Fill and Sign the How to File an Injury Claim in North Carolinamarcari Form

Deputy CSC Assistant CSC Clerk Of Superior Court STATE OF NORTH CAROLINA File No. Film No. Signature Serve a copy of your written answer to the complaint upon the plaintiff or the plaintiff's attorney within thirty (30) days after you have been served with the complaint as authorize d in the attached order. You may serve your answer by delivering a copy to the plaintiff or the plaintiff's a ttorney or by mailing a copy to one of them at his/her l ast known address. File the original of the written answer with the Cle rk of Superior Court of the county named above. A Civil Action Has Been Commenced Against You! 1. 2. If you fail to answer the complaint, the plaintiff will apply to the Court for the relief demanded in the complaint. You are notified to appear and answer the complaint o f the plaintiff as follows: Name And Address Of Plaintiff's Attorney (If None, Address Of Plaintiff) Date Time TO: TO: Name And Address Of Defendant 1 Name And Address Of Defendant 2 County (Over) CIVIL SUMMONS TO BE SERVED WITH ORDER EXTENDING TIME TO FILE COMPLAINT VERSUS G.S. 1A-1, Rule 4 In The General Court Of Justice District Superior Court Division AOC-CV-102, Rev. 1/10 © 2010 Administrative Office of the Courts Name Of Plaintiff Name Of Defendant(s) A M PM AOC-CV-102, Side Two, Rev. 1/10 © 2010 Administrative Office of the Courts By leaving a copy of this Summons and Order at the dwelling house or usual place of abode of the defendant named above with a person of suitable age and discretion then residing therein. By delivering to the defendant named above a copy of thi s Summons and Order. Service Accepted By Defendant As the defendant is a corporation, service was effected by d elivering a copy of this Summons and Order to the person named below. Other Manner Of Service (specify) Defendant WAS NOT served for the following reason: Date Served By leaving a copy of this Summons and Order at the dwelli ng house or usual place of abode of the defendant named above with a person of suitable age and discretion then residing therein. By delivering to the defendant named above a copy of thi s Summons and Order. As the defendant is a corporation, service was effected by d elivering a copy of this Summons and Order to the person named below. Service Accepted By Defendant Defendant WAS NOT served for the following reason: Other Manner Of Service (specify) Date Of Return Paid By Date Accepted RETURN OF SERVICE I certify that this Summons and a copy of the Order were received and served as follows: DEFENDANT 1 Signature DEFENDANT 2 Signature $ Deputy Sheriff Making Return County Name Of Sheriff Name And Address Of Person With Whom Copies Left (if corporation, give title of pe rson copies left with) Name Of Defendant Name And Address Of Person With Whom Copies Left (if corporation, give title of person copies left with) Name Of Defendant Date Accepted Date Served Service Fee Paid Date Received Time Served PM AM Time Served PM AM Time Served PM AM Time Served PM AM