`C'V'L CASES ONLY
`JD'CV'1 06 Rev. 5'14
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`STATE OF CONNECTICUT
`SUPERIOR COURT
`WWWjud. Ct.gov
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`_ Rem" ‘i'a‘e ‘
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`Docket number
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`___.__I_I___________________ all I
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`Name of i- If”.
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`Number at:
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`__Answer
`In response to each paragraph of the Complaint, please "X" whether you agree, disagree or do not know.
`. 1. mAgree
`1:] Disagree
`E] Do Not Know
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`5. [3 Agree
`ZXDisagree E] ,Do Not Know
`2. MAgree -
`[:1 Disagree
`[3 Do Not Know
`6. El Agree
`E] Disagree E] Do-Not‘Know
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`3. [3 Agree
`. MDisagree
`[3 Do Not Know
`7. [:1 Agree
`E] Disagree [3 Do Not Know
`4. E] Agree
`[MDisagree
`I: Do Not Know .
`8. [:1 Agree
`E] Disagree
`1:] Do Not Know
`. Special Defenses (Facts that show the court that the plaintiff has no legal right to what the plaintiff has quueStedIn this case. In
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`1 also certify that a copy of thIs doc
`ent was mailed or delivered electronically or non--electronically 0 (date)
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`attorneysand self-represented parties of record and that written consent for electronic delivery was received fro
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`For Court Use Only
`File Date
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`Telephon number
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`550 255é/5’é0
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`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.
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