Fill and Sign the Ao 440rev Form

AO 440(Rev. 1/90) Summons in a Civil ActionW44 44 44 44 44 44 444 44 44 44 44 44 44 444 44 44 44 44 44 44 444 44 44 44 44 44 44 444 44 44 4 UNITED STATES DISTRICT COURT S ) ))) )) )) )) )) )) )) ))) )) )) )) )) )Q DISTRICT OF S )) ))) )) )) )) )) )) )) ))) )) )) )) )) Q SUMMONS IN A CIVIL ACTION V. CASE NUMBER: TO: (Name and Address of Defendant) YOU ARE HEREBY SUMMONED and required to file with the Clerk of this Cour\ t and serve upon PLAINTIFF'S ATTORNEY (name and address) an answer to the complaint which is herewith served upon you, within ___\ ___________ days after service of this summons upon you, exclusive of\ the day of service. If you fail to do so, judgment by default will be t\ aken against you for the relief demanded in the complaint. _______________________________ CLERK DATE _______________________ BY DEPUTY CLERK 1 As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.AO 440(1/90) Summons in a Civil Action RETURN OF SERVICE Service of the Summons and Complaint was made by me1 DATE NAME OF SERVER (PRINT)TITLE Check one box below to indicate appropriate method of service Served personally upon the defendant. Place where served: Left copies thereof at the defendant's dwelling house or usual place of abode with a person of suitable age and discretion then residing therein. Name of person with whom the summons and complaint were left: Returned unexecuted: Other (specify): STATEMENT OF SERVICE FEES TRAVELSERVICESTOTAL DECLARATION OF SERVER I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Return of Service and Statement of Service Fees is true and correct. Executed on DateSignature of Server Address of Server