COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Index No. Calendar No. POS-015 FOR COURTUse Only For Court USE ONLY : : : : : Plaintiff(s) TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): JUDICIAL SUBPOENA 1 Draft -against- FAX NO. (Optional): DRAFT ! 01/29/04 SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: Defendant(s) CITY AND ZIP CODE: : . . . . .BRANCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NAME: PLAINTIFF/PETITIONER: THE PEOPLE OF THE DEFENDANT/RESPONDENT: TO STATE OF NEW YORK CASE NUMBER: NOTICE AND ACKNOWLEDGMENT OF RECEIPT--CIVIL TO (insert name of party being served): GREETINGS: NOTICE WE other documents identified below are being served pursuant laid aside, you of the California Code of before The summons andCOMMAND YOU, that all business and excuses beingto section 415.30 and each of you attendCivil Procedure. Your failure to complete this form and return it within 20 days from theCourt mailing shown below may subject you date of the Honorable at the (or the party on whose behalf you are being served) to liability for the payment of any expenses incurred in serving a summons located at County of on you in any other manner permitted by law. If you are being served on behalf of a corporation, an unincorporated association (including a partnership), or other entity, this or adjourned date, to testify and give evidence as a witness in this action on the part of the form must be signed by you in the name of such entity or by a person authorized to receive service of process on behalf of such entity. In all other cases, this form must be signed by you personally or by a person authorized by you to acknowledge receipt of summons. If you return this form to the sender, service of a summons is deemed complete on the day you sign the acknowledgment of receipt below. Date of mailing: the party on , in room , on the day of , 20 , at o'clock in the noon, and at any recessed Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. (TYPE OR PRINT NAME) (SIGNATURE OF SENDER--MUST NOT BE A PARTY IN THIS CASE) Witness, Honorable Court in County, , one of the Justices of the ACKNOWLEDGMENT OF RECEIPT day of , 20 This acknowledges receipt of (to be completed by sender before mailing): 1. A copy of the summons and of the complaint. 2. Other (specify): (Attorney must sign above and type name below) Attorney(s) for (To be completed by recipient): Date this form is signed: Office and P.O. Address (TYPE OR PRINT YOUR NAME AND NAME OF ENTITY, IF ANY, ON WHOSE BEHALF THIS FORM IS SIGNED) (SIGNATURE OF PERSON ACKNOWLEDGING RECEIPT, WITH TITLE IF ACKNOWLEDGMENT IS MADE ON BEHALF OF ANOTHER PERSON OR ENTITY) Form Adopted for Mandatory Use Judicial Council of California POS-015 [Rev. January 1, 2005] Telephone No.: Facsimile No.: E-Mail Address: NOTICE AND ACKNOWLEDGMENT OF RECEIPT -- CIVIL Mobile Tel. No.: Page 1 of 1 Code of Civil Procedure, §§ 415.30, 417.10 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com