Superior Court of Connecticut Appearance Form

    iv Ki wll 38 A RSS 

APPEARANCE 

JD-CL12 Rev. 3-92 

Pr. Bk. §§ 64, 65, 630 

see instruction #3. 

OiAl ET ANANNINE A, ROU] 

SUPERIOR COURT 

INSTRUCTIONS 

. Judicial District Court Locations: In any action returnable to a Judicial District court location, file only the original with the clerk. In criminal actions 

. Geographical Area or Juvenile Matters Court Locations: In any action returnable to a Geographical Area or Juvenile Matters court location, except 
criminal actions, file original and sufficient copies for each party to the action with the clerk. In criminal actions see instruction #3. 

with the clerk. 

the plaintiff and complete the certification below. 

the default shall automatically be set aside by the clerk. 

TO: The Superior Court 

. For “In-lieu-of” Appearances (Pr. Bk. § 65): Complete the certification below. 

Pursuant to Practice Book § 352, if a party who has been defaulted for failure to appear files an appearance prior to the entry of judgment after default, 

. In Criminal Actions (Pr. Bk. 630): Serve a copy of the appearance on the prosecuting authority, complete the certification at bottom and file original 

. In Summary Process Actions: In addition to instruction #1 or #2 above, mail a copy to the attorney for the plaintiff, or if there is no such attorney, to 

  

DOCKET NO 

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RETURN DATE 

  
  
  NAME OF CASE (FIRSI-NAMED PLAINTIFF VS. FIRST-NAMED DEFENDANT) | y 

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Judicial 
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ADDRESS OF COURT (No., street, town and zip code) 
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PLEASE ENTER THE APPEARANCE OF »   
NAME OF OFFICIAL, FIRM, PROFESSIONAL CORP. INDIVIDUAL ATTY,, OR PRO SE 

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PARTY 

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MAILING ADDRESS (No. street, PO. Box) : : Vg 73 JURIS NO. (If applicable) 

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CITY/TOWN ; / STATE ZIP CODE. Vo » TELEPHONE NO ; s 

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in the above-entitled case for: (“X" appropriate box) tis de 3 Ce 2 

[] The Piaintitt. 

[] Al Plaintiffs, 

[] The following Plaintiff(s) only: 

[1] The Defendant. 

[0] All Defendants. 

¥] The following Defendant(s) only: va Vo WE PLA, Sg 
  

  

NOTE: If other counsel have already appeared for the party or parties indicated above, state whether this appearance is: 

  

  

[] In lieu of appearance of attorney or firm already on file (Pr. Bk. 65) OR 
A (Name) 

[=] In addition to appearance already on file. 
SIGNED ii pi or pro se A ike TYPE NAME OF PERSON SIGNING AT LEFT DATE SIGNED 7 A 

PJ 3 s ’ po or 7 J 7 gE pp vd ; ! ~ 

X Val i SL NE av) rt rr ry £3 rete: Teer FEA 7S 
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CERTIFICATION FOR COURT USE ONLY 
  

This certification must be completed in summary process cases (Pr. Bk. § 64 (c)); for “in-lieu-of” 

appearances (Pr. Bk. § 65); and in criminal cases (Pr. Bk. § 630). 

| hereby certify that a copy of the above was mailed/delivered to: 

All counsel and pro se parties of record. (For summary process and criminal actions) 

3) Counsel or the party whose appearance is to be replaced. (For “in-lieu-of” appearances) 

  SIGNED (Individual Zitorney or pio sg. party a 

Va A £ a   

DATE jist MAILED/DELIVERED 
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7 Ll £3 / 

  

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ue     “APPEARANCE