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

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J _ ., =. v 01029 DJS Document 10 Ftled 10/14/2003 Page 1 of 1
- W.—\IVER OF SERVICE OF SIJNIMONS I
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“ Gifs I_Irl__ItIT t)@;It‘Ii-»> ·j;¤?T’2_ I
that I waive service of summons in the action of Qugttg §ms,__§°m M qi§s_@l§*{II· Ig.! I -_·» ttf.; i
.C.·\PTION OF .-\t.‘"l"tON) _;;; ‘¤..· __ YI:)
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whtchpts case number c, M. J tn the bntted States Ditstrtct Court I
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I have also received a copy ofthe complaint in the action. two copies of this instrument, and a means bv I
which I cart return the signed waiver to you without cost to me - '
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I agree to save the cost of service of a summons and an additional copy of the complaint in this lawsuit
by not requtrtng that I (or the entity on whose behalfl am acting) be served with judicial process in the manner I
provided by Rule 4.
I (or the entity on whose behalf I am acting) will retain all detenses or objections to the lawsuit or to the
Jurisdiction or venue ofthe coun except for objections based on a detect inthe summons or in the service of —
the summons.
I understand that a judgment may be entered against me (or the party on whose behalf I am acting) if an 5
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answer or motion under Rule ll is not served upon you within 60 days after ' _ I
roars. tuaotzizsr was szxri
or within 90 days after that date it` the request was sent outside the United States.
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Duty to Atoid Unnecessary Costs of Service of Surrtmons
Rule 4 of thc Federal Rules el`Ct~·tl Procedure requires certain parttes to cooperate in saving unnecessary CQSIS of service oftht-: suntmons and
complaint. .—\ detltndant located in the ' 'nttI:d` {states who. arler being notttied ol' an action and asked by a piaintitflocated in the United States to waive
service ofsumrnons. tails to do so util be required to bear the cost ofsuch service unless good cause be shown for its failure to sign and retum the waiver
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It ts not good cause lor a t`atit.It. 1 watt e ~cr·. Ice that a party believes that tht: otimplarnt ts urtlbunded. or that the action has been brought tn an I
IITlpI‘Op¢f plltld UT I11 I £0lJIT[h1iiJ.·Jl\r ..T1~.Jl£L:t‘I1 .t:f Lila: 5LIb_|¢tJl YTIJITCF UI-Ihd Jt.1llOl’1 Of 0\'¢f ILS p¢I’$O|"l Of pI'Op¢l"l}' .-\ ptI.l‘\}' \\i.'lO \\t1\\'c5 $¢l’\‘tIJt1 Oflhtt I
summons retains all detenses and ohteczaons I t:s.;;tt any relatmgto the summons or to the servtcc ofthe Surrtmonsl. and may later object to the jurisdiction
of the court or to the place where the .t..:ton has been brought.
.-X delcfldillil Vlhd \\»;|I\‘d5 5•:l'\l-.: ZIEUSI '»\IIl‘II!j lhtl {lm: ipdkilllvid dl'] lhé \\J.t\I‘•JI.' R>T'TT'l St£I'Y€ UTI [hd pl31l.’\lIII`5 &1H0IT1r;}I’|0l‘ Lll’1.I’¢pTCSdt'Il£d pllihllffl .1
response to thc complaint and must also the .t steric: copy ofthe response ttttlt the court. [fthe artsuer or motion ts not served wtthtrt thas ttrtte. .1 dethult I
Iudgrnent may be taken tgatrtst that derendant. are It.tIt.-Ing sen tee. 4 t1et1:nd.tnt IS allowed more time to answer than tfthe summons had been actually
sewcd when the request lor watvcr ot —c:".‘i;e was received. `

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