__________________ DISTRICT OF TEXAS
										
__________________  DIVISION

UNITED STATES OF AMERICA	                 §
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v.	                                                                 §	__________________
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NOTICE OF LAWSUIT AND REQUEST FOR
WAIVER OF SERVICE OF SUMMONS

TO:	(Name of individual defendant or name of officer or agent of corporation defendant)

	(Title or other relationship of individual to corporate)

	of: (Name of corporate defendant, if any)

	A lawsuit has been commenced against you (or the entity on whose behalf you are addressed). A copy of the complaint is attached to this notice.  It has been filed in the United States District Court for the (district) and has been assigned docket number (docket number of case).
	This is not a formal summons or notification from the court, but rather my request that you sign and return the enclosed waiver of service in order to save the cost of serving you with a judicial summons and an additional copy of the complaint.  The cost of service will be avoided if I receive a signed copy of the waiver within (Addressee must be given at least 30 days or 60 days if located in a foreign country in which to return waiver) days after the date designated below as the date on which this Notice and Request is sent.  I enclose a stamped and addressed envelope (or other means of cost-free return) for your use.  An extra copy of the waiver is also attached for your records.
	If you comply with this request and return the signed waiver, it will be filed with the court and no summons will be serve on you.  The action will then proceed as if you had been served on the date the waiver is filed, except that you will not be obligated to answer the complaint before 60 days from the date designated below as the date on which this notice is sent (or before 90 days from that date if your address is not in any judicial district of the United States).
	If you do not return the signed waiver within the time indicated, I will take appropriate steps to effect formal service in a manner authorized by the Federal Rules of Civil Procedure and will then, to the extent authorized by those Rules, ask the court to require you (or the party on whose behalf you are addressed) to pay the full costs of such service. In that connection, please read the statement concerning the duty of parties to waive the service of the summons, which is set forth on the reversed side (or at the foot) of the waiver form.
	I affirm that this request is being sent to you on behalf of the Plaintiff, this /// day of ///, 20///. 

							_____________________________________
							Signature of Plaintiff's Attorney or
							Unrepresented Plaintiff