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Waiver Of Service Of Summons MAG 10-16 - Georgia
| Waiver Of Service Of Summons Form. This is a Georgia form and can be used in Civil Magistrate Court Gwinnett Local County . |
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GWINNETT MAGISTRATE ______________________________________ COURT STA TE OF GEORGIA ______________________________________ Plaintiff(s) WAIVER OF SERVICE OF SUMMONS v. CIVIL ACTION FILE NO: ______________________________________ ______________________________________ __________________________ Defendant(s) INFO & FORMS ON THE INTERNET www.gwinnettcourts.com E-mail: mag@co.gwinnett.ga.us WAIVE R OF S ER VICE OF SUMMONS & ACKNOWL EDGMEN T THAT ANSWER TO TH E COMPLA INT MUST BE FILED WITHIN 60 DAYS FR OM THE DATE ON WHICH THIS WAIVER WAS SE RVE D UPON ME To the Plaintiff or Plaintiffs attorney : ______________________________________________________________________________ __________________________ I acknowledge receipt of your request that I waive service of a summons in theabove listed civil action for which the case number is set forth above, and which wasfiled in the Magistrate Court of the State of Georgia in and for the County of Gwinnett. Ihave 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. Iunderstand that I am entitled to consult with my own attorney regarding theconsequences of my signing this waiver. I stipulate and agree that I will be voluntarilybound by the provisions of O.C.G.A. 9-11-4 concerning this service of process.I agree to save the cost of service of a summons and an additional copy of thecomplaint in this lawsuit by not requiring that I (or the entity on whose behalf I amacting) be served with judicial process in the manner provided by the Georgia Rules ofCivil Procedure. I (or the entity on whose behalf I am acting) will retain all defenses or objections to thelawsuit or to the jurisdiction or venue of the court except for objections based on adefect in the summons or in the service of the summons. I understand that a judgment may be entered against me (or the entity on whose behalfI am acting) if an answer is not served upon you & filed with the clerk, within 60 daysafter the date this waiver was originally sent to me, (see the date of the original Notice -1- W :/MAG 10-16 W aiver of Ser vice (Dec 01)<<<<<<<<<********>>>>>>>>>>>>> 2of Lawsuit & Request for Waiver of Service) or within 90 days after that date if therequest for the waiver was sent outside the United States. Signed: Print Nam e of Defendant: (Ea ch Def endant must si gn a sep arat e waiv er.) Or, Nam e of Corporate Defendan t Print name of person signing on behalf of corporate defe ndant & stat e title of such person. File the original of this docum ent with the Clerk, Magistrate Court , PO Box 246, Lawrenceville, GA 30046-0246 & mail a copy to Plaintiff/Plaintiffs attorney. CERTIFICATE (PROOF) OF SERVICE TO OPPOSING PA RTY I hereby certify that I have mailed; will mail immediately upon filing;a copy of the following listed document that I have filed with the clerk of court. Waiver of Service o f Process Plaintiff/ Plaintiffs Atty. Address City, State & Zip ____________________ _________________________________________ (Date) Defendant _________________________________________ Mailing address _________________________________________ City, State & Zip _________________________________________ Phone number -2- W :/MAG 10-16 W aiver of Ser vice (Dec 01)
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