Summons

1 2 3 STATE OF INDIANA COUNTY OF IN RE THE MARRIAGE OF: ) ) SS: ) IN THE CIVIL DIVISION, ROOM CASE NO. SUPERIOR / CIRCUIT COURT 4 5 6 7 Petitioner, and 8 9 Respondent. 10 11 SUMMONS [For Dissolution of Marriage Cases Only] The State of Indiana to Respondent: 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 You have been sued by your spouse for dissolution of your marriage. The case is pending in the Court named above. In order to participate in the proceedings, you must enter a written appearance in person or by your attorney. In the event you do not enter a written appearance within sixty (60) days of the date hereof, your marriage can be dissolved by Decree of the Court by default. In the event a Decree is entered by default, it may contain a judgment against you and provisions regarding the custody of your child(ren), support for your child(ren), parenting time with your child(ren), distribution of assets, and payment of debts. The Decree may also require you to take actions or refrain from actions in order to carry out the terms of the Court's Decree. If you do not enter a written appearance, you will receive no further notice of these proceedings. If you wish to countersue, you must do so by written petition filed with the Clerk's Office listed below not more than sixty (60) days from the date below. Dated: _________________ _____________________________________ Clerk, __________________ County 28 29 30 Page 1 of 3 Form TCM-TR-4.1-2 Revised by State Court Administration 09/2014 American LegalNet, Inc. www.FormsWorkFlow.com 31 32 33 34 35 The following manner of Service of Summons is hereby designated: Registered / Certified Mail to be sent by the Clerk Service by Sheriff on Individual at address shown above Service by Sheriff at place of employment, (name and address of spouse's employer): ________________________________________________________________________ 36 37 38 39 40 41 42 43 SHERIFF'S RETURN OF SERVICE OF SUMMONS I hereby certify that I have served this summons on the _____ day of _________________, 20____: By delivering a copy of the Summons and a copy of the complaint to the Respondent identified on the first page of Summons. By leaving a copy of the Summons and a copy of the complaint at _______________________________________, which is the dwelling place or usual place of abode of and by mailing a copy of the Summons to the Respondent at the above address. Other Service or Remarks: _________________________________________ 44 45 46 47 _________________________ Sheriff's Costs _____________________________________ Sheriff By: __________________________________ Deputy 48 49 50 51 CLERK'S CERTIFICATE OF MAILING I hereby certify that on the ______ day of ________________, 20___, I mailed a copy of this Summons and a copy of the Petition to the Respondent identified on the first page of the Summons by (registered or certified mail), [ ] requesting a return receipt, at the address provided by the Petitioner. Dated: _________________ _____________________________________ Clerk, __________________ County By: __________________________________ Deputy 52 53 54 55 56 Page 2 of 3 Form TCM-TR-4.1-2 Revised by State Court Administration 09/2014 American LegalNet, Inc. www.FormsWorkFlow.com 57 58 59 60 61 62 63 64 65 66 67 RETURN ON SERVICE OF SUMMONS BY MAIL I hereby certify that the attached receipt was received by me showing that the Summons and a copy of the Complaint mailed to the Respondent identified on the first page of this Summons was accepted by the Respondent on the _______ day of __________________, 20____. I hereby certify that the attached return receipt was received by me showing that the Summons and a copy of the Complaint was returned not accepted on the ______ day of __________________, 20____. I hereby certify that the attached return receipt was received by me showing that the Summons and a copy of the Complaint mailed to the Respondent identified on the first page of this Summons was accepted by ____________________ on behalf of the Respondent on the _____ day of ______________, 20____. _____________________________________ Clerk, __________________ County By: __________________________________ Deputy 68 69 70 71 Page 3 of 3 Form TCM-TR-4.1-2 Revised by State Court Administration 09/2014 American LegalNet, Inc. www.FormsWorkFlow.com