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
`
`For information on
`ADA accommodations,
`contact a court clerk or
`go to: www.jud.ctgov/ADA.
`
`STATE OF CONNECTICUT
`SUPERIOR COURT
`www.jud.ct.gov
`
`Instructions are on page 2.
`LI Select if amount, legal interest, or property in demand, not including interest and costs, is LESS than $2,500.
`E] Select if amount, legal interest, or property in demand, not including interest and costs, is $2,500 or MORE.
`
`El 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.
`Return Date (Must be a Tuesday)
`Address of court clerk (Number, street, town and zip code)
`Telephone number of clerk
`( 203 ) 591 —3300
`July 23, 2024
`300 Grand Street Waterbury, CT 06721
`At (City/Town)
`111 Judicial District
`Case type code (See list on page 2)
`G.A.
`Waterbury
`C] Number:
`11] Housing Session
`Major: V
`Minor: 01
`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)
`The Dodd Law Firm, LLC 1781 Highland Avenue, Suite 105 Cheshire, CT 06410
`Telephone number
`Signature of plaintiff (if self-represented)
`( 203 ) 272 —1883
`The attorney or law firm appearing for the plaintiff, or the plaintiff if
`self-represented, agrees to accept papers (service) electronically
`in this case under Section 10-13 of the Connecticut Practice Book.
`
`E-mail address for delivery of papers under Section 10-13 of the
`Connecticut Practice Book (if agreed)
`
`Yes El No
`
`Juris number (if attomey or law firm)
`402420
`
`P-01
`
`P-02
`
`Parties
`First
`plaintiff
`Additional
`plaintiff
`First
`defendant
`Additional
`defendant
`Additional
`defendant
`Additional
`defendant
`Total number of plaintiffs: 1
`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.
`2. To receive further notices, you or your attorney must file an Appearance (form JD-CL-12) with the clerk at the address above. Generally,
`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 in a
`superior court law library or on-line at https://www.jud.ct.gov/pb.htm.
`d complaint, you should talk to an attorney.
`5. If you have questions about the summons
`• ice on legal matters.
`lowed to giv
`The court staff is no
`Date
`06/12/2024
`igned by a Clerk:
`If this summons!
`a. The signing has been done so that 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 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.
`Signed (Self-represented plaintiff)
`I certify I have read and
`understand the above:
`
`Name (Last, First, Middle Initial) and address of each party (Number; street; P.O. Box; town; state; zip; country, if not USA)
`Name: Ervin, Sekai
`Address: 46 Benham Street Waterbury, CT 06708
`Name:
`Address:
`Name: Ellis, Clark
`Address: 383 West Main Street, Cheshire, CT 06410
`Name:
`Address:
`
`D-01
`
`D-02
`
`Name:
`Address:
`
`Name:
`Address:
`
`Total number of defendants: 1
`
`El Form JD-CV-2 attached for additional parties
`
`D-03
`
`D-04
`
`Si ed
`
`ign and selectprop- box)
`
`11:1 Commissioner of Superior Court
`LI
`
`Clerk
`
`Name of person signing
`Jonathan H. Dodd
`For Court Use Only
`
`File Date
`
`Date
`
`Docket Number
`
`Page 1 of 2
`
`

`

`Instructions
`
`1. Type or print legibly. If you are a self-represented party, this summons must be signed by a clerk of the court.
`2. If there is more than one defendant, make a copy of the summons for each additional defendant. Each defendant must receive a copy of
`this summons. Each copy of the summons must show who signed the summons and when it 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 attach it to the original
`and all copies of the summons.
`3. Attach the summons to the complaint, and attach a copy of the summons to each copy of the complaint. Include a copy of the Civil
`Summons Continuation of Parties form, if applicable.
`
`4. After service has been made by a proper officer, file the original papers and the officer's return of service with the clerk of the court.
`5. Use this summons for the case type codes shown below.
