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Jud. ct. gov/ADA. www. jud. ct. gov To Name s of renter/tenant s and occupant s Address of premises including apartment number if any You must quit end possession or occupancy of the premises described above and now occupied by you on or before Date for the following reason s specify If you have not moved out of the premises by the date indicated above an eviction summary process case may be started against you. NOTICE TO QUIT END POSSESSION ADA NOTICE JD-HM-7 Rev* 3-12 C. G*S* 47a-23 Instructions To Landlord 1. Fill out this notice and give it to a state marshal or any proper officer with enough copies for each adult occupant and tenant you want to evict. 2. After service delivery to the tenant s and occupant s is made the original Notice to Quit will be returned to you. If you do not want to include your address on this form give this information to the marshal or other proper officer on a separate sheet so that the officer can return the original notice to you promptly after making service. 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. Name of landlord Print or type Signed Landlord/Attorney Dated at Town On Date Address of landlord Submit to proper officer on a separate sheet if desired Return Of Service To be completed by officer who serves delivers this notice Name s of person s served Address at which service was made On Date of service Fees Copy Endorsement Then and there I made due and legal service of the foregoing notice by leaving a true and attested copy copies with or at the place where each of the tenant s and occupant s named above usually live. NOTICE TO QUIT END POSSESSION ADA NOTICE JD-HM-7 Rev* 3-12 C. G*S* 47a-23 Instructions To Landlord 1. Fill out this notice and give it to a state marshal or any proper officer with enough copies for each adult occupant and tenant you want to evict. Fill out this notice and give it to a state marshal or any proper officer with enough copies for each adult occupant and tenant you want to evict. 2. After service delivery to the tenant s and occupant s is made the original Notice to Quit will be returned to you. 2. After service delivery to the tenant s and occupant s is made the original Notice to Quit will be returned to you. If you do not want to include your address on this form give this information to the marshal or other proper officer on a separate sheet so that the officer can return the original notice to you promptly after making service. If you do not want to include your address on this form give this information to the marshal or other proper officer on a separate sheet so that the officer can return the original notice to you promptly after making service. The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act ADA. 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..

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