SUMMONS June 25, 2024 (2024)

 
Preview
 NOTICE ABOUT THE RESIDENTIAL STATE OF CONNECTICUTFORECLOSURE PROCESS JUDICIAL BRANCH foYD-CV-103 Rev. 2-24C.G.S. §§ 49-341, 49-317 SUPERIOR COURT www.jud,ct.gov Mu For information on ADA accommodations, contact the Centralized ADA Office at 860-706-5310 ‘or go to: www.jud.ct. gov/ADA) YOU ARE BEING SUED AND YOU ARE IN DANGER OF LOSING YOUR PROPERTY The State of Connecticut Superior Court requires that this notice be sent to you about the residential foreclosure process. This is not legal advice, Please read it carefully. It is important for you to learn about your options in foreclosure. There are government agencies, legal aid programs, and other non-profit organizations that you may call for information about foreclosure. To protect your rights, you should speak to an attorney or go to the Foreclosure Clerk, Foreclosure Mediation Caseflow Coordinator or Court Service Center in the Court where your case was filed for information on what to do next. If you do not take action, you could lose your property. File an Appearance (form JD-CL-12) at the Court where your case is pending. If you do not file an Appearance with the Court, you will not get important notices about your case AND the Court may make a decision (enter a default judgment) against you. You should also work with your lender or other person bringing this lawsuit or, if this foreclosure involves your home, contact a HUD-certified housing counselor during this process. If this foreclosure Involves your home, you may be eligible for the Foreclosure Mediation Program. Information about the program is attached to these papers and is also available at any Superior Court Judicial District courthouse or on the court's website at www jud.ct.gov/foreclosure, To locate assistance near you, you may call the Connecticut Housing Finance Authority's call center toll free at 1-877-571-2432. Customer Service Representatives are available Monda ly through Friday from 9:00 a.m. to 5:00 p.m. You may also call 2-1-1 for other help. PROCEED WITH CAUTION You may be contacted by people offering to help you avoid foreclosure. Please follow these precautions: 1. Get legal advice before entering into any deal involving your house. 2. Get legal advice before paying any money to anyone offering to help you avoid foreclosure. 3. Do not sign any papers you do not understand. READ THE PAPERS UNDER THIS NOTICE&FORECLOSURE MEDIATIONNOTICE TO HOMEOWNER OR STATE OF CONNECTICUTRELIGIOUS ORGANIZATION SUPERIOR COURT For cases with a Return Date of JUDICIAL BRANCH10/1/2011 or tater) www,jud.ct. govJD-CV-127 Rev, 7-15C.G.S. §§ 49-31), 49-34k; PA 18-124 FMNORMR ADA NOTICE The Judiciat Branch of the State of Connecticut complies with the LET 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.gow/ADA.Notice to Homeowner or Religious Organization:Availability of Foreclosure Mediation You have been served with a foreclosure complaint that could cause you to lose your property. A Foreclosure Mediation Program has been set up to help certain homeowners and lige organizations. You must fill out the attached Foreclosure Mediation Certificate form, JD-CV-108 and Appearance form, JD-CL-12 and file them with the Court no later than 15 days from the Return Date on the Summons form that was served on you (or delivered to you). If these forms are not attached, you may get them at any Judicial District courthouse or from the Judicial Branch website at www.jud.ct.gov/webforms. A mediation may be scheduled if: ‘4. You are the owner-occupant of a 1, 2, 3 or 4 family residential property; and * you are a borrower or a spouse or former spouse of a borrower who qualifies as a Permitted Successor-in-Interest (see Foreclosure Mediation Certificate, form JD-CV-108, to determine if you qualify as a Permitted Successor-in-Interest); and @ the mortgage on your owner-occupied residential property is being foreclosed; and e the property being foreclosed is your primary. residence; and e the property is located in Connecticut; or 2, the property is owned by a religious organization that is the borrower, and is located in Connecticut. 3. If you are eligible based on the above criteria, you will first meet with a mediator who will determine if mediation with your lender or mortgage servicer will be scheduled. Mediation is where a person who does not take sides helps parties try to settle their case. Judicial Branch mediators will conduct mediation sessions at the courthouse. There is no application fee for this program.MEDIATION INFORMATION FORM(For cases with a Return Date of 10/1/13 or later) STATE OF CONNECTICUT SUPERIOR C OURT BJD-OV-435 Rev. 9-49 wn jurd.ct.gavC.GS.