Form Ao 83 - Summons In A Criminal Case - United States District Court Page 2
Download a blank fillable Form Ao 83 - Summons In A Criminal Case - United States District Court in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ao 83 - Summons In A Criminal Case - United States District Court with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2AO 83 (Rev. 06/09) Summons in a Criminal Case (Page 2)
Case No.
This second page contains personal identifiers and therefore should
not be filed in court with the summons unless under seal.
(Not for Public Disclosure)
INFORMATION FOR SERVICE
Name of defendant/offender:
Last known residence:
Usual place of abode
(if different from residence address):
If the defendant is an organization, name(s) and address(es) of officer(s) or agent(s) legally authorized to receive service of
process:
If the defendant is an organization, last known address within the district or principal place of business elsewhere in the
United States:
PROOF OF SERVICE
This summons was received by me on
.
(date)
’ I personally served the summons on this defendant
at
on
; or
(place)
(date)
’ On
I left the summons at the individual’s residence or usual place of abode
(date)
with
, a person of suitable age and discretion who resides
(name)
there, and I mailed a copy to the individual’s last known address; or
’ I delivered a copy of the summons to
,
(name of individual)
who is authorized to receive service of process on behalf of
(name of organization)
on
and I mailed a copy to
(date)
the organizations’s last known address within the district or to its principal place of business elsewhere in the
United States; or
’ The summons was returned unexecuted because:
.
I declare under penalty of perjury that this information is true.
Date returned:
Server’s signature
Printed name and title
Remarks:
Print
Save As...
Reset
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal