SUMMARY PROCESS (EVICTION) COMPLAINT TERMINATION OF LEASE BY LAPSE OF TIME STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov Instructions To Plaintiff (Landlord) 1. Attach this complaint to the Summons Summary Process (Eviction) form, JD-HM-32, and follow the instructions on that form. 2. Attach the original Notice to Quit to this complaint. 3. If there is a written lease, attach a copy of the lease to this complaint. JD-HM-20 Rev. 10-12 C.G.S. § 47a-23a Return date: Judicial district of Plaintiff(s)/Landlord(s) Judicial district housing session at vs. town/city Geographical area number Defendant(s)/Tenant(s) Complaint 1. On or about (date) agreed Orally the plaintiff (landlord) and the defendant (tenant) or In a written document (copy attached) term of one that the defendant would lease (rent) for the (term of lease) the following premises (rental property): week/month/year Location of premises (Number, street, town, and unit or floor number) 2. The defendant agreed to pay $ Weekly Monthly (amount of money defendant agreed to pay) on the day of each Week Month. 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. Date signed Signed (Plaintiff/Plaintiff's Attorney) 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