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

Case 1:06-cv—00001-Gl\/IS Document 15 Filed 06/26/2006 Page 1 of 2
U S De artment of Justice PROCESS RECEH I M ID REI URN
' _ ' p * _ See Instructions for "Service of Process by the US. Marshal"
UHlIC(I_ States Marshals SCYVICC on the reverse of this form.

PLAINTIFF ,_..._ COURT CASE NUMBER I
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DEFENDANT _ TYPE OF PROCESS
L9'? ( "(\·E.tX»Q_‘¢~\ g $'iI"€.’°¤•n$ C Q.
NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
» C.\·u·e€.\· ue e. \\‘\¤.§•».&; V0 ADDRESS (Street or RFD, Apartment N0_., ity State and ZIP Code)
QQ·_,'\¤.x>..Z·.1*¤<'Q_ LQ §"¢"—4‘.,(;.`\"'» DRB ·¤~\ QQ. ¢\}`)*\"-QT"
AT \x*'(\`?¤~8s.A¤:·_,¥~ Rec., gm wsse W; , L , 1- . &°»°»‘\'\
§€§lLl`@B<2l?£)E.¥.iE’L€?EQOBY.T9 EQPEEETEKAI EWE £—."@.é2DJ3E§i*E!’H;..i number or process to be _ I
~ I served with this Form — 285
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QQ_,\` L5 rc, Q.»L<\$"r'-LV' :Number of parties to be ?•
served in this case ‘
\\`3\·Q¤~&cé..¤ LY`. Rfbu I
%·IN\7("°*‘·~3‘·*• y Q €\@· ~ ICheck for service
______________________________________ : on U.S.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alterrljyé Addresses, All
Zjiephone Numbers, and Estimated 'Iimes Available For Service): - _ » 7 ; ` _ Fold
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Signature of Attomey or other Originator requesting service on behalf of: m'PgINTlFF TELEPHONE NUMBER D · -
\"·- ·w*v»._,,L4·¤ -· · A I] DEFENDANT I ?
"
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
(Sign only hrst USM 285 if more _ · L; __ . - _
than one USM 285 is submitted) No. No. _ _ .-- ».
I hereby certify and return that I 7 have personally served, have legal evidence of service, I_. have executed as shown in "Rernarks", the process described
on the individual, company, corporation, CIC., at the address shown above or on the individual, company. corporation, etc., shown`at the address inserted below.
I;-I 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 pcrgrm Of Suitable age am] dig.
I_ , cretion then residing in the defendants
. I usual place of abode.
Address (complete only ifdifferent than shown above) Date of Service Time am
A I I (rr I ( O [ vm
U T; Signature I ¥ . Iv arshal or Deputy
Service Fee Total Mileage Charges Forwarding l·`ee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors) -_
REMARKS:
UU mt Uf L Q. . rf

PRIOR EDITIONS 1 FORM USM-285 (Rev. 12/15/80)
MAY ne USED ‘

Case 1 :06-cv-00001-GIVIS Document 15 Filed 06/26/2006 Page 2 of 2
RETURN OF WAIVER OF SERVICE OF SUMIVIONS
l acknowledge receipt of the request that I can waive service ofsummons in the matter of
CA. No Qolttt in the United States District of Delaware. lhave also received a copy ofthe
complaint in the action, two copies of this form, a copy ofthe Order of the Court authorizing
service and a means by which l can return the signed waiver without cost to me.
I agree to save the cost of service ofa summons and an additional copy ofthe complaint
in this lawsuit by not requiring that I be served withjudicial process in the manner provided by
Rule 4 l will retain all defenses or objections to the lawsuit or to the jurisdiction or venue ofthe
Court) except for objections based on a defect in the summons or in the service ofthe summons.
l understand that a judgement may be entered against the party on whose behalfl am
acting ifa response is not served and Bled within 60 days aftert April 26 2006.
DHl€i¥4{·' H V _ri V- _ M
l /i-I A- --1. `E g _;_j‘-/t I J; { U., ft/( ( I tl I `·._i jE'- Ar —yf N
f il Signature of Defendant H Printed or-Typed Name I
DUTY TO AVOID UNNECESSARY COST OF SERVICE OF SUMMONS
Rule 4 of the Federal Rules of Civil Procedure requires certain patties to cooperate in saving
unnecessary cost of service of the summons and the complaint. A defendant located in the
United States, who, after being notitied of an action and asked to waive service of summons
ou behalf of 8 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
ttrtfounded, or that the action has been brought in an improper place or in a com that lacks
jurisdiction over the subject matter ofthe action or over defendants person or property A
defendant who waives service ofsumrnons 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 specitied on the "Retum of Waiver"
form served on plaintiff, ifunrepresented or on plaintiffs attorney, a response to the Complaint
and must also tile a signed copy ofthe response with the Coun. lfthe answer or a motion is not
served within this time. a defaultjudgernent may be taken against that defendant. By waiving
s§j;`yice,i;a defendant is allowed more time to answer than ifthe summons had been actually
served when the request for waiver of service was received.
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