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

Case 1 :07-cv-00244-JJF I Document 16 Filed 08/07/2007 Page 1 of 2
0 *1 l- av #7 JU" 1:
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.07—244 in 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 manner 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 the party on whose behalf I am p
acting if a response is not served and filed within 60 days after: July 18, 2007.
Date: 7 l Q Wl ¤ 7
k dg I —T**—¤·>=~*‘ IZ. Frame}
Signature of Defend t 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
I — on behalf of a plaintiff located in the US, fails to d_o 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 "Retum of Waiver"
form served on plaintiff, if unrepresented or on plaintiffs attorney, a response to the Cocgplamtjg
and must also file a signed copy of the response with the Court. If the answer or a motici is
served within this time, a default judgement may be taken against that defendant. By _
service, a defendant is allowed more time to answer than if the summons had been actuaglly
served when the request for waiver of service was received. ‘·’
— -·-J _; .

Case 1:07-cv-00244-JJF Document 16 Filed 08/07/2007 Page 2 of 2
U S Department of Justice PROCESS RECEIPT M ID RE I URN
‘ _ ‘ “ _ See Instructions for ".S`ervrce of Process by the US. Marshal" ‘
United States Marshals Service on me- .-awa of ma rams.

PLAINTIFF \`\ l COURT CASE NUMBER l
HE 3 OR UFM- $0-. \ ,_ L} _
DEFENDANT TYPE P PR Ess
A Me$ FRr:>,·z.:1‘... ·‘ O er Co ·· q' I
SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OPPROPERTY TO sEIzE OR CONDEMN
· IIPINIE'5 ERQZIER G OV- G EK\/EQ [j;3§§§§;§ K BEMQ
ADDRESS (Street or RFD, Apartment No., City; ,State and ZIP Code)
to \'&\l {mile OF \’oRl< e·\- DOVER De. aaol
EiE'2.l`l9.H(I1*?.9£§€*.§’EE.(iO£`(.T2 .E*§QlLE§".E*E./E EAME é@.·E~P.Di*’·§§.*1'?@.‘LV;-, Numbc, gf process to be
l——— I served with this Fonrt - 285 ‘
P\wL·¤R1.¤-Rt" INumbe Orpmstobe l
_ ` I I IE G
[served in this ease
\\ Psi ?i==eI>oC on O R
5 >E° \ 6 B I \ ICheck for service
______. .. .___..__ ____;__;_- .---......- -·--——:°“ U-S.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All
ggieplione Numbers, and Estimated 'Hmes Available For Service): Fold
PPIUI ER C·*°"5E—.;1§N\I¤iTE 5¤‘I>EQ?LE. BEING SRJEJD
Signature of Attorney or other Originator requesting service on behalf ot`: TELEPHONE NUMBER DATE
. _ _ iPLAINTIFF _
;,_;,, Q R"; . [s s.-:-. °° gg . tit DEPENDANT C: —QS···U`[
'
SPACE BE v• FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Pro ess District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve
(Sign only first USM 285 if more
than one USM 285 is submitted) No. No. _____ __....__ _..__a
I hereby certify and retum th t I E have personally served, III have legal evidence of service, E have executed as shown in "Remarks", the process described l
on the individual, company, corporation, etc., at the address s ` wn above or on the individual, company, corporation, etc., shown at the address inserted below,
El I hereby certify and return that I am unable to locate the individual, company. corporation, etc., named above (See remarks below)
Name and title of individual served (ff not shown above) A pgfggn gf Suimbig age and djs.
I:] cretion then residing in the defendanfs
usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
. Vée//A E tt.
` Signature Of]@Marshal or Deputy
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS:
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PRIOR EPPIPNS 1 CLERK OF THE COURT mm “S“·”’ me ""5’”"’
MAY BE USED `