Preview
SMALL CLAIMS WRIT STATE OF CONNECTICUT
AND NOTICE OF SUIT SUPERIOR COURT
JD-CV-4O Rev 9-19 SMALL CLAIMS SESSION
C.G.S. §§ 51-15, 51-345(9) www.jud.ct. gov
Type or print legibly. This Writ and Notice of Suit must be served on (delivered to) the
defendant(s) before filing it with the court. See Instructions to Plaintiff on reverse.
1.) Location Information that will determine where the trial will be: 2.) Case type code (See list on reverse page 1)
Defendant's Residence Maior: S Minor: 15
3.) Is this a claim between a landlord and a tenant (renter)? ("X' One) 4.) If you answered '"yes" to question #3, state the town where rental premesis
[Mes 7No 1 is located:
Parties Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip;Country, if not USA)
5.) First Name Lvnv Funding Lie 'X"One)
fj L±tc artnership
P L
Plaintiff Address C/0 Resurgent Capital Services Lp 55 Beattie Place, ndividual De
cororatton P-01
Telephone Suite 11 O Greenville SC 29601
6.) Name, address and zip code of Attorney for Plaintiff(s) Attorney Juris Number Telephone number (w/area code)
Stillman Law Office 438732 (888) 286-5001
30057 Orchard Lake Rd. Suite 200 Farmington Hills, Ml 48334
7.) First Name Bridget M Temp " One) L tc ±L artnership
P
Defendant Address 881 Durham Rd Wallingford, CT 06492
Telephone
&£ ndividual LbA [bor-oration D-01
For more than 1 plaintiff/defendant, attach Continuation of Parties (form JD-CV-67) and "X" box. LJ
8.) If this claim is a consumer debt, which is a debt or obligation made primarily for personal, family or household reasons, give the reasons
why you believe that the statute of limitations has not expired.
Defendant's last payment made towards this account occured on 03/25/2023
9.) How did you check in the last 6 months that the address given for defendant(s) is accurate?
"X" all boxes that apply and provide the dates that the address was checked.
D I checked town or city records (for example, checking a street list or tax records); (date checked)
D I checked with the Department of Motor Vehicles; (date checked)
[]recieved correspondence (letters or other mail) from the defendant with that return address, (dale checked
D I recieved other proof from the defendant that the address is current; {Description of proof
and date checked)
18! 1 mailed by first class mail, at least 4 weeks before this small claims action was filed, a letter to the defendant at the (last date checked for
address used and the letter has not been returned to me by the United States Postal Service. returned letter)
10.) Amount Claimed* D*Plus Pre-judgment interest
$2,834.91 Plus Costs [}Plus double damages for security deposit withheld
The Amount Claimed may not be more than $5,000. Do not include amounts -If you check one or more boxes, you MUST explain how
for pre-judgment interest or doubling the security deposit in box 10 much you want for each item in section 11 below.
To Defendant(s):
11.)You are being sued. The Plaintiff claims you owe the above amount plus costs and pre-judgment interest and/or double damages for
withheld security deposit (if checked) for the following reasons:
The Defendant(s) contracted with the Citibank, N.A. to provide monetary credit to make purchases and/or obtain cash
advances, incur late charges and/or pre-charge off interest, upon a certain account number xxxxxxxxxxxx0377. The
Defendant(s) obtained and utilized this monetary credit. The Defendant(s) have defaulted in repaying these monies along with
interest and were thus unjustly enriched. The Plaintiff has demanded payment for the outstanding balance of monies due and
owing but payment has not been made. Plaintiff demands judgment for the amount owed, costs and post judgment interest per
C.G.S. Sec 37-3a. Defendant is not on active duty in the military service. (Attached)
The perso signing below, being duly sworn, states that he or she has read the claim above and the information contained in this form and, to the best
of his o r knowledge, information and belief, there is good ground to support the claim and the information is true.
12.) Si Type· name of person signing at left and title, if applicable For Court Use Only (Date/Stamp)
Kevin M. Hughes D Aaron T. Deacon
(Date) Signed(Cs
Aatry, Commisioner of superior Court) _
FEB 1 57024 ·C Aaron T Deacon. Esa
ADA Notice
The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you
need a reasonable accomodation in accordance with the ADA, contact a court clerk or an ADA contact person boo!et!umber
listed at www.jud.ct.gov/ADA.
