SUMMARY PROCESS (EVICTION) COMPLAINT TERMINATION OF LEASE BY LAPSE OF TIME JD-HM-20 Rev. 12-13 C.G.S. § 47a-23a P.B. § 10-29 STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov Instructions to Plaintiff (Landlord) 1. Attach this complaint to the Summons, form JD-HM-32, and follow the the court no later than the return date. Serve a copy of the exhibit upon each instructions on that form. party who appears in this matter at the first court session of the matter or no 2. Attach the original Notice to Quit, form JD-HM-7, to this complaint. later than seven days after receipt of notice of the appearance of the party, 3. If there is a written lease, do not attach a copy of the lease to this whichever is earlier. Service must be made as provided in Sections 10-12 complaint. If you want to make the lease a part of your complaint, refer to through 10-17 of the Practice Book. the lease as an exhibit (for example "Exhibit A") and file it separately with Return date: Judicial district of Plaintiff(s)/Landlord(s) vs. Defendant(s)/Tenant(s) Judicial district housing session at town/city Geographical area number Complaint 1. On or about (date) agreed term of one week/month/year Location of premises (Number, street, town, and unit or floor number) the plaintiff (landlord) and the defendant (tenant) or In a written document (Exhibit ) that the defendant would lease (rent) for the Orally (term of lease) the following premises (rental property): 2. The defendant agreed to pay $ (amount of money defendant agreed to pay) Weekly Week Month. Monthly on the day of each 3. The defendant used and occupied the premises as agreed to under the lease, and still occupies the premises. 4. The lease has terminated by lapse of time (the term of the lease has ended). 5. On (date) the plaintiff had a Notice to Quit Possession served on the defendant and that . notice required the defendant to move out of the premises on or before (date) The Notice to Quit is attached to this complaint. 6. The time given in the Notice to Quit Possession for the defendant to move out of the premises has ended, but the defendant has not moved out. The Plaintiff Asks The Court For Judgment For Immediate Possession Of The Premises. ("x" if this applies) The plaintiff also asks for forfeiture to the plaintiff of the defendant's possessions and personal effects because this is a nonresidential property. Signed (Plaintiff/Plaintiff's Attorney) Date signed 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. SUMMARY PROCESS (EVICTION) COMPLAINT TERMINATION OF LEASE BY LAPSE OF TIME American LegalNet, Inc. www.FormsWorkFlow.com