SUMMARY PROCESS(EVICTION)
`ANSWER TO COMPLAINT
`JD-HM-5 Rev. 2-22
`C.G.S. §§ 47a-4a, 47a-5, 47a-7, 47a-15, 474-20,
`47a-20e, 47a-23c, 47a-33, 47a-57, 49-31p
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`Thisform is availabe
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`in owner tanquage(s).
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`Nameof case
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`ADA NOTICE
`of
`Judicial Branch
`of
`the State
`The
`Connecticut complies with the Americans with
`Disabilities Act
`(ADA).
`If
`you
`need
`a
`reasonable accommodation in
`accordance
`with the ADA, contact a court clerk or an ADA
`
`contact personlisted at www.jud.ct.gov/ADA.
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`
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`STATE OF CONNECTICUT
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`SUPERIOR COURT &
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`www.jud.et. gov Ay
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`COURT USE ONLY
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`ASD
`ANSWER
`a
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`Docket number
`Y
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` [_] JudicialDistrict
`Housing Session
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`5090444
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`Section 1 - Summary Process (Eviction) Answer
`For each nuynbered paragraph ofthe landlord's Complaint, select whether you Agree, Disagree, or Do Not Know.
`1. Agree
`Disagree [_]
`Do Not Know [_]
`5. Agree
`Disagree [_]
`Do Not Know [_]
`Disagree [_]
` DoNot Know [_]
`2. Agree
`Disagree [-]
`Do Not Know [_]
`6. Agree
`3. Agree
`Disagree [_]
`. Do Not Know [_]
`>K Agree [-]
`Disagree [_]
`Do Not Know [_]
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`4. Agree Do Not Know[_| Do Not Know[|Disagree [_] BS Agree [_] Disagree [_]
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`Section 2 - Special Defenses (Facts showing the court that the plaintiff has no legalright to evict you.)
`Notall the special defenseslisted 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 legalright to evict you andfill in the information requested.
`[_] Allrent has beenpaid to mylandlord.
`which wasbefore | received the Notice to Quit.
`[_] Rent wasoffered to my landlord on (date):
`The landlord accepted rent or otherwise waived the Notice to Quit after | receivedit.
`No rent is due under Connecticut law because of the housing or health codeviolationslisted below:
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`a.
`b.
`Cc.
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`d.
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`OO
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`[_] my landlord and/or
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`f.
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`i.
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`of the violations listed in section d, above, on (date):
`[/] This eviction is being brought because | contacted
`[_] public officials or agencies
`cc
`o&
`to complain about my apartment.
`2
`[_]
`g.
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`| filed a rent increase complaint with the Fair Rent Commission on (date):
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`oo : 7LaBoG as . : . wat
`I live in a building or complex with 5 units or moreorin a mobile manufactured home park and oo O&O
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`[_]| have a physical or mentaldisability, or
`SE eo
`[_]\_am 62 years old orolder, or
`ra —~ 24
`[| my spouse,sibling, parent or grandparentis 62 years old or older and permanently lives witha or N Ss
`[| my spouse,sibling, parent or grandparent has a physical or mental disability and permanentlyjiyes vith mg>=
`[_] This eviction was broughtafter a foreclosure action, and
`SS _o Sg
`E] | have a written leasethatis still in effect, or
`~ by 2s
`[_] | never received a 90 dayletter (notice) before the notice to quit was delivered (served).
`OFT
`2—f
`lremediedthe issue(s)listed in the pre-termination notice delivered to me under Connecticutlaw.
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`j.
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`[_]
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`k. a reasonswhy | should notbeevicted (additionalpagesmaybe used, ifnecessary):
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` jogument wasorwill immediately be mailed or delivered electronically or non-electronically on
`| certify th
`(date)
`all attorneys and self-represented parties of record, and that written consentfor electronic
`delivery was
`received from all attorneys and self-represented parties receiving electronic delivery.
`x and addressof each party and attorney that copy was mailed ordeliveredto:
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