CT_0120 File No. 23-281886 Page I of I 11111111111111111111111111111111 lllll 111111111111111111
STATEMENT OF SERVICE — (DELIVERY)
SMALL CLAIMS
JD-CV-123 New 1-11
Instructions
Fill out 1 form for each defendant. Attach all documents that show how the Small Claims Writ and
Notice of Suit and related documents were served on (delivered to) the defendant, and check the box
below that applies. Keep all receipts that show how much you paid to have the Small Claims Writ and
Notice of Suit and related documents served on (delivered to) the defendant.
For service on (delivery to) the Defendant:
Bridget M Temp
(Write name of Defendant)
The attached Small Claims Writ and Notice of Suit with related documents, if any, were served on
(delivered to) the defendant named above by:
(Check the box that applies)
1.) priority mail with delivery confirmation; delivery confirmation is attached. I paid $____$18.15____ for
this, or
2.) certified mail, return receipt requested; signed return receipt is attached. I paid $ _____________ for this,
or
3.) a nationally recognized courier service providing delivery confirmation; tracking information showing
delivery
is attached. I paid $_______________ for this, or
4.) a proper officer in the manner in which a writ of summons is served in a civil action; officer's return of
service
filed with the court.
Signature of Plaintiff or Plaintiff's Representative
(Check one)
Plaintiff Plaintiff's representative
Type or print name of signer Date
Kevin Hughes 03/08/2024
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/.
CT_0117 File No. 23-281886
STATEMENT OF SERVICE — (DELIVERY)
SMALL CLAIMS
JD-CV-123 New 1-11
CT_0117 File No. 23-281886
STATEMENT OF SERVICE — (DELIVERY)
SMALL CLAIMS
JD-CV-123 New 1-11
CT_0117 File No. 23-281886
STATEMENT OF SERVICE — (DELIVERY)
SMALL CLAIMS
JD-CV-123 New 1-11
CT_0117 File No. 23-281886
CT_0119 MILITARY AFFIDAVIT File No. 23-281886
NO: LLI-CV-23-6034738-S SUPERIOR COURT
LVNV Funding LLC Judicial District of Litchfield - Small Claims
vs. ;\ T Torrington
Bridget M Temp February Ip, 2024
MILITARY SERVICE AFFIDAVIT
Defondan!(s), BRIDGET M TEMP ai-c not known to be in active military duty. The facts
supporting this statement are evidenced in the appended Certificate verifying Active Duty Status
obtained from Department of Defense Manpower Data Center. Plainriff used the Defendant's Social
Security Number in accessing and obraining rhis report.
I recognize the Defense Manpower Data Center (DMDC) as an organization or the Department of
Defense (DoD) Iha! maintains the Defense Enrollment and Eligibility Reporting System (DEERS)
database which is the official source of data on eligibility for military medical care and other eligibility
systems.
I hereby declare or affirm under the penalties o1 ferjrv hat the fac.:ts and matters set forth in the
aforegoing Affidavit are true and correct to the best of my k1 ledge, informatiori, and belief.
Date: 02/13/2024
Subscribed to and sworn before me this 13th day or l'ebrul024. ;, the County ofOakland, State of
Michigan
Jonathon Young
Notary Public, Stale of Michigan
County of Oakland
My Commission Expires: Jariuary 15, 2030
/\cling in lhe County of Oak land
CT_OH I9 MILITARY AFFIDAVIT File No 23.281 88 1111111111111111111111 111111111111111111111111111111111
Department of D@f@nse Manpower Data Center r1uiiullti IJ!\ 11r . ! nh-1..!-.!CJ.l•I I lil'.O I ·!'ill Pl..•\
Status Report
Pursuant to Sc:rviccmc:rnbc.rs Civil RcHcf Act
SSN:
Birtl1 Date:
Last Name: TEMP
First Name; BRIDGET M
Middle Name:
Status As Of: Feb-12-2024
Certificate ID: 7K9X2923MXllnrt 0Ptt'I 'I Orau, Nf,lifk:.:1111,m L ml IJntn l Emuua I Sorviea Ccrnpu1111n1
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ooono rotortw w'other to inartut or h""or urwt has rocotvod orty notutaoo ts rwpsr tor nae!"" """h
Upon soarchung tho data banks ot tho Dapnrtmonl ot Oofonso Mc111pow .. , Out" Cu11Jor, bo~fJd on 1170 information that you provided, tho abovo Is lho status of
1170 lndlvldual on tha C1ollvo t;tuty :;totuu dato os 10 all br,m"hui; ol Jho Llrtlformoo Sorvlcos (Army, Novy. M.:irlne Corp:;, A.Ir Force, 8paco Fo,,:;e. NOAA, Public
Hnnllh, 1111,;t Cooat Guard), This status includor mntormntion on a 5orvicomember or his/hor unit rocolvlng nollflcallon of luluru ardor,; IQ roporl tor Actlvo DUl)I,
Sam Youelzadoh, Dlro:tor
