EFTA00590722.pdf

Case 1:17-cv-00616-JGK Document 8 Filed 01/27/17 Page 1 of 2 A() 440 (Rcv. 0612) Summons in a Civil Action UNITED STATES DISTRICT COURT forum Southern District of New York JANE DOE 43 ) ) ) ) Plaintiffs) ) V. ) Civil Action No. 17-cv-616 ) JEFFREY EPSTEIN, GHISLAINE MAXWELL, ) , LESLEY GROFF, ) AND ) ) Defendant(s) ) SUMMONS IN A CIVIL ACTION TO: (Defendant's name and address) Jeffrey Epstein 9 East 71st Street New York, NY 10021 A lawsuit has been filed against you. Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff's attorney, whose name and address are: David Boles Boles Schiller & Flexner LLP 333 Main Street Armonk, New York 10504 If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court. .4rar -h11 4/ ,- CLERK OF COURT Date: 1/26/2017 /s/ R. Chambers Signature ofClerk or Deputy Clerk EFTA00590722  Case 1:17-cv-00616-JGK Document 8 Filed 01/27/17 Page 2 of 2 AO 440 (Rev. 06!12) Summons in a Civil Action (Page 2) Civil Action No. PROOF OF SERVICE (This section should not befiled with the court unless required by Fed R. Civ. P. 4 (0) This summons for (name ofindividual and title, item') was received by me on (date) O I personally served the summons on the individual at (place) on (date) ; or O I left the summons at the individual's residence or usual place of abode with (name) , a person of suitable age and discretion who resides there, on (date) , and mailed a copy to the individual's last known address; or O I served the summons on (name ofindividual) , who is designated by law to accept service of process on behalf of (name oforganization) on (date) ; or O I returned the summons unexecuted because ; or O Other (specify): My fees are $ for travel and $ for services, for a total of $ 0.00 I declare under penalty of perjury that this information is true. Date: Server's signature Printedname and title Server's address Additional information regarding attempted service, etc: I Print Save As... EFTA00590723