Title: Summons in a Civil Action (to FBI)
Document Date: 2015-10-08
Text: Case 1:15-cv-01654 Document 1-3 Filed 10/08/15 Page 1 of 2
AO 440 (Rev. 06/12) Summons in a Civil Action
United States District Court
District of Columbia
UNITED STATES DEPARTMENT OF JUSTICE and
the FEDERAL BUREAU OF INVESTIGATION,
j Civil Action No. 1:15-CV-01654
SUMMONS IN A CIVIL ACTION
To: (Defendant's name and address) Federal Bureau of Investigation
A lawsuit has been filed against you.
Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you
are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ.
P. 12 (a)(2) or (3) — 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 or plaintiffs attorney,
whose name and address are: Freedman Boyd Hollander Goldberg Urias & Ward P.A.
20 First Plaza, Suite 700
Albuquerque, NM 87102
If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint.
You also must file your answer or motion with the court.
CLERK OF COURT
Signature of Clerk or Deputy Clerk
Case 1:15-cv-01654 Document 1-3 Filed 10/08/15 Page 2 of 2
AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)
Civil Action No. 1:15-CV-01654
PROOF OF SERVICE
(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l))
This summons for (name of individual and title, if any)
was received by me on (date) ■
□ I personally served the summons on the individual at (place)
on (date) ; or
□ I left the summons at the individual’s residence or usual place of abode with (name)
, a person of suitable age and discretion who resides there,
on (date) , and mailed a copy to the individual’s last known address; or
□ I served the summons on (name of individual) , who is
designated by law to accept service of process on behalf of (name of organization)
on (date) ; or
□ I returned the summons unexecuted because ; or
□ Other (specify):
My fees are $ for travel and $ for services, for a total of $ o.OO
I declare under penalty of perjury that this information is true.
Date: _________________________ _____________________________________________________________________
Server ’s signature
Printed name and title
Server 's address
Additional information regarding attempted service, etc: