EXECUTION FOR EJECTMENT MORTGAGE FORECLOSURE STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov JD-CV-30 Rev. 8-09 Gen. Stat. 49-22 Instructions To Applicant 1. Prepare an original and 3 copies; forward the original and 2 copies of this form and any attachments to clerk. 2. After return of signed form from clerk, forward the original and a copy of form and any attachments to a proper officer. Instructions To Clerk 1. Forward original and copy of this form and any attachments to applicant or attorney. 2. Retain copy of signed execution. Instructions To Proper Officer 1. Complete item 4 at bottom. 2. Make return within 60 days. Name of case Docket number Name and mailing adress of applicant or attorney Date of judgment To: Date list pendens recorded Address of Judicial District Court location (Number, street, town, and zip code) Name(s) of person(s) entitled to possession Name(s) of person(s) in possession Address of premises (Give complete legal description of land on page 2) To: Any Proper Officer By the authority of the State of Connecticut, you are commanded to cause the said person(s) entitled to possession to have the seizin and peaceable possession of the premises described herein, and to put and eject the said person(s) in possession, out of possession thereof, and to put the person(s) entitled to possession into the peaceable and quiet possession thereof, provided that no person shall be ejected who is not a party to the action except a transferee or lienor who is bound by the judgment by virtue of a lis pendens. If said person(s) in possession have not removed all their possessions and personal effects, then you may remove them onto the adjacent sidewalk, street or highway. Prior to removal, you must give the chief executive officer of the town 24 hours notice of the removal, stating the date, time, and address of the removal as well as a general description, if known, of the types and amount of property to be removed from the premises. Prior to giving notice to the chief executive officer you must use reasonable efforts to locate and notify the person(s) in possession of the date and time the removal is to take place and the possibility of a sale of their possessions pursuant to General Statute 49-22. Signed (Judge, Assistant Clerk) Date signed Make service and due return within 60 days from the date hereof. Notice To Persons In Possession Of Premises Subject To Ejectment Important: If you are in possession of the premises and you were not named as a party to this foreclosure action, you are not subject to this execution unless you are a transferee or lienor who is bound by the judgment by virtue of a lis pendens. 1. The person(s) entitled to possession have been given the right to possession of these premises by a judgment of the Superior Court. This means that you must move out of the premises described on page 2 of this form by the date given at right. 3. If your possessions and personal effects are placed on the street and you do not claim them from the chief executive officer of the town within 15 days, then they may be sold by the town under General Statute section 49-22. 2. If you do not move out by that date, this paper, which does not have to be handed to you personally, gives a proper officer the legal right to move out your possessions and personal effects and place them on the street. 4. If you do not move your possessions and personal effects by: (To be completed by proper officer) Date Time (a.m./p.m.) I will return to move your possessions and personal effects onto the street. (Page 1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com Legal Description Of Land/Premises "X" Here and attach additional sheets if needed Return Of Service Then and there, by virtue of the foregoing execution, On (Date) At (Time) ___.M. On (Date) I notified the person(s) in possession. I used reasonable efforts to locate the person(s) but was unable to notify him/her. Thereafter I notified the chief executive officer of the town where the premises are situated, On (Date) and I further advised said chief executive officer, so far as known, of the general description, types and amount of property to be removed from said premises. had been removed. I put out on the adjacent sidewalk, street, or highway and put the person(s) in possession of said premises. ___.M. Signed (Proper Officer) On (Date) ___.M. And afterwards, the person's(s') possessions At (Time) that the eviction of the person's(s') possessions and personal effects would take place: At (Time) Date signed Fees At (Time) ___.M. JD-CV-30 (back/page 2) Rev. 8-09 (Page 2 of 2) American LegalNet, Inc. www.FormsWorkFlow.com