SUMMONS- CIVIL
`JD-CV-1 Rev. 2-22
`C.G.S. §§ 51-346, 51-347, 51-349, 51-350, 52-45a, 52-48, 52-259;
`P.B. §§ 3-1 through 3-21, 8-1, 10-13
`Instructions are on page2.
`[_] Select if amount, legal interest, or property in demand,notincluding interest and costs, is LESS than $2,500.
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`For information on
`ADA accommodations,
`contact a court clerk or
`go to: www,jud.ct.gov/ADA.
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` www.jud.ct.gov \¢s
` cal
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`STATE OF CONNECTICUT ts
`{
`SUPERIOR COURT|
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`
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`At (City/Town)
`Hartford
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`Juris number(if attorney orlaw firm)
`106077
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`E-mail addressfor delivery of papers under Section 10-13 of the
`Connecticut Practice Book(if agreed)
`k
`edyjoh
`c
`in this case under Section 10-13 of the Connecticut Practice Book.
`es o|mkennedyjohnson.com
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`y O N
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`Total numberofplaintiffs: 2
`Notice to each defendant
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`Total numberof defendants: 2
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`[| Form JD-CV-2 attached for additional parties
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`3.
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`4.
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`5.
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`File Date
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`Selectif amount, legal interest, or property in demand, notincluding interest and costs, is $2,500 or MORE.
`[| Selectif claiming otherrelief in addition to, or in place of, money or damages.
`TO: Any properofficer
`Byauthority of the State of Connecticut, you are hereby commanded to make due andlegal service of this summonsand attached complaint.
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`
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`Addressof court clerk (Number, street, town andzip code)
`Telephone numberofclerk
`Return Date (Must be a Tuesday)
`
`95 Washington Street, Hartford 06106
`(860 ) 548 —2700
`03/26/2024
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`
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`Judicial District
`G.A.
`Casetype code (Seelist onpage 2)
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`["] Housing Session
`[_] Number:
`Major: T
`Minor: 28
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`Forthe plaintiff(s) enter the appearanceof:
`Nameand address ofattorney,law firm orplaintiff if self-represented (Number, street, town andzip code)
`Kennedy Johnson Schwab & Roberge, 555 Long Wharf Drive, New Haven, CT 06511
`Telephone number
`Signatureofplaintiff (if seff-represented)
`(203 ) 865 - 8430
`The attorneyorlawfirm appearing fortheplaintiff, or the plaintiff if
`self-represented, agrees to accept papers (service) electronically
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`
`Parties
`Name(Last, First, Middle Initial) and address of each party (Number; street; P.O. Box; town; state; zip; country,if not USA)
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`First
`_|Name: Bret Chernik
`
`
`plaintiff
`Address: 72 Tyler Lane, Suffield, CT 06078
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`Additional|Name: Anne Chernik
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`
`plaintiff
`Address: 72 Tyler Lane, Suffield, CT 06078
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`First
`Name: Howard Lantner, M.D.
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`defendant|Address: By serving in hand: 701 Cottage Grove Road, Suite E10, Bloomfield, CT 06002
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`Additional|Name: Howard Lantner, M.D., P.C., d/b/a The Center for Minimally Invasive Spine & Neurosurgery
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`defendant|Address: Agent of service of process: 701 Cottage Grove Road, Suite E10, Bloomfield, CT 06002
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`Additional|Name: > D-03
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`defendant|Address:
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`Additional|Name: D-04
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`defendant|Address: -
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`1. You are being sued. This is a summonsin a lawsuit. The complaint attached states the claimsthe plaintiff is making against you.
`2. To receive further notices, you or your attorney mustfile an Appearance (form JD-CL-12) with the clerk at the address above. Generally,
`it mustbefiled on or before the second dayafter the Return Date. The Return Date is not a hearing date. You do not have to cometo
`court on the Return Date unless you receive a separate noticetelling you to appear.
`If you or your attorney do notfile 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/.
`If you believe that you have insurance that may coverthe claim being made againstyouin this lawsuit, you should immediately contact
`your insurance representative. Other actions you maytake are described in the Connecticut Practice Book, which maybe foundin a
`superior court lawlibrary or on-line at hitps:/Awww.jud.ct.gov/pb.htm.
`If you have questions about the summonsand complaint, you should talk to an attorney.
`The court staff is not allowed to give advice on legal matters.
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`Date
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`Signed (Sign-and@elect proper.box)
`Commissionerof Superior Court|Nameof personsigning
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`02/08/2024
`a ee Michael R. Kennedy
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`If this summonsis signed by a Clerk:
`.
`a. The signing has been donesothat the plaintiff(s) will not be denied access to the courts.
`
`b.
`It is the responsibility of the plaintiff(s) to ensure that service is made in the mannerprovided bylaw.
`c. The court staff is not permitted to give any legal advice in connection with any lawsuit.
