SUMMARY PROCESS EXECUTION FOR POSSESSION (EVICTION) NONRESIDENTIAL STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov JD-HM-34 Rev. 12/2000; C.G.S. §47a-42a, P.A. 00-99, Sec. 97 COURT DOCKET NO. JUDICIAL DISTRICT GEOGRAPHICAL AREA NO. JUDICIAL DISTRICT HOUSING SESSION ADDRESS OF COURT LOCATION (No., Street, Town and Zip Code) DATE OF JUDGMENT NAME AND MAILING ADDRESS OF PLAINTIFF OR ATTORNEY INSTRUCTIONS TO PLAINTIFF OR ATTORNEY 1. Prepare on typewriter. 2. Submit the original and the copy to the clerk for signature. 3. The clerk will return the original to you. 4. Make a copy for your records and deliver the original to State Marshal for service on defendant(s)/occupant(s). NAME(S) OF PLAINTIFF(S) (Landlord) NAME(S) OF DEFENDANT(S) (Tenant(s) and/or Occupant(s)) ADDRESS OF PREMISES (No., street, town and apartment no ) TO: Any Proper State Marshal By the authority of the State of Connecticut, you are commanded to give the Plaintiff(s) possession of the premises above, by putting the Defendant(s) and any other Occupant(s) bound by the judgment out of possession; if the Defendant(s) and such other Occupant(s) have not removed all their possessions and personal effects then you shall remain on the premises while the Plaintiff(s), in your presence, prepare(s) an inventory of such possessions and personal effects and provide(s) you with a copy of such inventory. At least 24 hours prior to the date and time of the eviction, you must use reasonable efforts to locate and notify the Defendant(s) and any other Occupant(s) bound by the judgment of the date and time the eviction is to take place. Make service of a true copy upon each defendant and occupant bound by the judgment and due return within 60 days of the date hereof. SIGNED (Clerk) DATE SIGNED NOTICE TO DEFENDANT(S) AND/OR OCCUPANT(S) Your landlord has won a judgment against you in this eviction case giving the Plaintiff(s) possession of the premises. This means that YOU MUST MOVE out of the premises at the address above BY THE DATE GIVEN BELOW. them elsewhere. If you do not claim your possessions and personal effects and pay the removal and storage costs within 15 days after the date listed below, your possessions and personal effects will be forfeited to the landlord. IF YOU CLAIM A RIGHT TO CONTINUE TO OCCUPY THE PREMISES, YOU SHOULD CONTACT AN ATTORNEY IMMEDIATELY. (To be completed by State Marshal) If you do not move your possessions and personal effects on or If you do not move out by that date, this paper gives your landlord the legal right to inventory your possessions and personal effects and to store them in the premises or to remove them and store before BY VIRTUE OF THE FOREGOING EXECUTION, ON AT (Time) AT (Time) __.M. , they may be forfeited to the landlord. RETURN OF SERVICE And afterwards, ON __.M. I notified the Defendant(s) and Occupant(s). I used reasonable efforts to locate the Defendant(s) and Occupant(s) but was unable to notify the following: SIGNED (State Marshal) DATE AT (Time) __.M. the Defendant's(s') and Occupant's(s') possessions, had been removed. The Plaintiff(s) prepared an inventory of the Defendant's(s') and Occupant's(s') possessions and personal effects in my presence and provided me with a copy of the inventory. DATE SIGNED FEES American LegalNet, Inc. www.FormsWorkflow.com