§ 4931 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 wwnwjud.ct. gov/ADA.The Court's Foreclosure Mediation Program is set up to help eligible homeowners and their lenders or mortgageservicers see whether they can reach a fair and voluntary agreement under the supervision of a neutral mediatoremployed by the Court. The program addresses all aspects of the foreclosure including any assistance optionsthat may be available through the lender or mortgage servicer to help homeowners 1) keep their homes, or2) gracefully exit from their homes by way of a short sale, deed-in-lieu of foreclosure, or negotiated sale date orlaw day.The cbjectives of the mediation program are:1, To determine whether the parties can reach an agreement that may allow the parties to either: a. Stop the foreclosure by using programs available through the lender or mortgage servicer; or b. Go forward with the foreclosure in a way that is acceptable to the homeowner and the lender or mortgage servicer.2. To reach some agreement with reasonable speed and efficiency, with both parties participating in the mediation process in good faith, without unreasonable and unnecessary delaysWhat you must do1. Fill out the Appearance form and Foreclosure Mediation Certificate. These forms’are included in this packet. You must file them with the court no later than 15 days after the return date. The return date is printed on the upper right part of the Summons form in this packet. You do not have to come to court on the return date. The court cannot notify you of the date and time you must come for your first premediation meeting until you file these forms. Mail a copy of the Appearance form and the Foreclosure Mediation Certificate to the Plaintiff's attorney at the address of the attorney or !aw firm on the Summons form, and to any other party who has filed an appearance in your case, Start gathering documentation so that you will be prepared to meet with your mediator. Lenders typically tequest copies of the following documents: Proof of Income + Wage/Salary Income — Pay stubs covering the last 30 days. + Self-Employment Income — Profit & Loss statement for the most recent quarter or year to date, signed and dated * Benefit Income — Most recent award letter (social security, disability, food stamps, pension, public assistance, adoption assistance). + Rental Income — All leases with signatures + Alimony/Child Support — If you rely on this income to pay your mortgage, court order showing the amount of alimony and/or child support that you receive. + Contribution Income— Contribution letters from all non-borrowers who are re lated to you and live with you, signed and dated by them, and proof of their income. + Federal Tax Returns — Personal returns with all schedules for the last 2 years; copies of business returns, if applicable; copies of IRS tax filing extensions, if applicable. + Bank Statements — Persona! bank statements for the last 2 months and business bank statements for the last 4 months if self-employed. Must include all pages, bank logo, and account holder's information. Other Information * Most recent utility bill (gas, electric, or water) * Most recent real estate property tax bill + Evidence of amount of homeowner's association dues/condominium fees, and whether current or delinquent. Page 1 of 2+ Homeowners’ insurance declaration page. y a from making your + Hardship letter — A letter, signed and dated by all borrowers, explaining what prevented mortgage payment, and indicating if the hardship is resolved. packet of forms, their list of4. Within 35 days from the return date, your lender or mortgage servicer will mail you a required documentation, and other infor ‘mation about your loan or your property. A copy will also be sent to your l documents on mediator. Upon receipt of this packet, complete the forms provided, gather any additiona the list, and bring the completed forms, and other documents to your sch eduled premediation meeting with your mediator. You can read more about this meeting in the next section below. Do not mail the completed forms and documents to the court.The Mediation Process two stages:If your return-date Is October 1, 2013 or later, the Foreclosure Mediation Program will consist of your financial + Premediation — During this stage, you will meet one-on-one with a mediator to review forms and information and to discuss possible options. If necessary, the mediator will help you complete servicer. The