COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : SC-105A 1 Order on Request for Court Order (Small Claims) Index No. Clerk stamps date here when form is filed. Calendar No. : The court has received and considered (check all that apply): : Plaintiff(s) Request for Court Order and Answer, Form SC-105 (page 1) -against: filed on: filed on: Other (specify): JUDICIAL SUBPOENA Answer on Request for Court Order and Answer, Form SC-105: (page 2) : Clerk fills in court name and street address: Defendant(s) : ...................................................... 2 The court makes the following orders: a. The request is granted. You must go to court if you want to be heard. A hearing on this request is scheduled as follows: Date Time Dept. Superior Court of California, County of THE PEOPLE OF THE STATE OF NEW YORK b. The request is denied. c. TO Clerk fills in case number and case name below: Name and address of court if different from above Case Name: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of d. in room Bring evidencethe the hearing to support your request. , on to 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 Other orders (specify): e. Explanation for decision (if any): 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. Date: (Judge or Judicial Officer) Witness, Honorable , one of the Justices of the -- Clerk's Certificate of Mailing -- Need help? Court in County, day of , 20 For free help, contact your county's Small I certify that I am not involved in this case and (check one): Claims Advisor: A Certificate of Mailing is attached. This Order was mailed first class, postage paid, to all (Attorney must sign above and type name below) parties at the addresses listed in 1 and 2 on the Request for Court Order and Answer. On (date): Attorney(s) From (city): for , California Hearing Date GREETINGS: Case Number: f. Or, go to "County-Specific Court Information" at: www.courtinfo.ca.gov/selfhelp/smallclaims Clerk, by , Deputy Office and P.O. Address Requests for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least 5 days before the hearing. Contact the clerk's office for Request for Accommodations by Persons With Disabilities and Response (Form MC-410). Civil Code, § 54.8 Telephone No.: This is a Court Order. Address: E-Mail Judicial Council of California, www.courtinfo.ca.gov New January 1, 2007, Optional Form Code of Civil Procedure, §§ 116.130(h); California Rules of Court, rule 3.2107 Facsimile No.: Order on Request for Court Order (Small Claims) Mobile Tel. No.: SC-105A, Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com