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SUMMONS - CIVIL For information on STATE OF CONNECTICUT,
JD-CV-1 Rev. 2-22 ADA accommodations, SUPERIOR COURT [3
C.G.S. §§ 61-346, 51-347, 51-349, 61-360, 52-45a, 52-48, 52-259; contact a court clerk or
P.B. §§ 3-1 through 3-21, 8-4, 10-13, go to: www.jud.ct.gov/ADA. www,jud.ct.gov
Instructions are on page 2.
oO Select if amount, legal interest, or property in demand, not including interest and costs, is LESS than $2,500.
Oo Select if amount, legal interest, or property in demand, not including interest and costs, is $2,500 or MORE.
Ix] Select if claiming other relief in addition to, or in place 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.
Ay
‘Address of court clerk (Number, street, town and zip code) ‘Telephone number of clerk Return Date Must Be a Tuesday)
7 -720° ar
123 Hoyt Street Stamford, CT (203 )965 -5308 LL
Judicial District GA. ‘At (City/Town) Case type code (See list on page 2) /
[J Housing Session (0 Number: STAMFORD AT STAMFORD Major: v Minor: 04
For the plaintiff(s) enter the appearance of:
Name and address of attorney, law firm or plaintiff if self-represented (Number, street, town and zip code) Juris number (i alforney
or law fim)
Mazza and Welch 99 Hawley Lane #1103 Stratford CT 06114 408555
Telephone number Signature of plaintiff (if selF-represented)
(203 )331 - 1505
The attorney or law firm appearing for the plaintiff, or the plaintiff if E-mail address for delive of papers under Section 10-13 of the
Connecticut Practice Book (if agreed)
self-represented, agrees to accept papers (service) electronically
in this case under Section 10-13 of the Connecticut Practice Book. [x] Yes O No. ppace@geico.com
Parties Name (Last, First, Middle Initial) and address of each party (Number; street; P.O, Box; town; state; zip; country, if not USA)
First Name: GEICO A/S/O BARRAGAN, FLORES
P-01
plaintiff Address: 99 Hawley Lane #1103 Stratford, CT 06114
Additional Name: P02
plaintiff Address:
First Name: FAMILIA CABRERA, RICHARD
D-01
defendant Address: 41 Salmon Street Apt. 302, Providence RI
Additional Name:
D-02
defendant Address:
Additional Name:
D-03
defendant Address:
Additional Name:
. D-04,
defendant Address:
Total number of plaintiffs: 4 Total number of defendants: 1 (J Form JD-CV-2 attached for additional parties
Notice to each defendant
4 You are being sued. This is a summons in a lawsuit. The complaint attached states the claims the plaintiff is making against you.
2. To receive further notices, you or your attorney must file an Appearance (form JD-CL-12) with the clerk at the address above. Generally,
it must be filed on or before the second day after the 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 appear.
If you or your attorney do not file an Appearance on time, a default judgment may be entered against you. You can get an Appearance
form at the court address above, or on-line at https://jud.ct.gov/webforms/.
If you believe that you have insurance that may cover the claim being made against you in this lawsuit, you should immediately contact
your insurance representative. piher actions you may také are described in the Connecticut Practice Book, which may be found in a
superior court law library or on-lis
iWip at https:/www. t.gov/pb. htm.
Hs
If you have questions about th: immons ange plaint, you should talk to an attorney.
The court staff is not allow le give adyi on Tegal matters.
AD-2 x 29 pSianed (Sign a Selec} pro ‘box) ‘Commissioner of Superior Court Name of person signing
Oo Clerk | PETER PACE
If this summons is signed by/ a Clerk: For Court Use Only
The signing has been gs ine so that the plaintiff(s) will not be denied access to the courts, File Date
Itis the responsibility, the plaintiff(s) to ensure that service is made in the manner provided by law.
The court staff is ni ot, permitted to give any legal advice in connection with any lawsuit.
The Clerk signing ‘hsis summons at the request of the plaintiff(s) is not responsible in any way for any
errors or omissioi's in the summons, \allegations contained in the complaint, or the service of the
summons or complaint.
