Total
Attest (Name and title)
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
above usually live.
Name(s) of person(s) served
Address at which service was made
On (Date of service)
Fees
Signed (Landlord/Attorney)
NOTICE TO QUIT (END) POSSESSION
JD-HM-7 Rev. 3-12
C.G.S. § 47a-23
Return Of Service (To be completed by officer who serves (delivers) this notice)
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):
Endorsement
Service
Travel
Copy
If you have not moved out of the premises by the date indicated above, an eviction (summary process case) may be
started against you.
Instructions To Landlord
1. Fill out this notice and give it to a state marshal or any proper officer with enough copies
for each adult occupant and tenant you want to evict.
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
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.
NOTICE TO QUIT (END) POSSESSION
www.jud.ct.gov
To: Name(s) of renter/tenant(s) and occupant(s)
Address of premises, including apartment number, if any
Name of landlord (Print or type)
Dated at (Town)
Address of landlord (Submit to proper officer on a separate sheet if desired )
(Date)
On (Date)
ADA NOTICE
The Judicial Branch of the State of
Connecticut complies with the
Americans with Disabilities Act (ADA). If
you need a reasonable accommodation
in accordance with the ADA, contact a
court clerk or an ADA contact person
listed at www.jud.ct.gov/ADA.
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JD-HM-7: Notice to Quit Possession