Bridging the justice gap in New York
United States District Court
SOUTHERN DISTRICT OF NEW YORK
|
Plaintiffs Name |
|
|
|
SUMMONS IN A CIVIL CASE |
|
v. |
CASE NUMBER: LEAVE BLANK |
|
Defendants Name |
|
TO: (Name and address of defendant)
LEAVE BLANK
YOU ARE HEREBY SUMMONED and required to serve upon PLAINTIFFS ATTORNEY (name and address)
Attorneys Name and Address
an answer to the complaint which is herewith served upon you, within 20 or 30 or 60* days after service of this summons upon you, exclusive 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 complaint. You must also file your answer with the Clerk of this Court within a reasonable period of time after service.
* choose one:
60 = federal agencies or employees
30 = Freedom of Information Act actions
20 = all others
|
|
|
|
|
|
RETURN OF SERVICE | ||||
|
Service of the Summons and Complaint was made by me1 |
DATE | |||
|
NAME OF SERVER (PRINT) |
TITLE | |||
|
Check one box below to indicate appropriate method of service | ||||
|
¨ |
Served personally upon the defendant. Place where served: | |||
|
¨ |
Left copies thereof at the defendants 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: | |||
|
¨ |
Returned unexecuted: | |||
|
¨ |
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 |
| |||
|
|
| |||
|
|
| |||
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.