At (Town) Case type: Major F Minor: (Select Below)SUMMONS FAMILY ACTIONS JD-FM-3 Rev. 10-18 C.G.S. 247 52-45a; P.A. 18-14 P.B. 247247 8-1, 10-13, 25a-3STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.govTO: ANY PROPER OFFICER By Authority of the State of Connecticut, you are hereby commanded to make due and legal service of this Summons, attached Complaint, Notice of Automatic Orders, and blank Appearance. PTY No. P-01 D-01Notice To The Defendant Named Above1. You are being sued. 2. This paper is a Summons in a lawsuit. 3. The Complaint attached to these papers states the claims that the Plaintiff is making against you in this lawsuit. 4. To respond to this Summons, or to be informed 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 the date your case is officially in court. It is not a date you have to come to court unless another notice says that you have to be in court that day. 5. The "Appearance" form may be obtained at the Court address above or at www.jud.ct.gov/webforms/ . 6. In cases of dissolution or legal separation, if you or your attorney do not file a written Appearance form (JD-CL-12) by (30 days after the return date), the plaintiff can ask the Court to enter judgment against you for the relief requested in the complaint without further notice to you. 7. Once this has been filed with the Court, you may check its status at www.jud.ct.gov . 8. If you have questions about the Summons, Complaint, Notice of Automatic Court Orders (JD-FM-158) or Appearance (JD-CL-12), you should talk to an attorney quickly. The Clerk of Court is not allowed to give advice on legal questions. Signed (Comm. of Superior Court or Ass't Clerk sign and "X" proper box) For The Plaintiff Please enter the appearance of: Signed (Plaintiff, if self-represented party, or attorney for plaintiff) FOR COURT USE File date Docket number Signed (Plaintiff, if self-represented party) I certify I have read and understand the above.If this summons is signed by a clerk: a. The signing has been done so that the Plaintiff will not be denied access to the courts. b. It is the responsibility of the Plaintiff to see that service is made in the manner provided by law. c. The clerk is not permitted to give any legal advice in connection with any lawsuit. d. The clerk signing this summons at the request of the Plaintiff 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.* See Form JD-FM-165 Judicial District of Return date (Month, day, year) Address of Court (Number, street, city) Case management date* Plaintiff's name (Last, first, middle initial) Defendant's name (Last, first, middle initial) Date Comm. of Superior Court Assistant Clerk Name of person signing at left Plaintiff, if self-represented party, or attorney for plaintiff Juris number (If attorney or law firm) Mailing address (Number, street, town, zip code) Telephone number (Area code first) Date signed E-mail address for delivery of papers under Section 10-13 (if agreed to) No Yes The attorney or law firm appearing for the plaintiff, or the plaintiff if self-represented, agrees to accept papers (service) electronically in this case under Section 10-13 of the Connecticut Practice Book.This appearance shall also be entered on behalf of the plaintiff for any matters in this case involving Title IV-D Child Support. (To be completed only when an attorney or law firm represents the plaintiff - "X" this box if it applies in this case). Plaintiff's address (Number, street, town, zip code) Defendant's address (If known) (Number, street, town, zip code)("X" proper box) Instructions 1. Type or print legibly; sign summons. 2. Attach the original summons to the original complaint, Notice of Automatic Court Orders (JD-FM-158) and a blank Appearance form(JD-CL-12). 3. Attach a copy of the summons, a copy of the Notice of Automatic Court Orders, and a copy of the blank Appearance form to each copy of the complaint. 4. After service has been made by proper officer, file original papers and officer's return with the clerk of the court at least six days before the return date. 5. DO NOT use this Summons for the following case types: Change of Name (F 30), Custody Application (F 40), Relief from Physical Abuse (F 65), Foreign Matrimonial/Foreign Paternity Judgments (F 70), Visitation Petition/Application (F 71), Uniform Child Custody Jurisdiction and Enforcement Act (F 72), Paternity Petition (F 80), Support Petition (F 85), or Agreement to Support (F 86). 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. 00 Dissolution of Marriage 50 Civil Union - Dissolution, 10 Legal Separation 20 Annulment 90 All OtherLegal Separation, Annulment American LegalNet, Inc. www.FormsWorkFlow.com