Daprtmnont ot Dotonwo - Manpowuf' Dula Contor
4600 Mark Cuntur Drive, Suito 04l:.2!;
/\luxnndrin, VA 22350
C'T_Ol 19 MILITARY Arl'IIJA VIT l'ik Nn 23-28188(, 1111111 111111111111111111111111111111111111111111111III
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tho Sotolo rs' EHld Sollorn' Civil Rol1<,I /\ct of t !Mil). DMD hns 1suod hundrod: of thou:nndn ot "llon lnd1c,ntlno tt1nt 1110
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member, triond, or roprosontative resort:; in ny mn nor thnt tho individual was on active duty tor tho nctivo duty status date, or is otherwinso ontitlod to tho
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More information on "Active Duty Status"
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Ttioso wt10 could tely Ori lhi!i. ~nrtlf1ca10 nro 11rgG<::I to sook qualitod legal counsel to unsuro tht all rlg!1ta cuara,HeecJ 10 Sorv icm mnmb0r3 lH'1dl3r tile BGRA
are protected
WARNING: Thi,; c,or1lflco1tQ wa~ provtdocl bosod 011 er l.im 11a111u, SSN/d~1a cl 1;>lr1t1. and acllvo dl.11)1 fltutu" ,:i.ito provldnd by tho roquostor. l"rovidhig
urronnoLJ!l lntorrnotlan WIii caLJBG.i 011 utr'Onoou~ c:cutif1cF1tn In bn provided.
CT 0119 MII.IT/\RY /\l•FIDAVl'I' Ftlc No 23-28188(, 1111111111111111111111111111111111111111111111111111111
INSTRUCTIONS TO DEFENDANT
(NOTICE TO PERSON BEING SUED) STATE OF CONNECTICUT
JD-CV-121 Rev. 2-18
SUPERIOR COURT
www.jud.ct.gov
Please read the instructions carefully.
For more information, get a copy of How Small Claims Court Works (form JDP-CV-45) from a Clerk's Office, Court
Service Center or on the Judicial Branch website, at www.jud.ct.gov/publications/CV045.
You may also find information on the Small Claims Frequently Asked Questions page on the Judicial Branch website at
www.jud.ct.gov/faq/smallclaims.html or by contacting the clerk's office or a Court Service Center.
What is the Small Claims Writ and Notice of Suit (form JD-CV-40) that I have received?
The person suing you (called the plaintiff) has delivered to you (served on you) a copy of the Small Claims Writ and
Notice of Suit (form JD-CV-40) and any documents related to your case. The Small Claims Writ and Notice of Suit
contains the plaintiff's complaint, which explains how much money the plaintiff claims you owe them and the reasons
why the they think you owe them.
How do I defend my case?
In order to respond to the plaintiff's complaint, you must complete an Answer form and return it to court. The court will
send you an Answer form. The Answer form will tell you the court house where you must return the form and the
date by which you must return it.
You should receive an Answer form within six (6) weeks, but if you do not, call the clerk's office to ask why you have
not received it yet. Do not file a response until you receive an Answer form.
The Answer form contains an Answer section, where you respond to the plaintiff's claims, and a Counterclaim section,
where you can make claims against the plaintiff. The Answer section must be completed. It is up to you whether you
complete the Counterclaim. There is a fee for filing a counterclaim, which is discussed below.
How do I respond to the plaintiff's claims? - Filing an Answer
The Answer is your chance to respond or reply to the plaintiff's claim. You may admit or deny all or part of the plaintiff's
claim. Your Answer should be specific, but brief. Complete the form and sign it. Keep a copy for yourself and send a
copy to each attorney or other representative of the plaintiff or, if the plaintiff is representing themselves, send a copy
to the plaintiff. If you are not filing a Counterclaim, send the original Answer form to the court at the address listed on
the form by mail, fax or hand delivery. The court must receive your Answer form on or before the Answer Date. If
you are filing a Counterclaim, see the discussion on Counterclaims, below.
What if I know I owe the plaintiff some money?
If you know you owe the plaintiff something, but do not agree on the amount in the claim or are not sure how much you
owe, you should file an Answer. This gives you a chance to come to court for a hearing (also called a trial) to question
how the plaintiff added up the amount claim or to say why you think the amount should be different.
What if I admit that I owe the plaintiff all of the money they are asking for but want time to pay?
