Fillable Summons Form - County Of Wayne Superior Court printable pdf download

SUMMONS

STATE OF INDIANA )

IN THE WAYNE SUPERIOR COURT NO. 3

)SS:

COUNTY OF WAYNE )

CAUSE NO. 89D03-________________________________

_________________________________

_____________________________________

Plaintiff 1’s Name

Defendant’s Name

_________________________________

_____________________________________

Plaintiff 2’s Name

Defendant’s Address

_____________________________________

Defendant’s City, State, and Zip Code

You, the defendant, have been sued by the plaintiff(s) whose name(s) appear above, and the case has been set for

hearing. You must appear in Wayne Superior Court No. 3, Magistrate’s Courtroom, on _________________

____________________________________________. If you fail to appear, the Court may enter a default

judgment against you. If this is a newly filed case, a copy of the Notice of Claim (“Complaint”) should be attached.

If the Complaint is not attached, it is available from the Wayne County Clerk of Courts.

Dated:_________________________

_______________________________________

Debra Berry, Wayne County Clerk of Courts

The plaintiff designates the following mode of service to be used by the Wayne County Clerk of Courts:

By mailing a copy of this Summons and any attachments by certified or registered mail with return receipt

requested. Postage costs must be paid by the plaintiff(s) at the time of filing.

By the Sheriff of __________________ County by delivering a copy of this Summons and any attachments

personally to the defendant or by leaving a copy of the Summons and related documents at the defendant’s

dwelling house or usual place of abode and mailing a copy of the Summons.

By serving the defendant’s agent (particularly if a defendant is a business) as provided by rule, statute, or

valid agreement, specifically:______________________________________________________________.

Name, Address, City, State, and Zip Code

___________________________________

__________________________________

Plaintiff 1’s Signature

Plaintiff 2’s Signature

I certify that a copy of this Summons and any attachments were distributed for service as designated by Plaintiff.

____________________________________

________________________________________

Date

Deputy Clerk, Wayne County Clerk of Courts

SHERIFF’S RETURN OF SUMMONS

I served this Summons and any attachments as follows:

by delivering a copy of this Summons and any attachments personally to _________________________; or

by leaving a copy of the Summons and any attachments at the defendant’s address listed on this Summons;

and by mailing a copy of the Summons using the U.S. Postal Service, first-class postage prepaid, to the

same address; or

by serving the defendant’s agent at the address listed on this Summons; or

I did not serve the Summons and any attachments because the defendant could not be found in my bailiwick or

because______________________________________________________________________________________.

____________________________________ by _________________________________

______________

Sheriff’s Name

Deputy’s Signature

Date

Summons Form - County Of Wayne Superior Court

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