Fillable Stay Of Execution Application printable pdf download

STAY OF EXECUTION

STATE OF CONNECTICUT

APPLICATION - SUMMARY PROCESS

SUPERIOR COURT

JD-HM-21 Rev. 10-11

C.G.S. §§ 47a-30, 47a-35, 47a-36, 47a-37, 47a-39

ADA NOTICE

Name and mailing address of Plaintiff or Plaintiff's Attorney

The Judicial Branch of the State of Connecticut

complies with the Americans with Disabilities

Act (ADA). If you need a reasonable accom-

modation in accordance with the ADA, contact

a court clerk or an ADA contact person listed at

/ADA.

Name and mailing address of Defendant or Defendant's Attorney

Instructions to Tenant

Fill-out this application and file all three (3) copies with

the clerk of the court location where the judgment was

entered. One (1) copy will be returned to you showing

the Date of Hearing.

Case docket number

Clerk's office address ( Number, street, town and zip code)

J.D. Housing Session

G.A. Number

Name and address of Plaintiff (Landlord) (If not indicated above)

Name of Defendant/Applicant (Tenant) (If not indicated above) and address (if not indicated above or if different from Location of Premises below)

Location of Premises

Date of judgment

To: The Superior Court

1. I request that my eviction be delayed (stay of execution of the judgment) because:

A. I live in the premises.

B. I have tried to find other premises for me and my family somewhere else in my city or town or in a city or town near my city or town

in a neighborhood like my neighborhood and cannot find one.

C. This application is made honestly and I will do whatever the court orders me to do.

2. The eviction was not granted because of nuisance committed or permitted by me or because of the use of or permitting the use of the

premises for an immoral or illegal purpose or because I never had a right or privilege to live in the premises.

3. If the eviction was granted because of nonpayment of rent, then within 5 days of the date of judgment, I deposited with the clerk the full

arrearage (amount of back rent and/or use and occupancy owed to the landlord) of $

required by section 47a-37 of the General Statutes Or;

No arrearage exists. (Applicant should bring proof of payment to the hearing.)

Telephone number of Defendant/Applicant

Date signed

Signed (Defendant/Applicant)

Notice Of Court Hearing - Stay Of Execution Application

To: The parties named above

The tenant(s) named above has filed an application in this court requesting a stay of execution of the judgment entered on the Date of

Judgment shown above, as stated in the application above.

The Superior Court will hold a hearing on this application at the Place, Date and Time shown below.

This is to notify you that if you want to talk to the court about this application, you or your attorney must come to the court on that date

and at that time. If the landlord does not come to the hearing, an order granting the application and delaying your eviction (staying the

execution of the judgment) may be entered. If the tenant(s) does not come to the hearing, an order denying the application may be

entered.

Date of hearing

Place of hearing (If different from clerk's office address shown above)

Time of hearing

.m.

Date signed

Signed (Assistant Clerk)

Order Of Court

By the Court (Judge, Assistant Clerk)

The Court orders this Application:

Granted

Denied

STAY OF EXECUTION

Distribution: Original - Court

Copy 1 - Plaintiff

Copy 2 - Defendant/Applicant

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Stay Of Execution Application

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