AOC-105 Doc. Code: CI 02/6/2007 01:24 pm Rev. 1-07 Ver. 1.02 Page 1 of 1 Commonwealth of Kentucky Court of Justice www.courts.ky.gov CR 4.02; CR Official Form 1
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Court County CIVIL SUMMONS
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PLAINTIFF
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DEFENDANT
Service of Process Agent for Defendant:
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______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ THE COMMONWEALTH OF KENTUCKY TO THE ABOVE-NAMED DEFENDANT(S): You are hereby notified a legal action has been filed against you in this Court demanding relief as shown on the document delivered to you with this Summons. Unless a written defense is made by you or by an attorney on your behalf within 20 days following the day this paper is delivered to you, judgment by default may be taken against you for the relief demanded in the attached Complaint. The name(s) and address(es) of the party or parties demanding relief against you are shown on the document delivered to you with this Summons. Date: ____________________, 2______ _____________________________________________Clerk By: _______________________________________ D.C.
Proof of Service This Summons was served by delivering a true copy and the Complaint (or other initiating document) to: ________________________________________________________________________________________ this _____ day of ________________, 2______. Served by: _________________________________ _______________________________________Title
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