Preview
SUMMONS - CIVIL STATE OF CONNECTICUT
C.G.S. §§ 51-346, 51-347, 51-349, 51-350, 52-45a, SUPERIOR COURT
52-48, 52-259, P.B. §§ 3-1 through 3-21, 8-1, 10-13,
See other side for instructions
Oo "X" if amount, legal interest or property in demand, not including interest and
costs is less than $2,500.
“X" if amount, legal interest or property in demand, not including interest and
costs is $2,500 or more.
(J "x" if claiming other relief in addition to or in lieu of money or damages.
www.jud.ct.gov
ae
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.
Address of court clerk where writ and other papers shall be filed (Number, street, town and zip code) | Telephone number of clerk Return Date (Must be a Tuesday)
(CGS, §§ 51-346, 51-350) (with area code)
95 Washington Street, Hartford, CT 06106 ( 860 )548-2700 September 24,2019
om Day" Year —
X) Judicial District rea ‘At (Town in which writs retumable) (C.G.S. §§ 51-346, 51-349) Case type code (See list on page 2)
Housing Session Number: Hartford Major: V Minor: 01
For the Plaintiff(s) please enter the appearance of:
Name and address of attorney, law firm or plaintiff if self-represented (Number, street, town and zip code) Juris number (to be entered by attorney only)
Pavano Dombrowski, LLC, 360 Bloomfield Avenue, Suite 200, Windsor, CT 06095 436550
Telephone number (with area code) Signature of Plaintiff (if self-represented)
(860 ) 219-0779
The attorney or law firm appearing for the plaintiff, or the plaintiff if
self-represented, agrees to accept papers (service) electronically in ["] Yes [X] No
this case under Section 10-13 of the Connecticut Practice Book.
Email address for delivery of papers under Section 10-13 (agreed fo)
Number of Plaintiffs: 1 Number of Defendants: 1 oO Form JD-CV-2 attached for additional parties
Parties Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA)
First Name: Zelek, Thomas P-04
Plaintiff Address: 225 Vineyard Drive, Kensington, CT 06037
Additional P-02
Plaintiff
First Name: Whalen, Denise po
Defendant | Address: 51 Arrowhead Drive, Glastonbury, CT 06033
Additional | Nam D-02
Defendant | Address:
Additional | Name: D-03
Defendant | Address:
Additional | Name: D-04
Defendant | Address:
Notice to Each Defendant
1. YOU ARE BEING SUED. This paper is a Summons in a lawsuit. The complaint attached to these papers states the claims that each plaintiff is making
against you in this lawsuit.
2. To be notified of further proceedings, you or your attorney must file a form called an "Appearance" with the clerk of the above-named Court at the above
Court address on or before the second day after the above 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 come to court.
3. If you or your attorney do not file a written "Appearance" form on time, a judgment may be entered against you by default. The "Appearance" form may be
obtained at the Court address above or at wwwjud.ct.gov under "Court Forms."
4. If you believe that you have insurance that may cover the claim that is being made against you in this lawsuit, you should immediately contact your
insurance representative. Other action you may have to take is described in the Connecticut Practice Book which may be found in a superior court law
library or on-line at www,jud.ct.gov under "Court Rules.”
5. If you have questions about the Summons and Complaint, you should talk to an attorney quickly. The Clerk of Court is not allowed to give advice on
legal questions.
Signed (Sign and "X} er box) a the | Name of Person Signing at Left
[_] Assistant Clerk John Jay Pavano
Date signed
08/13/2019
If this Summons is signed by a Clerk:
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 Plaintif(s) to see that service is made in the manner provided by law.
. The Clerk is not permitted to give any legal advice in connection with any lawsuit.
4d. 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.
For Court Use Only
File Date
I certify | have read and | Signed (Self-Represented Plaintiff) Date
understand the above:
Docket Number
(Page 1 of 2)Instructions
1. Type or print legibly; sign summons.
2. Prepare or photocopy a summons for each defendant.
3. Attach the original summons to the original complaint, and attach a copy of the summons to each copy of the complaint. Also, if there are
more than 2 plaintiffs or more than 4 defendants prepare form JD-CV-2 and attach it to the original and all copies of the complaint.
4. After service has been made by a proper officer, file original papers and officer's return with the clerk of court.
5. Do not use this form for the following actions:
(a) Family matters (for example divorce, child support,
custody, paternity, and visitation matters)
(b) Summary Process actions
(c) Applications for change of name
(d) Probate appeals
(e) Administrative appeals
Case Type Codes
(f) Proceedings pertaining to arbitration
(g) Any actions or proceedings in which an attachment,
garnishment or replevy is sought
(h) Entry and Detainer proceedings
(i) Housing Code Enforcement actions
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.
Codes Codes .
