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STATE OF NORTH DAKOTA IN DISTRICT COURT COUNTY OF …

NDLSHC Page 1 of 2 Stip DWC Form 1/Rev Aug 2017 STATE OF NORTH DAKOTA IN DISTRICT COURT COUNTY OF _____ _____ judicial DISTRICT _____ ) (Plaintiff) ) Case No. _____ PLAINTIFF, ) ) Vs ) SUMMONS ) _____ ) (Defendant) ) DEFENDANT. ) THE STATE OF NORTH DAKOTA TO THE ABOVE NAMED DEFENDANT: YOU ARE HEREBY SUMMONED and required to appear and defend against the Complaint in this action, which is served upon you, by serving upon the undersigned an Answer or other proper response within twenty-one (21) days after the service of this Summons and Complaint upon you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the Complaint.

ndlshc page 1 of 2 stip dwc form 1/rev aug 2017 state of north dakota in district court . county of _____ _____ judicial district

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