DEFENDANT'S AFFIDAVIT AND OBJECTION TO EXECUTION
JD-HM-26 Rev. 10-08 P.B. ยง 17-53
STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov
Housing Session at: Geographical Area Number
Docket Number
Judicial District of:
Address of Court Name(s) of Plaintiff(s) [Landlord(s)]
Name(s) of Defendant(s) [Tenant(s)]
The undersigned duly deposes and says that I am the defendant or defendant's attorney in the above-entitled matter and state as follows: 1. I am over the age of eighteen years and I believe in the obligation of an oath. 2. I object to the issuance of an execution in this case for the following reason(s): (X all that apply) A. The Use and Occupancy Arrearage payment of $ Arrearage payment of $ was made on or before was offered on .
B. The Use and Occupancy and was refused.
C. The Landlord has not fulfilled his or her obligations agreed to in the stipulation (Please explain):
D. I was prevented from fulfilling my obligations under the stipulation:
E. Other (Please explain):
3. I am, therefore, requesting that a court hearing be scheduled in this matter.
Signed (Defendant/Defendant's Attorney) Subscribed and Sworn to Before Me On (Date) Signed (Clerk/Assistant Clerk)
Certification
I hereby certify that a copy of this affidavit was mailed or delivered to all counsel and self-represented parties of record on:
Signed (Attorney or self-represented party) Date Copy or Copies Mailed or Delivered Address (Number, street, town, and zip code)
Name of Each Party Served and Address at Which Service Was Made (Attach additional sheet if necessary)
Order (to be completed by Clerk's Office)
Objection Date
FOR COURT USE ONLY
File Date
Sustained
By Order of the Court
Overruled
Date
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DEFENDANT'S AFFIDAVIT AND OBJECTION TO EXECUTION