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Case 6:16-cv-00680-RBD-GJK Document 14 Filed 06/23/16 Page 1 of 1 PageID 289
`
`Case 6:16—cv—00680—RBD—GJK Document 14 Filed 06/23/16 Page 1 of 1 Page|D 289
`
`At’) 39‘? ( (135?1*?) Wzzévcr <,>t'tt:£ Service m“Summor2;w"
`
`UNITED STATES DISTRICT COURT
`for the
`
`Evtidszitc District ot‘F10r§da
`
`U,(31H,,T‘NG 3§??,EN‘3E Q3019?,tt9Q§’tPt0RA
`Pftrérrigh ‘
`Y.
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`znzfazrsi
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`Civif Action No. 6:16~C\;—680~0rM8{SJK
`
`WAIVER OF THE SERVICE OF SUMM()%\ES
`
`M
`1
`F=ttWa’Z9<7??3
`
`me Offiw ;2ic';.‘i:I{ff".s cz!Ir;:'rzej;¢ 0:‘ L.«::1'¢>;Ww;er:feJ gaftziziitf}
`
`1 have received your rcqucat to wztivc service Ufa summons in this actiun along with a copy ufthe cmnplaint,
`twcy copies of this waiver form, and a prepaid m::an:~; ofrctutrmng one sigrzed copy ofthe form to you.
`1, er the entity 1 represent, agree to save the expense ofserving a summons and cumplaint in this case.
`
`the court's
`I understand that I, or the entity 1 represent, will keep alt defenses or objections to the lawsuit,
`jurisdiction, and the venue of the action, but that I waive any objections to the absence ofa summons or ofsrzrvice.
`
`E alse understand that I, or the entity I represent, must file and serve an answer or 11 motion under Rule 12 within
`60 days from V
`V
`,
`Q4/2M_6(2Qj»6W
`V , the date when this request was sent (or 90 days if it /A
`s sent outside the
`United States). If } fail to do so. :1 default judgment will be entered against me 0%“ the entity 1 re
`V cm.
`
`
`
`
`
`}’24’a’>;}i‘2:)::e* Hiszzrfwer
`
`Duty to Amid iénnecesszary Expenses cf Servirig a Suznmeris
`ofservizw a summons
`Rate 4 Gftizc Fcdcraé R4362; 0§’{',i=<i1 Preccdtzrc rcsr uires certain defestatants :0 cotmcratzr in savimz =.::tr2eces§2ir*v' ex
`
`smti cctmgézsamt. A dctcmizmt wézzia :3 Emzstczl an the Lfmted bt
`and wire taxis ta rctzsm Li stgzzed W. war 6;? servscc reqazesteé my :1 ptzmztsit 3063120 In
`the Uzzéted States wilt be tetgtsired. to pay the
`:13? szcrmx. uztiess; the iicfenciazti shaws gssmf muse fer the fiaiiure.
`“C3-cod cause“ de ::m: értcémizr a bet
`
`:t<;:2}urés:c§§tti0r3 at-er thés ms mu/F 05‘ mar the dc
`
`greazxtdtcss, er that it has Ewes: brought is; an fntprigzer wmze, 0: that the cmzrt 122:5
`éerthsat the iawstzét
`cmtzmz :3: the d«ct‘c:zda:3i’:«: property.
`
`
`
`Ifthe wgzxéwr £5
`stzsrtztmns er et‘:~:cm’ca
`
`
`ted and rcmnwci. yet: mm mi? ntzzksz tétcgc amt 331 other <i::f}:tts:€:§ and ::b_isctio:1s. but yam czmnaét (>3:‘.{§€€i
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`:9 the £i§‘}‘:'é€I§CC at

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