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Filing # 178727851 E-Filed 08/02/2023 09:07:58 AM
VERIFIED RETURN OF SERVIC!
State of Florida County of Madison Circuit Civil Court
CMU a
Case Number: 2023000071CAAXMX
Plaintiff: CENTRA NCFL PROPERTIES LLC
Defendant: S&S SENIOR HOUSING LLC
For: AmyM. Kiser, Esq
Gilbert Garcia Group, P.A.
Received by 360 Legal, Inc. on the 19th day of July, 2023 at 9:27 am to be served on VICTOR W. MASON,
615 OWL CREEK DRIVE, POWDER SPRINGS, GA3 30127. |, er as being duly
sworn, depose and say that onthe 2? day of De 2 at /o_: 194 .m., executed service
by delivering a true copy of the ALIAS SUMMONS: NOTICE OF LIS PENDENS, VALUE OF CLAIM,
CERTIFICATION, COMPLAINT FOR FORECLOSURE OF MORTGAGE, SUIT ON GUARANTY AND 1
ASSIGNMENT OF RENTS AND LEASES WITH EXHIBITS; and DESIGNATION OF PRIMARY E-MAIL
ADDRESS in accordance with state statutes in the manner marked below:
INDIVIDUAL SERVICE: Served the within-named person.in accordance with Florida Statute, Chapter
031
) SUBSTITUTE SERVICE: By serving
the within named person's usual place of
abode,who resides therein, who is fifteen (15) years of age or older and informed said person of the
contents therein, in accordance with Florida Statute, Chapter 48.031
() NON SERVICE: For the reason detailed in the Comments below.
Military Status: ( ) Yes or ( }No or ( ) Refused If yes, what branch?
Marital Status: ( ) Married or { ) Single or ( ) Refused Name
of Spouse
COMMENTS:
Age, 2o. Sex F Race (uty Height 3° weight _/6e Hair Brows Glasses
| certify that | am over the age of 18, have no interest in the above action, and have proper authority in the
jurisdiction in which this service was made. Under penalties of perjury, | declare that | have read the
foregoing document and that the facts stated in it are true and correct.
Subscriby
day of
and Sworn to before me on the !
y the affiant who
Leda
ersonally kiown me, PROCESS SE!
Appointed in accordance with State Statutes
WaTARY PUBLIC 360 Legal, Inc.
201 Fletcher Ave
Suite 100
Sarasota, FL 34237
Japonica A Wright (888) 360-5345
NOTARY PUBLIC Our Job Serial Number: 2023026546
Cobb County. GEORGIA Ref: 980977.033594
My Commission Expires 07/28/2024
Electronically Filed Madison Case # 2023000071CAAXMX 08/02/2023 09:07:58 AM
d
Filing # 177478976 E-Filed 07/14/2023 04:48:50 PM
IN THE CIRCUIT COURT OF THE THIRD JUDICIAL CIRCUIT
IN AND FOR MADISON COUNTY, FLORIDA
CIVIL DIVISION
CENTRA NCFL PROPERTIES LLC CASE NO. 2023000071CAAXMX
Plaintiff,
Division No.
vs.
S&S SENIOR HOUSING OF MADISON, LLC; et al,
Defendants/
ALIAS SUMMONS
PERSONAL SERVICE
ON A NATURAL PERSON
TO DEFENDANT(S):
VICTOR W MASON
615 OWL CREEK DR
POWDER SPRINGS, GA 30127
IMPORTANT
A lawsuit has been filed against you. You have 20 calendar days after this summons is served on you to
file a written response to the attached complaint/petition with the Clerk of this Court. A phone call will not
protect you. Your written response, including the case number given above and the names of the parties, must
be filed if you want the Court to hear your side of the case. If you so not file your response on time, you may
lose the case, and your wages, money, and property may thereafter be taken without further warning from the
Court. There are other legal requirements. You may want to call an attorney right away. If you do not know an
attorney, you may call an attorney referral service or a legal aid office (listed in the phone book).
