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

Case 1 :04-cv-00921-SLR Document 56 Filed 12/14/2005 Page 1 of 2
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RETURN OF WAIVER OF SERVICE OF SUMMONS
I acknowledge receipt of the request that I can waive service of summons in the matter of
C.A. No.04-921 in the United States District of Delaware. I have also received a copy of the
complaint in the action, two copies of this form, a copy of the Order of the Court authorizing
service and a means by which I can return the signed waiver without cost to me.
I agree to save the cost of service of a summons and an additional copy of the complaint
in this lawsuit by not requiring that I be served with judicial process in the manner provided by
Rule 4. I will retain all defenses or obj eetions 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 a judgement may be entered against the party on whose behalf I am
acting if a response is not served and filed within 60 days after: November 17. 2005.
Date: /%{ 0Q>/ [lj
Q. ‘ . · - -. . 1
. rf- ·] V. g` ` - ·· `
Signature of `ef ndant Printed or Typed Nam
DUTY TO AVOID UNNECESSARY COST OF SERVICE OF SUMMONS
Rule 4 ofthe Federal Rules of Civil Procedure requires certain parties to cooperate in saving
unnecessary cost of service of the summons and the complaint. A defendant located in the
United States, who, after being notified of an action and asked to waive service of summons
on behalf ofa plaintiff located in the US, fails to do so will be required to bear the cost of
such service unless good cause be shown for that defcndant's failure to sign and return the
waiver.
It is not good cause for a failure to waive service that a party believes that the complaint is
unfounded, or that the action has been brought in an improper place or in a court that lacks
jurisdiction over the subject matter of the action or over defendant's person or property. A
defendant who waives service of summons retains all defenses and objections, except any
relating to the summons or the service of summons, and may later object to the jurisdiction of the
Court or to the place to where the action has been brought.
A defendant who waives service must within the time specified on the "Return of Waiver"
form served on plaintiff, if unrepresented or on plaintiffs attorney, a response to the Complaint
and must also file a signed copy of the response with the Court. If the answer or a motion is not
served within this time, a default judgement may be taken against that defendant. By waiving
service, a defendant is allowed more time to answer than if the summons had been actually
served when the request for waiver of service was received.


Case 1:04-cv-00921-SLR Document 56 Filed 12/14/2005 Page 2 of 2
U S De attment of Justice PROCESS RECEIPT Al ID RETURN
` _ ‘ p * ` _ See Instructions for "Service of Process by the US. Marshal"
LIIIIIQVI States Marshals SCYVICC on the reverse of this form.

PLAINTIFF ’ I . I _ COURT CASE NUMBER
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DEFENDANT · TYPE OF PROCESS,
/?'l» A/U SFC/V (.0/77 /;*t77"'
NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR I)ESCRIPTION OF PROPE TY TO SEI OR CONDEMN
» £·gg<;~L/
ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
I
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AT A 6%AIr¤/»*"·€’€ . .,i ¢ · , 4 ,<,"'y»<·.¢ // da <" /’ q Sm {M4 ’ .'/$93
§i§.lLl`£’E€!?£’E&E*3’L9EQO£Y.T9 BBPEEETEILE NNE £·.l`Ll?;*2DL**§*L'22LOLV;-i Number of process to be X
|·—— · T ~ Cf , lserved with this Fomt - 285 {L
(,/»€’/\//S /A/ Irv/00 / / /5 '
1 _ * I r ___... lNumber of parties to be
F F /0///Q/ &-/I//¢r‘*T Isewed in this case 2
I lCheck for service
______________________________________ { tm u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
Telephone Numbers, and Estimated 'Iimes Available For Service): F ld
Fold 0
Signature of Attomey olotlbcr Originagtor requesting service on behalf of: MJ PLAINTIFF TELEPHONE NUMBER DATE
l;Q(_..t»·’> A i.. Lg. /{ Z ,;,[ {Qc iii DEFENDANT A/Q //— ?·0 6T
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve /_
(Sign only tirst USM 285 if more ‘ ,» _ _ #*""
than one USM 285 is submitted) No. No, . . . __.___
I hereby certify and return that I Q have personally s<;\icd,F have legal evidence of service, Et have executed as shown in "Remarks", the process described
on thc individual, company, corporation, etc., at the addres s own above or on the individual, company. corporation, etc.. shown `at the address inserted below.
ii] I hereby certify and return that I am unable to locate the individual, company, corporation, etc., named above (See remarks below)
Name and title of individual served (if not shown above) A pgrggn gf suitable age and digg
E crction then residing in the dct`endant`s
usual place of abode.
Address (complete only if different than shown above) Date ot` Service Time am
Us u pm
Signature o I arshal or Deputy
I.? as
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amoiabt of Refund
(including endeavors) · ·_
REMARi IV -C/V t/Cl'?/"‘/"’L»¤’k fr
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PR.l0:EE3;;l5)NS 1. FORM USM-285 (Rem IMS/80)