If you are sure that you owe the entire amount claimed by the plaintiff but want or need more time to pay, you may say
this on the Answer form and file it with the court. You may ask for a period of time during which you can make
payments in an amount that you suggest. If you ask for more time, but do not ask for a specific time period or amount,
the court will enter a judgment with an order of payments of $35 each week until the judgment is paid. If you ask to pay
less than $35 per week, and the plaintiff does not agree, a hearing will be scheduled. A judgment against a business
and a judgment against a landlord for return of a security deposit will be ordered to be paid in a lump sum.
What if I pay the full amount plus costs, if any, before the Answer Date?
If you pay the plaintiff, plaintiff's representative, or plaintiff's attorney the full amount of the claim plus costs, if any,
before the Answer Date, you should say that on the Answer form and file it with the court.
Do not send payment(s) to the Court.
What should I do if the plaintiff owes me money? - Filing a Counterclaim
If you claim that the plaintiff owes you money, you may wish to file a Counterclaim. First, you should complete the
Answer portion of the Answer form. Then you may complete the Counterclaim section of the Answer form. In that
section, explain why you think the plaintiff owes you money and how much money you claim the plaintiff owes you.
When you have completed the form, sign it. Keep a copy for yourself and send a copy to each attorney or other
representative of the plaintiff or, if the plaintiff is representing themselves, send a copy to the plaintiff. Send the original
Answer form to the court at the address listed on the form by mail or hand delivery along with a filing fee of $95. The
court must receive your answer form on or before the answer date. You cannot fax a Counterclaim and its
filing fee to the court.
CT_0119 MILITARY AFFIDAVIT File No. 23-281886
What happens if I do not file an Answer?
If you do not file an Answer in writing with the court, a money judgment may be entered against you. This is called a
default judgment. After the Answer Date has passed, your case will be reviewed by a Magistrate, who will decide
whether a judgment should enter without a hearing or if a hearing must be scheduled. The Magistrate may award the
plaintiff the full amount of their claim, plus court costs.
What happens if I file an Answer? Will I have a trial?
If you file an Answer, the Court will schedule a hearing (also called a trial), if one is required. The court will send you
a notice letting you know exactly when and where your case will be heard. Do not come to court for a hearing
on the Answer Date listed on the Answer form. Cases are scheduled for hearing as quickly as possible.
What happens if I file a Counterclaim? Will I have a trial?
If you file a Counterclaim with your Answer, a notice will be sent to you and the plaintiff letting everyone know that a
Counterclaim has been filed and telling the plaintiff when they must file their Answer to the Counterclaim. After the
Counterclaim Answer Date has passed, the court will schedule a hearing (also called a trial), if one is required. The
court will send you a notice letting you know exactly when and where your case will be heard. Do not come to
court for a hearing on the Answer Date listed on the Answer form. Cases are scheduled for hearing as quickly as
possible.
What do I need to bring to Court for my hearing (trial)?
On the day of your hearing, you should bring all of your witnesses and any evidence you have. This may include bills,
invoices, checks, damage estimates, pictures or other documents. Evidence may also include any defective or
damaged goods that can be brought safely and easily into the court. Be prepared and organized so that you can
present your complete case. A small claims judgment cannot be appealed.
ADA NOTICE
The Judicial Branch of the State of
Connecticut complies with the Americans with
Disabilities Act (ADA). If you need a resonable
accommodation in accordance with the ADA,
contact a court clerk or an ADA contact person
listed at www.jud.ct.gov/ADA.
