Instructions To Landlord
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`NOTICE TO QUIT (END) POSSESSION
`JD»HM—‘l Rev. 3—12
`063 § 47343
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`1. Fill out this notice and give it to a state marshal or any proper officer with enough copies
`for each adult occupant and tenant you want to evict.
`2. After service (delivery to the tenant(s) and occupant(s)) is made. the original Notice to
`Quit will be returned to you. if you do not want to include your address on this form, give
`this information to the marshal or other proper officer on a separate sheet so that the
`officer can return the original notice to you promptly after making service.
`To: Namels} of renterllenantls) and occupantts)
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`ADA NOTICE
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`The Judicial Branch of the State of
`Connecticut complies With the
`Americans with Disabilities Act (ADA). If
`You “sad a reasonable accommOdation
`in accordance With the ADA» COHIECt a
`court clerk or an ADA contact person
`listed at www.jud.ct.gov/ADA.
`,
`WWW-JUd-Ct-QOV
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`New Milford Sports Club Delaware, LLC alkla New Milford Sports Club
`Address of premises. including apartment number. if any
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`130 Grove Street, New Milford, CT
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`You must quit (end) possession or occupancy of the premises described above and now occupied by you on or
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`before
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`3H7“?
`(Date)
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`for the following reason(s) (specify):
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`1. Violation of lease terms - Failure to pay charges for sewer and water service due against the leasehold premises.
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`2. Violation of lease terms - Failure to pay real estate taxes due against the leasehold premises.
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`3. Violation of lease terms - Failure to pay rent on time and failure to pay late charges due under lease.
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`4. Violation of lease terms - Failure to provide plans to Landlord at least 10 days n advance of making alterations to premises.
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`5. Violation of lease terms - Failure to make alterations at least equal in quality, materials and workmanship to original
`construction.
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`It you have not moved out of the premises by the date indicated above, an eviction (summary process case) may be
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`started against you.
`“I
`r
`Name 01 landlord (Print or type)
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`
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`Rose-Wain, LLC; The Club, LLC
`Dated at (Town)
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`
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`'
`y
`‘
`Southbury,CT
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`v '
`Address of landlord (Submit to proper officer on a separate sheet if desired)
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`cio Jeffrey J. Tinley, Esq., Tinley, Renehan & Dost. LLP, 60 North Main Street, Waterbury. CT 06702
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`Return Of Service (To be completed by officer who serves (delivers) this notice)
`Namels) oi person(s) served
`Address at which service was made
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`Endorsement
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`On (Date ofservice)
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`Fees
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`Copy
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`Then and there I made due and legal service of the foregoing notice by leaving a true and
`attested copy (copies) with or at the place where each of the tenant(s) and occupantts) named
`above usually live.
`Attest (Name and title)
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`5W”
`Travel
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`Tota |
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`NOTICE TO QUIT (END) POSSESSION
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