AO 440 (Rev. 06/12) Summons in a Civil Action UNITED STATES DISTRICT COURT for the Eastern District of Wisconsin ) ) ) ) Plaintiff(s) ) v. ) Civil Action No. ) ) ) ) Defendant(s) ) SUMMONS IN A CIVIL ACTION To: address) A lawsuit has been filed against you. Within 21 days after service of this summons on you (not counting the day you receive it) or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12(a)(2) or (3) you must serve on the plaintiff 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 plaintiff or the plainname and address are: If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court. , CLERK OF COURT Date: Signature of Clerk or Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2) Civil Action No. PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4(l)) This summons and the attached complaint for (name of individual and title, if any) : were received by me on (date) . I personally served the summons and the attached complaint on the individual at (place): on (date) ; or (name) , a person of suitable age and discretion who resides there, on (date) I served the summons and the attached complaint on (name of individual) who is designated by law to accept service of process on behalf of (name of organization) on (date) ; or I returned the summons unexecuted because ; or Other (specify): . My fees are $ for travel and $ for services, for a total of $ I declare under penalty of perjury that this information is true. Date: Printed name and title address Additional information regarding attempted service, etc.: American LegalNet, Inc. www.FormsWorkFlow.com