Fill and Sign the Filing a Civil Case Without an Attorney Northern District of Form

AO 441 (Rev. 9/00) Third Party Summons in a Civil Action UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS PLAINTIFF THIRD PARTY SUMMONS IN A CIVIL ACTION V. DEFENDANT AND THIRD PARTY PLAINTIFF CASE NUMBER: ASSIGNED JUDGE: V. THIRD PARTY DEFENDANTDESIGNATED MAGISTRATE JUDGE: To: Name and address of Third Party Defendant YOU ARE HEREBY SUMMONED and required to file with the Clerk of this court and serve upon PLAINTIFF’S ATTORNEY (name and address) DEFENDANT AND THIRD-PARTY PLAINTIFF’S ATTORNEY (name and address) an answer to the third-party complaint which is herewith served upon you within ______ days after the service of this summons upon you exclusive of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the third-party complaint. There is also served upon you herewith a copy of the complaint of the plaintiff. You have the option of answering or not answering the plaintiff’s complaint, unless (1) this is a case within Rule 9(h) Federal Rules of Civil Procedure, and (2) the third-party plaintiff is demanding judgment against you in favor of the original plaintiff under the circumstances described in Rule 14(c) Federal Rules of Civil Procedure, in which situation you are required to make your defenses, if any, to the claim of plaintiff as well as to the claim of the third-party plaintiff. MICHAEL W. DOBBINS, CLERK (By) DEPUTY CLERKDATE AO 441 (Rev. 09/00) Third Party Summons in a Civil Action RETURN OF SERVICE Service of the Summons and complaint was made by me(1)DATE NAME OF SERVER (PRINT)TITLE Check one box below to indicate appropriate method of service GServed personally upon the third-party defendant. Place where GLeft 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: GReturned unexecuted: GOther (specify): STATEMENT OF SERVICE FEES TRAVELSERVICESTOTAL DECLARATION OF SERVER Executed on DateSignature of Server Address of Server (1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.