Free Summons - in a Civil Action - New York

File Size: 289.1 kB
Pages: 2
Date: February 24, 2009
File Format: PDF
State: New York
Category: Court Forms - Federal
Word Count: 367 Words, 2,139 Characters
Page Size: Letter (8 1/2" x 11")

Download Summons - in a Civil Action ( 289.1 kB)

Preview Summons - in a Civil Action
AO 440 (Rev. 02/09) Summons in a Civil Action

for the

Northern District of __________ __________ District of New York
) ) ) ) )



Civil Action No.

SUMMONS IN A CIVIL ACTION To: (Defendant's name and address)

A lawsuit has been filed against you. Within 20 days after service of this summons on you (not counting the day you received it) -- or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12 (a)(2) or (3) -- you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff's attorney, whose name and address are:

If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court.


Signature of Clerk

_____________________________ Signature of Deputy Clerk

AO 440 (Rev. 02/09) Summons in a Civil Action (Page 2)

Civil Action No. PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4(1)) This summons for (name of individual and title, if any) was received by me on (date) .

' I personally served the summons on the individual at (place) on (date) ' I left the summons at the individual's residence or usual place of abode with (name) , a person of suitable age and discretion who resides there, on (date) , and mailed a copy to the individual's last known address; or , who is on (date) ' I returned the summons unexecuted because ' Other (specify): . My fees are $ for travel and $ for services, for a total of $ . ; or ; or ; or

' I served the summons on (name of individual) designated by law to accept service of process on behalf of (name of organization)


I declare under penalty of perjury that this information is true.

Server's signature

Printed name and title

Server's address

Additional information regarding attempted service, etc:


Save As...