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`APPEARANCE
`JD-CL—12 Rev. 9—13
`P.B. §§ 3—1 thru 3-6. 3-8.10-13, 25A-2
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`~ STATE OF CONNECTICUT
`SUPwEi/vwmjgclfcggll/JRT
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`Instructions —— See Back/Page 2
`ADA Notice __ See Back/Page 2
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`Notice To Self-Represented Parties
`A self-represented party is a person who represents himself or herself. If you are a self—
`represented party and you filed an appearance before and you have since changed your address,
`you must let the court and all attorneys and self-represented parties of record know that you have
`changed your address by checking the box below:
`/C
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`[j I am filing this appearance toJet the court and all attorneys and self-represented
`parties of recol- know that have changed my address. My new address is below.
`C
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`ff s. allnameofDefendant 6% I)
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`Name Of case "
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`Address ofCourt (Nu
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`Rewm date
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`Claims Area number
`Session
`District
`Scheduled Court date (Criminal/Motor Vehicle Matters)
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`Please Enter the Appearance of
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`attorney
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`Jurisnumberofattorneyorfirm
`Nameofself-repre r.tedparty(See"NolaSelf-RepresentedParties"attop),ornameofofficial.firm.professionalcorporation,orindividual
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`Mailing Address (Number, street) (Notice to a
`eys an law firms - The address to which papers will be mailed from the Post office box
`Telephone number (Area code first)
`courtisthe on istered or
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`in the case named above for: ("x" one of the following parties; if this is a Family Matters case, also indicate the scope. of your appearance)
`E] The Plaintiff (includes the person suing anotherperson).
`[:1 All Plaintiffs. ‘
`D The following Plaintiff(s) only:
`(ELIhe Defendant (includes the person being sued or charged with a crime).
`E] The Defendant for the purpose of the bail hearing only (in criminal and motor vehicle casecs ogly).2§§
`[:1 All Defendants.
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`[:1 The following Defendant(s) only:
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`E": 1: 5 (f,
`[:1 Other (Specify):
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`|:] This is a Family Matters case and my appearance is for: ("x" one or both)
`E 23;: :1 C «3‘
`[:l matters in the Family Division of the Superior Court
`[:1 Title lV—D Child Suppggt @afibré ””J
`_ Note: If other counsel or a self—represented party has already filed an appearance for the 'party ofifianieg’ar'd" above, put
`II
`II
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`an x In box 1 or2 below.
`03
`1. 1:] This appearance is in place of the appearance of the following attorney,
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`firm or self—represented party on file (P.B. Sec. 3-8): . . . . . (Name an uns um er
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`' 2. E] This appearance Is In addition to an appearance already on file.
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`l agree to . ce.t pa rs (service) electronically in this case under Practice Book Section 10-13
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`Signed
`rep/ented party)
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`to all attorneys
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`I certify that a copy of this document was mailed or delivered electronically or non-electronically on (date)
`and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self—represented
`parties receiving electronic delivery.
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` For Court Use Only
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`LO
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`6/2 fl 0 61% {$0
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