Notice and Acknowledgment for Service by Mail | |||
Circuit Court for ______ County | |||
Division ______ | |||
Civil Action, File Number | |||
A.B., | ) | ||
Plaintiff, | ) | ||
vs. | ) | ||
C.D., | ) | ||
Defendant. | ) | ||
NOTICE AND ACKNOWLEDGMENT | |||
OF RECEIPT OF SUMMONS | |||
AND PETITION NOTICE | |||
TO: (Insert the name and address of the person to be served.) | |||
The enclosed summons and petition are served pursuant to section 506.150, RSMo. | |||
You must complete the acknowledgment part of this form and return one copy of the completed form to the sender within thirty 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 sender within thirty 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 petition 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 petition within thirty days. If you fail to do so, judgment by default will be taken against you for the relief demanded in the petition. | |||
I declare, under penalty of filing a false affidavit, that this Notice and Acknowledgment of Receipt of Summons and Petition was mailed on (insert date). | |||
___________________________________________________ | |||
Signature | |||
___________________________________________________ | |||
Relationship to Entity/Authority to Receive Service of Process | |||
__________________ | |||
(Date of Signature) |
§ 506.150, RSMo