SUMMONS STATE OF CONNECTICUT
`SUMMARY PROCESS (EVICTION) SUPERIOR COURT
`JD-HM-32 Rev. 2-25 www.jud.cf.gov
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`C.G.5. § 51-348; P.B. §§ 8-1, 10-13
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`Instructions:
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`1. Type or print legibly. If you are a self-represented party, this form must be signed by a clerk of the court.
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`2. If there is more than one defendant, make a copy of the summons for each additional defendant. Each copy of the
`summans must show who signed the summons and when jt was signed. Also, if there are more than two plaintiffs or
`four defendants, complete the Civil Summons Continuation of Parties (form JD-CV-2) and attach it to the original and
`all copies of the complaint,
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`3. Attach the summons o the complaint, and attach a copy of the summons to each copy of the complaint.
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`4. After service has been made by a proper officer, file the original papers and the officer's retum with the clerk of court.
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`For more information on Summary Process (Eviction) Cases and to find the correct court location to file this case,
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`see Rights and Responsibilities of Landlords and Tenants in Connecticut (form JOP-HM-31)
`or visit jud.ct.govAfagfandiord, htmi,
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`NOTICE TO OCCUPANT(S} NOT
`NAMED ON THE SUMMONS
`If you claim to have a right to continue to
`occupy the premises you should complete
`and file with the clerk's office a Claim of
`Exemption (form JD-HM-3) as soon as
`possible. You can get the Claim of
`Exemption from the clerk at the address
`listed below or online at www.jud.ct.gov.
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`For information on ADA
`accommodations, contact the
`Centralized ADA Office at 860-705-5310
`or go to: www.jud.ct.qov/ADA/
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`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.
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`Return Date (Month, day, year) (Any day but Sundays
`and legal holidays) (2{20/2026
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`[ Judicial District [ At {Town) Case Type (From Judicial Branch cods fst)
`[X] Housing Session | Hartford Major H Minor 00
`Address of court (Number, street, town and zip cade) Telephone number of clerk
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`80 Washington Street, Hartford, CT 06106 860-756-7920
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`Number of plaintiffs: 1
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`Number of defendants: 2
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`[_] Form JD-CV-2 attached for additional parties
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`Parties Name (Last, First, Middie Initial} and address of each party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA)
`First Name: Bella Vista Cooperative, Inc. P-01
`plaintiff Address: 270-276 Bellevue Street, Hartford, CT 06120
`Additional | Name: P-02
`plaintiff Address:
`First Name: Rivera, Carmen D-01
`defendant | Address: 274 Bellevue Street, Apt. B, Hartford, CT 06120
`Additional | Name: Santiago, Luz D-02
`defendant | Address: 274 Bellevue Street, Apt. B, Hartford, CT 06120
`Additional Name: D-03
`defendant Address:
`Additional Name: D-04
`defendant Addross:
`Notice to each defendant
`1. You are being sued for possession of the premises you occupy. 6. You can get the Appearance (form JD-CL-12) at the court address
`2. This paper is a summons in a summary process (eviction) action. above or online at www.jud.ct.gov.
`3. The complaint attached to these papers states the grounds for 7. Each court location can give you an informational pamphlet
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`eviction claimed by the plaintiff.
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`4. To respond to this summons, or to be notified of further
`proceedings, you or your attorney must file a form called an
`Appearance (form JD-CL-12) with the clerk at the above court
`address on or before the second day after the above Return Date. 8.
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`§. If you or your attorney do not file a timely written Appearance form,
`a judgment may enter against you by default, If that happens, the
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`plaintiff will have the right to evict you from the premises. all self-represented parties.
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`(publication JDP-HM-15) explaining the summary process
`(eviction) action and an Answer (form JD-HM-5) so that you may
`file an answer to the plaintiffs claims. You can also get the
`pamphlet and Answer form online at www.jud.ct.gov.
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`If you have guestions about the summons and complaint, you
`should talk to an attorney promptly. The clerk of court is not
`allowed to give advice on legal questions; however, in Housing
`Session locations only, the clerk can give procedural assistance to
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`[x] Commissioner of Superior Court
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`D Clerk
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`Date } (Sign and selgat proper bo
`02/12/2026 /}/% éai, &W—
`/
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`Name of person signing
`Bruce E. Bergman, Esq.
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`For the plaintifl’(é) e‘;ter the appearance of:
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`Name and address of attorney, law firm or plaintiff if seff-represented (Number, street, fown and Zip cade)
`Law Offices of Bruce E. Bergman, 63 Imlay Street, Hartford, CT 06105
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`Telephone number
`860-522-1436
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`Juris Number (If attorney or faw firm)
`431620
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`The attorney or law firm appearing for the plaintiff, or the plaintiff if self-rapresented, agrees to accept Signature of Plaintiff (if se/f-represented)
`papers (service) electronically in this case. Any attorney who is not exempt from e-filing is required to
`accept electronic delivery. (Practice Book Section 10-13) [x] Yes [JNo
`E-mail address for delivery of papers under Secfion 10-13 of the Connecticut Practice Book For Court Use Only
`bruce@attybergman.com Receipt [INo Fee
`If this summons is signed by a clerk: File Date
`a. The signing has been done so that the plaintiff(s) will not be denied access to the courts.
`b. Itis the responsibility of the plaintiff(s) to see that service is made in the manner provided by law.,
`c. The clerk 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 and complaint.
`I certify | have read and | Signed (Self-represented plaintif) Date signed Docket Number
`understand the above:
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