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


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Case 1 :07-cv-00517-LPS Document 17 Filed 10/16/2007 Page 1 of 2
AO 398 (Delaware Rev. 7/00)
NOTICE OF LAWSUIT AND REQUEST FOR
WAIVER OF SERVICE OF SUMMONS
TO: (A) Muhammad Arif Niaz, MD.
as (B) of (C)
A lawsuit has been commenced against you (or the entity on whose behalf you are addressed).
A copy ofthe complaint is attached to this notice. It has been filed in the United States District Court
for the District of Delaware and has been assigned docket number O7-517 UNA ,
This is not a formal summons or notification from the court, but rather my request that you sign and
return the enclosed waiver of service in order to save the cost of serving you with a judicial summons and
an additional copy ofthe complaint. The cost of service will be avoided ifI receive a signed copy of the
waiver within (F) 30 days after the date designated below as the date on which this Notice and
. is sent. I enclose a stamped and addressed envelope (or other means of cost—free retum) for your use.
An extra copy of the waiver is also attached for your records.
If you comply with this request and return the signed waiver, it will be filed with the court and
no summons will be served on you. The action will then proceed as if you had been served on the date
the waiver is filed, except that you will not be obligated to answer the complaint before 60 days from
the date designated below as the date on which this notice is sent (or before 90 days from that date if
your address is not in any judicial district of the United States).
If you do not return the signed waiver within the time indicated, I will take appropriate steps
to effect fonnal service in a manner authorized by the Federal Rules of Civil Procedure and will then,
to the extent authonzed by those Rules, ask the court to require you (or the party on whose behalf you
are addressed) to pay the full costs of such service. In that connection, please read the statement
conceming the duty of parties to waive the service ofthe summons, which is set forth at the foot ofthe
waiver form.
I affirm that this request is being sent to you on behalf of the plaintiff, this 24th day of
August 7 200 7 _
K /7 A
. f
QQ rg L/T
Signature of Plaintiffs Attorney
or Unrepresented Plaintiff
A—Name of individual defendant (or name of officer or agent of corporate defendant)
B—Title, or other relationship ofindividual to corporate defendant
C—Name of corporate defendant, if any
D—District
E—Docket number of action
F—Addressee must be given at least 30 days (60 days iflocated in foreign country) in which to return waiver

Case 1 :07-cv-00517-LPS Document 17 Filed 10/16/2007 Page 2 of 2
AO 399 (Delaware Rev. 7/00)
WAIVER OF SERVICE OF SUMMONS
TQ; Michael L. Sensor, Esquire
(NAME OF r>tAiNTiFF*s ATTORNEY OR UNREPRESENTED PLAINTIFF)
Muhammad Arif Niaz, M.D. .
I, ,acl (DEFENDANT NAME)
that I waive service of summons in the action of CGVIGF V· Taylor. et Bl ,
(CAPTION OF ACTION)
which is case number 07*517 UNA in the United States District Court
(DOCKET NUMBER)
for the District of Delware.
Ihave also received a copy ofthe complaint in the action, two copies ofthis instrument, and 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 a summons and an additional copy ofthe complaint in this lawsuit
by not requiring that I (or the entity on whose behalf I am acting) be served with judicial process in the
manner provided by Rule 4.
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 the summons. E
I understand that a judgment may be entered against me (or the party on whose behalf I am acting) if
an answer or motion under Rule 12 is not served upon you within 60 days after August 24. 2007 ,
or within 90 days after that date if the request was sent outside the United States. (DATE REQUEST WAS SENT)
(DATE) (SIGNATURE)
Printed/Typed Name:

' · As ‘ · of ‘ ·
(TITLE) (CORPORATE DEEENDANT)
. Duty to Avoid Unnecessary Costs of Service of Summons t
Rule 4 of the Federal Rules of Civil Procedure requires certain parties to cooperate in saving unnecessary costs of service of the summons
and complaint. A defendant located in the United States who, after being notified ofan action and asked by a plaintifflocated in the United States
to waive service of summons, fails to do so will be required to bear the cost of such service unless good cause be shown for its 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 its person or property. A party who waives
service of the summons retains all defenses and objections (except any relating to the summons or to the service of the summons), and may later
object to the jurisdiction of the court or to the place where the action has been brought.
A defendant who waives service must within the time specified on the waiver form serve on the plaintiff”s attorney (or unrepresented plaintiff)
a response to the complaint and must also file a signed copy ofthe response with the court. lf the answer or motion is not served within this time,
a defaultjudgment may be taken against that defendant. By waiving service, a defendant is allowed more time to answer than ifthe summons had
been actually served when the request for waiver of service was received.

Case 1:07-cv-00517-LPS

Document 17

Filed 10/16/2007

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Case 1:07-cv-00517-LPS

Document 17

Filed 10/16/2007

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