Free Waiver of Service Executed - District Court of Connecticut - Connecticut

. Case 3:03-cv-OO618;AVC Document 10 Filed O1/12/2004 Page 1 of 1 i
“ ° ° no seo am. mos) V _, _ O i
1. j i WAIVER OF SERVICE OF SUMMONS l` E
TO: rr · Q. I will
. (NAME or PL.·\.INTIFF‘S Arrormnv on umnsrnizsewrno PLAINTIFF) ii
lm RH · · S ZW? . -
1, _ Q , acknowledge recdii1tJ%`j¤oi.1%rerj`:ii)£.;sl3` 2 l Q I
qrnzrtznororr Nami;) EL-; · ji it ·
° ————` A, I III. li iii N l?ii'~ii f i I` li
that I waive service of summons in the action of , W Q ` ic " i_ ’ ¤"* »· ***1
3 (` 0 6 1 8 · Ccprrto or Action) (,1 wi
which is case number3 0 *' ag/{Q United States lE)$istri:cYt_jCour;;·ii I
[DOCKET NUI\/[BER) [ D ·` K';] if i
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l for the District of E $5;:;;: EQ g gg; 5 S :2 · i;
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_ I have also received a copy ofthe complaint in the action, two copies of this instrument, aud a means by
which I can retum the signed waiver to you without cost to me. [
I agree to save the cost of service of asummons and an additional copy ofthe complaint in this lawsuit i
Q by net requiring that I (or the entity on whosebchalf I am acting) be served with judicial process in the manner `
` provided by Rule 4. ‘ E
. 1
I (or the entity on whose behalf I am acting) will 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 ii l
the summons. |
I understand that a judgment may be entered against me (or the party on whose behalf I am acting) if an
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answer or motion under Rule 12 is not served upon you wrthm 60 days after 2 5 V Zum ,
I . (mrs nnounsr was seam jg
_ or within 90 days after that date if the request was sent outside the United States. l . li
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4 (oars) (srormunn) _
Prinwrnad Nm:
As Zcgl"' of
(rnua) tcoarormm oarrmonnn
Duty to Avoid Unnecessary Costs of Service of Summons N
Rule 4 ofthe Federal Rules of Civil Procedure requires certain panics tc cooperate in saving unnecessary cost: ufserviee ofthe surni-ner-is and 1
complaint. A defendant located in the United Slate: who, Alter being notiiied ofan action and asked by a plaintiff located in the United State: to waive it
sqviee cfsummons. fnilstodoaowill berequiredloheartlveecstofrueti service unless good eeusebe shown for its 1`aiIunet¤sigr1•ndretumtI1ewai_ver.
ltisnotgoodcausefora.EniIumwwaivesdviccH1alapanybeIiev¤tIu1d1eoc¢nplaimisurd'otmded.ort.lu.I.tI1caet.ionha.iibe¤1brougI1tinan
improp¤·plnoecrinaeeurtlhstlaekajurisdictionovuliienibjeiamauerofdieaetienoroveriupueoncrprcputy. Apartywiiownivessuwieecfuia li
mnmnmruaimdlddusuudobjeaiuweneeptuiyrdndngmdnmnumrmmtouwsuvieeoflheeummons). mdmaylaierobjecttouiejudsdicticn `
. ofthaeourtertotheplaeewhereilwaretinnhubeaabrouglm n ‘
_ ‘ Aldefuidmtwhewaiveuervicenuidwithint11e,timeq>eeifwdmd»ewdv¤fmmn¤vemdmpIai¢¢ii}';•uem¤y(wumepr¤:uedptahniD)a I .
rapennemureeenqilaimmdnutahomendgwdwnddnmmmnwwimewum |fth¤‘•mwer¤r¤n¤ti¤¤ismt•ervedw·ti|ilrr1}iktiirie,;r|et•,nn ’ ` ` ll
judgnemrnnybeukenagairntdiatdefaadatl. Bywaiving•¤·vic¤.¤defmduuisallcwedmmetitmtouuwerliimifdwunrmsoeghedbeqrntaridly _
¤¤vedw|1enlher~¤qu¤t|'¤rwaive1’¤f|¤vi¤ewasre¤eived. _ _ _ ‘ · T `
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