MOTION FOR DEFAULT FOR FAILURE TO APPEAR, JUDGMENT AND ORDER FOR WEEKLY PAYMENTS
JD-CV-49 Rev. 8-99 P.B. ยงยง 17-23, et seq.
STATE OF CONNECTICUT
SUPERIOR COURT
www.jud.ct.gov
COURT USE ONLY
AA
RETURN DATE DOCKET NO.
TO: The Superior Court
Judicial District Housing Session
INSTRUCTIONS TO PLAINTIFF/PLAINTIFF'S ATTORNEY Complete this Motion and an Affidavit of Debt (JD-CV-52) and send original of each to the Clerk's Office and one copy of each to all defendants. Complete section I of the Notice of Judgment and Order for Weekly Payments (JD-CV-50) and file in duplicate with the Clerk's Office. ADDRESS OF COURT (No., street, town and zip code)
G.A. No.
NAME OF CASE (Plaintiff v. Defendant) NAME(S) OF ALL DEFENDANT(S) AGAINST WHOM MOTION IS FILED
MOTION FOR DEFAULT FOR FAILURE TO APPEAR, JUDGMENT AND ORDER FOR WEEKLY PAYMENTS In the above entitled action, the Plaintiff(s) respectfully represent(s) that the Defendant(s) named above has (have) failed to file an appearance within two days after the return date. The Plaintiff(s) therefore request(s) that a default be entered against the Defendant(s) for failure to appear and that the Court enter judgment after default in favor of the Plaintiff(s) in accordance with the Affidavit of Debt attached. ("X" one of the following)
The Plaintiff(s) also request(s) that an order for
NAME OF PERSON SIGNING MOTION SIGNED
NOMINAL
ADDRESS
REASONABLE
$
weekly payments be entered.
X
PLAINTIFF ATTORNEY FOR PLAINTIFF(S)
DATE SIGNED
MILITARY SERVICE AFFIDAVIT
the undersigned is unable to determine whether or not the Defendant(s) in this action are in the military or naval service of the United States. no Defendant in this action is in the military or naval service of the United States, and that, to the personal knowledge of the undersigned (state facts showing defendant is not in such service):
The undersigned, being duly sworn, deposes and says that : ("X" one of the following)
SIGNED (Affiant)
PRINT NAME AND, IF APPLICABLE, TITLE, OF AFFIANT SIGNED (Comm. of Sup. Court/Notary)
DATE SIGNED DATE SIGNED
Subscribed and sworn to before me: PLAINTIFF'S BILL OF COSTS
Complaint Fee....................... Entry Fee............................... Sheriff's Fee........................... Proceedings Before Trial........
$ $ $ $ .... $
CERTIFICATION OF SERVICE This is to certify that copies of the above Motion, Miltary Service Affidavit, Affidavit of Debt, and Plaintiff's Bill of Costs were delivered/mailed via U.S. Mail, postage prepaid on (date): to the following Defendants: (Enter name(s) and address(es) of Defendant(s)).
TOTAL.............................. $
SIGNED DATE SIGNED
X
PLAINTIFF ATTORNEY FOR PLAINTIFF(S)
FOR COURT USE ONLY
PRINT
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