SUPERIOR COURT OF THE DISTRICT OF COLUMBIA Civil Division Landlord and Tenant Branch 500 Indiana Avenue, N.W. Washington DC 20001 UT FORM 5 Plaintiff (Landlord) VS. Defendant L&T (Tenant) APPLICATION FOR TERMINATION OF STAY AND NOTICE TO DEFENDANT The Clerk of the LandIord and Tenant Branch will please note that the defendant has failed IO make the payment due on or before Any repairs which the landlord has agreed to make as of this date have been completed For these reasons, the Clerk should terminate the stay of execunon and immediately issue a writ of restitution. i n the Landlord and on o’clock This application will be presented to the Clerk at Tenant Clerk’s Office, Room JM-255. Address Signature Phone Number Bar Number CERTIFICATE OF SERVICE , a copy of this form was served on on (a e nm) (date) by at first class mail myself personally. (address) Signature CERTIFICATION OR OATH I hereby certify/swear that the foregoing information is true and correct to the best of my knowledge and belief and that this application was mailed or delivered as provided in Landlord and Tenant Form 4. Address (Attorney for) Plaintiff day of Subscribed and sworn to before me this (day) My commission expires , (month) (year) Notary Public - This certificate, if signed by the plaintiffs attorney. need not be under oath. Yellow - Defti: w-bxc - coun Pclk - Anomcy 2001 © American LegalNet, Inc.