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    Division Waiver of Service of Process Case Number

    Uploaded by

    Masson Castro
    This document is a waiver of service of process form for a civil lawsuit. It acknowledges receipt of a request to waive service and includes a copy of the complaint. By signing, the defendant agrees to waive the cost of formal service and have an additional 60 days to respond to the lawsuit to avoid a default judgment being entered against them. It also provides notice of accommodations available under the Americans with Disabilities Act.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Division Waiver of Service of Process Case Number

    Uploaded by

    Masson Castro
    26 views1 page
    This document is a waiver of service of process form for a civil lawsuit. It acknowledges receipt of a request to waive service and includes a copy of the complaint. By signing, the defendant agrees to waive the cost of formal service and have an additional 60 days to respond to the lawsuit to avoid a default judgment being entered against them. It also provides notice of accommodations available under the Americans with Disabilities Act.

    Original Title

    waiver of service BAY COUNTY FLORIDA

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    This document is a waiver of service of process form for a civil lawsuit. It acknowledges receipt of a request to waive service and includes a copy of the complaint. By signing, the defendant agrees to waive the cost of formal service and have an additional 60 days to respond to the lawsuit to avoid a default judgment being entered against them. It also provides notice of accommodations available under the Americans with Disabilities Act.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views1 page

    Division Waiver of Service of Process Case Number

    Uploaded by

    Masson Castro
    This document is a waiver of service of process form for a civil lawsuit. It acknowledges receipt of a request to waive service and includes a copy of the complaint. By signing, the defendant agrees to waive the cost of formal service and have an additional 60 days to respond to the lawsuit to avoid a default judgment being entered against them. It also provides notice of accommodations available under the Americans with Disabilities Act.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    □

    X IN THE CIRCUIT COURT OF THE FOURTEENTH JUDICIAL CIRCUIT IN AND FOR BAY COUNTY, FLORIDA.
    □ IN THE COUNTY COURT IN AND FOR BAY COUNTY, FLORIDA.
    DIVISION CASE NUMBER
    WAIVER OF SERVICE OF PROCESS
    □
    X CIVIL (c) Forms for Services by Mail.
    □ DISTRICTS (2) Waiver of Service of Process.
    □ OTHER
    PLAINTIFF(S) VS. DEFENDANT(S) CLOCK IN

    TO:

    I acknowledge receipt of your request that I waive service of process in the lawsuit of v.
    in the Circuit □ County Court in I have also received a copy of
    the complaint, two copies of this waiver, and a means by which I can return the signed waiver to you without cost to me.

    I agree to save the cost of service process and an additional copy of the complaint in this lawsuit by not requiring that I, (or the entity
    on whose behalf I am acting), be served with judicial process in the manner provided by Fla. R. Civ. P.1.070.

    If I am not the defendant to whom the notice of lawsuit and waiver of service of process was sent, and my authority to accept service
    on behalf of such person or entity is as follows: I declare that my relationship to the entity or person to whom the notice was sent and
    my authority to accept service on behalf of such person or entity is as follows:

    (describe relationship to person or entity and authority to accept service)

    I, (or the entity on whose behalf I am acting), will retain all defense or objections to the lawsuit or to the jurisdiction or venue of
    the court except for any objections based on a defect in the summons or in the service of the summons.

    I understand that a judgment may be entered against me, (or the party on whose behalf I am acting), if a written response is not served
    upon you within 60 days from the date I received the notice of lawsuit and request for waiver of service of process.

    DATED ON
    □

    Defendant or Defendant’s Representative

    AMERICANS WITH DISABILITIES ACT OF 1990


    ADA NOTICE
    “If you are a person with a disability who needs any accommodation in order to
    participate in this proceeding, you are entitled, at no cost to you, to the provision of
    certain assistance. Please contact the Eleventh Judicial Circuit Court’s ADA Coordinator,
    Lawson E. Thomas Courthouse Center, 175 NW 1st Ave., Suite 2702, Miami, FL 33128,
    Telephone (305) 349-7175; TDD (305) 349-7174, Fax (305) 349-7355 at least 7 days before
    your scheduled court appearance, or immediately upon receiving this notification if the
    time before the scheduled appearance is less than 7 days; if you are hearing or voice
    impaired, call 711.”

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