Major Description) Major! Minor Description Major Description| Major! Minor Description
Minor Minor
Contracts 00 | Construction - All other Property P00 | Foreclosure
c10 Construction - State and Local P10 Partition
20 | Insurance Policy P20 | Quiet Title/Discharge of Mortgage or Lien
C30 Specific Performance P30 Asset Forfeiture
40 | Collections P90 | Allother
cg0 All other
Torts (Other than| 102 | Defective Premises - Private - Snow or Ice
Eminent Domain | £00 | State Highway Condemnation Vehicular) 703 _| Defective Premises - Private - Other
E10 | Redevelopment Condemnation T 11 _ | Defective Premises - Public - Snow or lee
£20 | Other State or Municipal Agencies 712 | Defective Premises - Public - Other
E30 Public Utilities & Gas Transmission Companies T 20 Products Liability - Other than Vehicular
E80 | Allother 728 | Malpractice - Medical
729° | Malpractice - Legal
Miscellaneous M00 | Injunction 730 | Malpractice - All other
M10 | Receivership 40 | Assault and Battery
M20 Mandamus T50 Defamation
M30 | Habeas Corus (extradition, release from Penal T61 | Animals - Dog
Institution) "
mao | arbitrati T69 | Animals - Other
so |b . en Judgment 170 | False Arrest
Mes Se bean udgment T71 | Fire Damage
ar Discipline T90 | Allother
M66_| Department of Labor Unemployment Compensation
Enforcement
™ Vehicular Torts | 01 | Motor Vehicles* - Driver and/or Passenger(s) vs.
M68 _| Bar Discipline - Inactive Status Driver(s)
M70 | Municipal Ordinance and Regulation Enforcement v.04 | Motor Vehicles* - Pedestrian vs. Driver
M80 | Foreign Civil Judgments - C.G.S. §2-604 &C.G.S. 05 | Motor Vehicles" - Property Damage only
50a-30
V06 | Motor Vehicle* - Products Liability Including Warranty
Mas __| Small Claims Transfer to Regular Docket
V.09 | Motor Vehicle - All other
M84 Foreign Protective Order
Meo All othe v10 Boats
other
v.20 | Airplanes
Housing H10 | Housing - Return of Security Deposit V30 | Railroads
H12 | Housing - Rent and/or Damages v.40 | Snowmobiles
40 | Housing - Audita Querela/Injunction V90 | All other
150 | Housing - Administrative Appeal *Motor Vehicles include cars, trucks, motorcycles,
H60 | Housing - Municipal Enforcement and motor scooters.
H80 | Housing - All Other
Wills, Estates W410 | Construction of Wills and Trusts
and Trusts ws0 All other
JD-CV-1 Rev. 4-16 (Back/Page 2)
(Page 2 of 2)
Preview
SUMMONS - CIVIL STATE OF CONNECTICUT C.G.S. §§ 51-346, 51-347, 51-349, 51-350, 52-45a, SUPERIOR COURT 52-48, 52-259, P.B. §§ 3-1 through 3-21, 8-1, 10-13, See other side for instructions Oo "X" if amount, legal interest or property in demand, not including interest and costs is less than $2,500. “X" if amount, legal interest or property in demand, not including interest and costs is $2,500 or more. (J "x" if claiming other relief in addition to or in lieu of money or damages. www.jud.ct.gov ae 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. Address of court clerk where writ and other papers shall be filed (Number, street, town and zip code) | Telephone number of clerk Return Date (Must be a Tuesday) (CGS, §§ 51-346, 51-350) (with area code) 95 Washington Street, Hartford, CT 06106 ( 860 )548-2700 September 24,2019 om Day" Year — X) Judicial District rea ‘At (Town in which writs retumable) (C.G.S. §§ 51-346, 51-349) Case type code (See list on page 2) Housing Session Number: Hartford Major: V Minor: 01 For the Plaintiff(s) please enter the appearance of: Name and address of attorney, law firm or plaintiff if self-represented (Number, street, town and zip code) Juris number (to be entered by attorney only) Pavano Dombrowski, LLC, 360 Bloomfield Avenue, Suite 200, Windsor, CT 06095 436550 Telephone number (with area code) Signature of Plaintiff (if self-represented) (860 ) 219-0779 The attorney or law firm appearing for the plaintiff, or the plaintiff if self-represented, agrees to accept papers (service) electronically in ["] Yes [X] No this case under Section 10-13 of the Connecticut Practice Book. Email address for delivery of papers under Section 10-13 (agreed fo) Number of Plaintiffs: 1 Number of Defendants: 1 oO Form JD-CV-2 attached for additional parties Parties Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA) First Name: Zelek, Thomas P-04 Plaintiff Address: 225 Vineyard Drive, Kensington, CT 06037 Additional P-02 Plaintiff First Name: Whalen, Denise po Defendant | Address: 51 Arrowhead Drive, Glastonbury, CT 06033 Additional | Nam D-02 Defendant | Address: Additional | Name: D-03 Defendant | Address: Additional | Name: D-04 Defendant | Address: Notice to Each Defendant 1. YOU ARE BEING SUED. This paper is a Summons in a lawsuit. The complaint attached to these papers states the claims that each plaintiff is making against you in this lawsuit. 