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Summons Form. This is a Indiana form and can be use in Family Law (Pro-Se) Statewide.
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Tags: Summons, Indiana Statewide, Family Law (Pro-Se)
)
IN THE (Select One)
) SS:
)
CASE NO.
STATE OF INDIANA
COUNTY OF (Select One)
SUPERIOR/CIRCUIT COURT
IN RE THE MARRIAGE OF:
Petitioner,
V.
Respondent.
SUMMONS
[For Dissolution of Marriage Cases Only]
TO RESPONDENT: _______________________________________________
_______________________________________________
_______________________________________________
1.
2.
3.
4.
Dated:
You are hereby notified that you have been sued by the Petitioner for Dissolution of Marriage in
the Court indicated above.
If this summons is accompanied by an Notice to Appear, you should appear in Court on the date
and time stated in the Order to Appear. If you do not appear, evidence may be heard in your
absence and a determination made by the Court. If a Temporary Restraining Order is attached, it
is effective immediately upon your receipt or knowledge of the Order.
If you wish to retain an attorney to represent you in this matter, it is advisable to do so before the
date stated in the Notice to Appear.
If you take no action in this case after the receipt of this summons, the Court can grant a
Dissolution of Marriage or make a determination regarding any of the following: paternity, child
custody, child support, maintenance, parenting time, property division (real or personal) and any
other distribution of assets and debts.
_________________
__________________________________
Clerk, __________________ County
(Select One)
Court name:
________________________________________
Court address: ________________________________________
Court phone : ________________________________________
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):
________________________________________________________________________
Form #PS-31152-2
Approved by State Court Administration 02/10
Page 18 of 19
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www.FormsWorkFlow.com
SHERIFF’S RETURN OF SERVICE OF SUMMONS
I hereby certify that I have served this summons on the _____ day of _________________, 20____:
1.
By delivering a copy of the Summons and a copy of the complaint to the Respondent
identified on the first page of Summons.
2.
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.
3.
Other Service or Remarks:
_________________________
Sheriff’s Costs
_________________________________________
_____________________________________
Sheriff
By:
_______________________________
Deputy
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 Complaint to the Respondent identified on the first page of the Summons by
__________ mail, requesting a return receipt, at the address provided by the Petitioner.
Dated: ______________, 20____
_____________________________
Clerk, __________________ County
By:
_________________________
Deputy
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 1st 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 1st page of this Summons was
accepted by ____________________ on behalf of the Respondent on the _____ day of
______________, 20____.
_____________________________
Clerk, __________________ County
By:
_________________________
Deputy
Form #PS-31152-2
Approved by State Court Administration 02/10
Page 19 of 19
American LegalNet, Inc.
www.FormsWorkFlow.com