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

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RETURN UF ‘W.·'s!VER OF SERVICE {31-F·' SUMMONS "
l acknowledge receipt of the tequest that 1 can waive service of summons in the llitttlttf ol
CA. No. in Lite United States District of Delaware. I have also received at copy of tiic
compltiint in the ncuoii, ti.-to copies oil this form, e copy ut the Order ofthe Court ruitliuriiting
5Crvit;c rind at ntt2t·mS by which 1 CB1] return thc Signed waiver without COSL to me.
- I agree to suse the cost ofserviee ofa sumutons and an additiounl copy ofthe cotiipittint
in this lawsuit by not requiring that the entity tm wltosc behuifl ttm acting bt: scrvcti withiutiicial
process iu tht: mtmiier provit‘lcd by Rule 4.
The entity on whose t·eliull'l am acting will retain all defenseit ne ohjtzetions tothe liiwsitit
or to the jurisdiction or venue ottiie Court, except for obicctiotis busetl on e defect in the
summons or ist the service of the summons. I unrlarstttnd that ujudgenicnt may be entered
uténii-in: the party on xvitosc l:>eituii`l am acting ii`: response is not served nnri Hicd within n‘>l3 clays
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irc ot Detenctnzit I’r$ie;i or 'lymtl Name bet 5 L ¤> H" ~"i`i*"""—"-*"
nt_rt"i’ TG »wt)tD UNNECESSARY CGW OF SERWCE OF SIIMMQNS
R uic 4 of the Fetierai Rules ti l` Civil Proccciure requires certnin patties to cooperate in saving
l.\!'l.l‘| United States, wliu, after being notified of en rtctitsin arid ttslstitl to t=vei·t»‘e suwi-ue tit`sut·nanous
on behalf of ii pl:tiniii`i` loetitetl in til¤r:t1S,1”rtils to do so will be required tu been- thc cost of
Slltiin $t':l”ViC¢ \Il‘lIC!*i·ri gflfld QBDSC bl: Sh0WI\ fi}i’?il:nt£lCTt.Ell(ia\l1¥°5 fihiiuif (O Sig}! {HH.! TIIJHIFEE HIC
waive;
it is not good cause tiir ti fhilure to wttive service rhut e patty believes that the cctmpiuint is
uniouuttetl. or tlizit the notion has been brought in un itiiprop:-er place or in at court that looks
iurisclietion over the sttiqieci matter ofthe notion or ove: t:leforttlunt‘s person or property. A
defendant who waives service ofsummons retains ull tlelenscs und olqiections, except any
relating to the summons or the service oieumtnous, uzitj may later ohjeci ui tliejurisclictitm ofthe
Court or to the place to where the action has lvetrti brought.
A defcridztrit whb waives service must within the ‘timB Sptoitiiuti on thc "Rcturn nl. Waiver"
Harm served on pltiintiff, if uurcpresented or on pluiutilI's attorney, a response to the flornplaiiit
and must ttlsti lilc e. signed Lztipy ofthe response with the Court. [fthe tmswer or at riiotiort is not
Server] vrithin Ei'l'i‘S Timo. it t.‘lC!`£tl.tiljlJt.igumt:ntJi1!iy lit: ttiiukn against tii:tt Lielenciani. By waiving
Servicer :.1 defendant is allowed more time to answer than iftlie sumzuons had been zttztuslly
served when the request lor waive: of service was received.
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Case 1 :07—cv—00006-GIVIS Document 21 Filed 08/07/2007 Page 2 of 2
U S De artment of Justice PROCESS RECEIPT M in REI URN
’ _ ‘ P ‘· _ See Instructions for "Service of Process by the U.S. Marshai"
UD1I€d States Marshals S€I`V1C€ on the reverse of this form.

PLAINTIFF _ COURT CASE NUMBER
Amir Qr. 77/Ai x ae O -eooée-GWM-S
DEFENDANT TYPE OF PROCESS
30o7"1 S. 4/ /a . Q to
SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OFIPROPERTY TO SEIZE OR CONDEMN
1 ,¤:¢-·< .—q-rf s
» Ego; Z S· 5;/ ggg
ADDRESS (Street or RFD, Apartment No., Ci , State and ZIP Code) ' __* . 1
"' S ui —}·c. I 0
_ · { . . -· .
AT Slot C ze ,,/A [ i ’ r`- ot/-ef De'. /990
EEHEYQEEBE E'§’EE@£Y.T2 B'E?l!.E§.T§*5.*!I NW2 ;°*.@;’*2[E§i'1E!"L’ L - I Number er process to be
. I served with this Fonn - 285
- · ` A 0% 0/ {Number of parties to be
/ @7 C { Iserved in this case V
I D '/ / 9 9 |Check for service
..... L- -.~S.-’]”§2iia’.*‘l .... é.; ......_ IZ .17 ____ ; ... .
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL, ASSIST IN EXPEDITING SERVICE (Include Brrsrrress and Atterrrste Addresses, All
Telephone Numbers, and Estimated Times Available For Service): .
Fold . Fold
Signatu of • · ey or other Ori in requesting servic n behalf of: Z {-AINTIFF TELEPHONE UMBER DATE
( , , 1 III DEFENDANT . li ,5 9 G 7
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY - DO NOT WRITE BELOW THIS LINE
I ac nowledge receipt for t total Total Process District District ignature of Authorized USMS Deputy or Clerk l Date
number of process indicated. of Origin to Serve
(Sign only tTrst USM 285 if more F C __-
than ortc USM 285 is submitted) No. No. _ ` ‘-S-:,0 7
I hereby certify and retum that I I] have personally served. IE have legal evidence of service, [I have executed as shown in ‘“Remarks", the process described
on the individual, company, corporation, etc., at the address shown above or on the individual, company, corporation, etc., shown at the address inserted below:
CI I hereby certify and return that I am unable to locate the individual, company, corporation. ctc., named above (See remarks below)
Name and title of individual served (if not shown above) A pm-Sqn of Suitable age and djs-
Iii cretion then residing in the defendant’s
usual place of abode. .
Address (complete only lfdifferent than shown above) Date of Service Time am
Cl) w 0 I Pm
Signature • U.S. Marshal or Deputy
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed Io U.S. Marsha or Amount of Refund
(including endeavors) ` -
REMARKS: L
P¤°gE¤gg_}gNS 1. CLERK OF THE COURT “”“' "S'”·”’ (Re ”’*"”“’