CSD 2500D [12/01/15] Name, Address, Telephone No. & I.D. No. UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF CALIFORNIA 325 West F Street, San Diego, California 92101-6991 In Re Debtor Bankruptcy No. Plaintiff Adversary No. v. Defendant, Third-Party Plaintiff Third-Party Defendant v. THIRD PARTY SUMMONS IN AN ADVERSARY PROCEEDING YOU ARE SUMMONED and required to file a motion or answer to the third-party complaint which is attached to this summons with the Clerk of the Bankruptcy Court within 30 days after the date of issuance of this summons, except that the United States and its offices and agencies shall file a motion or answer to the third-part complaint within 35 days of issuance. Address of Clerk Clerk, United States Bankruptcy Court Southern District of California 325 West F Street San Diego, California 92101-6991 At the same time, you must also serve a copy of the motion or answer upon the defendant's attorney. Name and Address of Defendant's Attorney At the same time, you must also serve a copy of the motion or answer upon the plaintiff's attorney. Name and address of Plaintiff's Attorney If you make a motion, your time to answer is governed by Fed.R.Bankr.P. 7012. If you are also being served with a copy of the complaint of the plaintiff, you have the option of not answering the plaintiff's complaint unless this is an admiralty or maritime action subject to the provisions of Fed.R.Civ.P. 9(h) and 14(c), in which case you are required to file a motion or an answer to both the plaintiff's complaint and the third-party complaint, and to serve a copy of your motion or answer upon the appropriate parties. IF YOU FAIL TO RESPOND TO THIS SUMMONS, YOUR FAILURE WILL BE DEEMED TO BE YOUR CONSENT TO ENTRY OF A JUDGMENT BY THE BANKRUPTCY COURT AND JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF DEMANDED IN THE THIRD-PARTY COMPLAINT. Barry K. Lander, Clerk of the Bankruptcy Court Dated: CSD 2500D By: , Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com CSD 2500D (Page 2) [12/01/15] CERTIFICATE OF SERVICE I, copy of the complaint was made (name), certify that the service of this summons and a (date) by: Mail Service: Regular, first class United States mail, postage fully pre-paid, addressed to: Personal Service: By leaving the process with the third-party defendant or an officer or agent of the thirdparty defendant at: Residence Service: By leaving the process with the following adult at: Certified Mail Service on an Insured Depository Institution: By sending the process by certified mail addressed to the following officer of the third-party defendant at: Publication: The third-party defendant was served as follows: [Describe briefly] State Law: The third-party defendant was served pursuant to the laws of the State as follows: [Describe briefly] , If service was made by personal service, by residence service, or pursuant to state law, I further certify that I am, and at all times during the service of process was, not less than 18 years of age and not a party to the matter concerning which service of process was made. Under penalty of perjury, I declare that the foregoing is true and correct. [Date] [Signature] Print Name Business Address City State ZIP CSD 2500D American LegalNet, Inc. www.FormsWorkFlow.com