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

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_ _ 1. g cumertt 12 Filed 10/14/2003 Page 1 of 2 l
WAIVER OF SE.·RV.I(lE OF SKJNIMONS l
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l motte or vt.,-u>4‘T1Ft=‘s .\'l"l`l!l·•1Nl·[\` nit ti>.1tt1P1tHst·iNTED PL.-u:~J‘r11·‘F) "_‘ §
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I' I WlQdg ioei—·t·.st>.·t.~.t >..t.titi [ {,3 U3 · j
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that I waive service ofsummons in the action of [wrt · { ;` ‘ C L ll _ _
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which *5 °¤$° numbct the nited States Dtgtrtgt COM
roocicsr smtstsni
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For the Dtstrict ot 7
I have also received a copy of the complaint in the action. two copies of this instrumentclgancafagmeatis bv l
which I cart return the signed waiver to you without cost to me. SYS Q, Tl l .
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I agree to save the cost of service of a summons and an additional copy of the complalrnt inlgis lailgliit U l
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by not requiring that I (or the entity on whose behalt lam acting) be scned with judicial prorgglss inthe n;;i£i;lt-;p j
provided bv Rule 4. 5;; HQ: _‘T_f· fj ~‘y;;¤ iii LY;
· I (or the entity on whose behalfl am acting) will retain all detenses or objections to th@atvsiirit oeeltb the
jurisdiction or venue of the court except for objections based on a defect in the summons orfln the) scrjrtce of · I
the summons. j
[ understand that a judgment may be entered against me (or the party on whose behalf I am acting) if` an
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answer or motion under Rule ll is not served upon you within 60 days alter (l` 4 2 _
roars nsocesr was savvy
or within 90 days after that date it` the request was sent outside the United States.
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toar i saercsrtsttet 1
Pnntedftyped Name: ev. ‘ ‘ Y` YL
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z:r:.s o1v.¤os.»xrs oer-·eso.tsr·- i
Duty to Avoid Unnecessary Costs of Service of Summons y
Rule 4 ofthe Federal Rules cI'Ct·· il l"rocei.iur=: requires ccrtatn parties to cooperate in savtrtg urinecessarv costs of service ofthe summons and `
complaint. A defendant located in the ` 'rnted States it- ho. mer being notttied ofan action and asked by 1 plaintirf located in the United States to waive `
service ofsuntrnorts. latls to do so mil be required to hea: the cost ofsuch service unless good cause be shotm For its failure to sign and retum the waiver 1
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lt ts not good cause ter .1 tailor. 2 ·.¤.tivc --r. icc that a party believes that the complaint is untbunded. or that the action has been brought in an
. improper place or in a court that lack: ..r:~t;tc£=t‘:t .. · tif the subject malt'tc1‘ of the action or over H5 person Of pt’¤p¢t't}‘ .·\ pat‘t‘}‘ who tsatves serviee ofthe
tumrnons retains all tletenses and objecuons i except am relating to the summons or to the service ofthe summons 1. and may later object to the jurisdiction.
ofthe eourt or to the place where the .i.tton h.i.v been brought. .
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A dtlltlftilalltl \l\l'l0 \\ L1t\'dS $•:f\ l....: ‘ttt;$I '.\lIl11rt Zhi: [tt’\'I€ ipctlllldd 0t`l the \\Jl\`df ltJ|"m Sdt*·'¤ CTI {hd pl3.IfllllrS ;'t¤OI'¤c§·'lOf U1‘\l.'CpI.'CS¢t1NLl. pl;1It‘\lll'n -\ ;
f¢$D0|’15•! tothe t!L)I'\'\plJII‘ll And. I’1’\I.l$i Jlrit: Tllt: .1 ~tt;tt.:;.l ;0p}' t)I—'ll’\t! TC$p0I\Sc \\tll‘t the ¢tJLtI’I. ll`ll'\¢ -|·[l$\\¢T Of ITIUIIOIT 15 NU! S¢I"\·'¢t.l Wlthtft lhls lt|1‘lt2. J. t.`l¤£t;'X|Jl[ I l
judgment may be taken Jg1|t‘\5t that .£.:Z.;r:.l.tnt Elk it J1\II‘Ig sehtce. .1 elctbttdant is alltmed more ttrnc to answer than tl`the summons had been ttctually ‘
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9 DJS Document 12 Filed 10/14/2003 Page 2 of 2
WAI-VER OF SE~RV.I(ZE OF SUNIMONS I
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l. Nw Cecmten . acltnouilbdigld r<;g1ip§CQt`§Hui· ·qu.;s;
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that I waive service of summons in the action of risrhwrt . Nl y ( Q, ·,i" will/V; ;·.=”“ _ 1
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Wh1Clt IS Case number United Strftgs [Q_j5g;r1c[`i;'ITpIur[ °
roociczt NUMBER) »»=» . H
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for the District of Coggeogog Qt " JPL _
eg aft {IZ
I have also received a copy ot` the complaint in the action. two copies ot` this instrument, and a means bv
which I can retum the signed waiver to you without cost to me i I
l agree to save the cost of service of a summons and an additional copy ot` the complaint in this lawsuit I
by not requiring that I (or the entity on whose behalfl am acttng) be served with judicial process in the manner I
provided by Rule 4. I
I
l (or the entity on whose behalfl am acting) will retain all defenses or objections to the lawsuit or to the i
jurisdiction or venue of the court except for objections based on a defect in the summons or in the service of
the suntmons. l
I understand that a judgment may be entered against me (or the party on whose behalf I am acting) if an
, . . , Ig A Sit aims l
answer or motion under Rule 12 ts not served upon you within 60 days after ` _ 1
roars tuaotstzsr was sewn
or within 90 days after that date if the request was sent outside the United States. I
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Pnntedffyped Name; ·¢.r`/ //*‘2'C£..r
\s O of 1 A G) . C , l
- r:r:.at tcoapoiuxrs DEFE>.`D.\>T'~ I
Duty to Avoid Unnecessary Costs of Service of Summons
Rule 4 ofthe Federal Rules ot`Civtl Procedure requires eertatn parties to cooperate in saving unnecessary costs of service ofthe summons and
complaint. .-\ defendant located in thc ’ `rtited States who. atler being nottticd ot` an actton and asked by a plaintitflocated in the United States to waive
service ofsummons. tails to do so mil be required to bear the DOSI ot`such service unless good cause be shaun for its failure to sign and return the waiver. I
it ts not good cause tor a tbtlur- to watt e ~e:v1ce that a party believes that the complaint is urdbunded. or that the action has been brought in an
irrtproper place or tn .1 court that lacks ttrtsdtcttctt J--cr thc subject matter ot`the action or over its person or property. A party who waives servtce_o1`the
summons retains all detenses and objections t except any relating to the summons or to the service ofthe summons ). and may later object to the jurisdiction
ofthe court or tothe place where the action has been brought,
H dctertdant who waives service must wtittrt the time spcctlicd on the `uatycr Ibrm serve Ott lhc plotnlllri »1T10t'!‘le§·‘(or unrepresented plaintiff} .1
rcsnonse to the complaint and must also tile a uztttcd copy ofthe response mth the court, ll`the anstvcf or t1'\0l10\‘\ ts not Served wtthtn tht; time, .1 detault l
judgment may be taken against that dctcndant. ily oatvtng service. a delendttnt is allotted more tune to artsyter than tfthe summons had been actually
serxet.1 when the request lor waiver ot`·aetvt.:e tus received. `
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