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IN THE COURT OF COUNTY, MISSISSIPPI PLAINTIFF vs. CIVIL ACTION NO. DEFENDANT ______________________________________________________________ ALIAS SUMMONS THE STATE OF MISSISSIPPI COUNTY OF TO: NOTICE TO DEFENDANT THE COMPLAINT WHICH IS ATTACHED TO THIS SUMMONS IS IMPORTANT AND YOU MUST TAKE IMMEDIATE ACTION TO PROTECT YOUR RIGHTS. You are required to mail or hand deliver a copy of a written response to the Complaint to , the attorney for the Plaintiff, whose post office address is , , , and whose street address is , , Mississippi . YOUR RESPONSE MUST BE MAILED OR DELIVERED WITHIN ( ) DAYS FROM THE DATE OF DELIVERY OF THIS SUMMONS AND COMPLAINT OR A JUDGMENT BY DEFAULT WILL BE ENTERED AGAINST YOU FOR THE MONEY OR OTHER THINGS DEMANDED IN THE COMPLAINT. You must also file the original of your response with the Clerk of this Court within a reasonable time afterward. ISSUED under my hand and seal of said Court, this day of , . , CIRCUIT CLERK (Seal) OF COUNTY , Mississippi By: _____________________________ Deputy Clerk RECEIVED THIS DAY OF , . BY: ________________________________ PROCESS SERVER RETURN STATE OF MISSISSIPPI COUNTY OF ( ) I personally delivered copies of the summons and complaint on the day of , , to: ( ) After exercising reasonable diligence, I was unable to deliver copies of the summons and complaint to within County, Mississippi. I served the summons and complaint on the day of , , at the usual place of abode of said by leaving a true copy of the summons and complaint with , who is the (husband, wife, son, daughter, etc) , a member of the family of the person served above the age of sixteen years and willing to receive the summons and complaint, and thereafter on the day of , , I mailed (by first class mail, postage prepaid) copies to the person served at his or her usual place of abode where the copies were left. ( ) I was unable to serve the summons and complaint. THIS the day of , . BY: _____________________________ PROCESS SERVER

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