24TH JUDICIAL DISTRICT COURT FOR THE PARISH OF JEFFERSON
STATE OF LOUISIANA
NO.: DIVISION
vs.
ACCEPTANCE OF SERVICE AND WAIVER OF CITATION AND ALL DELAYS
STATE OF ___________
PARISH/COUNTY OF __________
BEFORE ME, the undersigned notary public, personally came and appeared:
who, after being duly sworn, did state that: Defendant acknowledges receipt of a certified copy
of the above-captioned “PETITION FOR DIVORCE UNDER CIVIL CODE ARTICLE 103
WITH CHILDREN” entitled _____________ vs. ______________
filed /__/ with the docket number ___________________
at the 24th Judicial District Court for the Parish of Jefferson, State of Louisiana.
Defendant expressly and formally acknowledges and accepts service of a certified copy
of the petition and waives the issuance of formal citation and service of process.
Defendant further waives all legal delays allowed by law, particularly those delays
allowed for answering and/or excepting to the pleadings provided in Louisiana Code of Civil
Procedure Articles 928, 1001, and 1002.
Defendant further waives notice of trial, and waives Defendant’s appearance at trial of
this matter. Defendant acknowledges that by signing Petitioner will be allowed to go forward
with this lawsuit in Defendant’s absence. Defendant understands Petitioner intends to do so.
Defendant acknowledges that Defendant may be cast with some or all of the court costs
in this proceeding.
Respectfully submitted,
____________________ (Signature)
____________________ (Print Name)
____________________(Address)
____________________(City/State/Zip Code)
____________________(Phone Number)
SWORN TO AND SUBSCRIBED before me this day of ____________, 20___.
NOTARY PUBLIC