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Preview
SMALL CLAIMS WRIT STATE OF CONNECTICUT AND NOTICE OF SUIT SUPERIOR COURT JD-CV-4O Rev 9-19 SMALL CLAIMS SESSION C.G.S. §§ 51-15, 51-345(9) www.jud.ct. gov Type or print legibly. This Writ and Notice of Suit must be served on (delivered to) the defendant(s) before filing it with the court. See Instructions to Plaintiff on reverse. 1.) Location Information that will determine where the trial will be: 2.) Case type code (See list on reverse page 1) Defendant's Residence Maior: S Minor: 15 3.) Is this a claim between a landlord and a tenant (renter)? ("X' One) 4.) If you answered '"yes" to question #3, state the town where rental premesis [Mes 7No 1 is located: Parties Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip;Country, if not USA) 5.) First Name Lvnv Funding Lie 'X"One) fj L±tc artnership P L Plaintiff Address C/0 Resurgent Capital Services Lp 55 Beattie Place, ndividual De cororatton P-01 Telephone Suite 11 O Greenville SC 29601 6.) Name, address and zip code of Attorney for Plaintiff(s) Attorney Juris Number Telephone number (w/area code) Stillman Law Office 438732 (888) 286-5001 30057 Orchard Lake Rd. Suite 200 Farmington Hills, Ml 48334 7.) First Name Bridget M Temp " One) L tc ±L artnership P Defendant Address 881 Durham Rd Wallingford, CT 06492 Telephone &£ ndividual LbA [bor-oration D-01 For more than 1 plaintiff/defendant, attach Continuation of Parties (form JD-CV-67) and "X" box. LJ 8.) If this claim is a consumer debt, which is a debt or obligation made primarily for personal, family or household reasons, give the reasons why you believe that the statute of limitations has not expired. Defendant's last payment made towards this account occured on 03/25/2023 9.) How did you check in the last 6 months that the address given for defendant(s) is accurate? "X" all boxes that apply and provide the dates that the address was checked. D I checked town or city records (for example, checking a street list or tax records); (date checked) D I checked with the Department of Motor Vehicles; (date checked) []recieved correspondence (letters or other mail) from the defendant with that return address, (dale checked D I recieved other proof from the defendant that the address is current; {Description of proof and date checked) 18! 1 mailed by first class mail, at least 4 weeks before this small claims action was filed, a letter to the defendant at the (last date checked for address used and the letter has not been returned to me by the United States Postal Service. returned letter) 10.) Amount Claimed* D*Plus Pre-judgment interest $2,834.91 Plus Costs [}Plus double damages for security deposit withheld The Amount Claimed may not be more than $5,000. Do not include amounts -If you check one or more boxes, you MUST explain how for pre-judgment interest or doubling the security deposit in box 10 much you want for each item in section 11 below. To Defendant(s): 11.)You are being sued. The Plaintiff claims you owe the above amount plus costs and pre-judgment interest and/or double damages for withheld security deposit (if checked) for the following reasons: The Defendant(s) contracted with the Citibank, N.A. to provide monetary credit to make purchases and/or obtain cash advances, incur late charges and/or pre-charge off interest, upon a certain account number xxxxxxxxxxxx0377. The Defendant(s) obtained and utilized this monetary credit. The Defendant(s) have defaulted in repaying these monies along with interest and were thus unjustly enriched. The Plaintiff has demanded payment for the outstanding balance of monies due and owing but payment has not been made. Plaintiff demands judgment for the amount owed, costs and post judgment interest per C.G.S. Sec 37-3a. Defendant is not on active duty in the military service. (Attached) The perso signing below, being duly sworn, states that he or she has read the claim above and the information contained in this form and, to the best of his o r knowledge, information and belief, there is good ground to support the claim and the information is true. 12.) Si Type· name of person signing at left and title, if applicable For Court Use Only (Date/Stamp) Kevin M. Hughes D Aaron T. Deacon (Date) Signed(Cs Aatry, Commisioner of superior Court) _ FEB 1 57024 ·C Aaron T Deacon. Esa ADA Notice The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accomodation in accordance with the ADA, contact a court clerk or an ADA contact person boo!et!umber listed at www.jud.ct.gov/ADA. CT_0120 File No. 23-281886 Page I of I 11111111111111111111111111111111 lllll 111111111111111111 STATEMENT OF SERVICE — (DELIVERY) SMALL CLAIMS JD-CV-123 New 1-11 Instructions Fill out 1 form for each defendant. Attach all documents that show