Telephone number Telephone number Telephone number Telephone number Telephone number Telephone number Name and address of attorney, law firm, or plaintiff if self-represented (number, street, town, state and zip code)1.You are being sued. 2.The complaint attached to these papers states the claim that each Plaintiff (Tenant) is making against you in this lawsuit. 3.To respond to this suit, you must appear for a hearing in court. A notice of hearing will be mailed to you, and it will tell you the date, time, and location of the hearing. You or your attorney should also file an Appearance (form JD-CL-12) on or before that date. 4.If you do not appear for your hearing, you may be defaulted and orders may enter against you. 5.All parties should be present with any witnesses or evidence they intend to offer. 6.Your tenant will now be paying the rent into court. 7.You may NOT commence a summary process (eviction) action for nonpayment of rent while this case is pending, so long as the tenant continues to deposit the rent with the court. The tenant must deposit rent with the court according to the following schedule:Notice to Defendant (Landlord)NOTICE OF SUIT HOUSING CODE ENFORCEMENT JD-HM-19 Rev. 3-19 C.G.S. 247 47a-14h amount of rent8.You may counterclaim and request an order from the court compelling your tenant to comply with the duties under Section 47a-11 of the Connecticut General Statutes (Tenant's Responsibilities). 9.The clerk is not permitted to give any legal advice in connection with any lawsuit. 10.The clerk is not responsible in any way for any errors or omissions regarding this matter. 11.If you have questions about this action, you should consult an attorney promptly. Signed (Assistant Clerk/Commissioner of Superior Court) FOR COURT USE File date Docket number Receipt numberNo Fee Monthly Weekly when rent is due Date Name of person signing STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov Address of court (number, street, town and zip code) Telephone number of clerk Parties First Plaintiff Second Plaintiff First Defendant Second Defendant First Municipal Agency (Town/City Dept.) Second Municipal Agency (Town/City Dept.) Name (Last, First, Middle Initial) and address of each party (number; street; P.O. box; town; state; zip; country, if not USA)P-01P-02D-01D-02 Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Number of plaintiffs: Number of defendants: Form JD-CV-67 attached for additional parties For the plaintiff(s) enter the appearance of: The attorney or law firm appearing for the plaintiff, or the plaintiff if self-represented, agrees to accept papers (service) electronically in this case under Section 10-13 of the Connecticut Practice Book.Instructions 1. Type or print legibly and sign. 2. Give the form to the clerk along with the Complaint - Housing Code Enforcement (form JD-HM-35) and the entry fee, or an Application For Waiver of Fees/Payment of Costs (form JD-CV-120). 3. A hearing will be scheduled not more than fourteen (14) days after a served complaint is filed with the clerk, or, if the clerk performs service, not more than fourteen (14) days after proof of service is returned to the clerk. If the clerk attempts service and proof of service is not returned to the clerk, the plaintiff shall be responsible for service. ADA NOTICE The Judicial Branch of the State of 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 person listed at www.jud.ct.gov/ADA. Yes No E-mail address for delivery of papers under Section 10-13 (if agreed to) Juris no. (if attorney or law firm) Telephone number Signature of plaintiff if self-represented At (town where your case is returnable) Judicial District Housing Session L-01L-02 American LegalNet, Inc. www.FormsWorkFlow.com