of the Connecticut General Statutes).
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`f. E] I filed a rent increase complaint with the Fair Rent Commission on (date):
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`g. E] | l' e in a building or complex with 5 units or more or in a mobile manufactured home park and
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`[ipl have a physical or mental disability, or
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`the Building Department
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`|:] I am 62 years old or older, or
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`D my spouse, sibling, parent or grandparent is 62 years old or older and permanently lives with me, or
`|:] my spouse, sibling, parent or grandparent has a physical or mental disability and permanently lives with meu
`- (Section 47a-23a of the Connecticut General Statutes.)
`"
`h. D (See Notice on back/page 2 of this form) This eviction was brought after a foreclosure action, and
`’ K)
`have a written lease that is still in effect or
`@ never received a
`90 day letter (notice) before the notice to quit was delivered (served).
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`ment was or will immediately be mailed or delivered electronically or non-electronically on
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`| attorneys and self—represented parties of record and that written consent for electronic
`Um: Lilli-011936.
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`delivery was received from all attorneys and self-represented parties receiving electronic delivery.
`Name and address of each party and attorney that copy was mailed or delivered to‘
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`I certify th ta 0 py of-this docu
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`(date) fiiiflragg :1
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`tea
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`*lf necessary, attah additional sheet or sheets with name and address which the copy was mailed or delivered to. (Use form JD-Cv-67, Continuation of Parties)
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`elephone number
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`Signed
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`’9 addes
`‘ ‘15
`Distribution :
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`Original - Court File
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`Copy 1 - Plaintiff (Landlord) or Attorney
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`Copy 2 — Defendant (Tenant)
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