how the Small Claims Writ and Notice of Suit and related documents were served on (delivered to) the defendant, and check the box below that applies. Keep all receipts that show how much you paid to have the Small Claims Writ and Notice of Suit and related documents served on (delivered to) the defendant. For service on (delivery to) the Defendant: Bridget M Temp (Write name of Defendant) The attached Small Claims Writ and Notice of Suit with related documents, if any, were served on (delivered to) the defendant named above by: (Check the box that applies) 1.) priority mail with delivery confirmation; delivery confirmation is attached. I paid $____$18.15____ for this, or 2.) certified mail, return receipt requested; signed return receipt is attached. I paid $ _____________ for this, or 3.) a nationally recognized courier service providing delivery confirmation; tracking information showing delivery is attached. I paid $_______________ for this, or 4.) a proper officer in the manner in which a writ of summons is served in a civil action; officer's return of service filed with the court. Signature of Plaintiff or Plaintiff's Representative (Check one) Plaintiff Plaintiff's representative Type or print name of signer Date Kevin Hughes 03/08/2024 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/. CT_0117 File No. 23-281886 STATEMENT OF SERVICE — (DELIVERY) SMALL CLAIMS JD-CV-123 New 1-11 CT_0117 File No. 23-281886 STATEMENT OF SERVICE — (DELIVERY) SMALL CLAIMS JD-CV-123 New 1-11 CT_0117 File No. 23-281886 STATEMENT OF SERVICE — (DELIVERY) SMALL CLAIMS JD-CV-123 New 1-11 CT_0117 File No. 23-281886 CT_0119 MILITARY AFFIDAVIT File No. 23-281886 NO: LLI-CV-23-6034738-S SUPERIOR COURT LVNV Funding LLC Judicial District of Litchfield - Small Claims vs. ;\ T Torrington Bridget M Temp February Ip, 2024 MILITARY SERVICE AFFIDAVIT Defondan!(s), BRIDGET M TEMP ai-c not known to be in active military duty. The facts supporting this statement are evidenced in the appended Certificate verifying Active Duty Status obtained from Department of Defense Manpower Data Center. Plainriff used the Defendant's Social Security Number in accessing and obraining rhis report. I recognize the Defense Manpower Data Center (DMDC) as an organization or the Department of Defense (DoD) Iha! maintains the Defense Enrollment and Eligibility Reporting System (DEERS) database which is the official source of data on eligibility for military medical care and other eligibility systems. I hereby declare or affirm under the penalties o1 ferjrv hat the fac.:ts and matters set forth in the aforegoing Affidavit are true and correct to the best of my k1 ledge, informatiori, and belief. Date: 02/13/2024 Subscribed to and sworn before me this 13th day or l'ebrul024. ;, the County ofOakland, State of Michigan Jonathon Young Notary Public, Stale of Michigan County of Oakland My Commission Expires: Jariuary 15, 2030 /\cling in lhe County of Oak land CT_OH I9 MILITARY AFFIDAVIT File No 23.281 88 1111111111111111111111 111111111111111111111111111111111 Department of D@f@nse Manpower Data Center r1uiiullti IJ!\ 11r . ! nh-1..!-.!CJ.l•I I lil'.O I ·!'ill Pl..•\ Status Report Pursuant to Sc:rviccmc:rnbc.rs Civil RcHcf Act SSN: Birtl1 Date: Last Name: TEMP First Name; BRIDGET M Middle Name: Status As Of: Feb-12-2024 Certificate ID: 7K9X2923MXllnrt 0Ptt'I 'I Orau, Nf,lifk:.:1111,m L ml IJntn l Emuua I Sorviea Ccrnpu1111n1 1-------...:N:::"..:..... _,I_____ NII I ~~ I N/1 . HU ooono rotortw w'other to inartut or h""or urwt has rocotvod orty notutaoo ts rwpsr tor nae!"" """h Upon soarchung tho data banks ot tho Dapnrtmonl ot Oofonso Mc111pow .. , Out" Cu11Jor, bo~fJd on 1170 information that you provided, tho abovo Is lho status of 1170 lndlvldual on tha C1ollvo t;tuty :;totuu dato os 10 all br,m"hui; ol Jho Llrtlformoo Sorvlcos (Army, Novy. M.:irlne Corp:;, A.Ir Force, 8paco Fo,,:;e. NOAA, Public Hnnllh, 1111,;t Cooat Guard), This status includor mntormntion on a 5orvicomember or his/hor unit rocolvlng nollflcallon of luluru ardor,; IQ roporl tor Actlvo DUl)I, Sam Youelzadoh, Dlro:tor Daprtmnont ot Dotonwo - Manpowuf' Dula Contor 4600 Mark Cuntur Drive, Suito 04l:.2!; /\luxnndrin, VA 22350 C'T_Ol 19 MILITARY Arl'IIJA VIT l'ik Nn 23-28188(, 1111111 111111111111111111111111111111111111111111111III T h o D e lo n e Mrpowor Data Contor (0MDC) , an organization of tho Doprtmont ot Dotonso (DoD) twit mintun tho Dotonno Enrollmont and Eli«itiity RupDrl111a Synta111 {DEEAS) d::uobaau whiah l?i lhc of11r.lnl !101Jrce nr doln on ell(lll)ilily /or rr'\llllnry mad1~F1I GRro Fllld ot110r Oliflibilily ~Ylilllnm. Tho DoD ±strongly support tho onlorcornoni ol 11,u SCJr'vic □mumbnr!1. c"";lvll Rollof Act (50 USC pp. 3901 at oq, nan m ondod) (SCRA} (ror'murly known .:rn tho