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

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alto sas (Rev.10f95}
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WAIVER OF SERVICE OF SUMIVIONS ejg, 3~~g_ri;;g_;t,;\g__g ggrqwcp
·?’}1l'l?*!~ii}I
T0; Carlos Arthur Powell (Charles)
(NAME OF PL.¤.1NT11=F’S ATTORNEY OR m~1REPREsENTEo PLAmFF) HHN ··Zl H 9 {ZH
I, O f f icer Car son , Security , ac1 (DEFENDANTNAME) c ;» infer bt »\1~ier;C/F f-
that I waive service ofsummons in the action of Ca .:1 QS A nth,} I: Ecxzgll u can Ml- I as at _ al _
(CAPTION or ACTION) ’ ’
which is case number gy Q 3 -] 5] Q -2]:];; gpg in the United States District Court
(oocitsrwumsaity
for the District of Agl Q Qljg .
I I have also received a copy ofthe complaint in the action, two copies of thisninstrument, and rrizsstt llilw ` M
by which I can return the signed waiver to you without cost to me.
Iagree to save the cost of service of a stunmons and an additional copy ofthe 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
manner provided by Rule 4.
I (or the entity on whose behalf I am acting) will 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
E I EE Zn,
answer or motion under Rule 12 is not served upon you within 60 days aher , .
(DATE neouesr was sam)
or within 90 days after that date if the request was sent outside the United States. -
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(oars) (si ATURE) ·
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Printed/Typed Name: . 0 W
As i Q[jI`ggf[]A gnd {cer of A
(nun) rcosro re our Arm
Duty to Avoid Unnecessary Costs of Service of Summons _
_ Rule 4 of the Federal Rules of Civil Procedure requires certain parties to cooperatein saving unnecessary costs of service ofthe summons and
complaint. A defendant located in the United States who,afber 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.
It is not good cause for a failure to waive service that s 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 overtlie subject matter ofthe action or over its person or property. A party who waives service
of the summons retains all defenses and objections (except anyrelating to the summons or to the service of the summons), 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 attorney (or unrepresented plaintiit)
a response to the complaint and must also file a signed copy ofthe response with the court. lf the answer or motion is not served within this time,
a default judgment may be taken against that defendant. By waiving service, a 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 160 Filed 01/11/2006 Page 2 of 2

Case 2:03-cv-01819-JAT

Document 160

Filed 01/11/2006

Page 1 of 2

Case 2:03-cv-01819-JAT

Document 160

Filed 01/11/2006

Page 2 of 2