If you choose to file a written response yourself, at the same time you file your written response to the
Court you must also mail or take a copy of your written response to the "Plaintiff/Plaintiffs Attorney" named
below. If you are a tenant and wish to claim a benefit or protection pursuant to the Servicemember Civil Relief
Act, you must contact the Plaintiffs Attorney and provide your full name and social security number.
GILBERT GARCIA GROUP, P.A., Attorney for Plaintiff(s), 2313 W. Violet St., Tampa, Florida 33603
Telephone (813) 443-5087, Fax (813) 443-5089
TO STATE OF FLORIDA
TO EACH SHERIFF OF THE STATE: You are commanded to serve this Summons and a copy of the
complaint/petition in this lawsuit on the above named defendant(s).
DATED ON: _J4ly | @ 2023
oi, CLERK OF CIRCUIT Se > Ly a
(Court Seal) ES
[? ASUM CUj,
BY: mr
ig
Y D, Lan , Deputy Clerk
980977.033594/IC=2 S
aI
IMPORTANT
If you are a person with a disability who needs any accommodation in order to participate in a court proceeding or
event, you are entitled, at no cost to you, to the provision of certain assistance. Please contact the ADA Coordinator in the
Administrative Office of the Court, Madison County Courthouse, 125 SW Range Avenue, Madison, FE 32340, Telephone
(850) 973-1500 or (850) 973-8000 at least 7 days before your scheduled court appearance, or immediately upon receiving
notification if the time before the scheduled court appearance is less than 7 days. If you are hearing or voice impaired, call
711 to reach the Telecommunications Relay Service.
IMPORTANTE
Usted ha sido demandado legalmente. Tiene 20 dias, contados a partir del recibo de esta notificacion, para
contestar la demanda adjunta, por escrito, y presentaria ante este tribunal. Una liamada telefonica no lo protegera. Si
usted desea que el escrito, incluyendo el numero del caso y los nombres de las partes interesadas. Si usted no contesta la
demanda a tiempo, pudiese perder el caso y podria ser despojado de sus ingresos y propiedades, o privado de sus
derechos, sin previo aviso del tribunal. Esisten otros requisitos legales. Si lo desea, puede usted consultar a un abogado
inmediatamente. Si no conoce a un abodgado, puede liamar a une de las oficinas de asistencia legal que aparecen en la
guia telefonica. Si desea responder a la demanda por su cuenta, al mismo tiempo en que presenta su respuesta ante el
tribunal, debera usted enviar por correo o enitregar una copia de su respuesta a la persona denominada abajo como
"Plaintiff/Plaintiff's Attorney" (Demandante o Abogado del Demandante).
IMPORTANT
Des poursuites judiciares ont ete entreprises contre vous. Vous avez 20 jours consecutifs a partir de Ja date de
Tassignation de cette citation pour deposer une response ecrite a la plainte ci-jointe aupres de ce tribunal. Un simple coup
de telephone est insuffisant pour vous proteger. Vous etes oblige de deposer votre response ecrite, avec méntion du
numero de dossier ci-dessus et du nom des parties nommees ici, si vous souhaitez que le tribunal entende votre cause. Si
vous no deposez pas votre response ecrite dans le relai requis, vous risquiz de perdre la cause ainsi que votre salaire, votre
argent, et vos biens peuvent etre saisis par 1a suite, sans. aucun preavis alterieur du tribunal. Il y a d'autres obligations
juridiques et vous pouvez requerir les services immediats d'un avocat. Si vous ne connaissez pas d’avocat, vous pourriez
telephoner a un service de reference d'avocats ou a un bureau d'assistance juridique (figurant a l'annuaire de telephones).
Si vous choisissez de deposer vous-meme une response ecrite, il vous faudra egalement, en meme temps que cette
formalite, faire parvenir ou expedier une copie de votre response ecrite au "Plaintiff/Plaintiff's Attorney" (Plaignant ou a
son avocat) nomme ci-dessous,