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Supreme Court Rules

Section/Rule:No. 4
Subject: Forms - Rules of Civil Procedure - Civil Procedure Forms Publication / Adopted Date:June 17, 1989
Topic:Summons Upon Service By Mail (Registered or Certified)Revised / Effective Date:January 1, 2002

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 ___________________, 19_____, 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

______________________________________________________________________________________

(Amended Jan. 17, 1989; June 25, 2001, eff. Jan. 1, 2002.)