SUMMARY PROCESS (EVICTION) For information on ADA STATE OF CONNECTICUT
`ANSWER TO COMPLAINT accommodations, contact the SUPERIOR COURT
`JD-HM-5 Rev. 1-23 Centralized ADA Office at 860-706-5310
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`C.G.S. §§ 47a-4a, 47a-5, 47a-7, 47a-15, 47a-20, e
`: www.jud.ct.g
`47a-20¢,47a-23c, 472-33, 47a-33a, 47a-57, 49-31p orgoto ud.ct.gov/ADA/
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`www.jud.ctgov <
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`, ‘ COURT USE ONLY
`'l.'hisflf]ornlr is a’vaila(b;e ANSWER ASD
`in other language(s).
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`R 1
`Name of case Docket number
`TO-—CLVAS -
`(elleTT, Sares ¥V WEILEY , fasalYal Go3wIs e -5
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`Address of Court (Number, street, and town)
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`[x] Judicial District [] Housing Session | 69 Brooklyn St. Rockville, CT 06066
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`Section 1 - Summary Process (Eviction) Answer
`For each numbered paragraph of the landlord's Complaint, select whether you Agree, Disagree, or Do Not Know.
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`1. Agree [ Disagree [] Do Not Know [ ] 5. Agree [ | Disagree [ | Do NotKnow [ ]
`2. Agree [y~ Disagree [ | Do NotKnow [ ] 6. Agree [ | Disagree [ ] Do Not Know [ ]
`3. Agree [ Y~ Disagree [ | Do NotKnow [ ] 7. Agree [ | Disagree [ ] Do Not Know [_]
`4. Agree [ J¥ Disagree [ | Do Not Know [ ] 8. Agree [ ] Disagree [ | Do Not Know [ ]
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`Section 2 - Special Defenses (Facts showing the court that the plaintiff has no legal right to evict you.)
`Not all the special defenses listed below may apply to the reason(s) for eviction claimed by the landlord’'s complaint.
`Select the special defenses that show the court that the plaintiff has no legal right to evict you and fill in the information requested.
`a. [ ] Altrent has been paid to my landlord.
`b. [¢Rentwas offered to my landlord on (date): 94) a7 ) a5 which was before | received the Notice to Quit.
`¢. [] The landlord accepted rent or otherwise waived the Notice to Quit after | received it.
`d. D No rent is due under Connecticut law because of the housing or health code violations listed below:
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`e. [] Inotified [ ] mylandlord, [] Housing Code, [ | the Health Department, and/or [ ] the Building Department
`of the violations listed in section d, above, on (dafe): ne
`f. D This eviction is being brought because | contacted D my landlord and/or |:] public officials or agencies &3
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`to complain about my apartment. e‘? ,-CS
`g. [] !filed arent increase complaint with the Fair Rent Commission on (date): & =
`h. . [:| | live in a building or complex with 5§ units or more or in a mobile manufactured home park and ,: 20
`D | have a physical or mental disability, or oy
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`[[]1am 62 years old or older, or
`|:] my spouse, sibling, parent, or grandparent is 62 years old or older and permanently lives with me, or D
`|:] my spouse, sibling, child, parent, or grandparent has a physical or mental disability and permanently liveg with
`i. [ ] This eviction was brought after a foreclosure action, and Ly )
`[] I have a written lease that is still in effect, or g il
`never received a 90 day letter (notice) before the notice to quit was delivered (served).
`j. [] I remedied the issue(s) listed in the pre-termination notice delivered to me under Connecticut law.
`k. [ Additional reasons why I should not be evicted (additional pages may be used, if necessary):
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`T hosatys L-hadisy haue been Nuing ot 3 Pau s+ R b0y b Yeary
`M ) ve el b(en)obthindz P my repd belro du~ + "‘"9‘-"4—1:—;9 th’— ey
`my Sk bax 1 des2oay as ) vid him by Phonc nuasber Hhao- |
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`| certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically’on ™ d C: M4
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`(date)X 10~ 3¢ — QS to all attorneys and self-represented parties of record and that written consent for electronic delivery was 7::’:
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`received from all attorneys and self-represented parties of record who received or will immediately be receiving electronic delivery. SGf-
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`Name and address of each party and attorney that copy was or will be mailed or delivered to*
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`2090751Y R GALINEP C© 25 CAsT MAls STREOT 2-0680r 28 pLIL, Ur St bacag
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`*If necessary, attach additional sheet or sheets with name and address which the copy was or will be mailed or delivered to.
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`Signed (Signature of filer) Print or type name of person signing Date signed
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`> D030 2. X8Q0en Pioocdin - hellcy 1 -20-35
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`TResetForm |
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