Contempt Summons - Commonwealth Of Massachusetts The Trial Court Page 2

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Commonwealth of Massachusetts
Docket No.
CONTEMPT SUMMONS
The Trial Court
PLO9W1525WD
Probate and Family Court
ACCEPTANCE OF SERVICE
I, __________
Defendant’s name
____________________ _______________, the above named Defendant hereby accept
service of this summons and understand that judgment may be rendered against me in accordance with the complaint, a
copy of which I have received this day.
Date _________________________________________
_______________________________________
SIGNATURE OF DEFENDANT
NOTARIZATION
____________________________ ss
Date___ ______________________________
Then personally appeared the above named ____________________________________________________
who made oath that the foregoing acceptance was his free act and deed.
Signature of Notary__________________________
After the deputy sheriff or constable
Print Name ________________________________
serves the summons, he or she fills in
this section and gives the Summons
back to the plaintiff.
My Commission expires ______________________
Then the plaintiff gives the completed
summons to the court.
Sometimes the deputy sheriff or
constable gives it to the court.
RETURN OF SERVICE
I hereby certify under the penalties of perjury that:
I have served a copy of the within summons together with a copy of the complaint in this action upon the within named defendant
by:
serving in hand a copy of the summons as ordered
mailing
certified
registered
postpaid a copy of the summons as ordered.
Date of service: __________________________________________________________________________
Signed under the penalties of perjury
Date _____________________________________
___________________________________________
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