Preview
Date Filed 3/26/2024 2:54 PM.
‘Superior Court - Middlesex
Docket Number
2
DOCKET NUMBER Trial Court of Massachusetts
CIVIL ACTION COVER SHEET
MB R\t The Superior Court u
PLAINTIFF(S): WEBSTER BANK, NA. icol
Middlesex
ADDRESS: WATERBURY, CT
DEFENDANT(S): EH ELECTRIC & HVAC, LLC
EDSON HILAIRE
ATTORNEY: BRIAN J. HUGHES, ESQ.
ADDRESS: BRENNAN, RECUPERO, CASCIONE, SCUNGIO & MCALLISTER, LLP ADDRESS: 440 TOTTEN POND RD., STE, 200 WALTHAM, MA 02451
474 DEAN STREET, UNIT B, TAUNTON, MA 02780 48 SUNSET RD., WALTHAM, MA 02451
808-822-0178
BBO: 654204
TYPE OF ACTION AND TRACK DESIGNATION (see reverse side)
CODE NO. TYPE OF ACTION (specify) Cl HAS A JURY CLAIM BEEN MADE?
A03 COMMERCIAL PAPER F Dyes ] No
*If "Other" please describe:
Is there a claim under G.L. ¢. 933A? Is this a class action under Mass. R. Civ, P. 23?
YES LX]
STATEMENT OF DAMAGES PURSUANT TO GL. c. 212, § 3A
|The foltowing is a full, itemized and detailed statement of the facts on which the undersigned plaintiff or plaintiff's counsel relies to determine money damages.
For this form, disregard double or treble damage claims; indicate single damages only.
(attach additional sheets as necessary)
|A. Documented medical expenses to date:
1. Total hospital expenses
2. Total doctor expenses :
EEE
3. Total chiropractic expenses
4. Total physical therapy expenses
5. Total other expenses (describe below) .
Subtotal (A):
IB. Documented lost wages and compensation to date .
IC. Documented property damages to date .....
ID. Reasonably anticipated future medical and hospital expenses
IE. Reasonably anticipated lost wages .....
IF. Other documented items of damages (describe below)
IG. Briefly describe plaintiff's injury, including the nature and extent of injury:
TOTAL (A-F):$
\CT CLAI
(attach additional sheets as necessary)
This action includes a claim involving collection of a debt incurred pursuant to a revolving credit agreement. Mass. R. Civ. P. 8.1(a).
Pre le a detailed description of claim(s):
TOTAL: $ 202,048.28
ACTION TO ENFORCE A PROMISSORY NOTE, PERSONAL GUARANTY, AND SECURITY AGREEMENT
Signature of Attorney/ Unrepresented Plaintiff: X Cuan °C. Nughoe Date: Mar 26, 2024
IRELATED ACTIONS: Please provide the case number, case narg¥, and couhty of any related actions pending in the Superior Court.
CERTIFICATION PURSUANT TO SJC RULE 1:18
| hereby certify that | have complied with requirements of Rule-5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC.
Rule 1:18) requiring that | provide my clients with information about court-connected dispute resolution services and discuss with them the
ladvantages and disadvantages of the various methods of dispute resolution.
