COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Name and Address of Court: Index No. Calendar No. SC-140 : Plaintiff(s) : : : Telephone No.: Telephone No.: SMALL CLAIMS CASE NO.: PLAINTIFF/DEMANDANTE (Name, address, and telephone number of each): DEFENDANT/DEMANDADO (Name, address, and telephone number of each): JUDICIAL SUBPOENA -against- : Defendant(s) : ...................................................... Telephone No: Telephone No.: THE PEOPLE OF THE STATE OF NEW YORK See attached sheet for additional plaintiffs and defendants. TO: TO NOTICE OF FILING NOTICE OF APPEAL Plaintiff (name): Defendant (name): La decisión hecha por la corte para reclarnos judiciales meYourGREETINGS: case has been APPEALED to the susmall claims nores en su caso ha sido APELADA antela corte superior. perior court. Do not contact the small claims court about No se ponga en contacto con la corte para reclamos this appeal. The superior court will notify you of the date excuses being laid aside, you and each of you attend before WE COMMAND YOU, that all business and judiciales menores acerca de esta apelación. La corte suyou should appear in court. The notice of appeal is set the Honorable at the perior le notificarala fecha en que usted debe presentarse Court forth below. located at County of ante ella. El aviso de la apelación aparece a continuación. , 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 Clerk, by in this action on the part of the Date: , Deputy NOTICE OF APPEAL 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 DATE APPEALof your failure to comply. result FILED (clerk to insert date): Witness, Honorable County, , one of the Justices of the day of , 20 (SIGNATURE OF APPELLANT OR APPELLANTS ATTORNEY) I appeal to the superior court, as provided by law, from Your failure to comply with this subpoena is punishable as a contempt of court and the small claims judgment or the denial of the motion to vacate the small claims judgment. -------------------------------------------------------------------------------------------------------------------------------(TYPE OR PRINT NAME) Court in I am an insurer of defendant (name) in this case. The judgment against defendant exceeds $2,500, and the policy of insurance with the defendant covers the matter to which the judgment applies. (Attorney must sign above and type name below) -------------------------------------------------------------------------------------------------------------------------------(NAME OF INSURER) (SIGNATURE OF DECLARANT) CLERK'S CERTIFICATE Attorney(s) for OF MAILING I certify that 1. I am not a party to this action. 2. This Notice of Filing Notice of Appeal and Notice of Appeal were mailed first class, postage prepaid, in a sealed envelope to plaintiff defendant at the address shown above. 3. The mailing and this certification occurred at (place): on (date): Form Approved for Optional Use Judicial Council of California SC-140 [Rev. January 1, 2007] Office and P.O. Address No.: Clerk,Facsimile No.: by E-Mail Address: NOTICE OF APPEAL Mobile Tel. No.: (Small Claims) Telephone , California, , Deputy Page 1 of 1 Code of Civil Procedure § 116.710 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com