Case 3:03-cv-01021-WWE Document 6 Filed O4/05/2004 Page 1 of 4 {
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UNITED STATES DISTRICT COURT i
DISTRICT OF CONNECTICUT
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AETNA LIFE & CASUALTY COMPANY : Eg ;' W1
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I’laintitT, : -_r;g_
: CIVIL NO. 3:03-CV—().lU2I;IWWIC) gw
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LASHAWN MILLS :
Defendant. : i
REQUEST FOR ENTRY OF DEFAULT PURSUANT TO RULE 55(zn) N
The Plaintiff, AETNA LIFE AND CASUALTY COl\/IPANY, in the above referenced ,
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action hereby requests that a default be entered against the Defendant, LASHAWN MILLS ,
pursuant to Federal Rule of Civil Procedure 55(a) for failure to answer the PlaintiH"s complaint
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dated June 2, 2003, which had a return date of 20 days alter service. Service via ccrtilied mail I
was obtained June 23, 2003. i
P1.,AIN'i`ll¤`F . i
AETNA LIFE & CASUALTY COM PANY
By: _
Richard F. Toiisano
2 Congress Street
l··la1·tl’ord, CT 061 14-I 024 i
Juris No: li.822 I
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i Case 3:03-cv-01021-WWE Document 6 Filed O4/05/2004 Page 2 of 4
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i The foregoing Request having been presented to the Court is hereby ORDERIED:
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i BY TI-IE COURT
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Judge/Clerlt
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csmrricxriow
This is to certify that a copy ot` the foregoing was mailed to Pro Se Defendant Lashawn Q
Mills, 7735 Mt Carmel Road , Verona, PA 15l47 on March 2 3 , 2004. i
i
iehard F. Tolisano i
ttorney at Law i
2 Congress Street
I-Iartford, CT 061 I4
C:\Ol`licc\TONl\actna v. mil|s,55a.w|1d
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Case 3:03-cv-O1061eWWE Document 6 Filed O4/8552004 Page 3 of 4
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UNITED STATES DISTRICT COURT i
DISTRICT OF CONNECTICUT
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AETNA LIFE & CASUALTY COMPANY : EIS? Q 71 i
mu: 213 uu,
Plaintiff, : J., E"' l
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: CIVIL NO. 3:()3-CV—(}l‘_l§§(W\EE)
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: MARCH ll, 2004 l
LASHAWN MILLS :
Defendant. :
AFFIDAVIT OF DEBT
The undersigned being duly sworn hereby deposes and says:
1. I am the Overpayment Specialist Supervisor at Aetna Life and Casualty I
Company. I
2. Aetna Life and Casualty Company provided a Long Term Disability Plan
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(hereinafter "Plan") for the Defendant, LASHAWN MILLS , which was in. efliect on or about
November 27, 2000. This plan provided long term disability benefits to the employees of
Allegheny Hospital.
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3. The Defendant, LASHAWN MILLS , was receiving long term disability henelits
under the Plan. Subsequently Aetna Life and Casualty Company discovered that the Defendant,
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Case 3:03-cv-0105-1.;WWE Document 6 Filed O4<%)5f}2004 Page 4 of 4 N
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LASHAWN MILLS , had also been awarded Social Security Benefits. This is considered other
income under the Plan. Plan benefits are subject to adjustment in the event that recipients are
receiving income from other sources such as Social Security Disability Benefits.
4. As a result of the Social Security Benefits, an overpayment was made to the
Delendant, LASHAWN MILLS , in the amount of TWELVE THOUSAND FIVE UN DRED
FORTY AND 18/l00 ($l2,540.l8) DOLLARS. y
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5. The Defendant, LASHAWN MILLS , signed a Reimbursement Agreement
promising to repay any and all overpayments ofDisability Benelits.
6. Despite demand, the Defendant, LASHAWN MILLS , has failed to make any l
payments on this debt. l
7. The above facys‘"a9e true. I °`¥ E
kmfff ```p,_ C .
l iori Carlson
Overpayment Specialist Supervisor
For Aetna Life & Casualty Company I
Plaintiff E
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Subscribed and sworn to before me this day of , 2004 i
N t P 1C Comt issioner ofthe Superior Court A