STATE OF NEBRASKA FORM NO. CC 3:2 9/98 rev. Sec. 25-507.01 R.R.S. 1943
CASE NUMBER
SUMMONS
IN THE COUNTY COURT OF ________________________________________ COUNTY, NEBRASKA
Plaintiff vs.
Defendant
SUMMONS
TO: ________________________________________________________________ DEFENDANT(s) You are hereby notified that you have been sued by the following plaintiff(s):
PLAINTIFF'S ATTORNEY: ATTORNEY'S ADDRESS: A copy of the plaintiff(s) petition is attached hereto and in order for you to defend the lawsuit, an appropriate written response must be filed with this Court within 30 days after this summons is served on you and upon your failure to do so, the Court may enter judgment for relief demanded in the petition.
DATE OF ISSUE:
BY THE COURT:
(Clerk)
(Seal)
PLAINTIFF(s) DIRECTIONS FOR SERVICE
The plaintiff(s) has elected that service of summons together with a copy of the petition shall be by: Sheriff of _________________________ County, ___________________. Authorized or appointed person _______________________________________. Certified mail by plaintiff. on the defendant(s) as follows: (Names and addresses:)
by
Personal service only Residence service
Personal or residential service Certified Mail
You are therefore directed to make such service on or before ________________,______, (20 days from issuance of summons) and show proof thereof as provided by law.
RETURN
Received this Summons and copy of the petition on __________________________, _____, at _____o'clock ______.m. I hereby certify that on the _________ day of _____________,_____, I served the within Summons and copy of the petition on by ______________________________________________________________________________________ at __________ o'clock ______.m. at ______________________________________________________________ (address) a true and certified copy thereof with all the endorsements thereon, in the county aforesaid.
Service and return Copy Mileage ___ miles TOTAL
$______________ ______________ ______________ $______________
Date:
Sheriff: ______________________
Authorized Person:______________________________
(The person serving the summons, other than by certified mail, shall make proof of service to the Court stating the time, place, including the address if applicable, name of the person with whom the summons was left, and method of service, or return the unserved summons to the Court with a statement of the reason for the failure to serve.) (When service is by certified mail, the plaintiff or plaintiff's attorney shall file proof of service within 10 days after return of the signed receipt.)
CERTIFIED MAIL PROOF OF SERVICE BY AFFIDAVIT
STATE OF NEBRASKA ___________________ COUNTY A copy of this summons, with a copy of the petition attached, was mailed by certified mail, return receipt requested showing to whom and where delivered and the date of delivery to defendant: _____________________ ____________________________________________________________________________________at the following address:________________________________________________________________________ on ____________________________,______, which was within ten days of issuance as required by Nebraska Statute. The return receipt was signed on ________________________, _____ (signed return receipt attached); all done pursuant to the Nebraska Revised Statutes. __________________________________________________ Attorney for:________________________________________ Subscribed and sworn before me ____________________________________, ______. __________________________________________________ Notary Public POSTAGE: _________________