On March 14, 2023 a
Party Notice
was filed
involving a dispute between
Homestead Fuel Inc,
and
Alex R Macomber,
Victoria M Macomber,
for S25 - Small Claims - Small Claims - Contract - Other
in the District Court of Tolland County.
Preview
STATE OF CONNECTICUT
RIT 7 5
AND NOTICE OF SUIT This form is available SUPERIOR COURT
JD-CV-40 Rev. 7-22 in other language(s). SMALL CLAIMS SESSION
C.G.S. §§ 51-15, 51-345(9) www,jud.ct.gov
518833
7.) Address of Court ~ 2.) Case type code (See list on reverse page 1)
J.D. AT TOLLAND, 69 Brooklyn Street, Rockville, CT O6066 Ss 25
“3,) Is this claim between a landlord and atenant? __| 4.) If "Yes" to question #3, the rental property is located in the following town:
(Select one) [7] Yes hs
Parties Name (Last, First, Middle Initial) and Address of Each Party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA)
5.) First Name: HOMESTEAD FUEL, INC. (Select one) [] LLC [[] Partnership |, 5,
plaintiff Address: 100 WEST ROAD, UNIT 2, ELLINGTON, CT 06029 (J individual [] DBA ‘Corporation |"
Telephone: | E-mail:
6.) Name, address, and zip code of Attorney for plaintiff(s) ‘Attorney's Juris Number | Telephone number (w/area code)
William G. Reveley & Associates, LLC 423840
P.O. Box 657, Vernon, CT 06066
Name: ALEX R MACOMBER
7.) First ° (Select one) [] LLC (_] Partnership
defendant |_ Address: 18 ARNOLD DR, TOLLAND, CT 06084 Indviaual FF] DBA E] Corporation 21
Telephone: | E-mail:
ro more than 1 plaintiff/defendant, attach Continuation of Parties (form JD-CV-67) and select this box.
8.) If this claim is a consumer debt, which is a debt or obligation made primarily for personal, family, or household reasons, explain why you
believe the statute of limitations has not expired.
Date of the debt was 3/15/2022
9.) In the last 6 months, how did you verify that the address given for defendant(s) is accurate?
Select all boxes that apply and provide the dates verified.
[_] | checked town or city records (for example, checking a street list or tax records) on: (date)
Oo | checked with the Department of Motor Vehicles on: (date)
[] | received correspondence (letters or other mail) from the defendant with that return address on: (date)
oO | received other proof from the defendant that the address is current (describe details below)
[4 At least 4 weeks before this action was filed, | sent a letter by first class mal to the defendant at the address used and it has not
2
been returned to me by the United States Postal Service as of: 2/12/20: (date)
70.) Amount claimed” Plus Costs [X] Plus pre-judgment interest** “*You MUST explain how much you
$432.23 ( Plus double damages for security deposit withheld’* want for each item in section 11 below.
“The Amount claimed cannot exceed $5,000 or $15,000 for a home improvement contract case (S20).
“If you are claiming pre-judgment interest or double damages for security deposit withholding, select the box(es). Do not include these
amounts in box 10.
To defendant(s)
11.) You are being sued. The plaintiff(s) claims you owe this money for the following reasons:
Balance due Plaintiff is $432.23 per Plaintiff's affidavit attached hereto. Per C.G.S. §37-3a, interest of $38.60 is requested
computed at 10% per annum fro! Pes haag to the date hereof on the principal balance of $432.23. There is a total due to
Plaintiff from Defendant(s) of, ae claimed interest . Postjudgment interest per C.G.S. Sec. 52-356-d(e) is
requested
The person signin,
to the best pf his,
12) Signed
ay ‘sworn, states that he or she has read the claim above and the information contained in this form and,
ry ig ige, yes and belief, there is good ground to support the claim and the information is true.
Subscribed'ng 7 VDate
sworn to before me on February 12, 2. doz
— — ADA No TaBtanna trite Mhy C Comin. expires: 0873 1/2026
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 Docket Number
ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA.
PrintForm 1 Reset Form
‘Type in name of person signing at left and title, f applicable | For Court Use Only (Date/Stamp)
Document Filed Date
March 14, 2023
Case Filing Date
March 14, 2023
Category
S25 - Small Claims - Small Claims - Contract - Other
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