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;
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`goto:
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`P.B. §§ 3-1 through 3-21, 8-1, 10-13
`Instructions are on page 2.
`C] Select if amount, legalinterest, or property in demand,notincluding interest and costs, is LESS than $2,500.
`[x] Selectif amount, legal interest, or property in demand,notincluding interest and costs, is $2,500 or MORE.
`Cc] Select if claiming otherrelief in addition to, or in place of, moneyor damages.
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`For information on
`ADA accommodations,
`contact a court clerk or
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`jjud.ct.gov/ADA.
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`STATE OF CONNECTICUT
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`tr
`SUPERIORi 4
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`Juris number(ifattorney orlaw firm)
`306929
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`3.
`4.
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`TO: Anyproperofficer
`By authority of the State of Connecticut, you are hereby commandedto make dueandlegalservice of this summonsand attached complaint.
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`Address of court clerk (Number, street, town and zip code)
`Return Date (Must be a Tuesday)
`Telephone numberof clerk
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`95 Washington Street, Hartford, CT 06106
`MARCH25, 2025
`(860 ) 548 - 2700
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`[x] Judicial District
`GA.
`At (City/Town)
`Case type code (Seelist on page 2)
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`[_] Housing Session
`(-] Number: a HARTFORD
`Major: C
`Minor: 40
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`Forthe plaintiff(s) enter the appearanceof:
`Name and address of attorney,law firm orplaintiff if self-represented (Number, street, town and zip code)
`Law Office of Joel M. Jolles, P.O. Box 185418, Hamden CT 06518
`Telephone number
`Signature ofplaintiff (if self-represented)
`(203 ) 230 - 5893
`E-mail addressfor delivery of papers under Section 10-13of the
`The attorneyorlaw firm appearingforthe plaintiff, or the plaintiff if
`come Practice Book(ifagreed)
`self-represented, agrees to accept papers (service)electronically
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`sethie nase under Section 10-13 of the Connecticut Practice Book. [_] No|jolles.iaw@sbcglobal.net[X] Yes
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`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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`ai
`Name:
`NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
`plaintiff|Address: P.O. BOX 5600, HARTFORDCT 06102
`Additional|Name:
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`D-01
`FAIRFIELD BUILDING CONSTRUCTION LLC
`Name:
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`defendant|Address: 81 IVAIN ROAD, TORRINGTON, CT 06790
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`Additional
`|Name:
`c/o Pablo V. Dominguez, Agentfor Service,
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`Address:
`Bus./ Res.: 81 Ilvain Road, Torring
`defendant
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`Additional|Name: DOMINGUEZ, PABLOV. A/K/A PABLO DOMIGUEZ
`defendant
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`Address: 81 IVAIN ROAD, TORRINGTON, CT 06790
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`Additional|Name: D-04
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`defendant|Address:
`Total numberofplaintiffs: 1
`Total numberof defendants: 2
`[_] Form JD-CV-2 attached for additional parties
`Notice to each defendant
`4. You are being sued. This is a summonsin a lawsuit. The complaint attached states the claims the 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 notice telling you to appear.
`If you or yourattorney donotfile an Appearance on time, a default judgment may be entered againstyou. You can get an Appearance
`form at the court address above,or on-line at https://jud.ct.gov/webforms/.
`|f you believe that you have insurance that may cover the claim being madeagainstyouin this lawsuit, you should immediately contact
`your insurance representative. Other actions you maytake are describedin the Connecticut Practice Book, which may be found in a
`superior court law library or on-line at https://www.jud.ct.gov/pb.htm.
`If you have questions about the summons and complaint, you shouldtalk to an attorney.
`5.
`The court staff is not allowed to give pdvice on legal matters.
`4
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`Signed (Sign ad gelectproper ox V\2[x] CommissionerofSuperiorCourt Nameofpersonsigning
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`Date
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`02/07/2025 Clerk|JOEL M. JOLLES\ IVA OC
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`if this summonsis signed ‘by a Clerk:
`a. Thesigning has been donesothat the plaintiff(s) will not be denied accessto the courts.
`rae
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`b. Itis the responsibility of the plaintiff(s) to ensure that service is made in the mannerprovidedbylaw.
`c. The court staff is not permitted to give any legal advice in connectionwith 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 containedin the complaint, or the service of the
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`summonsor complaint.
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`Signed (Self-representedplaintiff)
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`| certify | have read and
`understand the above:
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`Page 1 of 2
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`Docket Number
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