You must quit (end) possession or occupancy of the premises described above and now occupied by you
on or before (date) for the following reason(s) (specify):
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
NOTICE TO QUIT (END) POSSESSION
JD-HM-7 Rev. 4-19
C.G.S. § 47a-23
Return of Service (To be completed by officer who serves (delivers) this notice)
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:
1. Complete this notice. Make sure that the person signing this notice is the owner or lessor, or
the owner's or lessor's legal representative, or the owner's or lessor's attorney-at-law or in-fact.
2. Give the completed notice to a state marshal or any proper officer with enough copies for each
adult occupant and tenant you want to evict.
3. 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.
To: Name(s) of tenant(s) and occupant(s)
Address of premises, including apartment number, if any
Name and title of person signing (Print or type)
Name of landlord
Address of person signing (Submit to proper officer on a separate sheet if desired )
Date signed
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.
STATE OF CONNECTICUT
SUPERIOR COURT
www.jud.ct.gov
Dated at (Town)
