Free 3DPTYSUM - Missouri

CIV 22A (Rev. 6/94)

THIRD PARTY SUMMONS IN A CIVIL ACTION
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UNITED STATES DISTRICT COURT
PLAINTIFF

WESTERN DISTRICT OF MISSOURI DOCKET NO.

V. DEFENDANT AND THIRD PARTY PLAINTIFF

TO THIRD PARTY DEFENDANT

V. THIRD PARTY DEFENDANT

YOU ARE HEREBY SUMMONED and required to serve upon
PLAINTIFF'S ATTORNEY (NAME AND ADDRESS) DEFENDANT AND THIRD-PARTY PLAINTIFF'S ATTORNEY (NAME AND ADDRESS)

days after the service of this summons upon you exclusive an answer to the third-party complaint which is herewith served upon you within of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the third-party complaint. There is also served upon you herewith a copy of the complaint of the plaintiff. You have the option of answering or not answering the plaintiff's complaint, unless (1) this is a case within Rule 9(h), and (2) the third-party plaintiff is demanding judgment against you in favor of the original plaintiff under the circumstances described in Rule 14(c), in which situation you are required to make your defenses, if any, to the claim of plaintiff as well as to the claim of the third-party plaintiff.

CLERK

DATE

(BY) DEPUTY CLERK

:3dptysum.int

RETURN OF SERVICE
SERVICE OF THE SUMMONS AND COMPLAINT WAS MADE BY ME * DATE

NAME OF SERVER

TITLE

Check one box below to indicate appropriate method of service

G

Served personally upon the third-party defendant. Place where served

G

Left copies thereof at the third-party defendant's dwelling house or usual place of abode with a person of suitable age and discretion then residing therein. Name of person with whom the summons and complaint were left

G

Other (specify)

STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL

DECLARATION OF SERVER

I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Return of Service and Statement of Service Fees is true and correct.

Executed on Date Signature of Server

Address of Server

* As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.