mediator may also refer you to other gather the documents required by your lender or mortgage housing counseling agencies listed on the attached Notice of resources that can help you, such as the Community: Based Resources. You may have one or more meetings with the mediator, but premediati on will end approximately 12 wee! ks from the return date on your Summons. At the conclusion of premediation, the or its attorney, mediator will ensure that your documentation is delivered to your lender or mortgage servicer servicer will be scheduled. If the mediator and will determine whether mediation with your lender or mortgage determines that mediation will not be scheduled, mediation will terminate. If mediation has been terminated,have you may ask the Court to be included in mediation if you think the mediator has made a mistake or if you had a change in circ*mstances. Ifthe mediator determines that mediation will be scheduled, you will receive notice of the date and time of your me diation in the mail. The first mediation will be scheduled no later than 5 or its weeks from the date your forms and documentation are delivered to your lender or mortgage servicer, attorney. . Mediation — If mediation i s scheduled, you will meet with a mediator and a representative of the lender or mortgage servicer and its attorney to review any assistance options that may be available to you through your lender or mortgage servicer. Depending on your situation, you may be asked to submit additional documentation as part of the mediation process. By law, the representative is permitted to participate in mediation by phone as long as the representative is knowledgeable about your case and the types of assistance that may be available to you. If you are represented b yy an attorney, your attorney may appear for you after the first mediation as long as you are available to partici pate by phone. If you do not have an attorney and if there are 2 or more self-represented borrowers, th en after the first mediation session, it is likely that only one of you will need to come to mediation if the other(s) are available to participate by phone. Other information you should know: The information you provide during the mediation process will be treated as confidential and will not be shared oyed without your consent with anyone except your lender or mortgage servicer, its attorneys, and a court-empl re Mediation Program. * mediator with the Foreclosu Before your premediation meeting( ‘s) with the mediator, if you need help completing forms, gathering documents, attached Notice or preparing for mediation, you may conta ct one of the housing counseling agencies listed on the of Community-Based Resources (form JD-CV-126). However, if you are ni ot able to get help quickly enough, you must do your best to complete the forms and gather the documents yourself. The mediator will give you additional help during the premediation process. {f your spouse on your loan, but you wish to have that person attend mediation with you, you is not a borrower must give your lender your written consent to discuss your loan with your spouse. Page 2 of 2STATE OF CONNECTICUTFORECLOSURE MEDIATION NOTICE OF SUPERIOR COURTCOMMUNITY-BASED RESOURCES JUDICIAL BRANCHJD-CV-126 Rev. 10-4.68, $§ 49-311, 49-34¢ winw.Jud’. ct. gov.State of Connecticut Department of Bankingcu Fore closure Hotline Bulletin t HomCommunity-Based Re: sources for Connecti necticut Housing eowners in Foreclosure isa vailable through Coni Finance Authority (CHFA/HUD) -approvedNote: Assistance in multiple languages en Espafiol es disponible a través de agencias le consejeria dehousing counseling agencies (refer to the list below). Ayuda lista de abajo).vivienda aprobado por CHFA/H| UD (favor de referirse a laToll-free Mortgage Foreclosur e Assistance Hotline: 1-877 -472-8313Department of Banking Websit e: www.ct.gov/dob a.m. to 5:00 p.m. Calls will be returned within two business days.The free Foreclosure Hotline is open Monday - Friday 8:00Homeowners who are currently a party to a foreclosure ai ction with time sensitive foreclosure concerns should call the Hotline . by c alling 1-800-831-7225 (toll-free) or 860-240-8299for assistance. You can also reach the Department of Banking ce Authority (CHFA) Mortgage Assistanc e from the Connecticut Housing Finan e Assistance Program (EMAP) Emergency Mortgag The Connecticut Housing Finance Authority admin isters the state's ticut Genera l Assem bly. EMAP can help eligible homeowners with overdue payments and which was created by the Connec provide monthly