IN THE UNITED STATES DISTRICT COURT

FOR THE NORTHERN DISTRICT OF ALABAMA

)	Summons

)	(Issued pursuant to Rule 4 of

)	the Federal Rules of Civil

Plaintiff,	)	Procedure or other appropriate

)	law.)

v.	)

) CIVIL ACTION CASE NUMBER:

)

)

Defendant.	)

Summons in a Civil Action

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 plaintiff's attorney, 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 also must file your answer or motion with the court.

DATE:__________________	SHARON N. HARRIS, CLERK

By:

SEE REVERSE SIDE FOR RETURN	Deputy Clerk

(SEAL OF COURT)

NORTHERN DISTRICT OF ALABAMA

1729 5th Avenue North

Birmingham, Alabama 35203

RETURN ON SERVICE OF WRIT

I hereby certify and return that on the _______ day of __________________, __________, 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	$