COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : CLASS 1 CHECKLIST Index No. Calendar No. FILE WITH TRUSTEE ONLY : JUDICIAL Plaintiff(s) DO NOT FILE WITH THE COURT SUBPOENA -against: : : Debtor Name(s): ________________________________ Bk Case #: ______________________ Property Address: ______________________________________________________________ Residence Defendant(s) : . . . . . . . . Rental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... Other Describe: _________________________________________________________ Daytime Phone: ( ) ____________________________ Evening: ( THE PEOPLE OF THE STATE OF NEW YORK ) ________________ Attorney name: (if any) __________________________________________________________ TO 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 THE FOLLOWING INFORMATION MUST BE COMPLETED ON ALL CLAIMS LISTED IN CLASS 1. PLEASE BE SURE TO COMPLETE THIS GREETINGS: FORM TO THE BEST OF YOUR ABILITY AND ATTACH THE WE COMMAND YOU, that all business and excuses being laid aside, you and each of YOU PAYMENT COUPON OR STATEMENT THAT WAS SUPPLIED TOyou attend before the Honorable at the Court FROM EACH CREDITOR. , Creditor Name: _________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose Address: _______________________________________________________ Payment behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Street Address Account #: _____________________________________________________________ ______________________________________________________________________ Witness, Honorable , one of the Justices of the City State Zip Court in Creditor Phone Number:day known) _________________________________________ County, , 20 (if of Regular Monthly Payment Amount: $ ______________ Current Interest Rate: _______ Monthly Payment Due Date: _____________________ (Attorney must sign above and type name below) Date Payment Late: ___________________ Monthly Late Charge Amount: $ ________ Is this a variable interest rate loan? Yes No Attorney(s) for If yes, when is the next anticipated adjustment date? ____________________________ Are property taxes included in the monthly payment? Is insurance included in the monthly payment? Yes No No Office and Yes Address P.O. Is the loan due in full and payable in less than 5 years? Yes No If yes, date due: _____________________________________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com