Fill and Sign the Mn Acknowledgment Form

NOTICE AND ACKNOWLEDGEMENT OF SERVICE BY MAIL NOTICE TO: ________________ , Defendant, {Defendant's Address} . The enclosed Summons and Complaint, dated ________________ , served pursuant to Rule 4.05 of the Minnesota Rules of Civil Procedure. You must complete the acknowledgement part of this form and return one copy of the completed form to the sender within 20 days. Signing this Acknowledgement of Receipt is only an admission that you have received the Summons and Complaint and does not waive any other defenses. You must sign and date the Acknowledgement. If you are served on behalf of a corporation, unincorporated association (including a partnership), or other entity, you must indicate under your signature your relationship to that entity. If you are served on behalf of another person and you are authorized to receive process, you must indicate under your signature your authority. If you do not complete and return the form to the sender within 20 days, you (or the party on whose behalf you are being served) may be required to pay any expenses incurred in serving a Summons and Complaint in any other manner permitted by law. If you complete this form, you (or the party on whose behalf you are being served) must answer the garnishment disclosure form within 20 days. If you fail to do so, judgment may be taken against you. I declare, under penalty of perjury, that this Notice and Acknowledgement of Receipt of the Summons and Complaint was mailed on the ___ day of _______ , 20 ___ . ________________________________ Date of signature: ________________ - 1 - ACKNOWLEDGMENT OF RECEIPT OF GARNISHMENT SUMMONS GARNISHMENT DISCLOSURE FORM I declare, under penalty of perjury, that I received a copy of the Summons and Complaint both dated _______ , 20 ___ , in the above-captioned matter. ________________________________ Date of signature: ________________ ________________________________ Relationship to entity/Authority to receive service of process - 2 -