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SUMMONS
CIVIL (except family actions) SUPERIOR COURT X ONE OF THE FOLLOWING
JD-CV-1 Amount, legal interest or pro-
GEN. STAT. 51-346, 51-347, 51-349, 51-350, 52,-45a perty in demand, exclusive of
52-48, 52-259 interest and costs is
PR. BK. 49, 63, 66 INSTRUCTIONS less than $2,500
$2,500 through $14,999.99
1. Prepare on typewriter: sign original summons (top sheet) and conform copies of the summons (sheets, 2, 3 and 4).$15,000 or more
2. If there are more than two defendants, prepare or photocopy conformed summons for each additional defendant.
3. (X if applicable)
Attach the original summons to the original complaint, and attach a copy of the summons to each copy of the complaint.
Also,
Claiming other relief in addi-
if there are more than 2 plaintiffs or 4 defendants prepare form JD-CV-2 and attach it to the original and all copies of the com-
plaint. tion to or in lieu of money
4. After service has been made by officer, file original papers and officers return with the clerk of the court. damages.
5. The party recognized to pay costs must appear personally before the authority taking the recognizance.
6. Do not use this form for actions in which an attachment, garnishment or replevy is being sought. See Practice Book Section 49
for other exceptions.
TO: Any proper officer; BY AUTHORITY OF THE STATE OF CONNECTICUT, you are hereby commanded to make due and legal service
of this Summons and attached Complaint.
JUDICIAL DISTRICT AT (Town in which writ is returnable)(Gen. Stat. 51-349)RETURN DATE (Mo., day, yr)
HOUSING
HOUSING SESSION
SESSION  G.A.G.A.
_______ Bridgeport 04/12/2022
ADDRESS OF CLERK OF COURT WHERE WRIT AND OTHER PAPERS SHALL BE FILED (GEN. STAT. 51-347, 51-350)(No., st., town & zip code)
CASE TYPE(From Judic. Dept. case type list-see back)
1061 Main Street, Bridgeport, CT, 06604 (203) 579-6527 Major T Minor 20
NOTE: Individual’s Names: NAME AND ADDRESS OF EACH PARTY PTY
PARTIES Last, First, Middle Initial (No., street, town & zip code) Form JD-CV-2 attached NO
t
FIRST NAMED Tomko, Thomas, 33 Bobby Lane, Manchester, CT 06040
PLAINTIFF 01
Additional Tomko, Deborah, 33 Bobby Lane, Manchester, CT 06040
Plaintiff 02
FIRST NAMED Union Carbide Corporation, individually as an as successor to Amchem and Benjamin Foster, CT
DEFENDANT Corporation System, One Corporate Center, Hartford, CT 06103 50
Additional Rogers Corporation, Secretary of State, 30 Trinity Street, Hartford, CT 06106-0470 and One Technology
Defendant Drive, Rogers, CT, 06263-0188 51
Additional Special Electric Company, Inc., c/o CT Corporation System, Registered Agent, 8025 Excelsior Drive,
Defendant Suite 200, Madison, WI 53717 52
Additional Metropolitan Life Insurance Company, Insurance Commissioner of CT, 153 Market Street, 11th Floor,
Defendant Hartford, CT 06103 53
NOTICE TO EACH DEFENDANT
1. You are being sued. 6. The Appearance form may be obtained at the above Court
2. This paper is a Summons in a lawsuit. address.
3. The Complaint attached to these papers states the claims that
each Plaintiff is making against you in this lawsuit. 7. If you believe that you have insurance that may cover the
4. To respond to this summons, or to be informed of further claim that is being made against you in this lawsuit, you
proceedings, you or your attorney must file a form called an should immediately take the Summons and Complaint to
Appearance with the Clerk of the above named Court at the your insurance representative.
above Court address on or before the second day after
the above Return Date. 8. If you have questions about the Summons and Complaint,
5. If you or your attorney do not file a written Appearance form you should consult an attorney promptly. The Clerk of Court is
on time, a judgment may be entered against you by default. not permitted to give advice on legal questions.
DATE SIGNED Commissioner of Superior Court TYPE IN NAME OF PERSON SIGNING AT LEFT
03/21/2022 s/417342 Assistant Clerk Christopher Meisenkothen
FOR THE PLAINTIFF(S) ENTER THE APPEARANCE OF:
NAME AND ADDRESS OF ATTORNEY, LAW FIRM, OR PLAINTIFF IF PRO SE (No., street, town & zip code)
TELEPHONE NO. JURIS NO. (If atty. or law firm)
Early, Lucarelli, Sweeney & Meisenkothen, LLC 203-777-7799 409080
265 Church Street, 11th Floor, New Haven, CT 06510
NAME AND ADDRESS OF PERSON RECOGNIZED TO PROSECUTE IN THE AMOUNT OF $250 (No., street, town & zip code) SIGNATURE OF PLAINTIFF IF PRO SE
Alphonse Ippolito, Esq., 388 Orange St., New Haven, CT, 06511
NO. PLFS. NO. DEFS. NO. CNTS. SIGNED (Official taking recognizance, x proper box Commissioner of Superior For Court Use Only
Court FILE DATE
2 8 5 s/417342 Assistant Clerk
IF THIS SUMMONS IS SIGNED by a CLERK:
a. The signing has been done so that the Plain- advice in connection with any lawsuit
tiff(s) will not be denied access to the courts.
b. It is the responsibility of the Plaintiff(s) to d. The Clerk signing this Summons at the re-
see that service is made in the manner pro- quest of the Plaintiff(s) is not responsible
vided by law. in any way for any errors or omissions in
c. The Clerk is not permitted to give any legal the Complaint, or the service thereof.
I hereby certify I have read SIGNED (Pro se plaintiff) DATE SIGNED DOCKET NO.
and understand the above.
