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§ FORM 22 NOTICE AND ACKNOWLEDGEMENT OF SERVICE BY MAIL

Codes > Minnesota Statutes > Rules of > Appendices : Appendix of > FORM 22

FORM 22.NOTICE AND ACKNOWLEDGEMENT OF SERVICE BY MAIL

    NOTICE

    TO: (insert the name and address of the person to be served.)

    The enclosed summons and complaint are served pursuant to Rule 4.05 of the Minnesota Rules of Civil Procedure.

    You must complete the acknowledgment part of this form and return one copy of the completed form to the sender within 20 days.

    Signing this Acknowledgment of Receipt is only an admission that you have received the summons and complaint, and does not waive any other defenses.

    You must sign and date the acknowledgment. If you are served on behalf of a corporation, unincorporated association (including a partnership), or other entity, you must indicate under your signature your relationship to that entity. If you are served on behalf of another person and you are authorized to receive process, you must indicate under your signature your authority.

    If you do not complete and return the form to the sender within 20 days, you (or the party on whose behalf you are being
served) may be required to pay any expenses incurred in serving a summons and complaint in any other manner permitted
by law.

    If you do complete and return this form, you (or the party on whose behalf you are being served) must answer the complaint within 20 days. If you fail to do so, judgment by default will be taken against you for the relief demanded in the complaint.

    I declare, under penalty of perjury, that this Notice and Acknowledgment of Receipt of Summons and Complaint was mailed on (insert date).

    ________________________________________________________________________________ Signature

    ________________________________________________________________________________ Date of Signature

    ACKNOWLEDGMENT OF RECEIPT OF SUMMONS AND COMPLAINT

    I declare, under penalty of perjury, that I received a copy of the summons and of the complaint in the above-captioned matter at (insert address).

    ________________________________________________________________________________ Signature

    ________________________________________________________________________________ Relationship to

    Entity/Authority

    to Receive Service of Process

    ________________________________________________________________________________ Date of Signature