Summon Form PDF Details

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Form NameSummon Form
Form Length2 pages
Fillable fields31
Avg. time to fill out6 min 46 sec
Other nameshow to court summons form, how to summons, summons, summons action civil

Form Preview Example

AO 440 (Rev. 06/12) Summons in a Civil Action




for the



__________ District of __________























Civil Action No.





















To: (Defendant’s name and address)

A lawsuit has been filed against you.

Within 21 days after service of this summons on you (not counting the day you received 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 plaintiff’s attorney, whose name 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.



Signature of Clerk or Deputy Clerk

AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)

Civil Action No.


(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l))


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 (place)






on (date)

; or







I left the summons at the individual’s residence or usual place of abode with (name)

,a person of suitable age and discretion who resides there,

on (date)


, and mailed a copy to the individual’s last known address; or












, who is

I served the summons on (name of individual)










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.


Server’s signature

Printed name and title

Server’s address

Additional information regarding attempted service, etc:


Save As...


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Prepare the summons issued PDF by typing in the details necessary for every single part.

civil summons action blanks to fill in

Provide the appropriate data in the field Date, CLERK, OF, COURT and Signature, of, Clerk, or, Deputy, Clerk

Finishing civil summons action step 2

In the PROOF, OF, SERVICE was, received, by, me, on, date on, date on, date and who, is field, describe the significant details.

stage 3 to entering details in civil summons action

In the field on, date Other, specify My, fees, are for, travel, and for, services, for, a, total, of Date, Servers, signature and Printed, name, and, title list the rights and responsibilities of the parties.

Filling in civil summons action stage 4

Finish the template by analyzing these particular areas: Printed, name, and, title and Servers, address

step 5 to filling out civil summons action

Step 3: Select "Done". It's now possible to transfer the PDF form.

Step 4: Prepare minimally several copies of the form to stay clear of any forthcoming complications.

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