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Fill and Sign the Affidavit of Debt Re Motion for Default for Failure to Appear Form

Fill and Sign the Affidavit of Debt Re Motion for Default for Failure to Appear Form

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AFFIDAVIT OF DEBT RE: MOTION FOR DEFAULTFOR FAILURE TO APPEAR,JUDGMENT AND ORDER FORWEEKLY PAYMENTS JD-CV-52 Rev. 5-99 P.B. §17-25 NAME OF CASE (Plaintiff v. Defendant) TO: The Superior Court JUDICIAL DISTRICT HOUSING SESSION COURT ADDRESS OF COURT (No., street, town, and zip code) SIGNED (Affiant) RETURN DATE NAME(S) OF (ALL) DEFENDANT(S) AGAINST WHOM MOTION IS FILED AFFIDAVIT OF DEBT Subscribed and sworn to before me: SIGNED (Comm. of Sup. Court/Notary) DATE SIGNED The undersigned deposes and says that (s)he is the 1. Complete this affidavit and send original with your completed Motion for Default to Appear, Judgment and Order for Weekly Payments (JD-CV-49) and Notice of Judgment and Order of Payments (JD-CV-50) to the Clerk's Office. 2. Attach a copy of the contract, lease or other document, if applicable, to the completed affidavit. 3. If interest is being claimed, the period covered and the rate claimed must be stated. 4. If claiming attorney's fees, a copy of the agreement must be attached. 5. Send one copy of the completed Affidavit and Motion to each defendant. INSTRUCTIONS STATE OF CONNECTICUT SUPERIOR COURT Plaintiff or (title) of the Plaintiff and is familiar with the facts stated below. The Defendant(s) is/are indebted to the Plaintiff(s) as follows: Continuation of this affidavit of debt is attached and made a part hereof. G.A. NO. AH COURT USE ONLY * A H * PRINT NAME OF AFFIANT DOCKET NO.

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