Page 1 of 1 Praecipe for Summons/Personal Service DC 6:4.4 Rev. 06/19

Nebraska State Court Form

DC 6:4.4 Rev. 06/19 Neb. Rev. Stat. § 25-502.01

PRAECIPE FOR SUMMONS/ PERSONAL SERVICE

(county where Complaint filed)

, Plaintiff,

Case No.

vs.

, Defendant.

PRAECIPE FOR SUMMONS/PERSONAL SERVICE

TO THE CLERK OF SAID COURT:

Please issue summons, to be served by the Sheriff of County, (County where other party is to be served)

, along with a copy of the Complaint to: (State where other party is to be served)

(name of party to be served)

(street address where party is to be served)

(city and state where party is to be served)

IFP Order on file

Date Signature

Your Full Name Your Full Street Address/P.O. Box

City/State/ZIP Code

Phone Email Address