mort igage assistance. For more informa’ tion, contact a CHFA/HUD-approved housing counseling agéncy {listed below), call CHFA at 4-877-571-2432, or visit www.chfa.ord. CHFA/HUD-Approved Housing Counselors: Connecticut homeowners who a re struggling financially and CHFA/HUD-approved housing counselors provide fi ree help to may be at risk of foreclosure. They can review your budget and try to find ways to help with your financial issues. They are negotiate with your mortgage company or apply to CHFA trained in handling FHA and "conventional" loans and cal in help you case has been filed against you and you have asked to foran Emergency Mortgage Assistance loan. if{ a foreclosure get ready for mediation (including the Premediation participate in the Foreclosure Mediation Program, they can help you ts to your mortgage company as part of the mediation meetings with your mediator) and help you submit financial documen welcom e resident : ‘s from all over Connecticut. You do not need to process. CHFA/HUD approved housing counselors goto the agency closest to you. Phone County CHFA/HUD-Approved Housing Counseling Agency Bridgeport Neighborhood Trust, 570 State Street, Bridgeport 203-290-4255 www. bntweb.org Fairfield Stamford Urban League of Southern Connecticut, Inc., 137 Henry Street, 203-327-5810 www.ulsc.org Britain Neighborhood Housing Services of New Britain, 223 Broad Street, New 860-224-2433 Hartford www.nhsnb.ora New Haven New Haven HomeOwnership Center, Inc., 333 Sherman Avenue, 203-562-0598 WwW, inewhaven.ort 203-624-7406 Caples Change, Inc., 171 Orange Street, 3rd Floor, New Haven Extension 1320 New Haven Neighbothood Hot using Services of Waterbury, 193 Grand Street, 3rd Floor, Waterbury 203-753-1896 Of ADA NOTICE The Judiclal 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 Reeon listed at www.jud.ct.gov/ADA.Legal ResourcesForeclosure Prevention Clinics: The Connecticut Fair Housing Center, together with Homes Saved by Faith, regularlypresents free clinics for homeowners facing foreclosure. The clinics offer information from a Center attorney on how toprepare for court and what resources exist for homeowners, After the presentation, homeowners can discuss their situationsbriefly, one-on-one, with an attomey. The clinics are typically on weekday evenings in either Hartford or Fairfield County.Call 1-888-247-4404 or visit www.ctfalrhousing.org for more information on dates and locations.Judicial Branch Foreclosure Volunteer Attorney Program: Volunteer attorneys are available to give advice and answerquestions about foreclosure at certain courthouses in the state. Homeowners facing foreclosure throughout Connecticut arewelcome to attend. Call 860-263-2734 for additional information, or visit http://jud.ct.gov/volunteer_atty_prgm.htm.Foreclosure Manual for Self-Represented Homeowners: The Connecticut Fair Housing Center publishes “RepresentingYourselfin Foreclosure: A Guide for Connecticut Homeowners,” a free manual describing the foreclosure and mediationprocess for self-represented homeowners. Copies are available from CHFA/HUD-approved housing counselors, onwww.ctfairhousing.org, or by calling the Center at 1-888-247-4401.Statewide Legal Services (SLS): SLS provides free legal advice and referrals for callers qualifying for its services(guidelines include income limits). Call 1-800-453-3320 or 860-344-0380 or visit www.sisct.org for more information,Court Service Centers: In certain Superior Court locations, Court Service Centers provide public access computers, printers,fax machines, copiers, phones, and work space for self-represented parties. Refer to www,jud.ct.gov, and go to the QuickLinks menu on the home page of the Judicial website for more information.Lawyer Referral Services: County Bar Associations in Connecticut offer referral services that introduce homeowners tolawyers who can answer questions during an initial half-hour consultation. You can send an e-mail with your questions andavailability. Services beyond the ‘1st half-hour fee will be at the attorney's usual fee. Fee for 1/2 hour Website Email:County hone ConsultationFairfield 203-335-4116 $40 www bridgenortbar.ora TRSenice0d@yatoo.comHartford* 860-525-8106 $35 www. hartfordbar.org hcba@harfordbar.orgNew Haven 203-562-5750 $36 www. newhavenbar.org LRS@newhavenbar.orgNew London 860-889-9384 $25 www.nicba.org newlondoncba@gmail.com*The Hartford County Bar also covers Litchfield, Middlesex, Tolland, and Windham Counties.How Foreclosure Rescue Scams Work. People in foreclosure are often the target of "foreclosure rescue scams.”Be