Sotolo rs' EHld Sollorn' Civil Rol1<,I /\ct of t !Mil). DMD hns 1suod hundrod: of thou:nndn ot "llon lnd1c,ntlno tt1nt 1110 it1div1dui1I h:; LJurrontly on nactivo duty" roapo,..,sus, ad has experienced only na small orror rate. In tho ovon1 tho individunl rotoroncod above, Or' uny ftmidy member, triond, or roprosontative resort:; in ny mn nor thnt tho individual was on active duty tor tho nctivo duty status date, or is otherwinso ontitlod to tho protocllonea uf lhu SCRJ\, you nro ~rrnnory oncoLi!'DYOcl to obli"1in rurlhar vcriflont1011 of 1ho por.son'a etutus l.Jy c.;ont.J.oting thnl poron's 8orvico. ervico c;antact inlorrnollon cmn bo !OlH10 on 1'10 5CF wobits'; FAAO pnqe (035) vin lhlo lJRL: lllipB:/hJ.liru.Umdc.o~id.111Ul!iorn/.,l//fF'!q8, II you liavu uvidonuu lho pnr~.nn wn~ 011 o.ctlvo duly for !ho ~ctivo duty !.lnl11!1 rfoln ond you lnll to ubli1l11 1'1iu -..1ddi1ion.:1I So,vlcq vnrlllcailon, punitivo provision ot tho C F my bo ir1vokut...l aainst you. Seo !50 USC App. $ 3921(0) Tl1le ro»pon,;o rullnr,t,; 1110 to1tow111a lntormatlon: (1) Tliu 1r1d1vld1rnt·~ l\r,t1vn PLity status on tho Actlvu Duty St□tu~ Dr1to (:i:) Wl1ot11er 1110 lndlvlduul lull t,,.,tlvn Duty ~11llll3 w1111111 367 doys i:,rueudlng tho ctivo Duty Status Dnto (3) w1-1u11-,.,, tho, l11dlv1d1,;i1 nr h\:;thor unll rocolvod oorly 11otilic..:11l011 10 rnpor1 for r1ct1110 dt•ty 011 lllu ctivo Duty ttus Dato More information on "Active Duty Status" Active dut:,, smtu,; ,,,. ropnrlm;I in thl~ corttt1cat0 Is de!lned tfl l1ceo,·et.:mc:o with 1o USG g 1o1 Id) {"I). Pr IOf to 2010 011ly ~omo 01 lho active duty periods lul who 11tJvc'J r'lol HOlunlly bngLin octlvo duty Or' aetuiilly ruportcd for 111c11.1e:lln11. 1·110 l..oal Dalo on Aeiivu Duty tJnlry Ir. lmpgrtanl bocauso a number ot protaction of the SCRA OXl01ld beyoncl lhu h.H:i( dalni1, ol nnt1vo OLJty, Ttioso wt10 could tely Ori lhi!i. ~nrtlf1ca10 nro 11rgG<::I to sook qualitod legal counsel to unsuro tht all rlg!1ta cuara,HeecJ 10 Sorv icm mnmb0r3 lH'1dl3r tile BGRA are protected WARNING: Thi,; c,or1lflco1tQ wa~ provtdocl bosod 011 er l.im 11a111u, SSN/d~1a cl 1;>lr1t1. and acllvo dl.11)1 fltutu" ,:i.ito provldnd by tho roquostor. l"rovidhig urronnoLJ!l lntorrnotlan WIii caLJBG.i 011 utr'Onoou~ c:cutif1cF1tn In bn provided. CT 0119 MII.IT/\RY /\l•FIDAVl'I' Ftlc No 23-28188(, 1111111111111111111111111111111111111111111111111111111 INSTRUCTIONS TO DEFENDANT (NOTICE TO PERSON BEING SUED) STATE OF CONNECTICUT JD-CV-121 Rev. 2-18 SUPERIOR COURT www.jud.ct.gov Please read the instructions carefully. For more information, get a copy of How Small Claims Court Works (form JDP-CV-45) from a Clerk's Office, Court Service Center or on the Judicial Branch website, at www.jud.ct.gov/publications/CV045. You may also find information on the Small Claims Frequently Asked Questions page on the Judicial Branch website at www.jud.ct.gov/faq/smallclaims.html or by contacting the clerk's office or a Court Service Center. What is the Small Claims Writ and Notice of Suit (form JD-CV-40) that I have received? The person suing you (called the plaintiff) has delivered to you (served on you) a copy of the Small Claims Writ and Notice of Suit (form JD-CV-40) and any documents related to your case. The Small Claims Writ and Notice of Suit contains the plaintiff's complaint, which explains how much money the plaintiff claims you owe them and the reasons why the they think you owe them. How do I defend my case? In order to respond to the plaintiff's complaint, you must complete an Answer form and return it to court. The court will send you an Answer form. The Answer form will tell you the court house where you must return the form and the date by which you must return it. You should receive an Answer form within six (6) weeks, but if you do not, call the clerk's office to ask why you have not received it yet. Do not file a response until you receive an Answer form. The Answer form contains an Answer section, where you respond to the plaintiff's claims, and a Counterclaim section, where you can make claims against the plaintiff. The Answer section must be completed. It is up to you whether you complete the Counterclaim. There is a fee for filing a counterclaim, which is discussed below. How do I respond to the plaintiff's claims? - Filing an Answer The Answer is your chance to respond or reply to the plaintiff's claim. You may admit or deny all or part of the plaintiff's claim. Your Answer should be specific, but brief. Complete the form and sign it. Keep a copy for yourself and send a copy to each attorney or other representative of the plaintiff or, if the plaintiff is representing themselves, send a copy to the plaintiff. If you are not filing a Counterclaim, send the original Answer form to the court at the address