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


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Date: July 19, 2006
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State: Delaware
Category: District Court of Delaware
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Case 1:05-cv—00067—SLFt Document 14 Filed 07/19/2006 Page 1 of 2
U. S Department of Justice PROCESS RECEH. I M in REI URN
· _ ' __ ` _ See lnstmcttons for "Service of Process by the U.S. Marshal"
UHIIECI S[3.[€S Marshals SCFVICC on the reverse of this form.

PLAINTIVFF . _- C URT CASE NUMBER
'*‘ . » ·’<’ /, dO " ·*
DE `NDANT , . TYPE OF PROCESS
{ **1 F7 t' · E ll
SE t NAME ( INDIVIDUAL, COMPANY, CORPORATION, ETC.,TO ERVE OR DESCRIPTION OF PROPERTYTO SEIZE OR CONDEMN
A I n ' I V, l "" .e
{lf ;Aw·i.I‘ @1/ r-
» ADb[;§F.SS ($treet or _RlfD, Apartment N0., City State : cl ZIP Code) __,,;.-... n, ,
H0_ *9/0/ »·¤ .(/*`° " 9*49/_/`¢9(§'7€O¤ / ...·4--}7$7/ 6/; /0*}
AT - I ’ { my
§.EE[LI`£)E(E‘l)L¥g£{E9O£LTQ5El)gh§1EIL‘lE.§;"E"1E£@j2DB§&E£LOEL-|Number Or process to be /
· . , · 'I . .
I1 1 L/{6 mt 2 served with this Form - 285
IOP ·’i7§’/·-:Nuntberofpaniestobe ‘
/ CZ édfi] B/ [served in this case 5
I [ V-/{,-1 _ -7 Cheek or service
......... @--91 ----- Z-C--Z! -------_ :0n u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION TI-{AT WILL ASSIST IN EXPEDITING SERVICE (Include Business and A/lemate Addresses. All
Telephone Numbers, and Estimated Times Available For Service);
E EE
Wl A /0/4 @95)//{
Signature ot` Attomey or other Origina esting service nn behalf ot': TELEPHONE NUMBER DATE
- I ’ PLAINTIFF
ZC Q5-,•y~.__ F id oarenohisr J/6’_/1,/Q, 5 'fz -0,6
SPACE BELOW FOR USE OF U.S. MARS!-[AL ONLY- DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. o1` Origin to Serve *
(Sign only first USM 285 if more V / I /OE;
· · I I}
than one USM 285 is submitted) No. _ ._ No. . . é _ ._- . - . .
I
I hereby certify and return that I [I have personally servcd.`E' tave legal evidence of service, lTl have executed as shown in "Remarks", the process described
on the individual, company, corporation, etc., ut the addres. shown above or on the individual. company. corporation, utc., shown `at the address inserted below.
I hereby certify and return that I am unable to locate the individual, company, corporation. ctc., named above (Sec remarks bc/ow)
Name and title of individual served (if not shown alwiic) L _ A pqrggn Og` Suitable age and dis.
¥ 5 L E R l Q cretion then residing in the defendants
we PIM OI =·*·<><*¤i
Address (complete only ifdilierent than shown above) ( Date of Service Time am
JUL l Q ZUUB (
` ( (dl pm
- Signature% arSh3l Of Deputy
DlSTFi|CT OF DELAWARE
Service Fee `Ibtal Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to US. Marshal or Amount of Refund
(including endeavors)
REMARKS:
- 5
¤¤¤gE¤gS*;*gNS 1. ctettx or THE couttr ""“' USM ” me '”""“°’

Case 1:05-cv-00067-SLR Document 14 Filed 07/19/2006 Page 2 of 2
tcm it or yr
RETURN OF WAIVER OF SERVICE OF SUMMONS
I acknowledge receipt ofthe request that I can waive service of summons in the matter of
C.A. No.Q;§Z in the United States District of Delaware. I have also received a copy ofthe
complaint in the action, two copies ofthis form, a copy ofthe Order ofthe Court authorizing
service and a means by which I can return the signed waiver without cost to me.
I agree to save the cost of service ofa summons and an additional copy ofthe complaint
in this lawsuit by not requiring that I be served withjudicial process in the manner provided by
Rule 4. I will retain all defenses or objections to the lawsuit or to thejurisdiction or venue ofthe
Court, except for objections based on a defect in the summons or in the service ofthe summons.
I understand that a judgement may be entered against the party on whose behalf I am
acting ifa response is not served and tiled within 60 days after: July ll, 2006.
Date:7 l I?) U
- hX, /1 j
Lj‘ (lg l gc g[,l~) I " CL l ( l l ( (CE v IW/<)
Sign ure of Defendant Printed or Typed Name
DUTY TO AVOID UNNECESSARY COST OF SERVICE OF SUMMONS
Rule 4 of the Federal Rules of Civil Procedure requires certain parties to cooperate in saving
unnecessary cost of service of the summons and the complaint. A defendant located in the
United States, who, after being notified of an action and asked to waive service of summons
on behalf of a plaintiff located in the US, fails to do so will be required to bear the cost of
such service unless good cause be shown for that defendant's 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 defendant's person or property. A
defendant who waives service of summons retains all defenses and objections, except any
relating to the summons or the service of summons, and may later object to the jurisdiction ofthe
Court or to the place to where the action has been brought.
A defendant who waives service must within the time specified on the "Return of Waiver"
form served on plaintiff, if urrrepresented or on plaintiffs attorney, a response to the Complaint
and must also file a signed copy ofthe response with the Court. If the answer or a motion is not
served within this time, a default judgement may be taken against that defendant. By waiving
service, a defendant is allowed more time to answer than if the summons had been actually
served when the request for waiver of service was received.