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Connecticut 96 Form 2013
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.
Name of Case (Plaintiff v. Defendant)
Docket Number
Judicial District of
Return Date
I. Motion for Permission to file a Foreclosure Mediation Certificate or Request
later than 15 days after the return date:
PPMP
*PPMP*
I request...
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