listed on the form by mail, fax or hand delivery. The court must receive your Answer form on or before the Answer Date. If you are filing a Counterclaim, see the discussion on Counterclaims, below. What if I know I owe the plaintiff some money? If you know you owe the plaintiff something, but do not agree on the amount in the claim or are not sure how much you owe, you should file an Answer. This gives you a chance to come to court for a hearing (also called a trial) to question how the plaintiff added up the amount claim or to say why you think the amount should be different. What if I admit that I owe the plaintiff all of the money they are asking for but want time to pay? If you are sure that you owe the entire amount claimed by the plaintiff but want or need more time to pay, you may say this on the Answer form and file it with the court. You may ask for a period of time during which you can make payments in an amount that you suggest. If you ask for more time, but do not ask for a specific time period or amount, the court will enter a judgment with an order of payments of $35 each week until the judgment is paid. If you ask to pay less than $35 per week, and the plaintiff does not agree, a hearing will be scheduled. A judgment against a business and a judgment against a landlord for return of a security deposit will be ordered to be paid in a lump sum. What if I pay the full amount plus costs, if any, before the Answer Date? If you pay the plaintiff, plaintiff's representative, or plaintiff's attorney the full amount of the claim plus costs, if any, before the Answer Date, you should say that on the Answer form and file it with the court. Do not send payment(s) to the Court. What should I do if the plaintiff owes me money? - Filing a Counterclaim If you claim that the plaintiff owes you money, you may wish to file a Counterclaim. First, you should complete the Answer portion of the Answer form. Then you may complete the Counterclaim section of the Answer form. In that section, explain why you think the plaintiff owes you money and how much money you claim the plaintiff owes you. When you have completed the form, sign it. Keep a copy for yourself and send a copy to each attorney or other representative of the plaintiff or, if the plaintiff is representing themselves, send a copy to the plaintiff. Send the original Answer form to the court at the address listed on the form by mail or hand delivery along with a filing fee of $95. The court must receive your answer form on or before the answer date. You cannot fax a Counterclaim and its filing fee to the court. CT_0119 MILITARY AFFIDAVIT File No. 23-281886 What happens if I do not file an Answer? If you do not file an Answer in writing with the court, a money judgment may be entered against you. This is called a default judgment. After the Answer Date has passed, your case will be reviewed by a Magistrate, who will decide whether a judgment should enter without a hearing or if a hearing must be scheduled. The Magistrate may award the plaintiff the full amount of their claim, plus court costs. What happens if I file an Answer? Will I have a trial? If you file an Answer, the Court will schedule a hearing (also called a trial), if one is required. The court will send you a notice letting you know exactly when and where your case will be heard. Do not come to court for a hearing on the Answer Date listed on the Answer form. Cases are scheduled for hearing as quickly as possible. What happens if I file a Counterclaim? Will I have a trial? If you file a Counterclaim with your Answer, a notice will be sent to you and the plaintiff letting everyone know that a Counterclaim has been filed and telling the plaintiff when they must file their Answer to the Counterclaim. After the Counterclaim Answer Date has passed, the court will schedule a hearing (also called a trial), if one is required. The court will send you a notice letting you know exactly when and where your case will be heard. Do not come to court for a hearing on the Answer Date listed on the Answer form. Cases are scheduled for hearing as quickly as possible. What do I need to bring to Court for my hearing (trial)? On the day of your hearing, you should bring all of your witnesses and any evidence you have. This may include bills, invoices, checks, damage estimates, pictures or other documents. Evidence may also include any defective or damaged goods that can be brought safely and easily into the court. Be prepared and organized so that you can present your complete case. A small claims judgment cannot be appealed. ADA NOTICE The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a resonable accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA. 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