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SUMMONS
JD-CV-1 Rev. 1-20
- CIVIL For information on
ADA accommodations
STATE OF CONNECTICUT £&
PE R RT & y
C.G.S. §§ 51-346, 51-347, 51-349, 51-350, 52-45a, 52-48, 52-259: contact a court clerk or SUPERIO cou VAs
P.B. §§ 3-1 through 3-21, 8-1, 10-13 www.jud.ct.gov
go to: www. jud.ct.gov/ADA.
Instructions are on page 2.
L] Select if amount, legal interest, or property in demand, not including interest and costs, is LESS than $2,500.
[x] Select if amount, legal interest, or property in demand, not including interest and costs, is $2,500 or MORE.
C4 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.
Address of court clerk (Number, street, town and zip code) Telephone number of clerk Return Date (Must be a Tuesday)
146 White Street, Danbury, CT 06810 (203 ) 207 —8600 7/16/2024
[x] Judicial District GA. At (City/Town) Case type code (See list on page 2)
(_] Housing Session [_] Number: Danbury Major: C Minor: 50
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 (if attorney or law firm)
The Flood Law Firm, LLC, 190 Washington Street, Middletown, CT 06457 433718
Telephone number Signature of plaintiff (if self-represented)
(860 ) 346 — 2695
The attorney or law firm appearing for the plaintiff, or the plaintiff if E-mail address for delivery of papers under Section 10-13 of the
A
self-represented, agrees to accept papers (service) :
electronically Connecticut Practice Book (if agreed)
~
in this case under Section 10-13 of the Connecticut Practice Book. Yes [_] No| legaldocs@thefloodiawfirm.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: Jacobellis, Donna -
plaintiff Address: 1 Judith Drive, Danbury, CT 06811
Additional Name: P.02
plaintiff Address:
First Name: The Hanover American Company, 440 Lincoln Street, Worcester, MA 01653 D-04
defendant | Address: AGENT: Connecticut Insurance Commissioner, 153 Market Street, Hartford, CT 06103
Additional | Name: Opio, George, 25 Carrier Street, Liberty, NY 12754 or 3026 Gomer Street, Yorktown Heights, NY 10598 p-02
defendant | Address: AGENT: Connecticut Commissioner of Motor Vehicles, 60 State Street, Wethersfield, CT 06161
Additional | Name: D-03
defendant {| Address:
Additional | Name: D-04
defendant | Address:
Total number of plaintiffs: 1 Total number of defendants:
2 C] Form JD-CV-2 attached for additional parties
Notice to each defendant
1. You are being sued. This is a summons in a lawsuit. The complaint attached states the claims the plaintiff is making against you.
an Appearance (form JD-CL-12) with the clerk at the address above. Generally,
2. To receive further notices, you or your attorney must file
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.
3. 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/.
4. 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. Other actions you may take are described in the Connecticut Practice Book, which may be found ina
superior court law library or on-line at https://Awww.jud.ct.gov/pb.htm.
5. If you have questions about the surasnons and laint, you should talk to an attorney.
The court staff is not allowed tofive-atvice op egal matters.
Date Signed (Sign and séle€fproper box) Commissioner of Superior Court | Name of person signing
5/23/2024 CT Clerk | Brian M. Flood, Esq.
If this summons is signed by a cldrk: For Court Use Only
a. The signing has been done so 4fiat the plaintiff(s) will not be denied access to the courts. File Date
b. It is the responsibility of the plaintiff(s) to ensure that service is made in the manner provided by law.
c. The court staff is not permitted to give any legal advice in connection with any lawsuit.
d. The Clerk signing this summons at the request of the plaintiff(s) is not responsible in any way for any
errors or omissions in the summons, any allegations contained in the complaint, or the service of the
summons or complaint.
| certify | have read and | Signed (Selrepresented plaintiff Date Docket Number
understand the above:
Page 1 of 2
Preview
SUMMONS JD-CV-1 Rev. 1-20 - CIVIL For information on ADA accommodations STATE OF CONNECTICUT £& PE R RT & y C.G.S. §§ 51-346, 51-347, 51-349, 51-350, 52-45a, 52-48, 52-259: contact a court clerk or SUPERIO cou VAs P.B. §§ 3-1 through 3-21, 8-1, 10-13 www.jud.ct.gov go to: www. jud.ct.gov/ADA. Instructions are on page 2. L] Select if amount, legal interest, or property in demand, not including interest and costs, is LESS than $2,500. [x] Select if amount, legal interest, or property in demand, not including interest and costs, is $2,500 or MORE. C4 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. Address of court clerk (Number, street, town and zip code) Telephone number of clerk Return Date (Must be a Tuesday) 146 White Street, Danbury, CT 06810 (203 ) 207 —8600 7/16/2024 [x] Judicial District GA. At (City/Town) Case type code (See list on page 2) (_] Housing Session [_] Number: Danbury Major: C Minor: 50 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 (if attorney or law firm) The Flood Law Firm, LLC, 190 Washington Street, Middletown, CT 06457 433718 Telephone number Signature of plaintiff (if self-represented) (860 ) 346 — 2695 The attorney or law firm appearing for the plaintiff, or the plaintiff if E-mail address for delivery of papers under Section 10-13 of the A self-represented, agrees to accept papers (service) : electronically Connecticut Practice Book (if agreed) ~ in this case under Section 10-13 of the Connecticut Practice Book. Yes [_] No| legaldocs@thefloodiawfirm.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: Jacobellis, Donna - plaintiff Address: 1 Judith Drive, Danbury, CT 06811 Additional Name: P.02 plaintiff Address: First Name: The Hanover American Company, 440 Lincoln Street, Worcester, MA 01653 D-04 defendant | Address: AGENT: Connecticut Insurance Commissioner, 153 Market Street, Hartford, CT 06103 Additional | Name: Opio, George, 25 Carrier Street, Liberty, NY 12754 or 3026 Gomer Street, Yorktown Heights, NY 10598 p-02 defendant | Address: AGENT: Connecticut Commissioner of Motor Vehicles, 60 State Street, Wethersfield, CT 06161 Additional | Name: D-03 defendant {| Address: Additional | Name: D-04 defendant | Address: Total number of plaintiffs: 1 Total number of defendants: 2 C] Form JD-CV-2 attached for additional parties Notice to each defendant 1. You are being sued. This is a summons in a lawsuit. The complaint attached states the claims the plaintiff is making against you. an Appearance (form JD-CL-12) with the clerk at the address above. Generally, 2. To receive further notices, you or your attorney must file 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. 3. 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/. 4. 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. Other actions you may take are described in the Connecticut Practice Book, which may be found ina superior court law library or on-line at https://Awww.jud.ct.gov/pb.htm. 5. If you have questions about the surasnons and laint, you should talk to an attorney. The court staff is not allowed tofive-atvice op egal matters. Date Signed (Sign and séle€fproper box) Commissioner of Superior Court | Name of person signing 5/23/2024 CT Clerk | Brian M. Flood, Esq. If this summons is signed by a cldrk: For Court Use Only a. The signing has been done so 4fiat the plaintiff(s) will not be denied access to the courts. File Date b. It is the responsibility of the plaintiff(s) to ensure that service is made in the manner provided by law. c. The court staff is not permitted to give any legal advice in connection with any lawsuit. d. The Clerk signing this summons at the request of the plaintiff(s) is not responsible in any way for any errors or omissions in the summons, any allegations contained in the complaint, or the service of the summons or complaint. | certify | have read and | Signed (Selrepresented plaintiff Date Docket Number understand the above: Page 1 of 2