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NOTICE OF EX PARTE PRE- @ QE F connecticut ee ICOURTUSE OMT JUDGMENT REMEDYICLAIM FOR ‘SUPERIOR COURT cLPaR HEARING To DISSOLVE OR MODIFY xPafle Appleton eee INSTRUCTIONS TO PLAINTIFFIAPPLICANT ogee, 1 Te fom MUST bg used n connection wi ox pre prudent romeo sued Contest Ex Pane ‘pursuant to Gen. Stat § 52-2789, and MAY be used in conaoction with prejudgment rameatoe sued in an action upon a commercial Yansaction pursuant 0 Gon. Stal. § 52-276 2, Compete Section | below and submit othe Clerk along with, and immediately flowed by your ‘application and the ether required documents fr ex part prejudgment romedy. 3. prejudgment remedy issued, clude this form in the process served on the defendant ECASEINFORMATION (To bbe completed by Plaintifv/Applicant)=ss"a2 Be SEES SECTION: wx ical Housing p= (COURT ADDRESS ® Soet__ Sessen__ cANno. [2061 Main Street, Bridgeport, ct 06604 TROON, CEGAC TEREST. oF PROPERTY WOE, EXCUSE OF Has a temporary restraining order been requested? [7 YES BX NO INTEREST AND COSTS IS ("X" one of the following) TURE OF CASE Picco pete Feraes oem] cess ten sin Newtown Savings Bank von Eriques Consulting, 12¢, ot) J seormovorses>= ——UMENUNINET eS T™ sts0onon nore I topo RT RYO mato CONTINUATION PaRTies | MAJOR: _C__MINOR: _40 2 J Gre neu O= MONEY DAMAGES: ‘NAME AND ADDRESS OF PLANTIFFIAPPLIGANT [Pereon maka sppicaion or Praamen Reedy) (Ne. sues, own ane 2 cose) Newtown Savings Bank, 956 White Plains Road, Trumbull, C? 06611 “TAME AND ADDRESS OF DEFENDANT [Person eganst whem Prgtienl Remedy i ough) (Ne, seat Own and zp COU) Exiquez, Gene F., 78 Starrs Plain Road, Danbury, CT 06810 RAVE AND ADDRESS OF ANY THIRD PERSON HOLDING PROPERTY OF OFFENDANT WHO IS SUBLECT TO GARNISHEE PROCESS PREVENTING DISSIPATION OF SUCH PROPERTY THAME ANE ADDRESS OF ATTORNEY. [AW FIRM OR PLAINTIFF IF PROBE We, FORTHE PLAWNTIF(S) |Evans, Feldman & Boyer, LLC, P.O. Box“1694, piGy,Hayp§/CT 06507-1694 Barer THe TELEPHONE NO. RENO oor AL 2 i a [APPEARANCE OF: 203-772-4900 Een EM ged Seg ‘You have rights specified in the Connecticut General Statutos/ipaiGgfig Chapter 9¢4a, that you may wish to exercise concerning this prejudgment remedy. These rights include the right to @ hearing} (1) to abject to the prejudgment remedy because you have a defense to or set-off against the action or a counterclaim against the plaintf or because the amount of the prejudgment remedy allowed by the court is unreasonably high or because payment of ‘any judgment that may be rendered against you Is adequately secured by any insurance that you may have; (2) to request that the plaintiff post a bond in accordance wih section 52-278d of the General Statutes to secure you against any ‘damages that may result from the prejudgment remedy: (3) to request that the prejudgment remody be dissolved or modified or that you be allowed to substitute a bond for the prejudgment remedy; and (4) to show that the property subject to the prejudgment remedy is exempt from such prejudgment remedy. ‘You may request a hearing to move to dissolve or modify the prejudgment remedy. The hearing may be requested by any proper motion or by completing section Ill below and returning this form to the superior court at the Court Address listed above. (2222 SECTION Il DEFENDANT'S'CLAIM AND REQUESTIFOR'HEARING (To ‘beicomplet y Defendant). ib ~ i : (°X" the appropriate boxes) Oa defense, counterclaim, set-off, or exemption. that any judgment that may be rendered is adequately secured by insurance. 3 that the amount ofthe prejudgment remedy is unreasonably high. 2 i that the plant be required to post a bond to secure me against any damages e ‘which may resul rom the prejudgment remedy. 2 1 that ! be allowed to substitute @ bond for the prejudgment remedy. 5 | certify that a copy of the above claim was mailed/delivered to the Plaintiff or the 2 8 Plaintf’s attorney on the Date Mailed or Delivered shown below, 283 5, ‘DATE WRICED OR GELVERED — SIGNED (Donen CRE TRES ed “TBE OR PRT AE AND ADDRESS OF DEFENDANT 7 ae th Powe TE OF EXCH PARTY SERVEDT OGRE AF WT SRT WS WADE —t “if necessary, alach adclonal sheet with names of a0 pany soved and the aduress at which service was made,

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