very careful of non-lawyers who ask you to pay a fee for counseling, loan modification, foreclosure prevention, or a“forensic audit" of your loan documents, regardless of their promises or claims. Many out-of-state attorneys targetConnecticut residents: you should never pay attorneys that you do not meet. Contact the Department of Banking for moreinformation at 1-877-472-8313 or visit www.preventloanscams.org. Mortgage Crisis Job Training Program. The state-funded Mortgage Crisis Job Training Program is a project of TheWorkPlace, Inc., in partnership with the Connecticut Housing Finance Authority (CHFA), Capital Workforce Partners, andConnecticut's workforce system, The Program helps homeowners increase their job skills and earning potential. It offers customized employment services, job training scholarships, financial literacy, and credit counseling. For information call 4-866-683-1682 or go to www.workplace.org/mortgage-crisis-job-training-program/, Financial Assistance Programs. Connecticut's 12 Community Action Agencies (CAAs) help people meet immediate needs through services such as Eviction and Foreclosure Prevention, energy/heating assistance, food pantries, and weatherization. CAAs also empower people to improve their financial future through employment services, financial literacy training, and other programs. To locate your local CAA call the Connecticut Association for Community Action at 860-832-9438 or visit: www.cafca.org/our-network, For more information on programs for homeowners facing financial distress, review the Department of Banking's materials on www.ct.govidob or call 1-877-472-8313. You can also call Info line at 2-1-1 for resources. JO-CV=128 Rev. 10-19 Page 2 of 2FORECLOSURE MEDIATION STATE OF CONNECTICUT CERTIFICATE SUPERIOR COURT JD-CV-108 Rev. 7-15 JUDICIAL BRANCH CGS. §§ 49-31k, 49-344; PA, 15-124 Ly win.jud.ct.gov Instructions to Homeowner Applicant 1. Use this form if the return date in your case is on or after July 1, 2009, FMREQ 2. Fill out this Certificate form and an Appearance form, JD-CL-12 (available at the courthouse or online at www.jud.ct.qov) and file ther with the court not more than 15 days after the return date on the Summons. AN 3. You must mail or deliver a copy of this completed Certificate form to the plaintiff's attorney, or to the plaintiff if the plaintiff isnot represented by an attorney, and to all parties who have filed an appearance in the case. This form will be used to determine your eligibility for the Foreclosure Mediation Program. Type or Print Legibly Name of case (Plaintiffon Summons vs, Defendanton Summons) Docket number (70be filedin by court staff) Reelin date (0% upper ight parton of Summons] | Iudieal Uetictot (On upper Tel paren of Summons) Yourname ‘Address (Number, street, (own, slate, zp code) Telephone number Business phone Cell phone ( ) ( ) ( ) A. If you are an individual, answer the following questions: 4. Do you own the property? (Yes [No 2. Do you live in the property? L] Yes LJ No 3. Is it your primary residence? (] Yes LJNo 4, |s ita 1, 2, 3 or 4 family residential property located in Connecticut? LJ Yes LINo 5. ls this a mortgage foreclosure? (] Yes LJNo 6. Are you a borrower on the note? (J Yes LJ No /f you are not a borrower on the note, but answered "yes" to questions one (1) through five (5) and you are the spouse or former spouse of a borrower, go to Section C, on Page 2. if you answered “yes” fo questions one (1) through six (6) and another defendant in this case has requested or may request in Section C to participate in the Foreclosure Mediation Program as a Permitted Successor-in- interest, who became the owner of the property as a result of divorce, legal se; paration, or a popeay seitlement agreement related to a divorce or legal separation, go to Section D.1. OR_B- If you are filing this on behalf of a religious organization, answer the following questions: 1. Does a religious organization own the property? CI Yes (No 2. Is the property located in Connecticut? (] Yes {_}-No 3. Is the religious organization the borrower on the note? (] Yes No 4. Is the return date in the case on or after October 1, 20117 LI Yes No 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, Continued on next page... Page 1 of 2C. Permitted Successors-in-Interest If you are not a borrower on the note, but answered “yes” to questions one (1) through five (5) in Section A and you are the spouse or former spouse of a borrower, you may be able to participate in the Foreclosure Mediation Program as a Permitted Successor-in-Interest. Answer