COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF NEW YORK : Calendar No. APPLICATION FOR SEARCH OF RECORDS : JUDICIAL SUBPOENA Plaintiff(s) -against- : Name of individual or business that is the subject of the Social Security Number or Employer Tax Number of Subject search: (if known): : Case Number (if known): Last First : Middle Defendant(s) Please search your records for the following information regarding the individual or business named above: : ...................................................... ($26.00 for each item checked) [ ] bankruptcy case filed in this district [ ] adversary proceedingOF THE STATE THE PEOPLE filed in this district OF NEW YORK [ ] date debtor discharged TO [ ] date case closed [ ] date adversary closed [ ] other* GREETINGS: *One (1) item only Amt. Enclosed $ INCLUDE ANY INFORMATION THAT CAN CORRECTLY business THE NAME BEING SEARCHED WE COMMAND YOU, that all IDENTIFY and excuses being laid aside, you and each of you attend before , the Honorable January 1972 to the date this search is received. at the Court Search will be for the period located at County of A fee of $26.00 is charged for each name or item searched. in room , on the day of , 20 , at o'clock in the noon, and at any recessed Payment by check or money order must be enclosed. or adjourned date, to testify and give evidence as a witness in this action on the part of the Make checks payable to: Clerk, U. S. Bankruptcy Court. Please do not send cash through the mail. Your failure to comply with this subpoena Name, address, and phone number of person requesting the search: 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. Response is to be: Witness, Honorable (check one) Court in [ ] In writing County, , one of the Justices of the day of , 20 [ ] By telephone (Complete below) - No written response will be prepared. [ ] Pick up written response (Complete below) (Attorney must sign above and type name below) Name and phone number of contact person (if different than requester): Attorney(s) for For Office Use Only: Please Check When Completed BK Chaser ______ Old NIBS ______ NIBSdb ______ Pending NIBS Listing ______ Lectriever ______ F:53 (11/31/2003) Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com