COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Probate .Court Form No. 111 .... .. .. : List of Persons Interested In Trust Estate Index No. STATE OF VERMONT DISTRICT OF _______________________ Plaintiff(s) : Calendar No. PROBATE COURT -againstIN RE THE ESTATE OF _______________________________ : DOCKET NO. __________________ LATE OF ______________________ : JUDICIAL SUBPOENA : : Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . .LIST .OF. PERSONS .INTERESTED IN TRUST .... .. ......... ............ List all beneficiaries and remaindermen unless otherwise directed by the court. The list must include THE PEOPLE OF THE STATE OF NEW YORK the name, mailing address including zip code, the relationship of the person to the settlor or the absent person, the interest in the estate such as beneficiary or remaindermen, and the date of birth of the person if TO person is a minor. Attach this to Form 110. Use the additional forms if necessary. the GREETINGS: Name (Print) Mailing Address Relationship or DOB Interest WE COMMAND YOU, that all 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 _______________ ___________________ _______________ ___________ ___________________ ___________________ 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 , one of the Justices of the Court in County, 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