UNTY . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : ATTORNEY OR PARTY WITHOUT AN ATTORNEY Index No. For No. Court Use Only (name, state bar number,: and address) Calendar Plaintiff(s) -againstTELEPHONE NO: ATTORNEY FOR (name): FAX NO: : : JUDICIAL SUBPOENA : SUPERIOR COURT OF CALIFORNIA, COUNTY OF NEVADA 201 Church Street, Suite 5 : Nevada City, CA 95959 Defendant(s) : . . . . . . . .In .re .Matter. of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . Petitioner(s): E PEOPLE OF THE STATE OF NEW YORK Case Number PETITION FOR GRANDPARENT VISITATION RIGHTS Petitioner(s) allege(s): EETINGS:1. Petitioner(s) is(are) grandparent(s) of the following minor child(ren): _________________________________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before _________________________________________________________________________________________ , Honorable at the Court located at unty of 2. There is a pre-existing relationship between the grandparent(s) and the grandchild(ren) that has engendered a bond room , on that day is , 20 , the o'clock noon, and at any recessed suchthe visitation of in the best interest of at child(ren). in the adjourned date, to testify and give evidence as a witness in this action on the part of the 3. The interest of the child(ren) in having visitation with the grandparent(s) will be balanced against the rights of the parents to exercise their parental authority. Your4. The comply with this subpoena is punishable OR contempt of court and will make you liable to failure to parents of the child(ren) are not married, as a party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a ult of your failureThe parents of the child(ren) are married but: to comply. a. The parents are currently living separate and apart on a permanent or indefinite basis. Witness, Honorable One of the parents has been absent for more than the Justices of the , one of one month without the other b. urt in County, spouse knowing the whereabouts of the absent spouse. day of , 20 c. d. One of the parents joins in this petition with the grandparents. The child is not residing with either parent. (Attorney must sign above and type name below) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed at __________________________________, California. (city) Attorney(s) for Dated: __________________________ ______________________________________________________ Petitioner Office and P.O. Address ______________________________________________________ Petitioner Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: ____________________________________________________________________________________________________________________________ PETITION FOR GRANDPARENT VISITATION LOCAL FL11(Effective 7/1/03) American LegalNet, Inc. www.USCourtForms.com Family Code §3104