Form 80 - Small Claims Summons Page 2
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1
2Small Claims- Summons
SMCSUMNS-2(07/96)
SHERIFF'S FEES
Service and return
. . . . . . . . . .
$ _______________
. . . . . . . . . .
Miles __________
$ _______________
Total
. . . . . . . . . . . . . .
$ _______________
______________________________________________
Sheriff of _______________________________ County
I certify that I served this summons on defendants as follows:
(Check appropriate box, and complete information below)
(a) (Individual defendants - personal):
By leaving a copy of the complaint with each individual defendant personally.
(b) (Individual defendants - abode):
By leaving a copy of the complaint at the usual place of abode of each individual defendant with a person
of his family, of age 13 years or upwards, informing that person of the contents and also by sending
a copy of the summons in a sealed envelope with postage fully prepaid, addressed to each individual
defendant at his usual place of abode.
(c) (Corporate defendants):
By leaving a copy of the complaint with the registered agent, officer, or agent of each defendant
corporation.
(d) (Other service): ____________________________________________________________________________
Name of Defendant: ________________________________
Name of Defendant: _____________________________
Name of Person
Name of Person
Summons given to: _________________________________
Summons given to: _____________________________
Sex: ____________________
Approx. Age: _________
Sex: ____________________
Approx. Age: ______
Race: ____________________________________________
Race: ________________________________________
Place of Service: ___________________________________
Place of Service: _______________________________
_________________________________________________
____________________________________________
_________________________________________________
____________________________________________
Date of Service: _________________________, __________
Date of Service: _______________________, ________
Time: __________ A.M./P.M.
Time: __________ A.M./P.M.
Date of Mailing: _________________________, _________
Date of Mailing: ______________________, ________
____________________________________________,
Sheriff of _______________________________ County
By ___________________________________, Deputy
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