Fill and Sign the In Accepting Service of Process I Retain All Defenses or Objections to the Lawsuit or Form

Acknowledg ement and Acceptance of Service July 2014 Page 1 of 2 STATE OF WYOMING ) IN THE DISTRICT COURT ) ss COUNTY OF ________________ ) _______________ JUDICIAL DISTRICT Plaintiff:____________________________, ) Civil Ac tion Case No. ___________ (Print name of person filing) ) ) vs. ) ) Def endant: __________________________ . ) (Spouse) (Print name) ACKNOWLEDGEMENT AND ACCEPTANCE OF SERVICE I, ____________________ ____ , hereby acknowledge receipt of a copy of the Summons , (Print Defendant’s Name) Complaint for Div orce , and Confidential Statement of the Parties for Child Support Order , filed in this case . In accepting service of process, I retain all defenses or objections to the lawsuit or to the jurisdiction or venue of the court except for objections based on a defect in the Summons or in the service of the Summons . I understand that I must answer or otherwise plead within 20 days from this date (30 days if copies of the papers were received outside of Wyoming) and that if I fail to file an answ er or other plead ings with the Clerk of this C ourt and serve the same upon the Plaintiff in accordance with the Wyoming Rules of Civil Procedure within the time limits stated, I will be in default and Plaintiff may be affo rded the relief demanded in the Complaint for Divor ce without a trial or other hearing. DATED this _________ day of __________________________, 20____. Defendant’s S ignature Defendant’s Phone Number : Defendant’s Address: Defendant’s City/State/Zip Code: Subscribed and sworn to before me on this ________ day of ____________________ __ , 20_____. WITNESS my hand and official seal. ____________________________________ Notarial Officer My Commission Expires: Acknowledg ement and Acceptance of Service July 2014 Page 2 of 2 C E R T I F I C A T E O F S E R V I C E I certify that on (date) the original of this document w as filed with the Clerk of District Court; and, a true and accurate copy of th is document was served on the other party by Hand Delivery OR Faxed to this number OR by placing it in the United States mail, postage pre -paid, and addressed to the following: (Print Plaintiff /Plaintiff’s Attorney’s Name and Address) TO: ______________________________________ ______________________________________ ______________________________________ Your signature Print name