In the CIRCUIT COURT of St. Louis County, Missouri _________________________________________________ Plaintiff vs. _________________________________________________ Defendant _________________________________________________ Address _________________________________________________ City State Zip Code ______________________________ Case Number ______________________________ Court Date Time ______________________________ Division Day ______________________________ Plaintiff's Attorney ______________________________ Phone No. Fax No. For File Stamp Only REPLEVIN SUMMONS & ORDER OF DELIVERY WHERE IMMEDIATE DELIVERY OF PROPERTY IS DEMANDED TO THE SHERIFF OF ____________________ COUNTY, STATE OF ______________. Now at this day comes plaintiff and presents to the Court a petition, verified by affidavit, and posting a sufficient bond approved by the Court as by law required, claiming the possession of certain personal property, therein described, to wit: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ and said petition, affidavit and bond having been duly considered, is now by the Court granted. It is therefore ordered by the Court that the Sheriff of St. Louis County, Missouri shall take possession of said property from defendant(s), and deliver to the plaintiff(s), and you are further commanded to summon the defendant(s) to appear in the above named Division of the Circuit Court, St. Louis County, Missouri, Courts Building, 105 South Central Avenue, Clayton, Missouri, 63105, on the above date and time to answer the complaint of the plaintiff for the wrongful detention of the goods, chattels, and personal property described in the petition and for $__________________________ damages. Each defendant is hereby notified that if you fail to appear and answer at the time and place stated in this summons, judgment by default will be taken against you for the relief demanded in this complaint. SPECIAL NEEDS: If you have special needs addressed by the Americans With Disabilities Act, please notify the Circuit Clerk's Office at 314/615-8029, Fax 314/615-8739, or TTY at 314/615-4567, at least three business days in advance of the court proceeding. Date Issued ______________________________ SO ORDERED: _____________________________ CCAC121-W Rev. 05/15 American LegalNet, Inc. www.FormsWorkFlow.com RETURN ON SERVICE OF SUMMONS I hereby certify that I have served the within summons: (1) By delivering on the _____ day of _______________________________________, 201______. a copy of the summons to each of the within-named defendant(s): _____________________________________________________________________________ _____________________________________________________________________________ ______________________________________________________________________________ (2) By leaving on the ____ day of __________________________________________, 201______. for each of the within-named defendant(s): _____________________________________________________________________________ ______________________________________________________________________________ a copy of the summons at the respective dwelling place or usual place of abode of said defendant(s) with some person of his or her family over the age of 15 years; (3) By ___________________________________________________________________________ ____________________________________________________________________ ___________________________________________________________ All done in _________________________________________________________ County, Missouri. Sheriff's fees: Summons............... $____________ Non est.................. $____________ Mileage.................. $____________ Total...................... $____________ Sheriff of ______________________ County, Missouri. ______________________________________ By_____________________________________ Deputy Sheriff CCAC121-W Rev. 05/15 American LegalNet, Inc. www.FormsWorkFlow.com