Free County Court ________________________ County, Colorado - Colorado


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County Court ________________________ County, Colorado Court Address:
___________________________________________

Plaintiff(s): ________________________________________ v. Defendant(s): ______________________________________ Attorney or Party Without Attorney (Name and Address):
___________________________________________________ ___________________________________________________

COURT USE ONLY Case Number: __________________

Phone Number:_________________ E-mail:____________________ FAX Number: __________________ Atty. Reg. #: _______________

Division ______ Courtroom ______

AFFIDAVIT TO SUPPORT CLAIM FOR A BREACH OF THE WARRANTY OF HABITABILITY PURSUANT §38-12-507(1)(c) C.R.S.
The Defendant(s) ________________________________ answers(s) the Complaint stating that the Landlord has breached the warranty of habitability. In addition, to the answer filed, I/we file this Affidavit stating the following:

The rental agreement, which is the subject of this action, was entered into or extended or renewed on or after September 1, 2008.

Total Past Rent Due, as stated in the Complaint:

$ ______________ $ ______________

Total amount spent to make the property habitable:

Difference (Total Past Rent Due ­ minus total amount spent

)

$ ______________

NOTE: If the total rent due is greater than the total amount of monies spent to make the property habitable, you are required to deposit funds in the Court Registry for the amount stated above. This money must be deposited via certified funds with the Court at the same time you are filing your answer. This money will be held in the Court Registry and refunded or applied as ordered by the Court at the conclusion of the case.

VERIFICATION AND ACKNOWLEDGEMENT
I swear/affirm under oath that I have read the foregoing Affidavit and that the statements set forth therein are true and correct to the best of my knowledge.

_______________________________________
Defendant's Signature Date

______________________________________
Defendant's Signature Date

______________________________________
Defendant's Attorney Signature, if any

____________________________________
Defendant's Attorney Signature, if any

JDF 109 9/08

AFFIDAVIT TO SUPPORT CLAIM FOR A BREACH OF THE WARRANTY OF HABITABILITY

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Subscribed and affirmed, or sworn to before me in the County of ________________________, State of ____________________, this _______ day of ___________________, 20 _____. My Commission Expires: _________________ ______________________________________
Notary Public/Clerk

Subscribed and affirmed, or sworn to before me in the County of _______________________, State of ___________________, this _______ day of ___________________, 20 _____. My Commission Expires: __________________ ______________________________________
Notary Public/Clerk

CERTIFICATE OF MAILING
I certify that a true copy of the answer was mailed, postage prepaid, to __________________________________ (Plaintiff(s) or attorney), at ___________________________________________________________________ (address(es)), on _____________________ (date). ______________________________________ (Your signature)

JDF 109 9/08

AFFIDAVIT TO SUPPORT CLAIM FOR A BREACH OF THE WARRANTY OF HABITABILITY

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