ACKNOWLEDGMENT AND ACCEPTANCE OF SERVICE Page 1 of 2
This form is available for free at www.legalhelpwy.org. Last revised 12/2013.
STATE OF WYOMING ) IN THE DISTRICT COURT
)SS
COUNTY OF ___________ ) JUDICIAL DISTRICT
IN THE MATTER OF THE ) Probate No.
GUARDIANSHIP OF )
)
, )
An Adult )
ACKNOWLEDGMENT AND ACCEPTANCE OF SERVICE
I, _____________________________, hereby acknowledge receipt of a copy of the
Petition for Appointment of Guardian for an Adult, along with the Summons issued by the Clerk. In
accepting service of process, I retain all defenses or objections to the lawsuit or to the jurisdiction or
venue of the court except for objections based on a defect in the Summons or in the service of the
Summons. I understand that I must answer or otherwise plead within 20 days from this date (30 days if
copies of the papers were received outside of Wyoming) and that if I fail to file an answer or other
pleading with the Clerk of this Court and serve the same upon the Petitioner/Plaintiff in accordance with
the Wyoming Rules of Civil Procedure within the time limits stated, I will be in default and
Petitioner/Plaintiff may be afforded the relief demanded in the Petition for Appointment of Guardian for
an Adult without a trial or other hearing.
DATED this _________________ day of ___________________, 20____.
___________________________________
Signature
Printed Name:___________________________________
Phone Number:__________________________________
Address: _______________________________________
Address: _______________________________________
STATE OF WYOMING )
)ss
COUNTY OF __________________ )
Subscribed and sworn to before me by _______________________________, this _____
day of _________________________, 20____.
WITNESS my hand and official seal
_____________________________________
Notary Public
My Commission expires:
