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`JD'CV'106 Rev. 5‘14
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`STQBiEEéCENSE‘Eii‘i“ mi,/
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`Return date
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`Docket number
`(1%)” H61!“Ir? “- 0 (”‘7 *
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`WWW.jUd.Ct.gOV
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`Nam‘J-fcas (Full=me ofPlaintiff)! Full name ofDIant), _
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`In response to each paragraph of the Complaint, please "X" whether you agree. disagree or do not know.
`1cm Agree
`1:] Disagree D Do Not Know
`5. |:] Agree m Disagree
`[3 Do Not Know
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`[:I Disagree
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`6. E] Agree mDisagree
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`7. [:1 Agree
`[:] Disagree
`[:I Do Not Know
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`[:1 Disagree E] Do Not Know
`8. E] Agree
`I] Do Not Know
`[:l Disagree
`(LE Agree
`Special Defenses" (Facts that Show the court that the plaintiff has no legal right to what the plaintiff has requested in this case. In
`your case, you must show the court evidence to prove these facts.)
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`*lf you need more space, continue on another sheet or sheets of paper and attach them to this Answer.
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`Defendant's Certifications
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`l certify thattfanswer is true to the best of my knowledge.
`Signed (DI d t‘ssiifiature)
`
`3
`Date signed
`2/
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`i also certify that a copy of thidocument was mailed or delivered electronically or non—electronically on (date)
`attorneys and self—represented parties of record and that written consent for electronic delivery was received from a att
`represented parties receiving electronic delivery.
`Name and address of each party and attorney that copy was mailed or delivered to"
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`*lf necessary, . a .Hition.heet ojheets with name and address which the copy was mailed or delivered to.
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`Tele one number
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`File Date
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