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

Case 1:04-cv-01243-JJF Document 22 Filed 10/24/2005 Page 1 of 2
U S De artment of Justice PROCESS RECEIPT Al m RETURN
V ' ;' p ‘ ` _ See Instructions for ‘“Service of Process by the US. Marshal"
United States Marshals Service on me reverse Or this am.

t>t.AtNTtFF / ( Lg/, p COURT cixse NUMBER M J7[·5
/ .. at / .
U · 0 . U 1 /2
DEFENDANT · TYPE Oi?§?_ESS
»¤"“ I P r'
_ ;.. 4 I J 9/
SERVE " AME OF INDIVIDUA , CO Y, O , E O ERVE O ESCRIPTION OF PROPERTY TO IZE OR CONDEMN
» ; { J (—-·’ __ _ __ ,- ¢/ '
ADDRES ( treet or RF , Apartment No., Cit · and ZIP Code) 1 O I
/" dl
AT .2 »%7" # Z5 is . —· /
§EE'L'*£’Q`1‘E..9F. WEEE. QOPY T -@EE§T§*LeI §.__..*`iP;§2DBE$$L*§l$';O1VL-|Numb€, Ot process to be
F I served with this Foma - 285
4,,/ 4/Ray ,
I, |Number of panics to be
/ / I- ....» /1 Iserved in this case
I |Check for service
__________ _ __________________________ : on U.S.A. O
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
Telephone Numbers, and Estimated Times Available For Service): ,
Fold / Fold
F .
$#/5% 2;
signature ofA . mace on behalfof: Tatar • NUMBER DAT __,~
I - — I5 LAINTIFF .·¤
J lj DEFENDANT yl "'/gj
'— 1»Y T*"
SPACE BELOW I R USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW TIHS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk I Date
number of process indicated. of Origin to Serve .
(Sign only tirst USM 285 if more E ¢ { 3 (
than one USM 285 is submitted) No. No. ____. __.?.
I hereby certify and retum that I [I have personally served, have legal evidence of service, Q have executed as shown in "Reinarks", the process described
on the individual, company, corporation, etc., at the address shown above or on the individual, company. corporation, ctc., shown at the address inserted below.
E I hereb‘ certif and retum that I am unable to locate the individual, company, corporation, etc., named above (See remarks below)
y Y
Name and title of individual served (il` not shown above) r V _, _ A person of suitable age and dis-
A ,_f , ’ .- lj cretion then residing in the deIcndant`s
, l `· · usual place of abode.
Address (complete only if different than shown above) l; Date of Service Time am
I U { . (J I pm
Signature of U.S. Marshal or Deputy
‘
Service Fee Total Mileage Charges Forwarding Fee Tbtal Charges ` Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS:
ED N F0 U -285
{g;>gE Ugg S 1. cuzttx or me count R" SM me mw)

Case 1:04-cv-01243-JJF Document 22 Filed 10/24/2005 ”Pa§e 2`of
RI·]'l`llRN OF \\Q¤\l\*ICI{ Ol' SIiR\`i(Il·L UF S[ii\ll\l(}i\?%
I acltrrowledge receipt ol`the reqtiest that I eau waive service otsurnmons in the rurutcr or
t`.,·\. No.044243 inthe United States District ol` Delaware. I lravc also rcccix cd zi copy tu utc
eotnpla.int in the action. two copies olthis lorm, a copy ol`thc Order otthc ('Tourt authorizing
service and a means by which I can rctttrn the signed waiver without cost to mc.
I agree to save the cost of service ot`a summons and an additional copy otthe 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_iurisdiction or venue o|`thc
Court. except for objections based on a detect in the summons or in tlte service o|`the sttmmons.
I understand that aiudgement may be entered against thc party on whose behalI` I am
acting il`a response is not served and tiled within (t0 days alter: October I2. 2005.
l)ate:_ , 7 :7/ 6B J,
(
’ -5 all ./ Tx?./·i;i· E. SQL/ag
Si r attire ol` Detenda t Printed or Typed Name
ENITY TO AVOID UNNECFZSSARY COST OF SERVICE OF SUI\’Il\/TONS
Ilulc 4 ol`the Iiederal Rules oI`(`ivil I’roeedure reqttires certain parties to cooperate in saving
unnecessary cost oI`service ol`the summons atrd the complaint. A det`ettdaut‘ located itt tlte
Llrtited States, who, alter being; notified of an action and asked to waive service ot` sutnntons
on heltalfof a plaitttiff located in tlte LIS, fails to do so will he required to hear {Ile cost or
such service unless good cause he shown for that tIcfendant's t`ailttt·c to sign and rt-tttrn tue
waivcr. _
It is not good cause t`or a I`ailure to waive service that a party believes that the complaint is
unl°ounded, or that the action has been brottght in an improper place or in a cottrt that lacks
_iurisdietion over the subject matter ofthe action or over detendant's person or property. fx
dclendant who waives service olsummons retains all tlelenses and objections, except any
relating to tlte strtnrnons or the service olsummons. and may later obicet to theitirisdiction ot`the
Court or to the place to where the action has been brought.
r\ delendant who waives service must within the time speeilietl on the "lieturn ot \\¤':tivt·r"
Iorm served on plaintiff. iI`unrcpresented or on plaintil`I"s attorney, a response to the t`otripiaiut
and must also Iile a signed copy ofthe response with the Court. ll`the answer or tt motion is not
served within this time, a dcfattltiudgement may be taken against that delendaut. liv waiving
service, a dclendant is allowed tnore time to answer titan it`the sumtnons had been actttally
served when the request for waiver ot service was received.