AO 440 (Rev. 12/09) Summons in a Civil Action

## UNITED STATES DISTRICT COURT

for the

Southern District of Florida

M.J.

Plaintiff

v.

JEFFREY EPSTEIN and

Defendant

To: (Defendant's name and address) 230 Everglade Avenue. Apt. 102 Palm Beach, FL 33480

Civil Action No.

## SUMMONS IN A CIVIL ACTION

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: J.

Jaffe, Weissing, Fistos & Lehrman 425 N. Andrews Avenue, Suite 2 Fort Lauderdale, FL 33301

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.

Date:

CLERK OF COURT

Signature of Clerk or Deputy Clerk

AO 440 (Rev. 12/09) Summons in a Civil Aaron (Paso 2)

Civil Action No.

## PROOF OF SERVICE

(This section should not be filed with the court unless required by Felt R. Civ. P. 4 (7))

This summons for (name of individual and sale. If an)) was received by me on (date)

O I personally served the summons on the individual at (place) on (date) or

Date:

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 of individual) designated by law to accept service of process on behalf of Mame of organization) on (date), who is or

O I returned the summons unexecuted because ; or

O Other awe:

My fees are S for travel and S for services, fora total of S 0.00

I declare under penalty of perjury that this information is true.

Sereer's signature

Printed name and tide

Server's address

Additional information regarding attempted service, etc: