B2500A (Form B2500A) (12/15)

UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF ALASKA

In re

Debtor (s).	Case No.

Chapter

Plaintiff(s),

v.

Defendant(s).	Adv. Proc. No.

SUMMONS IN AN ADVERSARY PROCEEDING

Issued To:

YOU ARE SUMMONED and required to file a motion or answer to the complaint which is attached to this summons with the clerk of the bankruptcy court within 30 days after the date of issuance of this summons, except that the United States and its offices and agencies shall file a motion or answer to the complaint within 35 days.

Address of the Clerk:

Clerk, U.S. Bankruptcy Court

Old Federal Building

605 W. 4th Ave., Suite 138

Anchorage, Alaska 99501-2296

At the same time you must also serve a copy of the motion or answer on the plaintiff's attorney.

Name and Address of Plaintiff's Attorney:

If you make a motion, your time to answer is governed by Fed. R. Bankr. P. 7012.

IF YOU FAIL TO RESPOND TO THIS SUMMONS, YOUR FAILURE WILL BE DEEMED TO BE YOUR CONSENT TO ENTRY OF A JUDGMENT BY THE BANKRUPTCY COURT AND JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF DEMANDED IN THE COMPLAINT.

JANET STAFFORD

Clerk, U.S. Bankruptcy Court

Date of Issuance:	By:

Deputy Clerk

I, _______________________________________ (print name), certify that service of this summons and a copy of the complaint was made ______________________ (date) by:

□	Mail service: Regular, first class United States mail, postage pre-paid, addressed to:

□	Personal service: By leaving the process with the following defendant or with an officer or agent of defendant at:

□	Residence service: By leaving process with the following adult at:

□	Certified Mail Service on an Insured Depository Institution: By sending the process by certified mail addressed to the following officer of the defendant at:

□	Publication: The defendant was served as follows [Describe briefly];

□	State Law: The defendant was served pursuant to the law of the State of as follows [Describe briefly];

If service was made by personal service, by residence service, or pursuant to state law, I further certify that I am, and at all times during the service of process was, not less than 18 years of age and not a party to the matter concerning which service was made.

Under penalty of perjury, I declare that the foregoing is true and correct.

Date:	Signature

Print Name of Person Serving Process:

Business Address:

City, State, and Zip: