COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : IN THE UNITED STATES DISTRICT COURT JUDICIAL SUBPOENA Plaintiff(s) FOR THE ______________DISTRICT OF IOWA -against: ____________________ DIVISION : : Plaintiff(s), No. __________________ Defendant(s) : . . .vs.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .STATEMENT OF INTEREST .. ... Defendant(s). THE PEOPLE OF THE STATE OF NEW YORK TO ____________________ As required by LR 3.2 and LR 81.1(c), (d), and (e), ______________________________, __________________________ in this case, provides the following information to the court: (a) The following are the names of all associations, firms, partnerships, corporations, and other artificial entities that either are related to the and excuses being laid aside,ayou and each of you attend before WE COMMAND YOU, that all business __________________ as parent, subsidiary, or , the Honorable have a direct or indirect pecuniary interest in the Court at the otherwise, or ____________________ located at County of in the case: outcome 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 GREETINGS: (b) With respect to each entity named in response to (a), the following describes its connection to or interest infailure to comply with this subpoena is punishable as a contempt of court and will make you liable to Your the litigation, or both: 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 Date: 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 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com