COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : SHORT TITLE: Index No. Calendar No. CASE NUMBER: PLD-PI-001(2) : Plaintiff(s) -againstCAUSE (number) : JUDICIAL SUBPOENA Page : OF ACTION--General Negligence Cross - Complaint ATTACHMENT TO Complaint : : (Use a separate cause of action form for each cause of action.) Defendant(s) GN-1. Plaintiff (name): : ...................................................... alleges that defendant (name): THE PEOPLE OF THE STATE OF NEW YORK TO Does to was the legal (proximate) cause of damages to plaintiff. By the following acts or omissions to act, defendant negligently caused the damage to plaintiff on (date): GREETINGS: at (place): business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the WE COMMAND YOU, that all (description of reasons for liability): Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Form Approved for Optional Use Judicial Council of California PLD-PI-001(2) [Rev. January 1, 2007] Telephone No.: Facsimile No.: E-Mail Address: CAUSE OF ACTION--General Negligence No.: Mobile Tel. Page 1 of 1 Code of Civil Procedure 425.12 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com