Case 1:17-cv-00616-JGK Document 8 Filed 01/27/17 Page 1 of 2

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DOJ Data Set 9

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efta-efta00590722

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EFTA Disclosure

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Case 1:17-cv-00616-JGK Document 8 Filed 01/27/17 Page 1 of 2 A() 440 (Rcv. 0612) Summons in a Civil Action UNITED STATES DISTRICT COURT forum Southern District of New York JANE DOE 43 ) ) ) ) Plaintiffs) V. ) ) ) Civil Action No. 17-cv-616 JEFFREY EPSTEIN, GHISLAINE MAXWELL, , LESLEY GROFF, AND ) ) ) ) Defendant(s) ) SUMMONS IN A CIVIL ACTION TO: (Defendant's name and address) Jeffrey Epstein 9 East 71st Street New York, NY 10021 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: David Boles Boles Schiller & Flexner LLP 333 Main Street Armonk, New York 10504 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. .4rar -h1/41,- Date: 1/26/2017 CLERK OF COURT /s/ R. Chambers Signature of Clerk or Deputy Clerk EFTA00590722 Case 1:17-cv-00616-JGK Document 8 Filed 01/27/17 Page 2 of 2 AO 440 (Rev. 06!12) Summons in a Civil Action (Page 2) Civil Action No. PROOF OF SERVICE (This section should not be filed with the court unless required by Fed R. Civ. P. 4 (0) This summons for (name of individual and title, item') was received by me on (date) O I personally served the summons on the individual at (place) on (date) ; or 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 Date: O I served the summons on (name of individual) designated by law to accept service of process on behalf of (name of organization) on (date) O I returned the summons unexecuted because O Other (specify): My fees are $ for travel and $ for services, for a total of $ I declare under penalty of perjury that this information is true. ; or , who is 0.00 ; or Server's signature Printed name and title Additional information regarding attempted service, etc: Server's address I Print Save As... EFTA00590723

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Case #1:17-CV-00616-JGK

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