the following questions to help the Court determine if you qualify: 1. Are you a defendant in this case? Yes (1) No 2. Is the return date in this case on or after October 1, 2015? Yes No 3. If you answered “yes” to one (1) and two (2), how did you become the owner of the property? (check the box that applies to you, if any) (J 3a. became the only owner of the property when It was transferred to me from my-deceased spouse's estate. (J 3b.1 became the only owner of the property because my deceased spouse and ! held joint title to the property. (3c. | became the owner of the property because it was transferred to me as a result of a divorce, legal separation, or a property settlement agreement related to a divorce or legal separation. If you checked 3c., go to Section D.2 and Section D.3.D. Consents If a Permitted Successor-in-Interest, who became the owner of the property as a result of divorce, legal separation, or a property settlement agreement related to a divorce or legal separation, has applied or may apply for the Foreclosure Mediation Program, you must complete this section to qualify for the Foreclosure Mediation Program: (check only the box(es) that apply) 1. If you answered “yes” to questions one (1) through six (6) In Section A and another defendant has requested or may request to participate in the Foreclosure Mediation Program as a Permitted Successor-in- Interest, who became the owner of the property as a result of divorce, legal separation, or a property settlement agreement related to a divorce or legal separation, check this box to complete your consent: (J I consent to the plaintiff mortgagee's disclosure of my non-public personal financial information to the spouse or former spouse who qualifies as a Permitted Successor-in-Interest to the extent that the . plaintiff morigagee has that information. If you answered “yes" to questions one (1) and two (2) in Section C, and checked box 3c., check this box to complete your consent: | consent to the plaintiff mortgagee's disclosure of my non-public personal financial information to all borrowers on this note, to the extent that the plaintiff mortgagee has that information. If you answered “yes” to questions one (1) and two (2) in Section C, and checked box 3c., check this box to certify that all borrowers on the note have provided their consent: C I certify that all borrowers on the note have agreed to allow the plaintiff mortgagee to disclose their non- public personal financial information to me, to the extent that the plaintiff mortgagee has that information, and that the borrowers have shown their consent by (check any box that applies): (1) Submitting a Foreclosure Mediation Certificate containing their consent, or Cd Giving documentation to the plaintiff mortgagee that allows for the full disclosure of the borrower's non-public personal financial information to me. Signed Print name of person signing Date signed Certification| certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on (date) to all attorneys and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented parties of record who were or will immediately be electronically served. Name and address of each parly and attorney that copy was or wil immedialely be mailed or delivered to™ *Ifnecessary, attach additional aaa or sheets with name and address which the copy was or will immediately be mailed or delivered to. Signed (Signature offiler) Print or type name of person signing Dale signed Mating adaiees (Number, steer, lown, state and zp cade) Telephone number Page 2 of 2APPEARANCE This farm is available STATE OF CONNECTICUTJD-CL12 Rev. 12-21 in other language(s). SUPERIOR COURTP.8, §§ 3-1 through 3-42, 10-13, 25-6A, 252-2, 262-3 wow jud.cl.gov form.There are instructions and important notices on page 2 (the back) of this Return date (For Civil/Family cases)Read page 2 before filling out this form, 1am filing this appearance to let the court and all attorneys and self-represented Docket NumberoO parties of record know that | have changed my address. My new address is below. State of ConnecticutName of case (Fullname of iret Plaintif v. Full name of first Defendant) Note: In Criminal/Motor Vehicles cases, the PlaintffIs The ‘Address of count (Number, streel, town end zip code) ‘Scheduled court date (Criminal/Motor Vehicle cases only) Howiing Judicial Session t ogee ——Enter the Appearance of Turis number (For atlomeyiaw trim)‘Name (Yourname or hame of official, firm, professional corporation, or individual attorney) oat Ofice box number ‘Telephone number (Aree code