SUMMONS, Civil
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SUMMONS CIVIL (except family actions) SUPERIOR COURT X ONE OF THE FOLLOWING JD-CV-1 Amount, legal interest or pro- GEN. STAT. 51-346, 51-347, 51-349, 51-350, 52,-45a perty in demand, exclusive of 52-48, 52-259 interest and costs is PR. BK. 49, 63, 66 INSTRUCTIONS less than $2,500 $2,500 through $14,999.99 1. Prepare on typewriter: sign original summons (top sheet) and conform copies of the summons (sheets, 2, 3 and 4).$15,000 or more 2. If there are more than two defendants, prepare or photocopy conformed summons for each additional defendant. 3. (X if applicable) Attach the original summons to the original complaint, and attach a copy of the summons to each copy of the complaint. Also, Claiming other relief in addi- if there are more than 2 plaintiffs or 4 defendants prepare form JD-CV-2 and attach it to the original and all copies of the com- plaint. tion to or in lieu of money 4. After service has been made by officer, file original papers and officers return with the clerk of the court. damages. 5. The party recognized to pay costs must appear personally before the authority taking the recognizance. 6. Do not use this form for actions in which an attachment, garnishment or replevy is being sought. See Practice Book Section 49 for other exceptions. TO: Any proper officer; BY AUTHORITY OF THE STATE OF CONNECTICUT, you are hereby commanded to make due and legal service of this Summons and attached Complaint. JUDICIAL DISTRICT AT (Town in which writ is returnable)(Gen. Stat. 51-349)RETURN DATE (Mo., day, yr) HOUSING HOUSING SESSION SESSION  G.A.G.A. _______ Bridgeport 04/12/2022 ADDRESS OF CLERK OF COURT WHERE WRIT AND OTHER PAPERS SHALL BE FILED (GEN. STAT. 51-347, 51-350)(No., st., town & zip code) CASE TYPE(From Judic. Dept. case type list-see back) 1061 Main Street, Bridgeport, CT, 06604 (203) 579-6527 Major T Minor 20 NOTE: Individual’s Names: NAME AND ADDRESS OF EACH PARTY PTY PARTIES Last, First, Middle Initial (No., street, town & zip code) Form JD-CV-2 attached NO t FIRST NAMED Tomko, Thomas, 33 Bobby Lane, Manchester, CT 06040 PLAINTIFF 01 Additional Tomko, Deborah, 33 Bobby Lane, Manchester, CT 06040 Plaintiff 02 FIRST NAMED Union Carbide Corporation, individually as an as successor to Amchem and Benjamin Foster, CT DEFENDANT Corporation System, One Corporate Center, Hartford, CT 06103 50 Additional Rogers Corporation, Secretary of State, 30 Trinity Street, Hartford, CT 06106-0470 and One Technology Defendant Drive, Rogers, CT, 06263-0188 51 Additional Special Electric Company, Inc., c/o CT Corporation System, Registered Agent, 8025 Excelsior Drive, Defendant Suite 200, Madison, WI 53717 52 Additional Metropolitan Life Insurance Company, Insurance Commissioner of CT, 153 Market Street, 11th Floor, Defendant Hartford, CT 06103 53 NOTICE TO EACH DEFENDANT 1. You are being sued. 6. The Appearance form may be obtained at the above Court 2. This paper is a Summons in a lawsuit. address. 3. The Complaint attached to these papers states the claims that each Plaintiff is making against you in this lawsuit. 7. If you believe that you have insurance that may cover the 4. To respond to this summons, or to be informed of further claim that is being made against you in this lawsuit, you proceedings, you or your attorney must file a form called an should immediately take the Summons and Complaint to Appearance with the Clerk of the above named Court at the your insurance representative. above Court address on or before the second day after the above Return Date. 8. If you have questions about the Summons and Complaint, 5. If you or your attorney do not file a written Appearance form you should consult an attorney promptly. The Clerk of Court is on time, a judgment may be entered against you by default. not permitted to give advice on legal questions. DATE SIGNED Commissioner of Superior Court TYPE IN NAME OF PERSON SIGNING AT LEFT 03/21/2022 s/417342 Assistant Clerk Christopher Meisenkothen FOR THE PLAINTIFF(S) ENTER THE APPEARANCE OF: NAME AND ADDRESS OF ATTORNEY, LAW FIRM, OR PLAINTIFF IF PRO SE (No., street, town & zip code) TELEPHONE NO. JURIS NO. (If atty. or law firm) Early, Lucarelli, Sweeney & Meisenkothen, LLC 203-777-7799 409080 265 Church Street, 11th Floor, New Haven, CT 06510 NAME AND ADDRESS OF PERSON RECOGNIZED TO PROSECUTE IN THE AMOUNT OF $250 (No., street, town & zip code) SIGNATURE OF PLAINTIFF IF PRO SE Alphonse Ippolito, Esq., 388 Orange St., New Haven, CT, 06511 NO. PLFS. NO. DEFS. NO. CNTS. SIGNED (Official taking recognizance, x proper box Commissioner of Superior For Court Use Only Court FILE DATE 2 8 5 s/417342 Assistant Clerk IF THIS SUMMONS IS SIGNED by a CLERK: a. The signing has been done so that the Plain- advice in connection with any lawsuit tiff(s) will not be denied access to the courts. b. It is the responsibility of the Plaintiff(s) to d. The Clerk signing this Summons at the re- see that service is made in the manner pro- quest of the Plaintiff(s) is not responsible vided by law. in any way for any errors or omissions in c. The Clerk is not permitted to give any legal the Complaint, or the service thereof. I hereby certify I have read SIGNED (Pro se plaintiff) DATE SIGNED DOCKET NO. and understand the above. SUMMONS, Civil