UNITED STATES DISTRICT COURT
for the
NORTHERN DISTRICT OF ALABAMA
, } Summons
Plaintiff, } (Issued pursuant to Rule 4 of the Federal Rules
} of Civil Procedure or other appropriate law.)
v. }
} Civil Action Number:
}
,
}
Defendant. }
SUMMONS IN A CIVIL CASE
TO: (Defendant’s name and address)
NOTE: A separate summons must be prepared for each defendant.
A lawsuit has been filed against you.
Within _______ days after service of this summons on you (not counting the day you received it), 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 pro se plaintiff, whose name and address are:
If you fail to do so, judgment by default may be entered against you for the relief demanded in the complaint.
You must also file your answer or motion with the court.
DATE:____________________________ GREER M. LYNCH, CLERK
By:
SEE REVERSE SIDE FOR RETURN Deputy Clerk
(SEAL OF THE COURT)
NORTHERN DISTRICT OF ALABAMA
1729 5th Avenue North
Birmingham, Alabama 35203
RETURN OF SERVICE OF SUMMONS
I hereby certify and return that on the day of , 20 , I served
this summons together with the complaint as follows:
☐ By personal service on the defendant at:
☐ By serving a person of suitable age and discretion then residing in the defendant’s usual place of
abode. (Give name and address of person served.)
☐ By serving an officer, a managing or general agent, or any other agent authorized by appointment
or by law to receive service of process of the defendant corporation, partnership, or
unincorporated association. (Give name, capacity, and address of person served.)
I certify under penalty of perjury under the laws of the United States of America that the foregoing
is true and correct.
Date Authorized or Specially Appointed Process Server
Costs of Service: Service fee: $
Expenses: miles @ cents $
Total $
