Party Notice: DISCOVER BANK v. JIMENEZ, JEANETTE

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                                SMALL CLAIMS WRIT CONNECTICUT SUPERIOR COURT

AND NOTICE OF SUIT SMALL CLAIMS SESSION
JD-CV-40_ Rev. 12-17
C.G.S. §§ 51-15, 51-345(g)

Type or print legibly. This Writ and Notice of Suit must be served on (delivered to) the defendant(s)
before filing & with the court. See instructions to Plaintiff on reverse.

For Court Use Only
Do Not Write In This Space
Barcode Label Only

1.) Location information that will determine where the trial will be:

2.) Case type code (See list on reverse page 1)
Defendant's Residence

Major: S Minor: 00

3.) Is this a claim between a landlord and a tenant (renter)? ("" one) | 4.) Ifyou answered "yes" to question #3, state the town where the rental premises is
Ol Yes [] No located:

Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, If not USA)

Name: piscover Bank (“Issuer”) (x"One) — [[] Lic Partnership
Address: /o Discover Products Inc 6500 New Albany Road East New Albany, OH 43054 Individual [-] DBA [7] Corporation P01
Telephone:

6.) Name, address and zip code of Attorney for Plaintiff(s) Attomey’s Juris number | Telephone number (w/area code)
SCHREIBER/COHEN, LLC, 53 STILES RD., A-102 434988 603-870-5333
SALEM, NH, 03079

i Name: jeqneTve JIMENEZ ("X" One) tLe Partnershij
7.) First Addie P 5.04
Defendant IeSS: 80 PARADISE CT STRATFORD, CT 06614-3253 Individual [] DBA F] Corporation |?"
Telephone:

For more than 1 plaintiffidefendant, attach Continuation of Parties (form JD-CV-67) and "x" box. [_]

8.) If this claim is a consumer debt, which is a debt or obligation made primarily for personal, family or household reasons, give the reasons why you believe
that the statute of limitations has not expired.

DEFENDANT'S LAST PAYMENT TOWARDS THE ACCOUNT ISSUED OCCURRED ON 03/27/2018, WHICH IS WITHIN THE APPLICABLE STATUTE OF LIMITATIONS
PERIOD.

9.) How did you check in the last 6 months that the address given for defendant(s) is accurate?
"X" all boxes that apply and provide the dates that the address was checked.

[1] I checked town or city records (for example, checking a street list or tax records); (date checked)
oO | checked with the Department of Motor Vehicles; (date checked)

I received correspondence (letters or other mail) from the defendant with that return address; (date checked)
[_] | received other proof from the defendant that the address is current;

(description of
(eg abte checked)

Xl I mailed by first class mail, at least 4 weeks before this smail claims action was filed, a letter to the defendant at the

address used and the letter has not been returned to me by the United States Postal Service. 01/17/2019 (oS ate crete

mount claimed” Plas Coat (0 “Plus pre-judgment interest
$2091.01 lus Costs 7) «Pius double damages for security deposit withheld si vou, check one or more boxes,

“The Amount Claimed may not be more than $5,000. MUST explain how much you | Walt for
Do not include amounts for pre-judgment interest or doubling the security deposit in box 10.

To Defendant(s):

11.) Youare boing sued. The Plaintiffs) claims you owe the above amount plus costs and pre-ludgment interest and/or double damages for a withheld
security deposit (if checked) for the following reasons:
Plaintiff issued defendant a credit card/revolving line of credit (“Account”) and upon use of that card, defendant became obligated to make timely
payments. Defendant stopped making payments and is in default. Plaintiff is entitled to recover its damages incurred as a result of defendant's use of the
Account. Plaintiff seeks judgment in the amount alleged together with its costs and post judgment interest in accordance with CT Gen.Stat.Sec.37-3a.
Plaintiff requests that the Court further order a nominal payment order commencing three (3) weeks from the date of the judgment. Defendant is also not in
the military services. (See all documents attached).

The person signing below, being duly sworn, states that he or she has read the claim above and the information contained in this form and, to the best of his
or her kn , Information and belief, there is good ground to support the claim and the information is irue.
i ing at Rs a Title, applicable] For ¢
12.) Signel A __typein = Sang TTR ard He. SpplRae S| Fa Goer Use Only (Dato/Stamp)
J > ic Se vnires Octobfr 17, 202
‘Sub sorlbeg’and sworn to before me on (Date) Signed (Clerk, Notary, Conmisoperc! Superior Court)
~a4e [q Heather Q. Wallace, Esq. ZA Jeffrey A. Schreiber, Esq.

ADANotice: 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.

Distribution: Original - Court Copy 1 - Defendant ‘Copy 2 = Defendant Copy 3 - Plaintiff

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