Form UJPERS-1-1.1 at a glance
What it is: JUDGMENT LIEN CERTIFICATE, FORM UJPERS-1-1.1, of the Secretary of the State of Connecticut.
Who signs: The judgment creditor signs in 10. Judgment creditor signature and enters the 11. Date.
A filled-in Form UJPERS-1-1.1 example: a filing against one individual debtor
How to fill out Form UJPERS-1-1.1, box by box
Filing fee and filing party
The FILING FEE is $50; make checks payable to "SECRETARY OF THE STATE" (checked November 8, 2026).
Under FILING PARTY, enter the CUSTOMER ID, NAME, ADDRESS, CITY, STATE, ZIP and EMAIL; confirmation will be sent to the address in FILING PARTY.
Judgment debtors full legal name and mailing address
In 1. Judgment debtors full legal name, enter 1A. Organization's name or 1B. Individual's surname, first personal name, middle and suffix.
In 1C. Mailing address, enter the address, city, state, zip and country.
Additional judgment debtors full legal name and mailing address
For 2. Additional judgment debtors full legal name, use 2A. Organization's name or 2B. Individual's name.
Enter the 2C. Mailing address, state, zip and country.
Judgment creditors full legal name and mailing address
For 3. Judgment creditors full legal name, use 3A. Organization's name or 3B. Individual's name.
Enter the 3C. Mailing address.
Additional judgment creditors full legal name and mailing address
For 4. Additional judgment creditors full legal name, use 4A. Organization's name or 4B. Individual's name.
Enter the 4C. Mailing address.
The judgment and the lien
Enter the COURT IN WHICH JUDGMENT WAS RENDERED.
Enter the DATE OF JUDGMENT.
Enter the ORIGINAL JUDGMENT AMOUNT and the AMOUNT DUE.
Enter the PERSONAL PROPERTY ON WHICH LIEN IS PLACED.
Judgment creditor signature and date
The judgment creditor signs in 10. Judgment creditor signature and enters the 11. Date.
More rules for Form UJPERS-1-1.1
Use ink. Complete all sections. Print or type. Attach 81/2 X 11 sheets if necessary.
Sources
[1] Form UJPERS-1-1.1 (Rev. 7/2013), Judgment Lien Certificate, Secretary of the State of Connecticut (the Official source link on this page).