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


File Size: 115.2 kB
Pages: 2
Date: January 13, 2006
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 1,308 Words, 8,208 Characters
Page Size: 622.08 x 792 pts
URL

https://www.findforms.com/pdf_files/azd/34884/161.pdf

Download Waiver of Service Executed - District Court of Arizona ( 115.2 kB)


Preview Waiver of Service Executed - District Court of Arizona
C C C- 6 CC » CCC OIIIGEDCCC? »‘· a ·- ~
- -I PROcEss~ 1·¤C I ·r ··.» - *
, U,IS. Department of Jusuce scc hmmm I B5&§ LF al-at 0-I I
_—Umted States`Marshals Service cn mamma arm; . I I _ - CC V
‘C - E 1r~t¤¤¤arm2x _ ·
» I ,.z -_ C ‘ C u- C· CASE NUMBER C C C
C C C Carlos Arthur Powell (Charles) I CWLB QPQF C -- I I-Q
- -- °EFEN¤·*N'* I I I - C C ;C - i·'¥~“~ C ,1IIg* I
CC CCC ‘ ;» I ogy ’ ·‘ CI C ’1 e ~`-i &G'I?!*•"‘ - C L C - PS ·`C C, I
I · II twin; OE-lNDIVIDUA¤L.GOMPANY,CORPORA1`ION, SIERVEOR D`ESCR¥P'I'ION0FPKOPEKTIf`TI'OSEEEDRC`
· · Officer CS. Talanzantesg Security; CCA Elox Detention Cenizeis C C C
I ADDRESS (S¤¤¤¢orR1=D,Apa:¤nemNo..cY1;tSmtemdzIPC£cde) A C~ C _
‘· 1705. East Hanna Rd. , E10y,‘ AZ 85231-9612 _ IC I. - CC —
I ATS I I I I
-- §.E§¤.*L.°£.*E.E-.9F.§..E!*;YE¤§.Q.°£.YaT9.&@1LE§.T£R.·’EI!6A*§éN.P SS.lLEla*’£.'&:.,.|umm uf to be C C - - ` C I
-cax1¤s Arthur Powell (Charles) I C .C CCI ‘_ _a.) -;%é·*i{§-·C
-C - C ·· #1.0090-023 D/-U 325L C C II a.·· t C_I {CCE?
. i_ 4 -. Vi¢t03:vfC1le LE‘CJE<:_].,- C- C I - |‘°""°‘*¥’=**°"’C°{*I’C_7$;?*CCC‘·? I ? C I ·
I E P.O. Box if 5300I I _ $2 _ I I _ I C
C L...Pld€].a1’It0, CA 9-2301-*5300 I_ |¤°°UIla°»f°I°”° - e " C` I
-¤= - aS.§• ;_ I , V 7 A I-,; · — —·r-‘—:_ I ,1;
SPECIAL 1NS‘IRUCI‘IONS OR O'||·@QH@GRMATIONTHATWILL ASSIST IN- ExPEDTrIbIGISH¤VICB [Inc —-— = C AI!. .
I I e- I.n; C .-C‘ - Cr C ,
- C CW _ = C C I I C I C _ -I._I ‘g CCCCI
- ‘ . C E- -··:_ . · ~ - _ I #1 ur - - E.
_`_, ~·-- —.—C-»; -I . 7 C I I- — ~ =- _ — I
5 0 fi;} 3 I `,,.
Ji"? * - Z- ` C· . I · L-;. E_`_. `
C - 1.. - I s&¤g¤¤vI¤embeha1ter:I E PLMNTIFF -
- CC —-Q A4 CC ¤¤EFF·ND*N'*` ..........CCC CCC 4__ . ..--C4 S Q
C _Sl'l\CE BEIDW FOR USE OF U.S. NOT I C 5 _ 4
I .IC¤ekmwIe¤gew@er¤rmemzaI Tqmvmcess Dieu-in r-. isuk:1 ¤f=1uIm¤·imd_us34aD¤pu¤yqrClerk i FC
? -;C--C CC ¤¤¤¤¤¤f¤m¤¤¤¤~indica6=i1- I · ¤f0risi¤ ·¤> $=¤‘·= *C CC ##-7 * E CI :·2%?Q%e·¤I·; C -C
C (SC on! fmCUSM28J Cf C C I — I ‘1. 1- IC C ‘ I. - ‘·‘- ‘ · C* M I- CFCCI- --
I- drnlfrnone IYISM285rs subm1rIed'fl’0m N0. - :1 - N0. .,_1.. J
I hereby certify and return that I Dhave personally e legal·evid¢mcC°[ EI have executed as showin iq the _, - --
II 0nthcindivIdt¤aI,0¤ni1:any, corporation, oztcqattheacl · V .. nwn ab¤vccr¤nlheindivIduel,cmnpany.cq•p¤¤¤ti0n,etél beluvt C
CC I;] I hereby, certibr and return that 1 am unable to Eocate the individual, company cnrpuraxi-sm, stained - ’ _
Name and title of individual served (if not shawn above) _ _ C C IA person of suitable age ‘ _ C CC
? _ · {hen §aua¤gpn»¤eer¤¤u¤nr·¤
M- - = usu pace
Address (complete only ifdifliemnttbanshmmabuve) _ C . - I _ _ - 1
U M; - _. F T: na -- - 3, C- W- - - I_ I 1 _.; ;i- — ;
I ServiecFee Total MileageCCh¤rges Forwarding-Fee Total Charges Advance Depoqite C ibwedtoU.S.Mamhal nr: Anm¤t;tqf·R,efundC _ C C
J C (including endeavors) I ‘ C - · · *’ , _. C _· · IC A
I REMARKS: C l I _ C 7 I C C C
I anquhllbp I --II- >
I - - I Haig-;/·°J“'. _ - are =¤- --»C
s §;',°§E¤°_,SEm°mm 1. cmmc or me c0U1ui_; C· C *°°”**?¥’*"'·”° 1** ’”"*°’ j
I _ Case 2:03-cv-01819-JAT D0ct1ment:161 Filed O1/11/2006 Page 1 012 C_ C; ‘