Tcertify| have read and | Sisned (Selrrepresente Date Docket Number
understand the above: L2
Pi Form ] Page 1 of 2 Reset Form |
Instructions
Type or. print legibly. If you are a self-represented party, this summons must be signed by a clerk of the court.
If there is more than one defendant, make a copy of the summons for each additional defendant. Each defendant must receive a copy of
this summons. Each copy of the summons must show who signed the summons and when it was signed. If there are more than two
plaintiffs or more than four defendants, complete the Civil Summons Continuation of Parties (form JD-CV-2) and attach it to the original
ind all copies of fhe summons,
Attach the summons to the complaint, and attach a copy of the summons fo each copy of the complaint. Include a copy of the Ch vil
Summons Continuation of Parties form, if applicable.
After service has been made by a proper officer, file the original papers and the officer's return of service with the clerk of the court.
Use this summons for the case type codes shown below.
Do not use this summons for the following actions:
(a) Family matters (for example divorce, child support, (e) Administrative appeals
custody, parentage, and visitation matters) (f) Proceedings pertaining to arbitration
(b) Any actions or proceedings in which an attachment, (g) Summary Process (Eviction) actions
garnishment or replevy is sought (h) Entry and Detainer proceedings
(c) Applications for change of name (i) Housing Code Enforcement actions
(d) Probate appeals
Case Type Codes
MAJOR CODE MAJOR CODE
Major! MINOR DESCRIPTION
DESCRIPTION
‘Major! MINOR DESCRIPTION
DESCRIPTION Minor. Minor
Contracts coo Construction - All other Property Poo Foreclosure
C10 Construction - State and Local P10 Partition
c20 Insurance Policy P20 Quiet Title/Discharge of Mortgage or Lien
30 Specific Performance P30 Assot Forfeiture
C40 Collections P90 All other
C60 Uninsured/Underinsured Motorist Coverage
ceo Uniform Limited Liability Company Act - C.G.S. 34-243
cso Allother Torts (Other 'T02 Defective Premises - Private - Snow or Ice
than Vehicular) TO3 Defective Premises - Private - Other
Eminent E00 State Highway Condemnation TH Defective Premises - Public - Snow or Ice
Domain E10 Redevelopment Condemnation T12 Defective Premises - Public - Other
E20 Other State or Municipal Agencios T20 Products Liability - Other than Vehicular
E30 Public Utilities & Gas Transmission Companies 128 Malpractice - Medical
E90 All other T29 Malpractice - Legal
130 Malpractice - All other
T40 Assault and Battery
Housing Hi0 Housing Return of Security Deposit T5O Defamation
H12 Housing Rent andlor Damages Té6L Animals - Dog
H40 Housing - Housing « Audita Querela/injunction
T69 Animals - Other
H5O Housing - Administrative Appeal T70 False Arrest
H60 Housing- Municipal Enforcement TH Fire Damage
H90 Housing - All Other
T90 All other
Miscellaneous Moo Injunction Motor Vehicles* - Driver and/or Passenger(s) vs. Driver(s)
M10 Receivership Vehicular Torts Vol
V04 Motor Vehicles* - Pedestrian vs. Driver
M16 Receivership for Abandoned/Blighted Property V05 Motor Vehicles* - Property Damage only
M 20 Mandamus:
vo6 Motor Vehicle* - Products Liability Including Warranty
M30 Habeas Corpus (extradition, release from Penal Institution) Voo Motor Vehicle* - All other
M40 Atbitration
vi0 Boats
M50 Declaratory Judgment V20 Airplanes
M63 Bar Discipline V30 Railroads
M66 Department of Labor Unemployment Compensation Snowmobiles
Vv40
Enforcement
V90 All other
M68 Bar Discipline - Inactive Status ‘Motor Vehicles include cars, trucks,
M70 Municipal Ordinance and Regulation Enforcement motorcycles, and motor scooters.