Signature
of Attorney of Record: X_ 59, Gh Hes hi Date: Mar 26, 2024
Date Filed 3/26/2024 2:54 PM
Superior Court - Middlesex
Docket Number CIVIL ACTION COVER SHEET INSTRUCTIONS
SELECT CATEGORY THAT BEST DESCRIBES YOUR CASE
AG Actions Involving the State/Municipality* ER Equitable Remedies. RP Real Property
AAI Contract Action involving Commonwealth, 001 Specific Performance of a Contract (a) C01 Land Taking (F)
Munictpality, MBTA, etc. 1002 Reach and Apply (F) C02 Zoning Appeal, G.L. ¢. 40A (F)
‘ABI Tortious Action involving Commonwealth, DOS Injunction (F) C03 Dispute Concerning Title (F)
Municipality, MBTA, etc. 04 Reform/ Cancel Instrument (F) C04 Foreclosure of a Mortgage &)
AC1 Real Property Action involving DOS Equitable Replevin (F) C05 Condominium Lien & Charges ®
‘Commonwealth, Municipality, MBTA etc. (A) 06 Contribution or Indemnification (F) C99 Other Real Property Action Fy
AD1 Equity Action involving Commonwealth, DO7 Imposition of a Trust (A)
Municipality, MBTA, etc. (A) 008 Minority Shareholder's Suit (A) MC
Miscellaneous
Givil Actions
‘AE1 Administrative Action involvin 09 Interference in Contractual Relationship )
‘Commonwealth, Municipality, MBTA,etc. (A) D10 Accounting (A) E18 Foreign Discovery Proceeding ”
11 Enforcement of Restrictive Covenant (F) E97 Prisoner Habeas Corpus (xX)
GN
Contract/Business
Gases 12 Dissolution ofa Partnership (F) £22 Lottery Assignment, G.L. c. 10, § 28 (x)
D13 Declaratory Judgment, G.L. c. 231A (A)
A01 Services, Labor, and Materials (F) D14 Dissolution of a Corporation (F) AB Abuse/Harassment Prevention
A02 Goods Sold and Delivered (F) 1099 Other Equity Action (F)
‘A03 Commercial Paper (F) £15 Abuse Prevention Petition, G.L.c. 209A (Xx)
‘A04 Employment Contract (F) PA Givil Actions Involving incarcerated
Party t E21 Protection from Harassment, G.L. c. 258E(X)
AOS Consumer Revolving Credit - mrcp.0.1 F)
A06 Insurance Contract AA Administrative Givil Actions
‘A08 Sale or Lease of Real Estate PAI Contract Action involving an
(F) Incarcerated Party (a)
A12 Construction Dispute A) PBI Tortious Action involving an E02 Appeal from Administrative Agency,
A14 Interpleader F) Incarcerated Party GL. c. 30, (x)
BA1 Governance, Conduct, internal (A) E03 Certiorari Action, G.L. c, 249, § 4 (x)
Affairs of Entities (A)
C1 Real Property Action involving an £05 Confirmation of Arbitration Awards (X)
BAS Liability of Shareholders, Directors, Incarcerated Party (F) £06 Mass Antitrust Act, G.L. c. 93, § 9 (A)
Officers, Partners, etc. @) PD1 Equity Action involving an E07 Mass Antitrust Act, G.L. ¢. 93,§ 8 ~
BB1 Shareholder Derivative A) Incarcerated Party (F) E08 Appointment of a Receiver (x)
BB2 Securities Transactions (A)
PE1 Administrative Action involving an £09 Construction Surety Bond, G.L. c. 149,
BC1 Mergers, Consolidations, Sales of Incarcerated Party F) §§ 29, (A)
Assets, Issuance of Debt, Equity, etc. (A) £10 Summary Process Appeal wo)
D1 Intellectual Proper A) TRiorts E11 Worker's Compensation &)
BD2 Proprietary Information or Trade B03 Motor Vehicle Negligence - Personal E16 Auto Surcharge Appeal x)
Secrets (A) E17 Civil Rights Act, G.L.c.12, § 11H. (A)
BG1 Financial Institutions/Funds A) Injury/Property Damage (F) E24 Appeal from District Court
BH{1 Violation of Antitrust or Trade B04 Other Negligence - Personal Commitment, G.L. c.123, § 9(b) )
InjuryiProperty Damage £25 Pleural Registry (Asbestos cases)
Regulation Laws
A989 Other ContractiBusiness Action - Specify 8 BOS Products Liability
B06 Malpractice - Medical
(A)
(A)
E94
E95
Forfeiture, G.L. c. 265, § 56
Forfelture, G.L. c. 946, § 47
(x)
(F)
B07 Malpractice - Other (A) E99 Other Administrative Action ®
* Choose this case type if ANY party is the B08 Wrongful Death - Non-medical (A) ZO1 Medical Malpractice - Tribunal only,
‘Commonwealth, a municipality, the MBTA, or any B15 Defamation (A) GL. c. 231,
§ 60B (F)
‘other governmental entity UNLESS your case is a B19 Asbestos (A) Z02 Appeal Bond Denial (x)
case type listed under Administrative Civil Actions 820 Personal injury - Slip & Fall (F)
(Aa). B21 Environmental (F) SO Sex Offender Review
B22 Employment Discrimination F)
+Choose this case type if ANY party is an BE1 Fraud, Business Torts, etc. a) E12 SDP Commitment, G.L. c. 123A, § 12 ()
incarcerated party, UNLESS your case is a case B99 Other Tortious Action (F) E14 SDP Petition, G. 123A, § 9(b) ()
type listed under Administrative Civil Actions (AA)
or is a Prisoner Habeas Corpus case (E97). RP Summary Process (Real Property) RG
Restricted
Givil Actions
‘S01 Summary Process - Residential & E19 Sex Offender Registry, G.L. c. 6, § 178M (X)
‘$02 Summary Process - Commercial! E27 Minor Seeking Consent, G.L. .112, § 125(X)
Non-residential )
TRANSFER YOUR SELECTION TO THE FACE SHEET
EXAMPLE:
CODE NO. TYPE OF ACTION (specify) TRACK en JURY CLAIM BEEN MADE?