" hk w' ‘a it-
mac ssa (nw. roms)
‘ vi “Y C V i V if E}
WAIVER or snnvrcis OF QHMIMQQNS- ;< s s sv a c te.
9 ii fl E: til X
T0; Carlos Arthur: Powell (Charles) _
(NAME. OF PLAlN'l'l`FF’S ATTORNEY OR i
I, S . Talaamante s _, _|%$}Q1.0\F{lEdgQ regqipt of your request
1:. Ll l..=. Mitra r~"
(DEFENDANT NAME) ~
that I waive service ofsummons in the action of C at] QS attbi] K Bama;] K Cute Ml- jas,} at _ al _
(CAPTION or Acnom '
which is case number CV 0 3 - 1 § 1 Q -PHX—JAT in the United States District Court
(DOCKET Norman} `
_ _ ,,_..` for the ,. , - .- . Distr-ieeof ~ ARI.»'%.QhlA.»W~». »- · » r- .
I have also received a copy of the complaint in the action, two copies of this instrument, and a means
by which I can return the signed waiver to you without cost to me.
I agree to save the cost of service of a summons and an additional copy of the complaint in this lawsuit
by not requiring that I (or the entity on whose behalf I am acting) be served with judicial process in the
I _ manner provided by Rule 4.
I(or the entity on whose behalf I am acting) wil] 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 a judgment may be entered against me (or the party on whose behalf I am acting) if an
_ _ _ _ DEC 1 5 M
answer or motion under Rule 12 rs not served upon you within 60 days after ,
(care Request was SENT)
or within 90 days after that date if the request was sent outside the United States.

(J _ O?/I I . . .,-_.,,, .. . -» ·~w‘»·s,
{DATE) - I
Prirzrted/Typed Name: jsé lc lh :2 -:*7-J g ‘ Ei g.
As Qfgyubigmj Qlggugg of gj%é(-lupi
(TITLE) (co RATE our Aim
Duty to Avoid Unnecessary Costs of Service of Summons
Rule 4 ofthe Federal Rules of Civil Procedure requires certain parties to cooperate in saving unnecessary costs of service ofthe summons and
complaint. A defendant located in the United States who,a.ft.er being notified of an action and asked by a plaintiff located in the United States to
waive service of summons, fails to do so will be required to bear the cost of such service unless good cause be shown for its 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 court that lacks jurisdiction over the subject matter ofthe action or over its person or property. A party who waives service
ofthe sun1mons retains all defenses and objections (except snyrelating to the summons or to the service ofthe sununons), and may later object to
the jurisdiction of the court or to the place where the action has been brought.
A defendant who waives service must within the time specified on the waiver form serve on the plaintiffs attomey (or unrepresented plaintiff)
a response to the complaint and must also file a signed copy of the response with the court. If the answer or motion is not served within this time,
a default judgment may be taken against that defendant. By waiving service, s defendant is allowed more time to answer than if the summons had
been actually served when the request for waiver of service was received.
. Case 2:03-cv-01819-JAT Document 161 Filed O1/11/2006 Page 2 of 2

Case 2:03-cv-01819-JAT

Document 161

Filed 01/11/2006

Page 1 of 2

Case 2:03-cv-01819-JAT

Document 161

Filed 01/11/2006

Page 2 of 2