§ FORM 14. Notice and Acknowledgment of Service by First-Class Mail
FORM 14. Notice and Acknowledgment of Service by First-Class Mail
CIRCUIT COURT OF KANAWHA COUNTY, WEST VIRGINIA
A.B., Plaintiff )
v. ) Civil Action No. _________
C.D., Defendant ) Notice and Acknowledgment of Receipt of Summons and Complaint
NOTICE
To: [Insert the Name of the Person to Be Served].
[Insert the Address of the Person to Be Served].
The enclosed summons and complaint are served pursuant to Rule 4(d)(1)(B) of the West Virginia Rules of Civil Procedure.
You must complete the acknowledgment part of this form and return one copy of the completed form to the Office of the Clerk of the Circuit Court of Kanawha County within 20 days.
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 Office of the Clerk of the Circuit Court of Kanawha County 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 that this Notice and Acknowledgment of Receipt of Summons and Complaint was mailed on [Insert Date ].
[Signature of Clerk's Office]________________________________________________________________________________
Office of the Clerk of the
Circuit Court of Kanawha County
________________________________________________________________________________
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