Preview
SUMMONS - CIVIL
JD-CV-4 Rev. 4-16
C.G:S. §§ 51-346, 61-347, 51-348, 61-350, 52-452,
52-48, 52-269, P'B. §§ 3-1 through 3-21, &-1, 10-13
See other side for instructions
Oo
x
costs is less than $2,500.
costs is $2,500 or more.
STATE OF CONNECTICUT 45
SUPERIOR COURT eye
www jud.ct.gov
“X" if amount, legal interest or property in demand, not including interest and
“X" if amount, legal interest or property in demand, not including interest and
Oo "X” if claiming other relief in addition to or in lieu of money or damages.
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.
‘Address of court clerk where wnt and other papers shall be fled (Number, street, town and zip code)
(C.G.S, §§ 51-346, 51-360)
Telephone number of clerk
(with area code)
Return Date (Must be a Tuesday)
4 201
1061 MAIN STREET, BRIDGEPORT, CT 06604 ( 203 879-6527 OCTOBER 4g 918
[x] Judicial District GA ‘At (Town in which vat is returnable) (C.G.S. §§ 61-346, 61-349) Case type code (See list on page 2)
Housing Session O Number: BRIDGEPORT Major: C Minor: 40
For the Plaintiff(s) please enter the appearance of:
Name and address of atlorney, law firm or plainliffif self-represanled (Number, sireet, iown and zip code)
GRADY & RILEY, LLP - 86 BUCKINGHAM STREET, WATERBURY, CT 06710
Juris number (lo be entered by altonnay only)
102536
Telephone number (with area code)
(203) 576-1131
Signature of Plalntitf (if self-represented)
The altorney of lave firm appearing for the plaintif, or the plainbff if
self-represented, agrees to accept papers (service) electronically in [_] Yes
this case under Section 10-43 of the Connecticut Practica Book.
Emil address for delivery of papers under Section 10-13 (iFagreed to)
No
Number of Plaintiffs: 4 Number of Defendants: 1
{_] Form JD-CV-2 attached for additional parties
Partles Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, If not USA)
First Name: AMERICA'S FIRST NETWORK CREDIT UNION F/K/A PERSONAL CARE AMERICA F.C.U. Pot
Plaintiff Address: 50 COMMERCE DRIVE, TRUMBULL, CT 06611
Additional Name: P-02
Plaintiff Address:
First Name: SANTOS, VICTOR D-01
Defendant | Address: 41 CANNON STREET, APT. #3R, BRIDGEPORT, CT 06604
Additional Name: D-02|
Defendant | Address:
Additional Name: D-03|
Defendant | Address:
‘Additional _ | Name: D-04
Defendant | Address:
Notice to Each Defendant
4. YOU ARE BEING SUED. This paper is a Summons in a fawsuil. The complaint aitached to {hese papers states the claims that each plaintiffis making
against you in this lawsuit.
2. To be notified of further proceedings, you or your attorney must file a form cailed an "Appearance" with the clerk of the above-named Court at the above
Court address on or before the second day after the above Return Date. The Return Date is not a hearing date, You do not have to come to court on the
Return Date unless you receive a separate notice telling you to come to court.
3, If you or your attorney do not file a written “Appearance” form on time, a judgment may be entered against you by default. The "Appearance" form may be
obtained at the Court address above or at wavwjud.ct.gov under "Court Forms."
4. If you believe that you have insurance that may cover the claim that Is being made against you in this lawsuit, you should Immediately contact your
insurance representative. Other action you may have to take is described in
library or on-line at vavwjud.ct.gov under “Court Rules."
the Connecticut Practice Book which may be found in a superior court law:
&. if you have questions about the Summons and Complaint, you should talk to an attorney quickly. The Clerk of Court is not allowed to give advice on
lega! questions. £
i i a Commissioner of tHe igning at Left Date si
‘Signed (Sign and *X* proper box) f Sonerior Court ‘Name of Person Signing at Le! jate signed
up Assistant Clerk ROBERT CG. LUBUS, JR. 09/41/2018
if this Summons is signed by a Cle! id For Court Use Only
a, The signing has been done so that tHe Plaintiff(s) will not be denied access to the courts. Fite Dale
b, It is the responsibility of the Plaintiff(s) to see that service is made in the manner provided by law.
c. The Clerk is not permitted to give any legal advice in connection with any lawsuit.
d. The Clerk signing this Summons at the request of the Plaintiffs) is not responsible in any way for any errors or omissions
in the Summons, any allegations contained in the Complaint, or the service of the Summons or Complaint.
