Form JD-HM-39 "Application for Judgment of Possession - Deceased Tenant/Occupant - Summary Process (Eviction)" - Connecticut

What Is Form JD-HM-39?

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 April 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-39 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-39 "Application for Judgment of Possession - Deceased Tenant/Occupant - Summary Process (Eviction)" - Connecticut

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APPLICATION FOR JUDGMENT OF POSSESSION -
STATE OF CONNECTICUT
DECEASED TENANT/OCCUPANT -
SUPERIOR COURT
SUMMARY PROCESS (EVICTION)
www.jud.ct.gov
JD-HM-39 Rev. 4-19
C.G.S. § 47a-11d
Instructions:
1. Type or print legibly
2. Attach probate court certificate.
Case Type
3. File completed application and probate court certificate with the clerk of the superior court.
H
03
Major
Minor
Judicial District
Address of court
Telephone number of clerk
Housing Session
Address of premises
Parties
Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA)
P-01
First Plaintiff
Name:
(Landlord)
Address:
P-02
Additional Plaintiff
Name:
(Landlord)
Address:
D-01
Defendant (Deceased
Name:
Tenant/Occupant)
Address:
O-01
Next of Kin/
Name:
Emergency Contact
Address:
O-02
Additional Next of Kin/
Name:
Emergency Contact
Address:
L-01
Probate
Name:
Court
Address:
Form JD-CV-2 attached for additional parties
Application for Judgment of Possession:
1. The plaintiff (landlord) and defendant (deceased tenant/occupant) agreed that the defendant (deceased tenant/occupant)
would lease (rent) on a monthly basis or for a term, the premises (rental property) named above.
2. The defendant (deceased tenant/occupant) was the sole occupant of the dwelling.
3. The right of the defendant (deceased tenant/occupant) to occupy the premises terminated upon his/her death.
4. The plaintiff (landlord) obtained from the probate court having jurisdiction over the premises a certificate indicating that the
landlord has complied with the notice and inventory and filing requirements contained in Section 47a-11d of the Connecticut
General Statutes.
5. The probate court certificate has been filed with this application.
6. Based on the above, the plaintiff (landlord) asks this court for judgment for immediate possession of the premises.
Print or type name and title of person signing
Date signed
Signed (Plaintiff(s)/landlord(s) or attorney)
u
For the plaintiff(s) enter the appearance of:
Name and address of attorney, law firm, or plaintiff(s) (number, street, town and zip code)
Telephone number
Juris Number
(If attorney or law firm)
Signature of plaintiff(s) or attorney
The attorney or law firm appearing for the plaintiff, or the plaintiff if self-represented, agrees to accept
Yes
No
papers (service) electronically in this case under Section 10-13 of the Connecticut Practice Book.
E-mail address for delivery of papers under Section 10-13 of the Connecticut Practice Book (if agreed to)
For Court Use Only
File Date
ADA 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.
Docket Number
Print Form
Reset Form
APPLICATION FOR JUDGMENT OF POSSESSION -
STATE OF CONNECTICUT
DECEASED TENANT/OCCUPANT -
SUPERIOR COURT
SUMMARY PROCESS (EVICTION)
www.jud.ct.gov
JD-HM-39 Rev. 4-19
C.G.S. § 47a-11d
Instructions:
1. Type or print legibly
2. Attach probate court certificate.
Case Type
3. File completed application and probate court certificate with the clerk of the superior court.
H
03
Major
Minor
Judicial District
Address of court
Telephone number of clerk
Housing Session
Address of premises
Parties
Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA)
P-01
First Plaintiff
Name:
(Landlord)
Address:
P-02
Additional Plaintiff
Name:
(Landlord)
Address:
D-01
Defendant (Deceased
Name:
Tenant/Occupant)
Address:
O-01
Next of Kin/
Name:
Emergency Contact
Address:
O-02
Additional Next of Kin/
Name:
Emergency Contact
Address:
L-01
Probate
Name:
Court
Address:
Form JD-CV-2 attached for additional parties
Application for Judgment of Possession:
1. The plaintiff (landlord) and defendant (deceased tenant/occupant) agreed that the defendant (deceased tenant/occupant)
would lease (rent) on a monthly basis or for a term, the premises (rental property) named above.
2. The defendant (deceased tenant/occupant) was the sole occupant of the dwelling.
3. The right of the defendant (deceased tenant/occupant) to occupy the premises terminated upon his/her death.
4. The plaintiff (landlord) obtained from the probate court having jurisdiction over the premises a certificate indicating that the
landlord has complied with the notice and inventory and filing requirements contained in Section 47a-11d of the Connecticut
General Statutes.
5. The probate court certificate has been filed with this application.
6. Based on the above, the plaintiff (landlord) asks this court for judgment for immediate possession of the premises.
Print or type name and title of person signing
Date signed
Signed (Plaintiff(s)/landlord(s) or attorney)
u
For the plaintiff(s) enter the appearance of:
Name and address of attorney, law firm, or plaintiff(s) (number, street, town and zip code)
Telephone number
Juris Number
(If attorney or law firm)
Signature of plaintiff(s) or attorney
The attorney or law firm appearing for the plaintiff, or the plaintiff if self-represented, agrees to accept
Yes
No
papers (service) electronically in this case under Section 10-13 of the Connecticut Practice Book.
E-mail address for delivery of papers under Section 10-13 of the Connecticut Practice Book (if agreed to)
For Court Use Only
File Date
ADA 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.
Docket Number
Print Form
Reset Form