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Notice To Quit End Possession

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NOTICE TO QUIT (END) POSSESSION

ADA NOTICE

JD-HM-7 Rev. 3-12

The Judicial Branch of the State of

C.G.S. § 47a-23

Connecticut complies with the

Instructions To Landlord

Americans with Disabilities Act (ADA). If

you need a reasonable accommodation

1. Fill out this notice and give it to a state marshal or any proper officer with enough copies

in accordance with the ADA, contact a

for each adult occupant and tenant you want to evict.

court clerk or an ADA contact person

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

listed at

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.

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

for the following reason(s) (specify):

(Date)

If you have not moved out of the premises by the date indicated above, an eviction (summary process case) may be

started against you.

Name of landlord (Print or type)

Signed (Landlord/Attorney)

On (Date)

Dated at (Town)

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

Service

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

Travel

above usually live.

Attest (Name and title)

Total

NOTICE TO QUIT (END) POSSESSION

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Notice To Quit End Possession

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