COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) -against: : : : Defendant(s) : ...................................................... Index No. Calendar No. JUDICIAL SUBPOENA COURT OF WASHINGTON FOR THE PEOPLE OF THE STATE OF NEW YORK TO Petitioner NO. MOTION TO MODIFY/ TERMINATE ORDER FOR PROTECTION HARASSMENT (PTMD) (Clerk's Action Required) vs. Respondent GREETINGS: I am the Petitioner Respondent. I request that the court enter an order to modify terminate the WE COMMAND terms and conditions of the: YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court locatedon at County of Temporary Order for Protection, filed [date]. in Order for Protection,the on day of room , on filed , 20 , at o'clock in the noon, [date]. any recessed and at or_____________________________________, a witness in this action on the part of the adjourned date, to testify and give evidence as filed on [date]. The order referenced above should be modified/terminated because: 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 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 . MT TO MOD/TERM ORD FOR PROTECTION - HARASSMENT (PTMD) - Page 1 of 2 No.: Telephone UH-09.0100 (6/2002) - RCW 10.14.180 Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. The terms and conditions of the order referenced above should be modified as follows: : JUDICIAL SUBPOENA Plaintiff(s) -against: : : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and TO correct. DATED GREETINGS: Signature of Moving Party WE COMMAND YOU, that all business and excuses other party, andyou and each of you attend before This document must be served on the being laid aside, , the Honorable proof of service must be in theat the file prior toCourt court the hearing. 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 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 MT TO MOD/TERM ORD FOR PROTECTION - HARASSMENT (PTMD) - Page 2 of 2 No.: Telephone UH-09.0100 (6/2002) - RCW 10.14.180 Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com