COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOSUPERIOR COURT OF WASHINGTON COUNTY OF JUVENILE COURT STATE OF WASHINGTON v.NO:MOTION AND DECLARATION FOR HEARING ON MODIFICATION OF COURT ORDER (MTAF)GREETINGS:Respondent(s). D.O.B.:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofI. MOTIONo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomThe undersigned moves the court for an order modifying the Order of Disposition .(Date)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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,SignatureType or Print Name/Title/Agency II. DECLARATIONI, , hereby declare as follows: 2.1(Attorney must sign above and type name below)I am and am responsible for informing the court of violations of court orders. I make this declaration of personal knowledge and could and would competently testify to its contents.Attorney(s) for2.2The respondent violated the court order of (Date) by failing to: Perform community restitution between and in the amount of hours.Office and P.O. AddressPay restitution between andTelephone No.: Facsimile No.: E-Mail Address:MTN/DECL FOR HRG ON MOD. OF COURT ORDER (MTAF) -Page 1 of 2 WPF JU 07.1000 (6/2002) -RCW 13.40.200Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No. in the amount of $.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Pay a fine between and in the amount of $.Pay a penalty assessment or costs between and in the amount of $.Serve confinement between and .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Comply with the written terms of community supervision in that the respondent: THE PEOPLE OF THE STATE OF NEW YORK TOBy committing the offense(s) of ;A copy of the Information is attached and incorporated by reference.GREETINGS:2.3A hearing should be scheduled.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableI declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.Signed at , Washington on . (Place),located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room(Date)Declarant Type or Print Name/Title/Bar NumberYour 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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:MTN/DECL FOR HRG ON MOD. OF COURT ORDER (MTAF) -Page 2 of 2 WPF JU 07.1000 (6/2002) -RCW 13.40.200Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com