Tcertify Ihave read and | Signed (SefRepresented Piainti Date Docket Number
understand the above:
(Page 1 of 2)Instructions
1. Type or print legibly; sign summons.
2. Prepare or photocopy a summons for each defendant.
3. Attach the original summons to the original complaint, and attach a copy of fhe summons to each copy of the complaint. Also, if there are
more than 2 plaintiffs or more than 4 defendants prepare form JD-CV-2 and attach it to the original and all copies of the complaint.
4. After service has been made by a proper officer, file original papers and officer's retum with the clerk of court.
5, Do not use this farm for the following actions:
(a) Family matters (for example divorce, child support,
custody, patemity, and visitation matters)
(b) Summary Process actions
(c) Applications for change of name
(d) Probate appeals
{e) Administrative appeals
() Proceedings pertaining to arbitration
(g) Any actions or proceedings in which an attachment,
gamishment or replevy is sought
(h) Entry and Detainer proceedings
(i) Housing Code Enforcement actions
ADA NOTICE
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,
Case Type Codes
Codes Codes .
Major Description] Major! Minor Description Major Description} Major! Minor Description
Minor Minor
Contracts €00 | Construction - Ail other Property POO | Foreclosure
c10 Construction - State and Local P40 Partition
20 | Insurance Policy P20 | Quiet Tive/Discharge of Mortgage or Lien
30 | Specific Performance P30 | Asset Forfeiture
C40 | Collections Peo | Allother
90 | Allother
Torts (Other than] 02 | Defective Premises - Private - Snow or Ice
Eminent Domain | £00 | State Highway Condemmation Vehicular} T03 | Defective Premises - Private - Other
E10 Redevelopment Condemnation TH Defective Premises - Public - Snow or Ice
£20 | Other State or Municipal Agencies 112 | Detective Premises - Public - Other
£30 | Public Uliities & Gas Trensmission Companies T20 | Products Liablity - Other than Vehicular
80 | Allother 128 | Malpractice - Medical
T29 | Malpractice - Legal
Miscellaneous M00 | Injunction T30 | Malpractice - All other
M10 | Receivership 140} Assault and Battery
M20 | Mandamus 50 | Defamation
M30 | Habeas Corpus (extradition, release from Penal Tet | Animals - Dog
Institution)
: Tes | Animals - Other
M40 | Arbitration T70 | False Arrest
M50 Declaratory Judgment TA Fire Damage
M63 Bar Discipline T30 Albother
M66 _| Department of Labor Unemployment Compensation
Enforcement DA
Mes | Bar Discipline - inactive Status Vehicular Torts vot Motor Wetiles ~ Driver andfor Passenger(s) vs.
70 | Municipal Ordinance and Regulation Enforcement v04 | Motor Vehiclas*- Pedestian vs. Driver
M80 _| Foreign Civil Judgments - C.G.S, 52-604 & C.G.S, 05 | Motor Vehicles* - Property Damage only
es eat laine Traneter to Regular Docket 06 | Motor Vehicte*- Products Liability Including Warranty
‘ V09 | Motor Vehicle’ - All other
M84 Foreign Protective Order
V10 | Boats
Mea | All other v20 Airplanes
Housing H40 | Housing - Return of Security Deposit 30 | Railroads
H42 | Housing - Rent and/or Damages v40 | Snowmobiles
H40 | Housing - Audita Querela/injunction veo | Allother
H50 | Housing - Administrative Appeat *Motor Vehicles include cars, trucks, motorcycles,
H60_ | Housing - Municipal Enforcement and motor scooters,
H90 | Housing - All Other
Wills, Estates
and Trusts
W410 | Construction of Wills and Trusts
wao | Allother
SD-CV-4 Rev. 4-16 (Back/Page 2)
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