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Ct Time Period Latest 2018-2023
Section 46b-67(a) of the Connecticut
General Statutes, complete this form, have your oath taken, and file it with the court for consideration.
Judicial District of
For Court Use only
WAIVE90
*WAIVE90*
Docket number
At (Town)
Name of Plaintiff (Last, First, Middle Initial)
Name of Defendant (Last, First, Middle Initial)
Address of Plaintiff (Number, street, town, state, and zip code)
Address of Defendant (Number, street, town, state, and zip code)
Phone number of Plaintiff
Phone number...
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