Form No. 4. Summons upon Service by Mail (Registered or Certified)

 

 

STATE

 

 

 

CASE NUMBER

OF

 

SUMMONS UPON SERVICE BY MAIL

 

 

MISSOURI

 

(Registered Or Certified)

 

 

IN THE CIRCUIT COURT OF_______COUNTY, DIVISION_______IN_______, MISSOURI

 

 

 

DEFENDANT/ADDRESS (to be served):

 

 

 

 

 

 

 

 

 

Plaintiff(s)

 

 

 

 

 

VS.

 

ATTORNEY FOR PLAINTIFF/ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

Defendant(s)

 

 

 

THE STATE OF MISSOURI TO DEFENDANT:

 

You are summoned to appear before this court and to file your pleading to the petition, copy of which is attached, and to serve a copy of your pleading upon the attorney for the Plaintiff at the above address all within 30 days after the return registered or certified mail receipt signed by you has been filed in this cause. If you fail to file your pleading, judgment by default may be taken against you for the relief demanded in the petition.

 

(Seal of Circuit Court)

 

 

 

 

 _______________________________________

 

 

Clerk

 

 

 

 _____________________________________

By:

 _______________________________________

Date issued

 

Deputy Clerk

 

 

 

DIRECTIONS TO CLERK

 

Service by registered or certified mail is permitted only under certain conditions set forth in Rule 54. The clerk should insert in the summons the names of only the Defendant or Defendants who are to be served by mail. After an affidavit has been filed as provided by Rule 54.12, the clerk must mail a copy of the summons and a copy of the petition to each Defendant by registered or certified mail requesting a return receipt signed by the addressee only, addressed to such Defendant at the address furnished by Plaintiff. The clerk shall also complete the certificate of mailing on the original summons and file such summons and the return, by registered or certified mail receipt, as papers in the case. See Rule 54.

 

 

CERTIFICATE OF MAILING

 

I certify that on the __________ day of ___________________, 20_____, I mailed a copy of this summons and a copy of the petition to Defendant ________________________ by registered or certified mail, requesting a return receipt by the addressee only, to the said Defendant at the address furnished by Plaintiff.

 

 

 

 _______________________________________

 

 

Clerk

 

 

 

 _____________________________________

 

By:_____________________________________

Date

 

Deputy Clerk