IN THE COUNTY COURT IN AND FOR POLK COUNTY, FLORIDA

CASE NO. _______________________________

_______________________________________

_______________________________________

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Plaintiff(s)

vs

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_______________________________________

_______________________________________

Defendant(s)

SUMMONS

TO: ___________________________________

Defendant

________________________________________________

Address

IMPORTANT

    A lawsuit has been filed against you. You have 20 calendar days after this summons is served on you to file a written response to the attached Complaint in this Court. A phone call will not protect you; your written response, including the above case number and named parties, must be filed if you want the Court to hear your case. If you do not file your response in time, you may lose the case, and your wages, money and property may thereafter be taken without further warning from the Court. There are other legal requirements. You may want to call an attorney right away. If you do not know an attorney, you may call an attorney referral service or a legal aid office (listed in the phone book).

I       f you choose to file a written response yourself, at the same time you file your written response to the Court you must also mail or take a carbon copy or photocopy of your written response to the Plaintiff/Plaintiff's Attorney named below.

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Plaintiff/Plaintiff's Attorney

_______________________________________

Address

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THE STATE OF FLORIDA

TO EACH SHERIFF OF THE STATE: You are commanded to serve this Summons and a copy of the Complaint in this lawsuit on the above-named Defendant.

DATED ON _______________________________, 19______.

                                                                                                                    RICHARD M. WEISS, CLERK

                                                                                                                    Circuit & County Courts

(SEAL)                                                                                                           By_____________________________________

                                                                                                                                        Deputy Clerk

Rev. 08/97

9.doc (08/97)