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

Case 1 :06-cv-00791-SLR Document 16 Filed 05/25/2007 Page 1 of 2
RE ~ . . w 1 11 F R N
I - ;E , pir A vn o ss vice or suivnvio s
I acknowledge receipt of the szrequest that I can waive service of summons in the matter of
C.A. No.06—'/9 tiiéIU¥iilted%tile istrict 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 ofthe
Court, exceptefor objections based on a defect the summons or in the service of the summons.
I understand that ajudgement may be entered against the party on whose behalf I am
acting if a response is not served and filed within 60 days after: May I0, 2007.
D t 1 j 2g%
3 B ayz , 7 .
( b ? Che ry]. Regan
Signature o Defendant 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
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 ofthe
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
served when the request for waiver of service was received.
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Case 1:06-cv—00791-SLR Document 16 Filed 05/25/2007 Page 2 of 2
. U.S. Department of Justice PROCESS RECEIPT Al JD RE I URN
_ _ See Instructions for "Servrce of Process by the DCS. Marshal"
United States Marshals Service on the reverse Or this ram.

PLAINTIFF COURT CASE NUMBER
aittnoao L saute OI°`”I°lI SI-Ft
DEFENDANT _ TYPE OF PROC, ..
CHERYL REGAN ret. ti ‘ OM /NU!
NAME OF INDIVIDUAL COMPANY C R ORA I E OSERV OR D RI O ER
, , 0 P T ON, TC.,T E ESC PTION F`PROP TY TO SEIZE OR CONDEMN
· CHERYL REGAN, COUNSELOR, H.R.Y.C.I.
ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
AT H.R.Y.C.I. P.O. Box 9561 `lrJi].m'in t;on DE 19809
2?."1*2."£)EQ?2E§EE’L€E Q)£`·’..T9 EEQEEETEILAI NW2 &*@;°*.[lD.E`§·SLIiLEE9lV;-| Number of process to be
IT d L B I served with this Form - 285
a y m 0 I1 . 1* u 1; o n .
069025 :Number of parties to be
H.R.Y.C.I. Iservedinthiscase A
P.O.B0x 9561
II/\l:Zl.;I.1'l'l'ZI,I'1glZOl“1, DE 19809 :Check for service
___________ __ _________________________ __| on U.S.A._
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All
Ffjliiclephone Numbers, and Estimated Times Available For Service): — FDM
PAUPER CASE A
Sign;. · 0f Attomey or other Originator re uesting service on behalf of: E PLAINTIFF TELEPHONE NUMBER DATE
.us.,,a.a... . . - t U DEFENDANT tab . é', SLG-W
SPA ill'! ELOW 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 Authori ed USMS eputy or Clerk Date
number of process indicated. of Origin to Serve /
(Sign only first USM 235 if more F
than one USM 285 is submitted) No. No. . ` {T.
Ihereby certify and retum that I [I have personally served, § have legal evidence of service, [I have executed as shown in "Remarks", the process described
on the individual, company, corporation, etc., at the addre s shown above or on the individual, company, corporation, etc,. shown at the address inserted below.
lj I hereby certify and retum that I am unable to locate the individual, company, corporation. etc., named above (See remarks below)
Name and title of individual served (if not shown above) U A person o suitable age and dis-
cretion then residing in thc defendant`s
usual place of abode.
Address (complete only ifditferent than shown above) Date of Service Time am
5-l2,.t 0 pm
· J Signature f . Marshal or Deputy
, y . Q/9}
Service Fee V Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
( including endeavors) ~ -
REMARKS: I
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