Bo3 Motor Vehicle Negligence-Personal Injury fk.
STATEMENT OF DAMAGES PURSUANT TO GL. c. 212, § 3A
DUTY OF THE PLAINTIFF - The plaintiff shall set forth, on the face of the civil action cover sheet (ar attach additional sheets as necessary), a
statement specifying the facts on which the plaintiff relies to determine money damages. A copy of such civil action cover sheet, including the
statement as to the damages, shall be served with the complaint. A clerk-magistrate shall not accept for filing a complaint, except as
otherwise provided by law, unless it is accompanied by such a statement signed by the attorney or self-represented litigant.
DUTY OF THE DEFENDANT - If the defendant believes that the statement of damages filed by the plaintiff is inadequate, the defendant may
file with his/her answer a statement specifying the potential damages which may result if the plaintiff prevails.
A CIVIL COVER SHEET MUST BE FILED WITH EACH COMPLAINT.
FAILURE TO COMPLETE THIS COVER SHEET THOROUGHLY AND ACCURATELY
MAY RESULT IN DISMISSAL OF THIS ACTION.
Preview
Date Filed 3/26/2024 2:54 PM. ‘Superior Court - Middlesex Docket Number 2 DOCKET NUMBER Trial Court of Massachusetts CIVIL ACTION COVER SHEET MB R\t The Superior Court u PLAINTIFF(S): WEBSTER BANK, NA. icol Middlesex ADDRESS: WATERBURY, CT DEFENDANT(S): EH ELECTRIC & HVAC, LLC EDSON HILAIRE ATTORNEY: BRIAN J. HUGHES, ESQ. ADDRESS: BRENNAN, RECUPERO, CASCIONE, SCUNGIO & MCALLISTER, LLP ADDRESS: 440 TOTTEN POND RD., STE, 200 WALTHAM, MA 02451 474 DEAN STREET, UNIT B, TAUNTON, MA 02780 48 SUNSET RD., WALTHAM, MA 02451 808-822-0178 BBO: 654204 TYPE OF ACTION AND TRACK DESIGNATION (see reverse side) CODE NO. TYPE OF ACTION (specify) Cl HAS A JURY CLAIM BEEN MADE? A03 COMMERCIAL PAPER F Dyes ] No *If "Other" please describe: Is there a claim under G.L. ¢. 933A? Is this a class action under Mass. R. Civ, P. 23? YES LX] STATEMENT OF DAMAGES PURSUANT TO GL. c. 212, § 3A |The foltowing is a full, itemized and detailed statement of the facts on which the undersigned plaintiff or plaintiff's counsel relies to determine money damages. For this form, disregard double or treble damage claims; indicate single damages only. (attach additional sheets as necessary) |A. Documented medical expenses to date: 1. Total hospital expenses 2. Total doctor expenses : EEE 3. Total chiropractic expenses 4. Total physical therapy expenses 5. Total other expenses (describe below) . Subtotal (A): IB. Documented lost wages and compensation to date . IC. Documented property damages to date ..... ID. Reasonably anticipated future medical and hospital expenses IE. Reasonably anticipated lost wages ..... IF. Other documented items of damages (describe below) IG. Briefly describe plaintiff's injury, including the nature and extent of injury: TOTAL (A-F):$ \CT CLAI (attach additional sheets as necessary) This action includes a claim involving collection of a debt incurred pursuant to a revolving credit agreement. Mass. R. Civ. P. 8.1(a). Pre le a detailed description of claim(s): TOTAL: $ 202,048.28 ACTION TO ENFORCE A PROMISSORY NOTE, PERSONAL GUARANTY, AND SECURITY AGREEMENT Signature of Attorney/ Unrepresented Plaintiff: X Cuan °C. Nughoe