Party Notice: CAVALRY SPV I, LLC v. CAMILLE, SINDY

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                                SMALL CLAIMS WRIT CONNECTICUT SUPERIOR COURT

AND NOTICE OF SUIT SMALL CLAIMS SESSION
JD-CV-40 Rev. 12-17 For Court Use Only
C.G.S. §§ 51-15, 51-345(g) Do Not Write In This Space

a Barcode Label Only
Type or print legibly. This Writ and Notice of Suit must be served on (delivered to) the defendant(s)

before filing t with the court. See Instructions to Plaintiff on reverse.

1.) Location information that will determine where the trial will be: 2.) Case type code (See list on reverse page 1)

Defendant’s Residence

Major: S Minor: 15
3.) Is this a claim between a landlord and atenant (renter)? ("X" one)| 4.) If you answered "yes" to question #3, state the town where the rental premises is
Do Yes [J No located:
Parties Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA)
Name: ae
5,) First = Cavalry SPV, LLC (x"One) — [-] LLC [[] Partnership
inti Address: 500 Summit Lake Dr. Suite 400 Valhalla, NY 10595-1340 ivi ion [P01
Plaintiff e Dr. Suite
Telephone: Cinaividuat [7] DBA [_] Corporation
6.) Name, address and zip code of Attorney for Plaintiff(s) ‘Attomey’s Juris number] Telephone number (w/area code)
SCHREIBER/COHEN, LLC, 53 STILES RD., A-102 434988 603-870-5333
SALEM, NH, 03079
Name: sinpy CAMILLE "x" i
7.) First his (X"One) — [FJ ttc [[] Partnership aa
Defendant eS 15 RENWICK ST APT 1 STAMFORD, CT 06902-2300 ivi ion (O
Telephone: Liindividuat [] DBA [_] Corporation

For more than 1 plaintiff/defendant, attach Continuation of Parties (form JD-CV-67) and "X" box. oO

8.) If this claim is a consumer debt, which is a debt or obligation made primarily for personal, family or household reasons, give the reasons why you believe
that the statute of limitations has not expired.

DEFENDANT'S LAST PAYMENT TOWARDS THE ACCOUNT ISSUED OCCURRED ON 01/11/2018, WHICH IS WITHIN THE APPLICABLE STATUTE OF
LIMITATIONS PERIOD.

9.) How did you check in the last 6 months that the address given for defendant(s) is accurate?
"X" all boxes that apply and provide the dates that the address was checked.

JX] | checked town or city records (for example, checking a street list or tax records); 01/02/2019 (date checked)
J I checked with the Department of Motor Vehicles; (date checked)
[J ! received correspondence (letters or other mall) from the defendant with that return address, (date checked)

Oo \ received other proof from the defendant that the address is current;

description of proof
(Seg aibtechockech
[1 I maited by first class mail, at least 4 weeks before this small claims action was filed, a letter to the defendant at the
it i last date checked
address used and the letter has not been returned to me by the United States Postal Service. last date checked

70.) Amount claimed

(0 “Plus pre-judgment interest
$3631.67 Plus Costs

(0 “Plus double damages for security deposit withheld

ow much you waht for

*The Amount Claimed may not be more than $5,000, ech tent in secon 11 below.

Do not include amounts for pre-judgment interest or doubling the security deposit in box 10.
To Defendant(s):

“it iB check one or more boxes, you

41.) Youare being sued. The Plaintiff(s) claims you owe the above amount plus costs and pre-judgment interest and/or double damages for a withheld
security deposit (if checked) for the following reasons:

Citibank, N.A. (“original creditor”) issued defendant a credit card ("Account") and upon use of that Account, defendant became obligated to make timely
payments. Defendant defaulted on that obligation and owes the balance due on the Account. Plaintiff acquired the Account and is the bona fide owner of
the Account. Despite demand, defendant failed to, or was unable to, pay. Plaintiff demands judgment for the amount claimed together with costs and post-
judgment interest in accordance with CT Gen. Stat. Sec. 37-3a. Plaintiff requests that the Court further order a nominal payment order commencing three
(3) weeks from the date of the judgment. Defendant is also not in the military. (See all supporting documents.).

The person,sighing below, being 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, information and belief, there is good ground to support the claim and the information is true.

42) Signet77-Z— Type in name oF person signing eft and tle, Kapp paRle [For Court Use Only (DaterStamp)
| > Wp A ivy commission Expires Octdber 17, 2
Subscripéd and sworn to before me on (Date) Signed (Clerk, Notary, Commissioner of Superior Court)

4 2-AC-1 TF Liteather Q. Wallace, Esq. Eeffrey A. Schreiber, Esq.

ADA Notice: 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 ADA, contact a court clerk
or an ADA contact person listed at www.jud.ct.gov/ADA.

Distribution: Original - Court Copy 1 - Defendant Copy 2 - Defendant Copy 3 - Plaintit
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