Preview
1538359
oi
SMALL CLAIMS WRIT
This form is available STATE OF CONNECTICUT
AND NOTICE OF SUIT in other language(s). SUPERIOR COURT
JD-CV-40 Re
C.G.S. §§ 51 45, 8134519) SMALL CLAIMS SESSION
www jud.ct.gov 2
1.) Address of Court STAMFORD-NORWALK J.D. SMALL CLAIMS SESSION AT STAM 2.) Case type code (See list on reverse page 1)
123 HOYT STREET STAMFORD, CT 06905 s 00
3.) Is this claim between a landlord and a tenant? [4.) If "Yes" to question #3, the rental property is located in the following town:
(Select one) [] Yes No
Parties Name_(Last, First, Middle Initial) and Address of Each party (Number;Street;P.O. Box; Town; State; Zip; Country, if not USA)
Name: JpMORGAN CHASE BANK, NA.
5. First
Address: 201 N WALNUT ST WILMINGTON, DE 19801 (Select One) [] ttc [Partnership
Plaintiff
Telephone: [ E-mail: Dindividual [J DBA [X] Corporation
6.) Name, address and zip code of Attorney for Plaintiff(s) Attorney's Juris number | Telephone number (w/area code)
Rubin and Rothman, LLC 1787 Veterans Highway Suite 32 Islandia NY 11/49 438783, (800) 298-6058
7.) First Name: FRANCISCA MOREL MARTINEZ (Select One) (J ttc [Partnership
Defendant Address: 198 SUNCREST RD NORWALK, CT 06854-1042
Telephone: 917-250-2892 Lem Individual [] DBA [_] Corporation
(0 For 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 obli
statute of limitations has not expired.
ligation made primarily for personal, family or household reasons, explain why you believe the
Either the last payment made or the account open date was within the last six years as required by C.G.S. §52-576
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.
1 I checked town or city records (for example, checking a street list or tax records) on: (date)
(1 I checked with the Department of Motor Vehicles on: (date)
7 I received correspondence (letters or other mail) from the defendant with that return address on: (date)
| received other proof from the defendant that the address is current (describe details below)
The State Marshal will serve the defendant at the address to be verified by the State Marshal in
accordance with the Return of Service.
oO At least 4 weeks before this action was filed, | sent a letter by first class mail to the defendant at the address used and it has not been returned
to me by the United States Postal Service as of: (date)
0.) Amount clsimed (1 Plus pre-judgment interest"*
Plus Costs
D1 Plus double damages for security deposit withheld’* **You MUST explain how much you
“Tho Amount claimed cannot exceed $5,000 or $15,000 for a home improvement contract case ($20). want for each item in section 11 below.
“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:
*** SEE ATTACHED COMPLAINT **
R&R FILE NO. 1538359 N. PESINO
NOTARY PUBLIC
STATE OF CONNECTICUF-
MY COMMISSION EXPIRES DEC, 31, 2024
f
fs
The person signing bel low, ING 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 knowledge, inforrne iotyayid belief, there is good ground to support the claim and the information is true.
"fe
Ase
12.) Signed Type inn 1@ Of person signing at left and fille, if applicable For Court Use Only (Date/Stamp)
JADAM SHAN, ESQ/HOLLY R.NELEN, ESQ/RICHARD A TERRY. ESQ
Subscribed and
sworn to before
me on mee eet er
peo of Superior Court)
ADA NoTICEY
‘The Judicial Branch of the State of Connecticut complies with the Americas with Disabil DA). a a reasonable
‘accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at_ www,jud.ct.gov/ADA. [Docket Number
R&R File No. 1538359 sci
Nae
ae ee ere
UJPMORGAN CHASE BANK, N.A. SUPERIOR COURT
STAMFORD-NORWALK J.D. SMALL CLAIMS SESSION
AT STAMF\
Plaintiff
FRANCISCA MOREL MARTINEZ
Defendant (s)
a ed leeter)
COUNT I (ACCOUNT STATED)
1. The plaintiff,
JPMORGAN CHASE BANK, N.A.
is a national banking association having a usual place of business at
201 N WALNUT ST WILMINGTON, DE 19801
2. Defendant(s) used a credit account issued by plaintiff currently
identified by account No. RRR ERK RRR ERESO and agreed to make
payments for goods and services charged and/or cash advances made upon
credit account.
3. In connection with this account, plaintiff mailed, delivered, sent or
otherwise transmitted periodic account statements to the defendant setting
forth all of the charges and credits applicable to the account, as well as
the balance due.
4. Upon information and belief, the defendant received and held these
statements for an unreasonable time with no kno wn unresolved protest, or
objection, as defined by the Federal Truth-in-Lending Act, 15 U. :
1666 (a), which re ires submission of written notice of objection within
sixty (60) days o: transmission of the account statement.
5. Based on these circumstances, the statements are ,presumed accurate,
and constitute an account stated, which is prima facie evidence of the
correctness of the account.
6 The final statement transmitted to the defendant, indicating a balance
due and owing, was accepted and held by the defendant for an unreasonable
time without known unresolved protest or notice of defect.
7. Plaintiff seeks damages for the account stated balance minus any
credit(s) on the account occurring after the last statement that was
transmitted.
8. Payment was demanded on or before 1/24/24 and $4,224.88
is due and owing to plaintiff from defendant(s).
9. Plaintiff waives any claim to post judgment interest and attorney's
fees.
ty
Dated at East Hartford, Connecticut 1/24/24
-RDAM J. OLSHAN, ESQ,
a
RICHARD A. TERRY, ESQ.