M80 Foreign Civil Judgments - C.G.S, 62-604 & C.G.S, 60a-30
Mas ‘Small Claims Transfer to Regular Docket Wills, Estates wid Construction of Wills and Trusts
M84 Foreign Protective Order and Trusts we Aljother
Meo CHRO Action in the Public Interest - PA. 19-93
M90 All other
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. ¢ SUMMONS - CIVIL For information on STATE OF CONNECTICUT, JD-CV-1 Rev. 2-22 ADA accommodations, SUPERIOR COURT [3 C.G.S. §§ 61-346, 51-347, 51-349, 61-360, 52-45a, 52-48, 52-259; contact a court clerk or P.B. §§ 3-1 through 3-21, 8-4, 10-13, go to: www.jud.ct.gov/ADA. www,jud.ct.gov Instructions are on page 2. oO Select if amount, legal interest, or property in demand, not including interest and costs, is LESS than $2,500. Oo Select if amount, legal interest, or property in demand, not including interest and costs, is $2,500 or MORE. Ix] Select if claiming other relief in addition to, or in place 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. Ay ‘Address of court clerk (Number, street, town and zip code) ‘Telephone number of clerk Return Date Must Be a Tuesday) 7 -720° ar 123 Hoyt Street Stamford, CT (203 )965 -5308 LL Judicial District GA. ‘At (City/Town) Case type code (See list on page 2) / [J Housing Session (0 Number: STAMFORD AT STAMFORD Major: v Minor: 04 For the plaintiff(s) enter the appearance of: Name and address of attorney, law firm or plaintiff if self-represented (Number, street, town and zip code) Juris number (i alforney or law fim) Mazza and Welch 99 Hawley Lane #1103 Stratford CT 06114 408555 Telephone number Signature of plaintiff (if selF-represented) (203 )331 - 1505 The attorney or law firm appearing for the plaintiff, or the plaintiff if E-mail address for delive of papers under Section 10-13 of the Connecticut Practice Book (if agreed) self-represented, agrees to accept papers (service) electronically in this case under Section 10-13 of the Connecticut Practice Book. [x] Yes O No. ppace@geico.com Parties Name (Last, First, Middle Initial) and address of each party (Number; street; P.O, Box; town; state; zip; country, if not USA) First Name: GEICO A/S/O BARRAGAN, FLORES P-01 plaintiff Address: 99 Hawley Lane #1103 Stratford, CT 06114 Additional Name: P02 plaintiff Address: First Name: FAMILIA CABRERA, RICHARD D-01 defendant Address: 41 Salmon Street Apt. 302, Providence RI Additional Name: D-02 defendant Address: Additional Name: D-03 defendant Address: Additional Name: . D-04, defendant Address: Total number of plaintiffs: 4 Total number of defendants: 1 (J Form JD-CV-2 attached for additional parties Notice to each defendant 4 You are being sued. This is a summons in a lawsuit. The complaint attached states the claims the plaintiff is making against you. 2. To receive further notices, you or your attorney must file an Appearance (form JD-CL-12) with the clerk at the address above. Generally, it must be filed on or before the second day after the 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 appear. If you or your attorney do not file an Appearance on time, a default judgment may be entered against you. You can get an Appearance form at the court address above, or on-line at https://jud.ct.gov/webforms/. If you believe that you have insurance that may cover the claim being made against you in this lawsuit, you should immediately contact your insurance representative. piher actions you may také are described in the Connecticut Practice Book, which may be found in a superior court law library or on-lis iWip at https:/www. t.gov/pb. htm. Hs If you have questions about th: immons ange plaint, you should talk to an attorney. The court staff is not allow le give adyi on Tegal matters. AD-2 x 29 pSianed (Sign a Selec} pro ‘box) ‘Commissioner of Superior Court Name of person signing Oo Clerk | PETER PACE If this summons is signed by/ a Clerk: For Court Use Only The signing has been gs ine so that the plaintiff(s) will not be denied access to the courts, File Date Itis the responsibility, the plaintiff(s) to ensure that service is made in the manner provided by law. The court staff is ni ot, permitted to give any legal advice in connection with any lawsuit. The