first)Malling addressCilyhiown’ Slate Zip code Fax number E-mail address. this form.) in the case named above for: (Select one of the following parties. See deseriptions/notes on page 2 of PLAINTIFF DEFENDANT CC The Plaintiff. ( The Defendant. (J All Plaintiffs. (_] All Defendants. (J The following Plaintifi(s) only: (J The following Defendant(s) only: C Other (Specify): This is a Family Matters case (such as divorce, custody, or child support). My appearance is for: (Select one or both) ( matters in the Family Division of the Superior Court (J Title 'V-D Child Support matters or o Assigned Counsel (FD This is a Criminal/Motor Vehicle case, and | am filing this appearance as [[] a Public Defender (Special Public Defender) (E] This appearance is for the purpose of a bail hearing only. (J This appearance is for the purpose of alternative arraignment proceedings only. If an appearance by other counsel or self-represented party is on file for this party/parties, select one option below: 4. [] This appearance is in place of the appearance oft Name and Juris Number (if applicable) to be replaced 2. Oo This appearance is in addition to an appearance already on file. | ‘agree’ that documents can be delivered (served) to me electronically in this case. (Practice Book Sec. 10-13) CYes [No Name of person signing at lent (Print or type) Date signed ‘Signed (Indivielual attorney or sel-repressnted party) Certification FOR COURT USE ONLY | certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on (date) to all attorneys and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self- represented parties of record who received or will immediately be receiving electronic delivery. Name and eddress of each party and attorney that copy was or will be mailed or delivered to delivered to. *ifnecessary, attach additional shest or sheets with name end address which the copy was or will be mailed or Signed (Signature of filer) Print or type name of person signing Date signed Page 1 of 2InstructionsDo nat use this form for Juvenile cases. 4. Type or print clearly in dark ink. 2. Fill out page 4, including the Certification section at the bottom. 3, Make a copy of the completed form and keep it for your records. 4. File your completed form with the court clerk. ce to the prosecutor. 5. For Criminal and Motor Vehicle cases: Mail or deliver a copy of the appearanparties of record. to all counsel | and self-rep resented For all other cases: Mail or deliver a copy Notice for Civil cases, including Housing Matters and Small Claims before the entry of judgment after default, the default will \f a party who has been defaulted for failure to appear files an appearance automatically be set aside by the clerk.Notice to people representing themselves parties.People who represent themselves in court are called self-representedSelf-represented parties: Which party do! select on page 1?You are a plaintiff if... + You filed this court case to sue someone. + You are the one who started this court case. ts. + Your name is listed before the "v." in the name of case on court documen If yo u are the ONLY plaintiff, select "The Plaintiff". and write your name on the line. If there is more than one plaintiff, select "The following Plaintiff( 's) only" You are a defendant if... «This is a criminal or motor vehicle case. + You are being sued. " in the name of case on court documents. + Your name is listed after the + Your landlord started this case to evict you. «You were served with the court papers at the beginning of this case. If you are the ONLY defe ndant select "The Defendant’. only” and write your name on the line. If there is more than one defendant, select "The following Defendant(s) Select Other... and write if you are Petitioner A or Petitioner B on the line. + lf you and your spouse filed a nonadversarial divorce, select "Other" and you are listed as an i t intervenor, select "Other" and then describe who you are. + If you asked the court to Iet you intervene "Other" and write who you are in the case on the line. + If youare listed as a party to the case for some other reason, select (dual representation) Self-represented parties in Family Matters: Filing “in addition to” an attorney esented party who is filing an appearan ce “in addition to" an attorney who already has an appearance in this ifyou are a self-repr court case, be aware of the following: pursuant to Practice Book Section 4-2. * Any document being filed on your behalf must be signed by your-attorney by your attorney, th 

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