Free WITHDRAWAL, SMALL CLAIMS AND HOUSING MATTERS - Connecticut

WITHDRAWAL
SMALL CLAIMS AND HOUSING MATTERS
JD-CV-70 New 11-01

STATE OF CONNECTICUT SUPERIOR COURT
www jud.ct.gov

DOCKET NO. RETURN DATE ANSWER DATE

NAME OF CASE (FIRST-NAMED PLAINTIFF VS. FIRST- NAMED DEFENDANT)

Judicial District at:
("X'" ALL THAT APPLY)

Housing Session at:

G.A. No.

Small Claims at:

The Plaintiff's action is WITHDRAWN AS TO ALL DEFENDANTS without costs to any party. The Plaintiff's action is WITHDRAWN AS TO DEFENDANT(S) without costs. The: COMPLAINT COUNTERCLAIM CROSS COMPLAINT
ONLY,

in the above-entitled action is hereby WITHDRAWN.
SIGNED (Plaintiff/Plaintiff's Attorney)

SIGNATURE REQUIRED

X
SIGNED (Defendant/Defendant's Attorney)

X
NAME, ADDRESS AND TELEPHONE NUMBER OF PERSON SIGNING ABOVE

CERTIFICATION
I hereby certify that a copy was mailed/delivered to all counsel and pro se parties of record on:
NAME OF EACH PARTY SERVED * DATE SIGNED (Individual attorney or pro se party)

X
ADDRESS AT WHICH SERVICE WAS MADE*

* If necessary, attach additional sheet with names of each party served and the address at which service was made.

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WITHDRAWAL - SMALL CLAIMS AND HOUSING MATTERS
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