Clerk signing ‘hsis summons at the request of the plaintiff(s) is not responsible in any way for any errors or omissioi's in the summons, \allegations contained in the complaint, or the service of the summons or complaint. Tcertify| have read and | Sisned (Selrrepresente Date Docket Number understand the above: L2 Pi Form ] Page 1 of 2 Reset Form | Instructions Type or. print legibly. If you are a self-represented party, this summons must be signed by a clerk of the court. If there is more than one defendant, make a copy of the summons for each additional defendant. Each defendant must receive a copy of this summons. Each copy of the summons must show who signed the summons and when it was signed. If there are more than two plaintiffs or more than four defendants, complete the Civil Summons Continuation of Parties (form JD-CV-2) and attach it to the original ind all copies of fhe summons, Attach the summons to the complaint, and attach a copy of the summons fo each copy of the complaint. Include a copy of the Ch vil Summons Continuation of Parties form, if applicable. After service has been made by a proper officer, file the original papers and the officer's return of service with the clerk of the court. Use this summons for the case type codes shown below. Do not use this summons for the following actions: (a) Family matters (for example divorce, child support, (e) Administrative appeals custody, parentage, and visitation matters) (f) Proceedings pertaining to arbitration (b) Any actions or proceedings in which an attachment, (g) Summary Process (Eviction) actions garnishment or replevy is sought (h) Entry and Detainer proceedings (c) Applications for change of name (i) Housing Code Enforcement actions (d) Probate appeals Case Type Codes MAJOR CODE MAJOR CODE Major! MINOR DESCRIPTION DESCRIPTION ‘Major! MINOR DESCRIPTION DESCRIPTION Minor. Minor Contracts coo Construction - All other Property Poo Foreclosure C10 Construction - State and Local P10 Partition c20 Insurance Policy P20 Quiet Title/Discharge of Mortgage or Lien 30 Specific Performance P30 Assot Forfeiture C40 Collections P90 All other C60 Uninsured/Underinsured Motorist Coverage ceo Uniform Limited Liability Company Act - C.G.S. 34-243 cso Allother Torts (Other 'T02 Defective Premises - Private - Snow or Ice than Vehicular) TO3 Defective Premises - Private - Other Eminent E00 State Highway Condemnation TH Defective Premises - Public - Snow or Ice Domain E10 Redevelopment Condemnation T12 Defective Premises - Public - Other E20 Other State or Municipal Agencios T20 Products Liability - Other than Vehicular E30 Public Utilities & Gas Transmission Companies 128 Malpractice - Medical E90 All other T29 Malpractice - Legal 130 Malpractice - All other T40 Assault and Battery Housing Hi0 Housing Return of Security Deposit T5O Defamation H12 Housing Rent andlor Damages Té6L Animals - Dog H40 Housing - Housing « Audita Querela/injunction T69 Animals - Other H5O Housing - Administrative Appeal T70 False Arrest H60 Housing- Municipal Enforcement TH Fire Damage H90 Housing - All Other T90 All other Miscellaneous Moo Injunction Motor Vehicles* - Driver and/or Passenger(s) vs. Driver(s) M10 Receivership Vehicular Torts Vol V04 Motor Vehicles* - Pedestrian vs. Driver M16 Receivership for Abandoned/Blighted Property V05 Motor Vehicles* - Property Damage only M 20 Mandamus: vo6 Motor Vehicle* - Products Liability Including Warranty M30 Habeas Corpus (extradition, release from Penal Institution) Voo Motor Vehicle* - All other M40 Atbitration vi0 Boats M50 Declaratory Judgment V20 Airplanes M63 Bar Discipline V30 Railroads M66 Department of Labor Unemployment Compensation Snowmobiles Vv40 Enforcement V90 All other M68 Bar Discipline - Inactive Status ‘Motor Vehicles include cars, trucks, M70 Municipal Ordinance and Regulation Enforcement motorcycles, and motor scooters. M80 Foreign Civil Judgments - C.G.S, 62-604 & C.G.S, 60a-30 Mas ‘Small Claims Transfer to Regular Docket Wills, Estates wid Construction of Wills and Trusts M84 Foreign Protective Order and Trusts we Aljother Meo CHRO Action in the Public Interest - PA. 19-93 M90 All other E-print Form. | Page 2 of 2