COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)SUPERIOR COURT OF ARIZONA MARICOPA COUNTY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Case Number: Name of Petitioner/PlaintiffTHE PEOPLE OF THE STATE OF NEW YORK TOORDER ON SUPPLEMENTAL APPLICATION (WITHOUT HEARING)Name of Respondent/Defendant A SUPPLEMENTAL APPLICATION WAS FILED THE COURT FINDS that the applicant (print name)GREETINGS: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 of1.IS ELIGIBLE FOR A WAIVER because The applicant is considered to be permanently unable to pay because the applicant: Receives government assistance from the Temporary Assistance to Needy Families Program (TANF), the Food Stamp Program, Arizona's General Assistance Program (GA) or the Supplemental Security Income Program (SSI). Has an income that is insufficient or barely sufficient to meet the daily essentials of life and that includes no allotment that could be budgeted for the fees and/or costs that are required (e.g., monthly gross income 150% or less of poverty level). OR The court exercises its discretion to grant a waiver as necessary and appropriate. (ARS 12-302(M)).o'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 roomYour 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,2.IS ELIGIBLE FOR FURTHER DEFERRAL of fees and/or costs. Although none of the grounds set forth above apply; the applicant has shown good cause for further deferral. (Court must establish a schedule of payments.)(Attorney must sign above and type name below)3.IS NOT ELIGIBLE FOR A WAIVER OR FURTHER DEFERRAL of fees and/or costs.IT IS ORDERED: (Check all boxes that apply) 1.Attorney(s) forWAIVER IS GRANTED for unpaid fees and/or costs in the amount of $Office and P.O. Address2.WAIVER IS DENIED. The applicant does not meet the financial criteria for waiver because:A waiver MUST BE granted if the eligibility requirements for waiver are met.Telephone No.: Facsimile No.: E-Mail Address:© Superior Court of Arizona in Maricopa CountyGNF97f July 31, 2002Page 1 of 2Use only current version ALL RIGHTS RESERVED OWHMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)3.FURTHER DEFERRAL IS GRANTED for unpaid fees and/or costs in the amount of $. The applicant shall pay the entire amount due by(date).OR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The applicant shall pay $each(week, month etc.) untilpaid in full, beginning.THE PEOPLE OF THE STATE OF NEW YORK TO4.FURTHER DEFERRAL IS DENIED because the applicant has not demonstrated good cause.5.APPLICATION DENIED: It is incomplete becauseGREETINGS:You are encouraged to submit a complete application before a consent judgment is entered against you.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,6.RIGHT TO HEARING. Unless a waiver is granted, you may request a hearing for a review of this order. The request must be made within twenty (20) days of the day the order was mailed or handed to you in court. No action for non-payment of fees and/or costs will be taken until the hearing is held. If you do not request a hearing, full payment is due within twenty (20) days from the day the order was mailed or handed to you in court. If you do not request a hearing or pay all unpaid fees and/or costs within the time stated, a consent judgment will be entered against you for any amounts unpaid.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 roomYour 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.DATED:Judicial Officer ORSpecial Commissioner, 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:© Superior Court of Arizona in Maricopa CountyGNF97f July 31, 2002Page 2 of 2Use only current version ALL RIGHTS RESERVED OWHMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com