___________________________________,
Pro Se
Plaintiff’s Name
___________________________________
Address
___________________________________
Zip
_______________________
Phone
IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT OF
THE STATE
OF IDAHO, IN AND FOR THE COUNTY OF _________________
_______________________________________
)
) CASE NO. CV-__________________
__________________________________, )
Plaintiff, ) ADMISSION
OF SERVICE
-vs-
)
)
)
__________________________________, )
Defendant. )
_______________________________________)
I,
_________________________________, the Defendant in the above-
entitled
action, acknowledge that the Summons and Joint Preliminary
Injunction
previously issued by this court have been served upon me and
that I have
received a true copy thereof, along with an attached copy of
the Complaint
referred to in the Summons. Service of these documents was
made upon me
at: _____________________________________________, in the City
of
___________________________, State of _____________ on the
________ day
of
________________________, _________.
I consent that after the expiration of twenty (20) days, default
and
judgment as
prayed for in the Complaint may be taken against me if no
appearance is
filed. I also further consent to the jurisdiction of the
State of Idaho.