`
`AO 440 (Rev. 06/12) Summons in a Civil Action
`
`UNITED STATES DISTRICT COURT
`
`for the
`__________ District of __________
`
`Civil Action No.
`
`))))))))))))
`
`Plaintiff(s)
`v.
`
`Defendant(s)
`
`To: (Defendant’s name and address)
`
`SUMMONS IN A CIVIL ACTION
`
`A lawsuit has been filed against you.
`
`Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you
`are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ.
`P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of
`the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff’s attorney,
`whose name and address are:
`
`If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint.
`You also must file your answer or motion with the court.
`
`Date:
`
`CLERK OF COURT
`
`Signature of Clerk or Deputy Clerk
`
`APPL-1006 / Page 1 of 2
`Apple v. Uniloc
`
`
`
`Case 2:17-cv-00534-JRG Document 13 Filed 07/13/17 Page 2 of 2 PageID #: 56
`
`AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)
`Civil Action No.
`
`PROOF OF SERVICE
`(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l))
`
`This summons for (name of individual and title, if any)
`was received by me on (date)
`
`.
`
`’ I personally served the summons on the individual at (place)
`on (date)
`
`; or
`
`’ I left the summons at the individual’s residence or usual place of abode with (name)
`, a person of suitable age and discretion who resides there,
`, and mailed a copy to the individual’s last known address; or
`
`on (date)
`
`’ I served the summons on (name of individual)
` designated by law to accept service of process on behalf of (name of organization)
`on (date)
`
`’ I returned the summons unexecuted because
`
`’ Other (specify):
`
`My fees are $
`
`for travel and $
`
`for services, for a total of $
`
`I declare under penalty of perjury that this information is true.
`
`; or
`
`, who is
`
`; or
`
`.
`
`.
`
`Date:
`
`Additional information regarding attempted service, etc:
`
`Server’s signature
`
`Printed name and title
`
`Server’s address
`
`APPL-1006 / Page 2 of 2
`
`
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