TOBY J. RHINESMITH,
RUBIN & ROTHMAN,
JURIS NO. 438783
1787 VETERANS MEMORIAL HIGHWAY
ISLANDIA, NY 11749
(800) 298-6058
THIS COMMUNICATION IS FROM A DEBT COLLECTOR
Preview
1538359 oi SMALL CLAIMS WRIT This form is available STATE OF CONNECTICUT AND NOTICE OF SUIT in other language(s). SUPERIOR COURT JD-CV-40 Re C.G.S. §§ 51 45, 8134519) SMALL CLAIMS SESSION www jud.ct.gov 2 1.) Address of Court STAMFORD-NORWALK J.D. SMALL CLAIMS SESSION AT STAM 2.) Case type code (See list on reverse page 1) 123 HOYT STREET STAMFORD, CT 06905 s 00 3.) Is this claim between a landlord and a tenant? [4.) If "Yes" to question #3, the rental property is located in the following town: (Select one) [] Yes No Parties Name_(Last, First, Middle Initial) and Address of Each party (Number;Street;P.O. Box; Town; State; Zip; Country, if not USA) Name: JpMORGAN CHASE BANK, NA. 5. First Address: 201 N WALNUT ST WILMINGTON, DE 19801 (Select One) [] ttc [Partnership Plaintiff Telephone: [ E-mail: Dindividual [J DBA [X] Corporation 6.) Name, address and zip code of Attorney for Plaintiff(s) Attorney's Juris number | Telephone number (w/area code) Rubin and Rothman, LLC 1787 Veterans Highway Suite 32 Islandia NY 11/49 438783, (800) 298-6058 7.) First Name: FRANCISCA MOREL MARTINEZ (Select One) (J ttc [Partnership Defendant Address: 198 SUNCREST RD NORWALK, CT 06854-1042 Telephone: 917-250-2892 Lem Individual [] DBA [_] Corporation (0 For 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 obli statute of limitations has not expired. ligation made primarily for personal, family or household reasons, explain why you believe the Either the last payment made or the account open date was within the last six years as required by C.G.S. §52-576 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. 1 I checked town or city records (for example, checking a street list or tax records) on: (date) (1 I checked with the Department of Motor Vehicles on: (date) 7 I received correspondence (letters or other mail) from the defendant with that return address on: (date) | received other proof from the defendant that the address is current (describe details below) The State Marshal will serve the defendant at the address to be verified by the State Marshal in accordance with the Return of Service. oO At least 4 weeks before this action was filed, | sent a letter by first class mail to the defendant at the address used and it has not been returned to me by the United States Postal Service as of: (date) 0.) Amount clsimed (1 Plus pre-judgment interest"* Plus Costs D1 Plus double damages for security deposit withheld’* **You MUST explain how much you “Tho Amount claimed cannot exceed $5,000 or $15,000 for a home improvement contract case ($20). want for each item in section 11 below. “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: *** SEE ATTACHED COMPLAINT ** R&R FILE NO. 1538359 N. PESINO NOTARY PUBLIC STATE OF CONNECTICUF- MY COMMISSION EXPIRES DEC, 31, 2024 f fs The person signing bel low, ING 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 knowledge, inforrne iotyayid belief, there is good ground to support the claim and the information is true. "fe Ase 12.) Signed Type inn 1@ Of person signing at left and fille, if applicable For Court Use Only (Date/Stamp) JADAM SHAN, ESQ/HOLLY R.NELEN, ESQ/RICHARD A TERRY. ESQ Subscribed and sworn to before me on mee eet er peo of Superior Court) ADA NoTICEY ‘The Judicial Branch of the State of Connecticut complies with the Americas with Disabil DA). a a reasonable ‘accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at_ www,jud.ct.gov/ADA. [Docket Number R&R File No. 1538359 sci Nae ae ee ere UJPMORGAN CHASE BANK, N.A. SUPERIOR COURT STAMFORD-NORWALK J.D. SMALL CLAIMS SESSION AT STAMF\ Plaintiff FRANCISCA MOREL MARTINEZ Defendant (s) a ed leeter) COUNT I (ACCOUNT STATED) 1. The plaintiff, JPMORGAN CHASE BANK, N.A. is a national banking association having a usual place of business at 201 N WALNUT ST WILMINGTON, DE 19801 2. Defendant(s) used a credit account issued by plaintiff currently identified by account No. RRR ERK RRR ERESO and agreed to make payments for goods and services charged and/or cash advances made upon credit account. 3. In connection with this account, plaintiff mailed, delivered, sent or otherwise transmitted periodic account statements to the defendant setting forth all of the charges and credits applicable to the account, as well as the balance due. 4. Upon information and belief, the defendant received and held these statements for an unreasonable time with no kno wn unresolved protest, or objection, as defined by the Federal Truth-in-Lending Act, 15 U. : 1666 (a), which re ires submission of written notice of objection within sixty (60) days o: transmission of the account statement. 5. Based on these circumstances, the statements are ,presumed accurate, and constitute an account stated, which is prima facie evidence of the correctness of the account. 6 The final statement transmitted to the defendant, indicating a balance due and owing, was accepted and held by the defendant for an unreasonable time without known unresolved protest or notice of defect. 7. Plaintiff seeks damages for the account stated balance minus any credit(s) on the account occurring after the last statement that was transmitted. 8. Payment was demanded on or before 1/24/24 and $4,224.88 is due and owing to plaintiff from defendant(s). 9. Plaintiff waives any claim to post judgment interest and attorney's fees. ty Dated at East Hartford, Connecticut 1/24/24 -RDAM J. OLSHAN, ESQ, a RICHARD A. TERRY, ESQ. TOBY J. RHINESMITH, RUBIN & ROTHMAN, JURIS NO. 438783 1787 VETERANS MEMORIAL HIGHWAY ISLANDIA, NY 11749 (800) 298-6058 THIS COMMUNICATION IS FROM A DEBT COLLECTOR