Indiana Divorce Summons Form

In order to make the spouse who didn’t file for the divorce aware that there is an ongoing divorce case against them in the State of Indiana, the following form has to be completed and served to him/her.

Extracted Text for Proper Search

Approved b	y State Cour	t Administration	 02/10	 
 	
 ) 	SS: 	 	
 
IN RE THE MARRIAGE OF:  
 
 
Petitioner,  
 
V. 
 
 
Respondent.  
  	
SUMMONS	 	
[For Dissolution of Marriage Cases Only] 	
TO RESPONDENT: 	_______________________________________________ 	
   _______________________________________________ 
   _______________________________________________ 
1. 	You are hereby notified that you 	have been sued by the Petitioner 	for Dissolution of Marriage in 	
the Court in	dicated abov	e. 	
and tim	e stated in the O	rder to Appear.  If 	you do not appear, evidence	 m	ay be heard in your 	
absence and	 a determ	ination m	ade by the Court.  	If a Te	mpor	ary Restraini	ng Order is attached, it 	
is effective immediately upon your recei	pt or knowledge of the Order. 	
3. 	If you wish to retain an 	attorney to represen	t you in this m	atter,	 it is advisable to	 do so before the 	
date s	tated in the Notice to Appear.	 	
4. 	If you take no action in this 	case after the receipt 	of this summons, the Court can grant a 	
Dissolution of Marriage or m	ake a determ	ination re	garding any of the fol	lowing: paternity, child 	
custody, child support, m	aintenance,	 parenting tim	e, property divisi	on (real or personal) and any 	
other distribution of assets and debts. 	
Dated: 	 	_________________ 	  __________________________________ 	
       Clerk, 	__________________ 	County 	
     Court 	nam	e: 	________________________________________ 	
Court address: 	________________________________________ 	
Court phone : 	________________________________________ 	
The following m	anner of Service of	 Summ	ons is	 hereby designated: 	
  Registe	red 	/ Certif	ied 	M	ail to be sent by the Clerk 	
Service by S	heriff on Individua	l at address shown above 	
 	Service by S	heriff at place of e	mploym	ent, 	(name and address of spouse’s employer)	: 	
 
  ________________________________________________________________________ 
  
STATE OF INDIANA 	) 	IN THE ___________________	 SUPERIOR/CIRCUIT COURT 	
COUNTY OF _______________     )  CASE NO.  ________________	 	  	
______________________  
______________________  	
Form #PS-3115	2 	
2. 	If this summons is accompanie	d by a	 Notice to Appear, you shoul	d appear in Court on the date

Approved b	y State Cour	t Administration	 02/10	 
 	
SHERIFF’S RET	URN OF SERVI	CE OF SUMMONS	 	
I hereby certify that I have served 	this summons on the _____ day of _________________, 20____: 	
1. 	By delivering a copy of the Summ	ons and a copy of the c	omplaint to the Respondent 	
identified on the first page of Summons. 	
2. 	By leaving a copy of the Summ	ons	 and a copy of the com	plaint at 	
_______________________________________, which is the dwelling place or usual place of abode of 
and	 by m	ailing a copy of the Summons to the Respondent at the above address. 	
3. 	Other Service or Rem	arks:  	_________________________________________ 	
 _________________________ 	 _____________________________________ 	
  Sheri	ff’s 	Cost	s    Sheri	ff 	
       By: 	 	_______________________________ 	
        D	eputy 	
CLERK’S CERTIFICATE OF M	AILING 	
 	I hereby certify that on the ______ day 	of ________________, 20___, I m	ailed a copy of this	 	
Summ	ons a	nd a copy of	 the Com	plaint to the Respondent	 identified on the first 	page of the Summons by 	
__________ m	ail, requesting a retu	rn receipt, at	 the address provided by the Petition	er. 	
       _____________________________ 
       Clerk, 	__________________ 	County 	
Dated: ______________, 20____ 	By:  	_________________________ 	
        D	eputy 	
RET	URN ON SERVI	CE OF SUMMONS BY MAIL	 	
 	I he	reby c	ertif	y tha	t the	 att	ached	 receipt was received	 by m	e showing that the Sum	mons and a 	
copy of the Com	plaint m	ailed to 	the Respondent identified on the 1	st page of this Summons was 	
accepted by the Respond	ent on the _	______ day of __________________, 20____. 	
 	I hereby certify that the attach	ed return receipt was received 	by m	e showing that th	e Summ	ons 	
and a copy of the Complain	t was returned	 no	t accepted on	 the ______	 day of __________________, 	
20____. 
 	I hereby certify that the attach	ed return receipt was received 	by m	e showing that th	e Summ	ons 	
and a copy of the Compla	int m	ailed to the Responde	nt identified on the 1	st page of this Summons was 	
accepted by ____________________ on behalf of t	he Respondent on the _____ day of 	
______________, 20____. 
       _____________________________ 
       Clerk, 	__________________ 	County 	
 By: 	 	_________________________ 	
        D	eputy 	
 	
Form #PS-3115	2