AO 441 (Rev. 02/09) Summons on Third-Party Complaint
UNITED STATES DISTRICT COURT
__________ District of __________
Defendant, Third-party plaintiff
) ) ) ) ) ) )
Civil Action No.
SUMMONS ON A THIRD-PARTY COMPLAINT To: (Third-party defendant's name and address)
A lawsuit has been filed against defendant , who as third-party plaintiff is making this claim against you to pay part or all of what the defendant may owe to the plaintiff . 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)(3) -- you must serve on the plaintiff and on the defendant 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 defendant or defendant's attorney, whose name and address are:
It must also 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 third-party complaint. You also must file the answer or motion with the court and serve it on any other parties. A copy of the plaintiff's complaint is also attached. You may but are not required to respond to it. Date:
Kansas City courthouse
AO 441 (Rev. 02/09) Summons on Third-Party Complaint (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 (l)) 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.
Printed name and title
Additional information regarding attempted service, etc: