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

Case 1:07-cv-00448-Gl\/IS Document 22 Filed 11/19/2007 Page 1 of 2
U S De artment of Justice PROCESS RECEIPT M m I Um I
' _ ' p " ` _ See Instructions for "Service of Process by the US. Marsbal"
UH1I€d. States Marshals SCTVICB _ on the reverse of this form. .

PLAINTIFF COURT CASE NUMBER
I ULSSOI _ 'ite.eé·ie. - O?·A *+4 · A ,_,v g
DEFENDANT. TYPE OF PROCESS
C ¢*r·—<•°:\` ·i .\ I/\"€é·`tc.c¤. SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OFPROPERTY TO SEIZE OR CONDEMN
I- » C.grr~—e.e\2e¤rxv·i IV\€é·‘»<,u•.i (Serving; §`.·=¤e.
ADDRESS (Street or RFD, Apartment No., City, State and ZIP Code)
AT [ve (3*4 Ln($\,l5' D,
.E5I2'.'L"@E€E25 FEEIEEQOBLTQ BEEEETEILE SWE é@.£*2DBE$§..E'§@B’L.-| Number of process ie be
V _ I served with this Form - 285 I .
-Rw53t$bI S*'€€¢.b\r,7 I ‘
F .
+"**¢*-*·»<>—==·-·#-*i=·*‘¤¤. \~-I ¤»—T*¤ 'Z’.`£§f2J3fE.°il’32fS.‘°“ 3
§°;"E""‘°“"" ‘·°'**·‘—’·‘—w—···i Cess er ‘
Vigi p‘·3.éZ:¤¢;.\.. i .
QB F" I, D . - . C, I Check for service
..,...,.... `L Eh;. .€-..*£’L.. Q.? .............. I ¤¤ Usa. .
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All
- Flggephone Numbers, and Estimated Times Available For Service): · . . Fold
pgtuper Cdac; CCR5 V\¤··»·»¢. écgt-‘;e.·:. 6* i/\<·¢t-·i*·cLoea4·ivers l
Signature of Attomey or other Originator requesting service on behalf of: PLAHQTIFF _ TELEPHONE NUMBER DATE - _
ZZ 5 lj DEFENDANT A}/A Emi get, 205*;
SPACE BEIIOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW TI-HS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. . of Origin to Serve ‘
(Sign only tirst USM 285 if more _ `
than one USM 285 is submitted) No. No. ,___ L, _
I hereby certify and return that I [I have personally served? Qhave legal evidence of service, E have executed as shown in "Remarks", the process described
on the individuahcompany, corporation, etc., at the addres. s own above or on the individual, company. corporation, etc., shown at the address inserted below
CI I hereby certify and retum that I am unable to locate the individual, company, corporation, ctc., named above (See remarks below)
Name and title of individual served (if not shown above) A person gf Suitable age and dig-
. [I cretion then residing in the defendant`s
. i' V . usual place of abode.
Address (complete only if different than shown above) Date o Service Time am
il Q /aj pm
Signature o l or Deputy
Service Fee _ Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund.
A (including endeavors) -
REMARKS; "* I
\/`{/v/. l N(]\/ 1 9 l E
U.S. DISTRICT COURT
I I I | I I I:
PRIOR EDITIONS "'""' " '· ¤' " " " ". " " ·r' IIJIS/80)
MAY BE USED 5 1. CLERK OF THE COURT SS, _

Case 1 :07-cv-004¢l8-GMS Document 22 Filed 1 1/19/2007 Page 2 of 2
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l par-{~ -.., ` GA O—7'-qq`? wil dt
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` \ I " p Corporate/EntityD fendant
_ 1 _A ‘ res crt.)
_ RE'IZi.llREtlLKi)Fi Wt’§I1V§R;·OF SERVICE OF SUMMONS ` _
· Ilaclmowledge I can waive service of summons in the matter of ·
- C.A._ No.07··448 in the Uniied'Siiites Distiict of Delaware. I have also received a copy of the
· - complaint in the action, two copies of this fonn, a copy of the Order of the Court authorizing _
- service and a means by which I can retum the signed waiver without cost to me.
I agree to save the cost of service of a summons and an additional copy ofthe complaint -
in this lawsuit by not requiring that the entity on whose behalf l am acting be served with judicial -
process in the manner provided by Rule 4. - ‘
` The entity on whose behalf I am acting will retain all defenses or objections to the lawsuit
or to the jurisdiction or venue ofthe Court, except for objections based on a defect in the
summons or in the service of the summons. I understand that a judgement may be entered .
against the party -on whose behalf 1 am acting if a response is not served and tilediwithin 60
days aher: October 5. 2007. · · ‘ . I ‘ ‘ .
nt. M Gtzcev r I .— 0
_ iu—tx;5 L —‘ i brd ;g @*3 j °`5'“Z'@Cj
Si nal re of Defendant Printed or Typed Name
j g j , , {sea ( peg I i
UTY TO AVOID UNNECESSARY COST OF SERVICE OF SUMMONS _
n Rule 4 ofthe Federal Rules of Civil Procedure requires certain panics to cooperate in saving . I I
. unnecessary cost of service ofthe summons and the complaint. A defendant located in the
United States, who, after being notilied of an action and asked to waive service ofsummons `
on behalf ofa plaintiff located in the US, fails to do so will be required to bear the cost of ‘
~ such service unless good cause be shown for that tlefendant's failure to sign and return the
waiver. ` -
It 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 of the action or over defencIant's person or property. A _ `
, defendant who waives service of summons retains all defenses and objections, except any
‘ relating to the summons or the service of summons, and may later objectto the jurisdiction of the
Court or to the place to where the action has been brought. - _
‘ A defendant who waives service must within the time specified on the "Return of Waiver" l
form served on plaintiff, if unrepresented or onplaintiffs attomey, a response to the Complaint
and must also tile a signed copy of the response with the Court. If the answer or a motion is not
served within this time, a default judgement 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. ‘ _-
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