Summon Form PDF Details

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Form NameSummon Form
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other nameshow to district court summons, how to court summons civil, how to summons, summons action civil

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

how to district court summons blanks to fill in

Provide the appropriate data in the field Within days after service of this, If you fail to respond judgment by, You also must file your answer or, Date, CLERK OF COURT, and Signature of Clerk or Deputy Clerk.

Finishing how to district court summons step 2

In the AO Rev Summons in a Civil Action, Civil Action No, PROOF OF SERVICE This section, This summons for name of, was received by me on date, I personally served the summons, I left the summons at the, on date, and mailed a copy to the, a person of suitable age and, on date, I served the summons on name of, and who is field, describe the significant details.

stage 3 to entering details in how to district court summons

In the field I served the summons on name of, designated by law to accept, on date, I returned the summons unexecuted, Other specify, My fees are, for travel and, for services for a total of, I declare under penalty of perjury, Date, who is, Servers signature, and Printed name and title, list the rights and responsibilities of the parties.

Filling in how to district court summons stage 4

Finish the template by analyzing these particular areas: Servers address, and Additional information regarding.

step 5 to filling out how to district court summons

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