`Do not use this summons for the following actions:
`(a) Family matters (for example divorce, child support,
`custody, parentage, and visitation matters)
`(b) Any actions or proceedings in which an attachment,
`garnishment or replevy is sought
`(c) Applications for change of name
`(d) Probate appeals
`
`(e) Administrative appeals
`(0 Proceedings pertaining to arbitration
`(g) Summary Process (Eviction) actions
`(h) Entry and Detainer proceedings
`(0 Housing Code Enforcement actions
`
`Case Type Codes
`
`MAJOR
`DESCRIPTION
`
`Contracts
`
`Eminent
`Domain
`
`Housing
`
`Miscellaneous
`
`CODE
`Major!
`Minor
`C 00
`C 10
`C 20
`C 30
`C 40
`C 50
`C 60
`C 90
`
`MINOR DESCRIPTION
`
`Construction - All other
`Construction - State and Local
`Insurance Policy
`Specific Performance
`Collections
`Uninsured/Underinsured Motorist Coverage
`Uniform Limited Liability Company Act — C.G.S. 34-243
`All other
`
`E 00
`E 10
`E 20
`E 30
`E 90
`
`State Highway Condemnation
`Redevelopment Condemnation
`Other State or Municipal Agencies
`Public Utilities & Gas Transmission Companies
`All other
`
`H 10
`H 12
`H 40
`H 60
`H 60
`H 90
`
`M 00
`M 10
`M 15
`M 20
`M 30
`M 40
`M 50
`M 63
`M 66
`
`M 68
`M 70
`M BO
`M 83
`M 84
`M 89
`M 90
`
`
`
`
`
` Housing- Return of Security Deposit
`
` Housing - Rent and/or Damages
` Housing - Housing - Audita Querela/lnjunction
`Housing - Administrative Appeal
`
`Housing - Municipal Enforcement
`
` Housing - All Other
`
`Habeas Corpus (extradition, release from Penal Institution)
`
`Injunction
`Receivership
`Receivership for Abandoned/Blighted Property
`Mandamus
`
`Arbitration
`Declaratory Judgment
`
`Bar Discipline
`
`
`Enforcement
`
`Bar Discipline- Inactive Status
`Municipal Ordinance and Regulation Enforcement
`Foreign Civil Judgments - C.G.S. 52-604 & C.G.S. 50a-30
`Small Claims Transfer to Regular Docket
`Foreign Protective Order
`CHRO Action in the Public Interest - PA. 19-93
`All other
`
`Department of Labor Unemployment Compensation
`
`MAJOR
`DESCRIPTION
`
`Property
`
`CODE
`Major/
`Minor
`P 00
`P 10
`P20
`P30
`P90
`
`MINOR DESCRIPTION
`
`Foreclosure
`Partition
`Quiet Title/Discharge of Mortgage or Lien
`Asset Forfeiture
`All other
`
`Torts (Other
`than Vehicular)
`
`Vehicular Torts
`
`T 02
`103
`T 11
`T 12
`120
`128
`129
`130
`140
`150
`161
`169
`170
`171
`190
`
`v01
`V 04
`V 05
`V 06
`V 09
`V 10
`V 20
`V 30
`V 40
`V90
`
`Defective Premises - Private - Snow or Ice
`Defective Premises - Private - Other
`Defective Premises - Public - Snow or Ice
`Defective Premises - Public - Other
`Products Liability - Other than Vehicular
`Malpractice - Medical
`Malpractice - Legal
`Malpractice - All other
`Assault and Battery
`Defamation
`Animals - Dog
`Animals - Other
`False Arrest
`Fire Damage
`All other
`
`Motor Vehicles* - Driver and/or Passenger(s) vs. Driver(s)
`Motor Vehicles* - Pedestrian vs. Driver
`Motor Vehicles'- Property Damage only
`Motor Vehicle* - Products Liability Including Warranty
`Motor Vehicle* - All other
`Boats
`Airplanes
`Railroads
`Snowmobiles
`All other
`*Motor Vehicles include cars, trucks,
`motorcycles, and motor scooters.
`
`Wills, Estates
`and Trusts
`
`W 10
`W 90
`
`Construction of Wills and Trusts
`All other
`
`Page 2 of 2
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