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Summons In A Civil Action (USDC Western) - Michigan
| Summons In A Civil Action (USDC Western) Form. This is a Michigan form and can be used in USDC Western Federal . |
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SUMMONS IN A CIVIL ACTION 1. UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF MICHIGAN DOCKET NO. v. TO: YOU ARE HEREBY SUMMONED and required to file with the Clerk of this Court and serve upon: PLAINTIFF'S ATTORNEY an answer to the complaint which is herewith served upon you, within days after service of this summons upon you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the complaint. RONALD C. WESTON, SR., CLERK BY: (Deputy Clerk) (SEAL) DA TE D: 9 399 Fed eral Building 110 Michigan St., N.W . Grand Rapids, MI 49503 9 229 Fed eral Building 202 W . W ashington St. Marquette, MI 49855 9 B-35 Fed eral Building 410 W. M ichigan Ave. Kalamazoo, MI 49007 9 113 Fed eral Building 315 W. Allegan Lansing, MI 48933 2. RETURN OF SERVICE Service of the Summon s and Compla int was made by me.*** DA TE : Name o f Serve r (print): Title: CHECK ONE BOX BELOW TO INDICATE APPROPRIATE METHOD OF SERVICE 9 9 9 9 Served person ally upo n the defendant. Place where served: Left copies thereof at the defendant's dwelling house or usual place of abode with a person of suitable age and discretion then residing therein. Name o f perso n with whom the summon s and com plaint were left: Returned unexe cuted : Othe r (specify): 3. STATEM ENT OF SERVICE FEES TRAVEL SERVICES TOTAL $ $ DECLARA TION OF SERVER $ I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Return of Service and S tateme nt of Service F ees is true and correct. Executed on Date Signature of Server Address of Server *** See Rule 4 of the Federal Rules of Civil Procedure re who may serve a summons American LegalNet, Inc. www.USCourtForms.com 4/2005
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