AO 441 (Rev. 02/09) Summons on Third-Party Complaint - MIWD (Rev. 07/15) SUMMONS ON THIRD-PARTY COMPLAINT UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF MICHIGAN Case No. Plaintiff v. Hon. TO: ADDRESS: Defendant, Third-Party Plaintiff v. Third-Party Defendant A lawsuit has been filed against defendant, who as third-party pl aintiff is making this claim against you to pay part or all of what the defendant may owe to the plaintiff. Within 21 days after service of this sum mons on you (not counting the day you received it) - or 60 days if you are the United Sates or a United t States agency, or an officer or employee of the United States as described in Fed. R. Civ. P. 12(a)(3) - you must serve on the plaintiff and on the defendant an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the defendant or defendant's attorney and m also be served on the plaintiff or plaintiff's attorney. If you fail to respond, ust judgment by default will be entered against you for th e relief demanded in the third-party complaint. You must also file your answer or motion with the Court, whose divisional office addresses are indicat d below. A copy of the plaintiff's complaint is also attached. You may e but are not required to - respond to plaintiff's original complaint. CLERK OF COURT 399 Federal Building, 110 Michigan St., NW, Grand Rapids, MI 49503 P.O. Box 698, 314 Federal Building, Marquette, MI 49855 107 Federal Building, 410 W. Michigan Ave., Kalamazoo, MI 49007 113 Federal Building, 315 W. Allegan, Lansing, MI 48933 DEFENDANT/3RD PARTY PLAINTIFF OR ATTORNEY NAME & ADDRESS PLAINTIFF OR ATTORNEY NAME & ADDRESS By: Deputy Clerk Date PROOF OF SERVICE This summons for name of individual and title, if any was received by me on date . I personally served the summons on the individual at on . date place where served I left the summons at the individual's residence or usual place of abode with of suitable age and discretion who resides there, on date name , a person , and mailed a copy to the individual's last known address. , who is designated by law to accept service I served the summons on of process on behalf of I returned the summons unexecuted because Other (specify) My fees are $ Date: for travel and $ name of individual name of organization on date . . . for services, for a total of $ . I declare under the penalty of perjury that this information is true. Server's signature Additional information regarding attempted service, etc.: Server's printed name and title Server's address American LegalNet, Inc. www.FormsWorkFlow.com