RETURN OF WAIVER OF SERVICE OF SUMMONS
I acknowledge receipt of the request that I can waive service of summons in the matter of
C.A. No.08-99 the United States District of Delaware. I have also received a copy of the
complaint in the action, two copies of this form, a copy of the Order of the 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 of a summons and an additional copy of the complaint
in this lawsuit by not requiring that I be served with judicial process in the mamier provided by
Rule 4. I will retain all defenses or objections to the lawsuit or to the jurisdiction or venue of the
Court, except for objections based on a defect in the summons or in the service of the summons.
I understand that a judgement may be entered against thc party on whose behalf I am
acting if a response is not served and filed within 60 days after: July 21, 2008.
Date: 2 Q W \
/¤/ Agrmgsg"-l»1M/ttl/eil
Si nt Printed or Typed Name
J DUT @ 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 of the
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 unrepresented or on plaintiffs attorney, a response to the Complaint
and must also file a signed copy of the 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 l
served when the request for waiver of service was received. E3 wif,
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Case 1 :08-cv—00099-GIVIS Document 21 Filed 07/28/2008 Page 2 of 2
· PROCESS RECEIPT AND RETURN
U. S. Department of Justice . .. . ,,
_ _ See Instructions for Service of Process by the U.S. Marshal
United States Marshals Service on me reverse of this form.
PLAINTIFF 3 V1 _ COURT CASE NUMBER
Gel/Us’\· L/\`)<`»Galv·l;r GA O8"'(’iC“i
DEFENDAN'I"(_ TYPE OF PROCESS __ _
"`J l'vV\ L`; Qljcirl $\}VV\VV\Ut"S ©Ul1\`P\cu·/PII,
SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY • SEIZE OR CONDEMN
» Bivvx l..;.GLUoi’a
ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
. '\ . I
AT Lib The- Leveevx, put/e,·r UE; l°lqO\
EPEQBQEQPE. ¥‘§’!§EQO£Y..T.Q EIEQEEETEIUE NW2 Al`@.é2DBE§§*@LO!;.-| Numbc, gf pygqegg I0 be I
_ I served with this Form - 285 \
I YIDI/\Ct»UV\ KA$·&"~ C0 QT
LIOCI (9/-li I Number of panics to be
Q EOL Iserved in this case 3
I Y‘;(Q\,`f·I(‘O•’\ M 5, O 3 *9*O I Check for service lv
_______ __ ____________ _ _________________ I on U,S.A. g
..· (fr
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altema1'i;.AddIgg;s'es, All
Telephone Numbers, and Estimated 77mcs Available For Service): : FQ.:
F<>l¤ 9 "` ··»· —e€·"
_- MC ° I`) <::r;2;:;
· (xo Q (Lan/s. C m wazibgl
· 3 Am ··- qr P·Y\ b, EEQTLILI
__ ,4 , ’ I YQ 2*}
- t,..eo o¢:?c~2 0%- `\-icgv ~*~ I M¤·’F*$»
Signature of Attomey or other Originator questing service on behalf of: KPLAINTIFF TELEPHONE NUMBER DATE I
EI DEFENDANT 5 gz g (gag _,
SPACE BELOW FOR USE OF U.S. MARSHAL 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. of Origin to Serve
(Sign only hrst USM 285 if more I ) E 7p
than one USM 285 is submitted) No. No.
I hereby certify and return that I E have personally served, Xhave legal evidence of service. KI have executed as shown in "Remarks", the process described
on the individual, company, corporation, etc., at the addres shown above or on the individual, company. corporation, etc., shown `at the address inserted below.
ij I hereby certify and retum that I am unable to locatc the individual, company, corporation, etc., named above (See remarks below)
Name and title of individual served (if not shown above) A person of Suitable age and dis-
I] cretion then residing in the defendants
usual place of abode
Address (complete only ifdifferent than shown above) Date of Service Time am
792/A Y pm
r ‘ arshal Or Déplliy
Service Fee Total Mileage Charges Forwarding Fee Fvtal Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS;
liu '
FORM USM-285 12/15/80
"“°§EE3;'I?NS 1. CLERK OF THE COURT (R°“ I
Case 1:08-cv-00099-GMS
Document 21
Filed 07/28/2008
Page 1 of 2
Case 1:08-cv-00099-GMS
Document 21
Filed 07/28/2008
Page 2 of 2
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