Form of Summons The Supreme Court of Arkansas has adopted the following form of summons for use in all cases in which personal service is pursuant to Rule 4(c), (f), and (h) of the Arkansas Rules of Civil Procedure. The form incor porates a proof of service to be made by a sheriff, deputy sheriff, or other person, as appropriate, in accordance with Rule 4(g). The form may be modified as needed in special circumstances, and additional notices, if required, should be inserted as a ppropriate. Examples include the notices required by statute in unlawful - detainer and replevin actions, see Ark. Code Ann. 247247 18 - 60 - 307(a) and 18 - 60 - 808(a), and the notice of the consent jurisdiction of a state district court that must be included pursuant to Ark. Sup. Ct. Admin. Order No. 18(6)(d)(1). This form is not for use in cases of constructive service pursuant to Rule 4(g)(3). The adoption of this form is in compliance with Rule 4(b) and does not modify or amend any part of that rule. Effective J uly 1, 2012 Corrected August 14, 2012 Revised Effective January 1, 2019 American LegalNet, Inc. www.FormsWorkFlow.com COUNTY, ARKANSAS THE CIRCUIT COURT OF DIVISION [Civil, Probate, etc.] Plaintiff v. No. Defendant SUMMONS THE STATE OF ARKANSAS TO DEFENDANT: [Defendant's name and address.] A lawsuit has been filed against you. The relief demanded is stated in the attached complaint. Within 30 days after service of this summons on you (not counting the day you received it) or 60 days if you are incarcerated in any jail, penitentiary, or other correctional facility in Arkansas you must file with the clerk of this court a written answer to the complaint or a motion under Rule 12 of the Arkansas Rules of Civil Procedure. The answer or motion must also be served on the plaintiff or plaintiff's attorney, whose name and address are: If you fail to respond within the applicable time period, judgment by default may be entered against you for the relief demanded in the complaint. American LegalNet, Inc. www.FormsWorkFlow.com Additional Notices Included: CLERK OF COURT Address of Clerk's Office [Signature of Clerk or Deputy Clerk] Date: [SEAL] American LegalNet, Inc. www.FormsWorkFlow.com ( name of Defendant). This summons is for No. PROOF OF SERVICE [place]; or [date] I personally delivered the summons and complaint to the defendant at On [describe how the summons and complaint was left] after he/she refu sed to receive it when I offered it to him/her; or [date] I left the summons and complaint in the close proximity of the defendant by After making my purpose to deliver the summons and complaint clear, on [address], a place where the defendant resides; or , [date] I left the summons and complaint with On [name of defendant]; or [name of individual], an agent authorized by appointment or by law to receive service of summons on behalf of [date] I delivered the summons and complaint to On [name and job description]; or [address], where the defendant maintains an office or other fixed location for the conduct of business, during normal worki ng hours I left the summons and complaint with [date] at On American LegalNet, Inc. www.FormsWorkFlow.com I am the plaintiff or an attorney of record for the plaintiff in a lawsuit, and I served the su mmons and complaint on the defendant by certified mail, return receipt requested, restricted delivery, as shown by the attached signed return receipt. I am the plaintiff or attorney of record for the plaintiff in this lawsuit, and I mailed a copy of the summons and complaint by first - class mail to the defendant together with two copies of a notice and acknowledgment and received the attached notice and acknowledgment form within twenty days after the date of mailing. Other [specify]: I was unable to execute service because: . My fee is $ American LegalNet, Inc. www.FormsWorkFlow.com To be completed if service is by a sheriff or deputy sheriff: COUNTY, ARKANSAS SHERIFF OF Date: By: [signature of server] [printed name, title, and badge number] To be completed if service is by a person other than a sheriff or deputy sheriff: Date: By: [signature o f server] [printed name] Address: Phone: Subscribed and sw orn to before me this date: Notary Public My Commission Expires: American LegalNet, Inc. www.FormsWorkFlow.com Additional information regarding service or attempted service: American LegalNet, Inc. www.FormsWorkFlow.com