Date: Mar 26, 2024 IRELATED ACTIONS: Please provide the case number, case narg¥, and couhty of any related actions pending in the Superior Court. CERTIFICATION PURSUANT TO SJC RULE 1:18 | hereby certify that | have complied with requirements of Rule-5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC. Rule 1:18) requiring that | provide my clients with information about court-connected dispute resolution services and discuss with them the ladvantages and disadvantages of the various methods of dispute resolution. Signature of Attorney of Record: X_ 59, Gh Hes hi Date: Mar 26, 2024 Date Filed 3/26/2024 2:54 PM Superior Court - Middlesex Docket Number CIVIL ACTION COVER SHEET INSTRUCTIONS SELECT CATEGORY THAT BEST DESCRIBES YOUR CASE AG Actions Involving the State/Municipality* ER Equitable Remedies. RP Real Property AAI Contract Action involving Commonwealth, 001 Specific Performance of a Contract (a) C01 Land Taking (F) Munictpality, MBTA, etc. 1002 Reach and Apply (F) C02 Zoning Appeal, G.L. ¢. 40A (F) ‘ABI Tortious Action involving Commonwealth, DOS Injunction (F) C03 Dispute Concerning Title (F) Municipality, MBTA, etc. 04 Reform/ Cancel Instrument (F) C04 Foreclosure of a Mortgage &) AC1 Real Property Action involving DOS Equitable Replevin (F) C05 Condominium Lien & Charges ® ‘Commonwealth, Municipality, MBTA etc. (A) 06 Contribution or Indemnification (F) C99 Other Real Property Action Fy AD1 Equity Action involving Commonwealth, DO7 Imposition of a Trust (A) Municipality, MBTA, etc. (A) 008 Minority Shareholder's Suit (A) MC Miscellaneous Givil Actions ‘AE1 Administrative Action involvin 09 Interference in Contractual Relationship ) ‘Commonwealth, Municipality, MBTA,etc. (A) D10 Accounting (A) E18 Foreign Discovery Proceeding ” 11 Enforcement of Restrictive Covenant (F) E97 Prisoner Habeas Corpus (xX) GN Contract/Business Gases 12 Dissolution ofa Partnership (F) £22 Lottery Assignment, G.L. c. 10, § 28 (x) D13 Declaratory Judgment, G.L. c. 231A (A) A01 Services, Labor, and Materials (F) D14 Dissolution of a Corporation (F) AB Abuse/Harassment Prevention A02 Goods Sold and Delivered (F) 1099 Other Equity Action (F) ‘A03 Commercial Paper (F) £15 Abuse Prevention Petition, G.L.c. 209A (Xx) ‘A04 Employment Contract (F) PA Givil Actions Involving incarcerated Party t E21 Protection from Harassment, G.L. c. 258E(X) AOS Consumer Revolving Credit - mrcp.0.1 F) A06 Insurance Contract AA Administrative Givil Actions ‘A08 Sale or Lease of Real Estate PAI Contract Action involving an (F) Incarcerated Party (a) A12 Construction Dispute A) PBI Tortious Action involving an E02 Appeal from Administrative Agency, A14 Interpleader F) Incarcerated Party GL. c. 30, (x) BA1 Governance, Conduct, internal (A) E03 Certiorari Action, G.L. c, 249, § 4 (x) Affairs of Entities (A) C1 Real Property Action involving an £05 Confirmation of Arbitration Awards (X) BAS Liability of Shareholders, Directors, Incarcerated Party (F) £06 Mass Antitrust Act, G.L. c. 93, § 9 (A) Officers, Partners, etc. @) PD1 Equity Action involving an E07 Mass Antitrust Act, G.L. ¢. 