SUMMARY PROCESS EXECUTION FOR POSSESSION (EVICTION) STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov JD-HM-2 Rev. 1-09 C.G.S. §§ 47a-26h, 47a-42 Court Docket Number Judicial District Geographical Area Number Housing Session Address of Court Location (Number, Street, Town and Zip Code) Date of Judgment Name and Mailing Address of Plaintiff or Attorney Instructions To Plaintiff Or Attorney 1. Complete this form. 2. Give both copies of this form to the clerk for the clerk to sign. 3. The clerk will give the original form back to you. 4. Keep a copy of the form for your records and give the original to a State Marshal for service on the defendant(s) (tenants and/or occupant(s)). Name(s) of Plaintiff(s) (Landlord) Name(s) of Defendant(s) (Tenant(s) and/or Occupant(s)) Address of Premises (Number, street, town and apartment number) 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 may remove them onto the adjacent sidewalk, street or highway; prior to removal you must give the chief executive officer of the town 24 hours notice of the eviction, stating the date, time and address of the eviction as well as a general description, if known, of the types and amount of property to be removed from the premises. Prior to giving notice to the chief executive officer 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 and the possibility of a sale of their possessions pursuant to General Statutes § 47a-42. 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) (Tenant(s) and/or Occupant(s)) Your landlord (the plaintiff) has won a judgment against you in this eviction case giving the landlord possession of the premises. This means that you must move out of the premises at the address above by this date. If you think you have a right to stay in the premises, you should contact an attorney immediately. If you do not move out by that date, this paper, which does not have to be handed to you personally, gives a State Marshal the legal right to move your possessions and personal effects out of the premises and put them on the street. (To be completed by State Marshal) If you do not move your possessions and personal effects on or At (Time) before Date __.M. I will return to move your possessions and personal effects out of the premises and put them on the street. (If your possessions and personal effects are placed on the street and you do not claim them within 15 days, then they may be sold by the town under General Statutes § 47a-42.) Return of Service By virtue of the foregoing execution, On At (Time) __.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: Thereafter I notified the chief executive officer of the town where the premises are situated, On At (Time) __.M. that the eviction of the Defendant's(s') and Occupant's(s') possessions and personal effects would take place, On At (Time) removed from said premises. On At (Time) __.M. And afterwards, the Defendant's(s') and Occupant's(s') possessions, had been removed. I put out on the adjacent sidewalk, street or highway and put the Plaintiff(s) in possession of said premises. Signed (State Marshal) Date Signed Fees __.M. and I further advised said chief executive officer, so far as known of the general description, types and amount of the property to be American LegalNet, Inc. www.FormsWorkflow.com