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  • CV 041

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    This document is a withdrawal form used in Connecticut Superior Court. It allows a party to withdraw all or part of a case that is currently pending. The form has four sections: I) identifies the type of court-annexed or private alternative dispute resolution that led to the resolution and withdrawal, II) indicates whether the withdrawal is dispositive and removes all defendants or is partial and removes some pleadings or parties, III) requires certification that all parties were served a copy of the withdrawal, and IV) provides space for a signature and contact information.

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    This document is a withdrawal form used in Connecticut Superior Court. It allows a party to withdraw all or part of a case that is currently pending. The form has four sections: I) identifies the type of court-annexed or private alternative dispute resolution that led to the resolution and withdrawal, II) indicates whether the withdrawal is dispositive and removes all defendants or is partial and removes some pleadings or parties, III) requires certification that all parties were served a copy of the withdrawal, and IV) provides space for a signature and contact information.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    4 views1 page

    CV 041

    Uploaded by

    mfsadl
    This document is a withdrawal form used in Connecticut Superior Court. It allows a party to withdraw all or part of a case that is currently pending. The form has four sections: I) identifies the type of court-annexed or private alternative dispute resolution that led to the resolution and withdrawal, II) indicates whether the withdrawal is dispositive and removes all defendants or is partial and removes some pleadings or parties, III) requires certification that all parties were served a copy of the withdrawal, and IV) provides space for a signature and contact information.

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    of 1

    WITHDRAWAL

    JD-CV-41 Rev. 4-11

    STATE OF CONNECTICUT SUPERIOR COURT


    www.jud.ct.gov

    Docket number Return date

    Fill Out All Sections Below


    Name of case (First-named Plaintiff vs. First-named Defendant)

    Judicial District

    Housing Session

    Geographical Area number

    Address of court (Number, street, town and zip code)

    Section I
    411088 411090 411091 411093 411094 411095 411096

    (check only one box) This Withdrawal is being filed because the dispute has been resolved by: II. Court Intervention Pretrial Conference Trial Management Conference Commencement of Trial (court trial - first witness sworn; jury trial - trial jurors sworn) III. Private ADR
    411098 411099 411100 411102

    I. Court-Annexed ADR Early Intervention Attorney Trial Referee Fact-Finding Arbitration Mediation Special Masters Summary Jury Trial

    Provider Name: Discussion of Parties on Their Own Unilateral Action of Party(ies)

    IV. Other
    411103 415602

    Section II Withdrawal
    Dispositive
    (WDACT) (WOARD) (Do not check the following two boxes if any intervening complaints, cross complaints, counterclaims, or third party complaints remain pending in this case. See below for partial withdrawal of action.)

    The Plaintiff's action is WITHDRAWN AS TO ALL DEFENDANTS without costs to any party. A judgment has been rendered against the following Defendant(s):

    and the Plaintiff's action is WITHDRAWN AS TO ALL REMAINING DEFENDANTS without costs. Partial The following pleading(s), motion(s) or other paper(s) in the case named above is or are withdrawn: (WDCOMP) (WOAAP) Complaint Plaintiff(s):
    (WDCOUNT)

    *WDACT* *WORD*

    Counts of the complaint:


    (WOAAD)

    Complaint against defendant(s):

    (WDINTCO) (WDTHPC) (WAPPCOM) (WDCC) (WOC)

    Intervening Complaint Third Party Complaint Apportionment Complaint Cross Complaint (cross claim) Counterclaim ; By ; By ; By ; By Attorney Attorney Attorney Attorney
    Office Use Only

    only without costs


    (WOM)

    Motion: Other:

    Signature Required Plaintiff Plaintiff Defendant Defendant Name & Address of Signer:

    Section Ill Certification


    I certify that a copy was mailed or delivered to all counsel and self-represented parties of record on: Name of each party served*

    Signed (Individual Attorney or self-represented party) Date Address at which service was made* Telephone number (Area code first)

    * If necessary, attach additional sheet with names of each party served and the address at which service was made.

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