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

i ~· ~ Case 3;03-cv-00678-AWT Document 10 Filed 02/02/200 ..;.;..- gag sqggg . ’
l "·'¤••••-•·-......·-¢@*\·— -·°'•*····-—···""‘*’**"**-v-·—·-·--.- ·--.-······- -.-· ---·•--~·—-—- ··.-·-·-.» , . F A . , .. - .... .. , , V __ _ i
i NWA? 2
‘ . `··•$u•I&,‘__,, j A \
M _ i ` if i
· WAIVER OF SERVICE OF SUMMONS ’ _ _ -·•44 J ' {
TO: .C7&.)£ »€z4/UCL) "*";.§‘9 I '• ,_ #044/D ~ Q 0 , gw M . at AKC;.
(NAME OF r=t.Airmi=t=•s ATTORNEY on UNREPRESENTED PLAINTIFF) {ji `gili ,,.,.1
l iii, ‘·`·‘
I. @.EYYi.L AM O I fi , acknowledge receipt of your re/questgj; i
_ (DEFENDANT NAME) r’*
·
that I waive service of summons in the action of .. A __ f$ F:!m . * COT/3 .i-4L, , j
6 J V Ji , as - _ • OFNSTION) 3;.- {ff; |
which is case number cgi in the United States Distriij Coifirt Ir I
(DOCKET NUMBER) _ i
forthe ‘ M_ District of §;);x,iAiiE§,g§ Qggjj _ {
I have also received a copy of the complaint in the action, two copies ofthis instrument, and a means i
by which I can return 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 4
lawsuit by not requiring that I (or the entity on whose behaifl 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 alt defenses or objections to the lawsuit or to I
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
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 Q? I NOV 2003 ,
time neouesr wwssemi g i
or within 90 days after that date if the request was sent outside the United States. . l
I l
/2 iq pj _ i ?
{DATE] - (SIGIMHHE] {
. I . / ‘ l
Prin : /Typed Name: (_ , . z I i
{ f » W · J /Z” f
Az .1 /4 4.44 ll .L4.L.t_-‘. Of ’ ,L4 .34ék
(HTLE) _ "••‘~·•‘ I
!
Duty to Avoid Unnecessary Costs of Service of Summons n
Ie ottheFedemlRuIesofClvIl Proced uirescertairtpartlestooooperatein unneoeeselmcoslsofservieeottitesiimmorns
u•dc%ump:dntAdetemmmhc¤tedh¤1e v¢no,enerbeIngmNnedofm ¤si tow¤Iveservioeotsummons,fsilstodosotiriIlberequlredtobearmecoetdsuchsewiceunlesegoodcaueebeshowntoritsfallummsignmd
mfum the wniven
Itis goodceueefur failure wuiveservloethat pmybuieveeu1mmec¤mplah1tismfounded,or¤1atNmeacHonhasbeenbr0u9h*
\ hmhérpupleoemhlzcmntgtuhduphdwgnmumubpmmmudmmwrtumwmpemonorpropertjtAPNW i
vih¤wnIvessend¤eofth•¤nunoi1eretakt•eId•feneeeundo:)>¤0r¤e(exoept¤nymI¤urig°\:nm•umnmmortou1e¤ennoeoiu1esuw¥¤¤¤6)· i
mdmayIa•erobject\othejurte¢ii¤I0ri¢>ftIu»ooisrtor•ottte wheretheactionhas brought. K
Aumdunmmwdmnndmmmmummwmmedmdmmemwubmwwmmdmwsammwtmmrepmmwdddnain
{
"`; T ` se -- it - im "` I ` ‘ o r · ` ” " ;. i‘T’§’”” ?'T"T""T “`i L . . ,.

by -a e _.e. -
osoi = S are T T ....
www] e L- .- ` ..‘; { L} E `z 2 ..t - ‘’‘` ` i*‘ ‘ ‘i · ‘
"`c T —- ee " - "" " ` ‘ i · ‘ e ` I “ ` .;. éI?1fi;” "'Y"7""i"YE“`i `. . . ..

` " " ‘" ’— ‘* > »;s e ;; ;· :; e e x; —..; ..=. , - 2 rs;= =e· s~ a ; + >g=;=? :- ; — e · s>; ; ·- -: -s o -V - : ·; -,¤—e l¢ » » 54`i t”=2<=‘ ¤;s s e e.,~s~—»--». ea . -.
5 ;*. . - ;: - , 3;- _r ; g —, , :{ ?;~_a . ; ,.·_.;‘ ,r_§ ;_ ;— =. · ; -r ;. §;, ? ·i ’=; ;·’[ r‘.; -·E ·* ·r- ¥ " § `:i {-{-? r:$ `;é " ’*" ¢"" ' ' ' ' T l L-T - rl iL_— " r'7" 7 - — L 7 if i _r ·: 7 5 _ A_ _ _