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

Case 1 :06—cv—00008-GIVIS Document 13 Filed 05/05/2006 Page 1 of 2
I; Dc Emmem Of Juqticc PROCESS RECEIPT AND RETURN
’ A ~_ ‘ ..»- p ‘ _ See Instructions for "Service of Process by the ILS. Marshal"
United States Marshals Service on me reverse Or this ram].

PLAINTIFF COURT CASE NUMBER i
Sandra D. DJIA C¢¢IQC·—<‘L`}’Q€··‘ , !
DEFENDANT Téwk .9 IEIYM r 0 TYPE OF PROCESS
C IQFGFQCQ QQ [car,.} YG Q -· Q
SERVE NAME OF INDIVIDUAL, COMPANY, C RPORATION, ETC., TO SERVE OR DESCRIPTION OFPROPERTY TO SEIZE OR CONDEMN
, _- ,-.. -_ - _. .r· A I
· ·'&'.·!£I·,% "z `E7 ’- ·€.kL€¢I£“ I-ERWO ¤€ .. f` Qc <> I. ’ 1 1 ‘· - UQHQ
ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
I "Yi
AT 4`Df. D I/FI. {` MG! ty,,, .
QEEEILOEQEBE $@55 QOBYJQ BIQEEETEILAI SAME &lEL°i*BDBl§§'£$';0EL -| Number of process to be
T I served with this Form - 285 (
¢
jchndfa t-)• UJI·ct‘I`-¢° INR f H. lb A
I LIII1 I O pa ICS O C ,
q°aE G Ften Fl-@,0 Q C?. Iserved in this case C
I C":
L { A ? I CI1€Ck for SCI-VICE
.................. .... ..... _ _____________ : on U.S-A- .
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Al te Eses, All I
gfigephone Numbers, and Estimated Times Available For Service): · "°' ·* ·__,,;j md
_ _ I ?`-ir" _
EE ;J'
ciqffff 10 _ Qt '·*»»,,g_,
.t.=· tate,
UI M
Signature of Attomey or other Originator requesting service on behalf of: L PLAINTIFF TELEPHONE NUMBER DATE J
E DEFENDANT 3o 9,- j§2_-QZ; 3 Z? ·-Q_ ... D Q
SPACE BELOW 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 Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve 4 _
(Sign only Hrst USM 285 if more ly
than one USM 285 is submitted) No. ___ No, _ •
I hereby certify and return 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 thc addr s shown above or on the individual, company, corporation, etc., shown at thc address inserted below
I] I hereby certify and rctum 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) A pgrgqn gf Suitable age and dig-
lj cretion then residing in the det'endant's
usual place ot` abode.
Address (complete only ifdiflrerent than shown above) Date Of Service Time am
P" ‘
. , » I if pm
Signature of U.S. Marshal or Deputy
tr At I
_ CI;
Service Fee i Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. M hal or Amount of Refund
(including endeavors)
REMARKS: i
PRIOR EDITIONS 1 LE FORM USM-285 (Rev. l2·'l5/80)
my BE USED . C RK OF THE COURT

Case 1:06—cv—00008-Gl\/IS Document 13 Filed 05/05/2006
/ - g .
Corporate/Entity Defendant
. i
RETURN OF WAIVER OF SERVICE OF SUMMONS CQCXIMOVV}
l acknowledge receipt of the request that I can waive service of summons in the matter of
CA. No.06-008 inthe United States District of Delaware. I have also received a copy of the
complaint in the action, two copies of this form, a copy ofthe 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 ofthe complaint
in this lawsuit by not requiring that the entity on whose behalf I am acting be served with ju.dicial
process in the manner provided by Rule 4.
The entity on whose behalf I am acting 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 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: March 8, 2006.
Date: 5 - jg-O C0
- 6·=»e~By»-t¤m~+<¢~ts; -
` nature of fendant or Typed N e
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 defendanfs failure to sign and return the
waiver.
lt 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 cotut that lacks
jurisdiction over the subject matter ofthe action or over defendants 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 tile 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.