93,§ 8 ~ BB1 Shareholder Derivative A) Incarcerated Party (F) E08 Appointment of a Receiver (x) BB2 Securities Transactions (A) PE1 Administrative Action involving an £09 Construction Surety Bond, G.L. c. 149, BC1 Mergers, Consolidations, Sales of Incarcerated Party F) §§ 29, (A) Assets, Issuance of Debt, Equity, etc. (A) £10 Summary Process Appeal wo) D1 Intellectual Proper A) TRiorts E11 Worker's Compensation &) BD2 Proprietary Information or Trade B03 Motor Vehicle Negligence - Personal E16 Auto Surcharge Appeal x) Secrets (A) E17 Civil Rights Act, G.L.c.12, § 11H. (A) BG1 Financial Institutions/Funds A) Injury/Property Damage (F) E24 Appeal from District Court BH{1 Violation of Antitrust or Trade B04 Other Negligence - Personal Commitment, G.L. c.123, § 9(b) ) InjuryiProperty Damage £25 Pleural Registry (Asbestos cases) Regulation Laws A989 Other ContractiBusiness Action - Specify 8 BOS Products Liability B06 Malpractice - Medical (A) (A) E94 E95 Forfeiture, G.L. c. 265, § 56 Forfelture, G.L. c. 946, § 47 (x) (F) B07 Malpractice - Other (A) E99 Other Administrative Action ® * Choose this case type if ANY party is the B08 Wrongful Death - Non-medical (A) ZO1 Medical Malpractice - Tribunal only, ‘Commonwealth, a municipality, the MBTA, or any B15 Defamation (A) GL. c. 231, § 60B (F) ‘other governmental entity UNLESS your case is a B19 Asbestos (A) Z02 Appeal Bond Denial (x) case type listed under Administrative Civil Actions 820 Personal injury - Slip & Fall (F) (Aa). B21 Environmental (F) SO Sex Offender Review B22 Employment Discrimination F) +Choose this case type if ANY party is an BE1 Fraud, Business Torts, etc. a) E12 SDP Commitment, G.L. c. 123A, § 12 () incarcerated party, UNLESS your case is a case B99 Other Tortious Action (F) E14 SDP Petition, G. 123A, § 9(b) () type listed under Administrative Civil Actions (AA) or is a Prisoner Habeas Corpus case (E97). RP Summary Process (Real Property) RG Restricted Givil Actions ‘S01 Summary Process - Residential & E19 Sex Offender Registry, G.L. c. 6, § 178M (X) ‘$02 Summary Process - Commercial! E27 Minor Seeking Consent, G.L. .112, § 125(X) Non-residential ) TRANSFER YOUR SELECTION TO THE FACE SHEET EXAMPLE: CODE NO. TYPE OF ACTION (specify) TRACK en JURY CLAIM BEEN MADE? Bo3 Motor Vehicle Negligence-Personal Injury fk. STATEMENT OF DAMAGES PURSUANT TO GL. c. 212, § 3A DUTY OF THE PLAINTIFF - The plaintiff shall set forth, on the face of the civil action cover sheet (ar attach additional sheets as necessary), a statement specifying the facts on which the plaintiff relies to determine money damages. A copy of such civil action cover sheet, including the statement as to the damages, shall be served with the complaint. A clerk-magistrate shall not accept for filing a complaint, except as otherwise provided by law, unless it is accompanied by such a statement signed by the attorney or self-represented litigant. DUTY OF THE DEFENDANT - If the defendant believes that the statement of damages filed by the plaintiff is inadequate, the defendant may file with his/her answer a statement specifying the potential damages which may result if the plaintiff prevails. A CIVIL COVER SHEET MUST BE FILED WITH EACH COMPLAINT. FAILURE TO COMPLETE THIS COVER SHEET THOROUGHLY AND ACCURATELY MAY RESULT IN DISMISSAL OF THIS ACTION.