On September 08, 2023 a
Complaint,Petition
was filed
involving a dispute between
Aces Bail Llc Dba Aces Bail Bonds,
and
Raphaela Marquez,
for S90 - Small Claims - Small Claims - All Other
in the District Court of Fairfield County.
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Court Use Only
AFFIDAVIT CONCERNING STATE OF CONNECTICUT
MILITARY SERVICE SUPERIOR COURT
JO-FM-178 Rev. 11
PBS 17-21
1
wut
Instructions
Anyone who knows the military status of the defendant may ompiete the form below. Youwho must swear that
will also sign
your statement is true and sign it in front of a court clerk, a notary public. or an attorney
‘and date the affidavit. Make one copy for yourself and give the original to the court slerk
Explanation: A military service affidavit is required in every case where the defendant has not filed an
protect men
Appearance form with the court clerk's office by the time of the court hearing. The purpose 1s to receiving
and women serving in the U.S. military from getting a court judgment against them without first
notice of the lawsuit and a chance to defend the case. The affidavit gives the court the necessary facts (0
find that the defendant is not in the U.S military.
[At (Town) T Returr date (Month. day. year) | Docket number
Judicial D-strict of
Ansonia Ansonia
y Defenaant’s name ‘Last. first. rmiddte ute)
Plaintiffs name (Last first. middle initial}
ACES BAIL LLC DBA ACES BAIL BONDS | Marquez, Raphaela
| certify that the following is true (check all that apply and complete)
[[11. The defendant is in the U.S. Military.
[12. The defendant is not in the U.S. Military. | know this because
[ithe defendant is working at
[the defendant currently lives at
[ithe defendant is years old
other (state reasons)
HAS BEEN VERIFIED BY THE DEPARTMENT OF DEFENSE MANPOWER DATA
CENTER:
en
JOSE RES
NotaréPublic, Corinectiouts =
[L13. | do not know whether the defendant is in the U.S. military service My Comission Expires-07/ 2026;
ae
Sone
Signature Printname
ACES BAIL LLC (MEMBER) |
f Clark/Notary Public TNS. r of Si Court) | At (Town, State) ] Bate signed
Signed and To before me (
BRIDGEPORT, CT | 03/07/2024
ADA NOTICE
with
The Judicial Branch of the State of Connecticut complies with the Americans
accordan ce with the
Disabilities Act (ADA). If you need a reasonable accommodation in
DA
ADA. contact a court clerk or an ADA contact person listed at www.jud ct.gov/A
[“Baintearm1 Bacal Farm
Results as of Mar-07-2024 01:18:40 PM
Department of Defense Manpower Data Center SCRA 5.18
say
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fyfFSy er
ey
Status Report
not Pursuant to Servicemembers Civil Relief Act
Sy
x
Last Name: MARQUEZ
First Name: RAPHAELA
Middle Name:
Status As Of: Mar-07-2024
Certificate ID: 3HQGF1HCX307SLZ
‘On Active Duty On Active Duty Status Date
‘Active Duty Start
Date ‘Active
Duty End Date Status Service Component
NA NA No.
‘This response reflects the individuals’ active duty status based on the Active Duty Status Date
Left Active Duty Within 387 Days of Active Duty Status Date
‘Active Duty Start Date Active
Duty End Dato Status ‘Service Component
NA No NA
‘This response reflects where the individual lft active duty status within 367 days preceding the Active Duty Status Date
‘The Member or His/Her Unit Was Notified of a Future CallUp to Active Duty on Active Duty Status Date
(Order Notification
Start Date ‘Order Notification End Date ‘Status ‘Service Component
NA ‘No NA
This response reflects whether the individual or higher unit has received early notification to report for active duty
Upon searching the data banks of the Department of Defense Manpower Data Center, based on the information that you provided, the above is the status of
the individual on the active duty status date as to all branches of the Uniformed Services (Army, Navy, Marine Corps, Air Force, Space Force, NOAA, Public
Health, and Coast Guard). This status includes information on a Servicemember or his/her unit receiving notification of future orders to report for Active Duty
HOWEVER, WITHOUT A SOCIAL SECURITY NUMBER, THE DEPARTMENT OF DEFENSE MANPOWER DATA CENTER CANNOT AUTHORITATIVELY
ASSERT THAT THIS IS THE SAME INDIVIDUAL THAT YOUR QUERY REFERS TO. NAME AND DATE OF BIRTH ALONE DO NOT UNIQUELY
IDENTIFY AN INDIVIDUAL,
Sam OLELL, acdeh.
Sam Yousefzadeh, Director
Department of Defense - Manpower Data Center
4800 Mark Center Drive, Suite 04E25
Alexandria, VA 22350
Document Filed Date
March 07, 2024
Case Filing Date
September 08, 2023
Category
S90 - Small Claims - Small Claims - All Other
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