`d . The Clerk signing this summonsat 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
`summonsor complaint.
`Signed (Self-representedplaintiff) ee|DocketNumber
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`| certify | have read and
`understand the above:
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`Print’Form”:
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`Page 1 of 2
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`Instructions
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`1. Type or print legibly. Ifyou are a self-represented party, this summons must be signed by a clerk ofthe court.
`2.
`If there is more than one defendant, make a copy of the summonsfor each additional defendant. Each defendant must receive a copy of-
`this summons. Each copy of the summons must show who signed the summons and whenit was signed. If there are more than two
`plaintiffs or more than four defendants, complete the Civil Summons Continuation of Parties (form JD-CV-2) and attachit to the original
`and all copies of the summons.
`3. Attach the summonsto the complaint, and attach a copy of the summonsto each copy of the complaint. Include a copy ofthe Civil
`Summons Continuation of Parties form, if applicable.
`4. After service has been made by a properofficer, file the original papers and the officer's return of service with the clerk of the court.
`5. Use this summonsfor the case type codes shown below.
`Do not use this summonsforthe following actions:
`(a) Family matters (for example divorce, child support,
`custody, parentage, andvisitation matters)
`(6) Any actions or proceedings in which an attachment,
`garnishmentor replevyis sought
`(¢) Applications for change ofname
`(d) Probate appeals
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`(e) Administrative appeals
`(f) Proceedings pertaining to arbitration
`(g) Summary Process(Eviction) actions
`(h) Entry and Detainer proceedings
`(i) Housing Code Enforcementactions
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` Case Type Codes
`
`CODE
`CODE
`MAJOR
`MAJOR
`Major!
`MINOR DESCRIPTION
`Major!
`MINOR DESCRIPTION
`
`DESCRIPTION|j,..,, DESCRIPTION|iinor
`
`
`Contracts C00|Construction - All other P00|ForeclosureProperty
`
`
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`C10|Construction - State and Local P10|Partition
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`© 20|Insurance Policy P20|Quiet Title/Discharge of Mortgage or Lien
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`C30|Specific Performance P30|Asset Forfeiture
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`C40|Collections P90|All other:
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`C50|Uninsured/Underinsured Motorist Coverage
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`C60|Uniforrn Limited Liability Company Act -C.G.S. 34-243 ——
`
`C.90|All other T02|Defective Premises- Private - Snow orIceTorts (Other
`
`
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`Eminent | E00|State Highway Condemnation T11|Defective Premises- Public- Snow orIce
`than Vehicular) T03|Defective Premises - Private - Other
`
`
`Domain E10|Redevelopment Condemnation T12|Defective Premises - Public - Other‘
`
`
`
`
`E20|Other State or Municipal Agencies T 20|Products Liability - Other than Vehicular
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`E30|Public Utilities & Gas Transmission Companies 128|Malpractice - Medical
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`E90|All other T 29|Malpractice - Legat/
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`T30{|Malpractice - All other
`
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`Housing H 10|Housing - Return ofSecurity Deposit ‘ reo Apnures Battery
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`
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`H12|Housing - Rent and/or Damages : i
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`H 40|Housing - Housing - Audita Querela/injunction 161 Animals ~ Dog
`
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`H 50|Housing - Administrative Appeal 189|Animals - Other
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`H60|Housing - Municipal Enforcement 70 False Arrest
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`H90|Housing- All Other T71|Fire Damage
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`T90|All other
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`
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`Miscellaneous|M00|Injunction , : : : .
`
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`M40|Receivership Vehicular Tarts|V01|Motor Vehicles* - Driver and/or Passenger(s) vs. Driver(s)
`V04|Motor Vehicles* - Pedestrian vs. Driver
`M15|Receivership for Abandoned/Blighted Property
`M 20|Mandamus
`V¥05|Motor Vehicles* - Property Damage only
`V06|Motor Vehicle* - ProductsLiability Including Warranty
`M 30|Habeas Corpus(extradition, release from PenalInstitution)
`V09|Motor Vehicle* - All other
`M 40|Arbitration
`V10|Boats
`M50|Declaratory Judgment
`V20|Airplanes
`M63|BarDiscipline
`V30|Railroads
`M66|Department of Labor Unemployment Compensation
`V40|Snowmobiles
`Enforcement
`V90|All other
`M68|BarDiscipline - Inactive Status
`*Motor Vehicles include cars, trucks,
`M 70|Municipal Ordinance and Regulation Enforcement
`motorcycles, and motor scooters.
`M 80|Foreign Civil Judgments - C.G.S. 52-604 &C.G.S. 50a-30
`
`M 83|Small me Transfer to Regular Docket W410|Construction ofWills and TrustsWills, Estates
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`
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`M 84|Foreign Protective Order W290|All other
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`M 83|CHRO Actionin the Public Interest - PA. 19-93 and Trusts
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`M90|All other
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