MOTION FOR DEFAULT FOR FAILURE TO APPEAR, JUDGMENT AND ORDER FOR WEEKLY PAYMENTS JD-CV-49 Rev. 8-99 P.B. §§ 17-23, et seq. STATE OF CONNECTICUT COURT USE ONLY SUPERIOR COURT www.jud.ct.gov AA RETURN DATE DOCKET NO. TO: The Superior Court Judicial District Housing Session INSTRUCTIONS TO PLAINTIFF/PLAINTIFF'S ATTORNEY Complete this Motion and an Affidavit of Debt (JD-CV-52) and send original of each to the Clerk's Office and one copy of each to all defendants. Complete section I of the Notice of Judgment and Order for Weekly Payments (JD-CV-50) and file in duplicate with the Clerk's Office. ADDRESS OF COURT (No., street, town and zip code) G.A. No. NAME OF CASE (Plaintiff v. Defendant) NAME(S) OF ALL DEFENDANT(S) AGAINST WHOM MOTION IS FILED MOTION FOR DEFAULT FOR FAILURE TO APPEAR, JUDGMENT AND ORDER FOR WEEKLY PAYMENTS In the above entitled action, the Plaintiff(s) respectfully represent(s) that the Defendant(s) named above has (have) failed to file an appearance within two days after the return date. The Plaintiff(s) therefore request(s) that a default be entered against the Defendant(s) for failure to appear and that the Court enter judgment after default in favor of the Plaintiff(s) in accordance with the Affidavit of Debt attached. ("X" one of the following) The Plaintiff(s) also request(s) that an order for NAME OF PERSON SIGNING MOTION NOMINAL ADDRESS REASONABLE $ weekly payments be entered. SIGNED PLAINTIFF ATTORNEY FOR PLAINTIFF(S) DATE SIGNED X MILITARY SERVICE AFFIDAVIT The undersigned, being duly sworn, deposes and says that : ("X" one of the following) the undersigned is unable to determine whether or not the Defendant(s) in this action are in the military or naval service of the United States. no Defendant in this action is in the military or naval service of the United States, and that, to the personal knowledge of the undersigned (state facts showing defendant is not in such service): SIGNED (Affiant) PRINT NAME AND, IF APPLICABLE, TITLE, OF AFFIANT DATE SIGNED Subscribed and sworn to before me: PLAINTIFF'S BILL OF COSTS Complaint Fee....................... Entry Fee............................... Sheriff's Fee........................... Proceedings Before Trial........ SIGNED (Comm. of Sup. Court/Notary) DATE SIGNED $ $ $ $ .... $ CERTIFICATION OF SERVICE This is to certify that copies of the above Motion, Miltary Service Affidavit, Affidavit of Debt, and Plaintiff's Bill of Costs were delivered/mailed via U.S. Mail, postage prepaid on (date): to the following Defendants: (Enter name(s) and address(es) of Defendant(s)). TOTAL.............................. $ SIGNED PLAINTIFF ATTORNEY FOR PLAINTIFF(S) FOR COURT USE ONLY X DATE SIGNED American LegalNet, Inc. www.FormsWorkflow.com