2. To be notified of further proceedings, you or your attorney must file a form called an "Appearance" with the clerk of the above-named Court at the above Court address on or before the second day after the above 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 come to court. 3. If you or your attorney do not file a written "Appearance" form on time, a judgment may be entered against you by default. The "Appearance" form may be obtained at the Court address above or at wwwjud.ct.gov under "Court Forms." 4. If you believe that you have insurance that may cover the claim that is being made against you in this lawsuit, you should immediately contact your insurance representative. Other action you may have to take is described in the Connecticut Practice Book which may be found in a superior court law library or on-line at www,jud.ct.gov under "Court Rules.” 5. If you have questions about the Summons and Complaint, you should talk to an attorney quickly. The Clerk of Court is not allowed to give advice on legal questions. Signed (Sign and "X} er box) a the | Name of Person Signing at Left [_] Assistant Clerk John Jay Pavano Date signed 08/13/2019 If this Summons is signed by a Clerk: 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 Plaintif(s) to see that service is made in the manner provided by law. . The Clerk is not permitted to give any legal advice in connection with any lawsuit. 4d. 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. For Court Use Only File Date I certify | have read and | Signed (Self-Represented Plaintiff) Date understand the above: Docket Number (Page 1 of 2)Instructions 1. Type or print legibly; sign summons. 2. Prepare or photocopy a summons for each defendant. 3. Attach the original summons to the original complaint, and attach a copy of the summons to each copy of the complaint. Also, if there are more than 2 plaintiffs or more than 4 defendants prepare form JD-CV-2 and attach it to the original and all copies of the complaint. 4. After service has been made by a proper officer, file original papers and officer's return with the clerk of court. 5. Do not use this form for the following actions: (a) Family matters (for example divorce, child support, custody, paternity, and visitation matters) (b) Summary Process actions (c) Applications for change of name (d) Probate appeals (e) Administrative appeals Case Type Codes (f) Proceedings pertaining to arbitration (g) Any actions or proceedings in which an attachment, garnishment or replevy is sought (h) Entry and Detainer proceedings (i) Housing Code Enforcement actions 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. Codes Codes . Major Description) Major! Minor Description Major Description| Major! Minor Description Minor Minor Contracts 00 | Construction - All other Property P00 | Foreclosure c10 Construction - State and Local P10 Partition 20 | Insurance Policy P20 | Quiet Title/Discharge of Mortgage or Lien C30 Specific Performance P30 Asset Forfeiture 40 | Collections P90 | Allother cg0 All other Torts (Other than| 102 | Defective Premises - Private - Snow or Ice Eminent Domain | £00 | State Highway Condemnation Vehicular) 703 _| Defective Premises - Private - Other E10 | Redevelopment Condemnation T 11 _ | Defective Premises - Public - Snow or lee £20 | Other State or Municipal Agencies 712 | Defective Premises - Public - Other E30 Public Utilities & Gas Transmission Companies T 20 Products Liability - Other than Vehicular E80 | Allother 728 | Malpractice - Medical 729° | Malpractice - Legal Miscellaneous M00 | Injunction 730 | Malpractice - All other M10 | Receivership 40 | Assault and Battery M20 Mandamus T50 Defamation M30 | Habeas Corus (extradition, release from Penal T61 | Animals - Dog Institution) " mao | arbitrati T69 | Animals - Other so |b . en Judgment 170 | False Arrest Mes Se bean udgment T71 | Fire Damage ar Discipline T90 | Allother M66_| Department of Labor Unemployment Compensation Enforcement ™ Vehicular Torts | 01 | Motor Vehicles* - Driver and/or Passenger(s) vs. M68 _| Bar Discipline - Inactive Status Driver(s) M70 | Municipal Ordinance and Regulation Enforcement v.04 | Motor Vehicles* - Pedestrian vs. Driver M80 | Foreign Civil Judgments - C.G.S. §2-604 &C.G.S. 05 | Motor Vehicles" - Property Damage only 50a-30 V06 | Motor Vehicle* - Products Liability Including Warranty Mas __| Small Claims Transfer to Regular Docket V.09 | Motor Vehicle - All other M84 Foreign Protective Order Meo All othe v10 Boats other v.20 | Airplanes Housing H10 | Housing - Return of Security Deposit V30 | Railroads H12 | Housing - Rent and/or Damages v.40 | Snowmobiles 40 | Housing - Audita Querela/Injunction V90 | All other 150 | Housing - Administrative Appeal *Motor Vehicles include cars, trucks, motorcycles, H60 | Housing - Municipal Enforcement and motor scooters. H80 | Housing - All Other Wills, Estates W410 | Construction of Wills and Trusts and Trusts ws0 All other JD-CV-1 Rev. 4-16 (Back/Page 2) (Page 2 of 2)