Summons In A Civil Action (NDNY-Social Security Appeal To General Counsel)
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Summons In A Civil Action (NDNY-Social Security Appeal To General Counsel) Form. This is a New York form and can be use in District Court Federal.
Loading PDF...
Tags: Summons In A Civil Action (NDNY-Social Security Appeal To General Counsel), AO 440, New York Federal, District Court
OAO 440 (Rev. 8/01) Summons in a Civil Action
UNITED STATES DISTRICT COURT
District of
SUMMONS IN A CIVIL ACTION
V.
CASE NUMBER:
TO: (Name and address of Defendant)
YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFF’S ATTORNEY (name and address)
an answer to the complaint which is served on you with this summons, within
days after service
of this summons on you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you
for the relief demanded in the complaint. Any answer that you serve on the parties to this action must be filed with the
Clerk of this Court within a reasonable period of time after service.
CLERK
DATE
(By) DEPUTY CLERK
American LegalNet, Inc.
www.FormsWorkFlow.com
OAO 440 (Rev. 8/01) Summons in a Civil Action
RETURN OF SERVICE
Service of the Summons and complaint was made by me(1)
DATE
TITLE
NAME OF SERVER (PRINT)
Check one box below to indicate appropriate method of service
G Served personally upon the defendant. Place where served:
G Left copies thereof at the defendant’s dwelling house or usual place of abode with a person of suitable age and
discretion then residing therein.
Name of person with whom the summons and complaint were left:
G Returned unexecuted:
G Other (specify):
STATEMENT OF SERVICE FEES
TRAVEL
SERVICES
TOTAL
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing information
contained in the Return of Service and Statement of Service Fees is true and correct.
Executed on
Date
Signature of Server
Address of Server
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.
American LegalNet, Inc.
www.FormsWorkFlow.com
