Form JD-HM-3 "Claim of Exemption - Order Summary Process (Eviction)" - Connecticut

What Is Form JD-HM-3?

This is a legal form that was released by the Connecticut Superior Court - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2019;
  • The latest edition provided by the Connecticut Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JD-HM-3 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-HM-3 "Claim of Exemption - Order Summary Process (Eviction)" - Connecticut

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CLAIM OF EXEMPTION - ORDER
STATE OF CONNECTICUT
SUMMARY PROCESS (EVICTION)
SUPERIOR COURT
JD-HM-3 Rev. 3-19
www.jud.ct.gov
C.G.S. § 47a-26h
ADA NOTICE
The Judicial Branch of the State of Connecticut
complies with the Americans with Disabilities Act
Instructions to occupant
(ADA). If you need a reasonable accommodation in
1. Complete Sections I and III of this form.
accordance with the ADA, contact a court clerk or an
2. File the original and your Appearance (form JD-CL-12) with the clerk.
ADA contact person listed at www.jud.ct.gov/ADA.
3. The clerk will schedule a hearing date.
Section I - Claim of Exemption
(To be completed by occupant)
Name of case (eviction (summary process) action)
Docket number
Address of court
Name of occupant(s)
Location of premises
Date of judgment (if applicable)
I am an occupant of the premises in the case named above. I am over the age of eighteen (18) and I believe in the obligation
of an oath. I have not been named in this eviction (summary process) action. I have a right to continue to occupy the
premises because: ("X" all that apply)
a. my occupancy began before the service of the notice to quit;
b. my occupancy began or continued with the consent of the plaintiff (landlord);
c. I have a right to occupy the premises that is equal to or greater than the rights of the plaintiff (landlord).
I claim an exemption from the eviction (summary process) action named above.
Date
Signed (Occupant)
Subscribed and sworn
Signed (Assistant Clerk/Commission of Superior Court)
to before me on:
Section II - Notice to Parties
The occupant(s) named above has/have filed a claim of exemption from the eviction (summary process) action named above.
This is to notify you that the court will hold a hearing on this claim within seven (7) days after it was filed with the court.
You will receive a separate notice of the date and time of this hearing. If you wish to be heard about this claim, you or your
attorney must come to court on the date and time scheduled by the court.
If the plaintiff (landlord) does not come to court, an order granting the claim may be entered, and the plaintiff (landlord) may
have to file additional papers with the court before a judgment of possession may enter.
If the occupant(s) does/do not come to court, an order denying this claim may be entered.
Section III - Certification
I certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on
(date)
to all attorneys and self-represented parties of record and that written consent for electronic delivery was
received from all attorneys and self-represented parties of record who received or will immediately be receiving electronic delivery.
Name and address of each party and attorney that copy was or will be mailed or delivered to*
*If necessary, attach additional sheet or sheets with name and address which the copy was or will be mailed or delivered to.
Print or type name of person signing
Date signed
Signed (Signature of filer/Connecticut Attorney)
u
Mailing address (Number, street, town, state and zip code)
Telephone number
Print Form
Reset Form
CLAIM OF EXEMPTION - ORDER
STATE OF CONNECTICUT
SUMMARY PROCESS (EVICTION)
SUPERIOR COURT
JD-HM-3 Rev. 3-19
www.jud.ct.gov
C.G.S. § 47a-26h
ADA NOTICE
The Judicial Branch of the State of Connecticut
complies with the Americans with Disabilities Act
Instructions to occupant
(ADA). If you need a reasonable accommodation in
1. Complete Sections I and III of this form.
accordance with the ADA, contact a court clerk or an
2. File the original and your Appearance (form JD-CL-12) with the clerk.
ADA contact person listed at www.jud.ct.gov/ADA.
3. The clerk will schedule a hearing date.
Section I - Claim of Exemption
(To be completed by occupant)
Name of case (eviction (summary process) action)
Docket number
Address of court
Name of occupant(s)
Location of premises
Date of judgment (if applicable)
I am an occupant of the premises in the case named above. I am over the age of eighteen (18) and I believe in the obligation
of an oath. I have not been named in this eviction (summary process) action. I have a right to continue to occupy the
premises because: ("X" all that apply)
a. my occupancy began before the service of the notice to quit;
b. my occupancy began or continued with the consent of the plaintiff (landlord);
c. I have a right to occupy the premises that is equal to or greater than the rights of the plaintiff (landlord).
I claim an exemption from the eviction (summary process) action named above.
Date
Signed (Occupant)
Subscribed and sworn
Signed (Assistant Clerk/Commission of Superior Court)
to before me on:
Section II - Notice to Parties
The occupant(s) named above has/have filed a claim of exemption from the eviction (summary process) action named above.
This is to notify you that the court will hold a hearing on this claim within seven (7) days after it was filed with the court.
You will receive a separate notice of the date and time of this hearing. If you wish to be heard about this claim, you or your
attorney must come to court on the date and time scheduled by the court.
If the plaintiff (landlord) does not come to court, an order granting the claim may be entered, and the plaintiff (landlord) may
have to file additional papers with the court before a judgment of possession may enter.
If the occupant(s) does/do not come to court, an order denying this claim may be entered.
Section III - Certification
I certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on
(date)
to all attorneys and self-represented parties of record and that written consent for electronic delivery was
received from all attorneys and self-represented parties of record who received or will immediately be receiving electronic delivery.
Name and address of each party and attorney that copy was or will be mailed or delivered to*
*If necessary, attach additional sheet or sheets with name and address which the copy was or will be mailed or delivered to.
Print or type name of person signing
Date signed
Signed (Signature of filer/Connecticut Attorney)
u
Mailing address (Number, street, town, state and zip code)
Telephone number
Print Form
Reset Form