§ FORM 1A SUMMONS
FORM 1A. SUMMONS
(Process Server)
IN THE _______ COURT OF _______ COUNTY, MISSISSIPPI
A.B., Plaintiff(s)
v. Civil Action, File No.
___________________________________
C.D., Defendant(s)
SUMMONS
THE STATE OF MISSISSIPPI
TO: (Insert the name and address of the person to be served)
NOTICE TO DEFENDANT(S)
THE COMPLAINT WHICH IS ATTACHED TO THIS SUMMONS IS IMPORTANT AND YOU MUST TAKE IMMEDIATE
ACTION TO PROTECT YOUR RIGHTS.
You are required to mail or hand-deliver a copy of a written response to the Complaint to _______, the attorney for the Plaintiff(s), whose post office address is _______, and whose street address is _______. Your response must be mailed or delivered within (30) days from the date of delivery of this summons and complaint or a judgment by default will be entered against you for the money or other things demanded in the complaint.
You must also file the original of your response with the Clerk of this Court within a reasonable time afterward.
Issued under my hand and the seal of said Court, this _______ day of _______, 19__.
________________________________________________________________________________
Clerk of _______ County,
Mississippi
________________________________________________________________________________
________________________________________________________________________________
(Seal)
[This form shall appear on the reverse side of Form 1A. Summons (Process Server)]
PROOF OF SERVICE--SUMMONS
(Process Server)
[Use separate proof of service for each person served]
________________________________________________________________________________
Name of Person or Entity Served
I, the undersigned process server, served the summons and complaint upon the person or entity named above in the manner set forth below (process server must check proper space and provide all additional information that is requested and pertinent to the mode of service used):
___ FIRST CLASS MAIL AND ACKNOWLEDGEMENT SERVICE. By mailing (by first class mail, postage prepaid), on the date stated in the attached Notice, copies to the person served, together with copies of the form of notice and acknowledgement and return envelope, postage prepaid, addressed to the sender (Attach completed acknowledgement of receipt pursuant to M.R.C.P. Form 1B ).
___ PERSONAL SERVICE. I personally delivered copies to _______ on the _______ day of _______, 19__, where I found said person(s) in _______ county of the State of _______.
___ RESIDENCE SERVICE. After exercising reasonable diligence I was unable to deliver copies to said person within _______ county, (state). I served the summons and complaint on the _______ day of _______, 19__, at the usual place of abode of said person by leaving a true copy of the summons and complaint with _______ who is the _______ (here insert wife, husband, son, daughter or other person as the case may be), a member of the family of the person served above the age of sixteen years and willing to receive the summons and complaint, and thereafter on the _______ day of _______, 19__, I mailed (by first class mail, postage prepaid) copies to the person served at his or her usual place of abode where the copies were left.
___ CERTIFIED MAIL SERVICE. By mailing to an address outside Mississippi (by first class mail, postage prepaid, requiring a return receipt) copies to the person served. (Attach signed return receipt or the return envelope marked “Refused”.)
At the time of service I was at least 18 years of age and not a party to this action.
Fee for service: $_______
Process server must list below: [Please print or type]
Name ________________________________________________________________________________
Social Security No. ________________________________________________________________________________
Address ________________________________________________________________________________
________________________________________________________________________________
Telephone No. ________________________________________________________________________________
State of ___________________________ )
County of ___________________________ )
Personally appeared before me the undersigned authority in and for the state and county aforesaid, the within named _______ who being first by me duly sworn states on oath that the matters and facts set forth in the foregoing “Proof of Service-Summons” are true and correct as therein stated.
________________________________________________________________________________
Process Server (Signature)
Sworn to and subscribed before me this the _______ day of _______, 19__.
________________________________________________________________________________
Notary Public
(Seal) My Commission Expires: ________________________________________________
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