COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): -against- TR-165 FOR COURT USE ONLY : Plaintiff(s) TELEPHONE NO.: Index No. Calendar No. : JUDICIAL SUBPOENA : FAX NO.: ATTORNEY FOR (Name): : NAME OF COURT: STREET ADDRESS: : MAILING ADDRESS: CITY AND ZIP CODE: Defendant(s) : BRANCH NAME: ...................................................... PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT/APPELLANT (Name): THE PEOPLE OF THE STATE OF NEW YORK CASE NUMBER: ABANDONMENT OF APPEAL (Infraction) TO The undersigned defendant and appellant hereby abandons the appeal in the above-entitled action. Date: GREETINGS: . . . . . . . . .WE COMMAND .YOU, . . . all. business . . . . . . . . . . . . . that . . . . . . and excuses being laid aside, you and each of you attend before (SIGNATURE OF DEFENDANT/APPELLANT OR ATTORNEY) , the Honorable (TYPE OR PRINT NAME) at the Court located at County of in room , has , at o'clock in the noon, and at any recessed DIRECTIONS: , on in the trial day of unless appeal20 been transferred, then file at the superior court. File the court, or adjourned date, to testify and give evidence as a witness in this action on the part of the 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. Court in Witness, Honorable County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Form Approved for Optional Use Judicial Council of California TR-165 [Rev. January 1, 2007] Telephone No.: Facsimile No.: (Proof of service on reverse) E-Mail Address: ABANDONMENT OF APPEAL Mobile Tel. No.: (Infraction) Page 1 of 2 Cal. Rules of Court, rule 8.790 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com TR-165 PEOPLE OF THE STATE OF CALIFORNIA CASE NUMBER: VS. DEFENDANT/APPELLANT (Name): DIRECTIONS: A copy of this document must be mailed to the district attorney/city attorney at the address listed below. YOU MAY NOT PERFORM THE MAILING YOURSELF. You must have a party who is at least 18 years old complete the information below and mail the front and back of this document by first class mail, postage prepaid. When the front and back of this document have been completed and mailed, the original may then be filed with the court. PROOF OF SERVICE BY MAIL 1. 2. I am over the age of 18 and NOT a party to this action. I am a resident of or employed in the county where the mailing took place. My residence or business address is (specify): 3. I served a copy of the Abandonment of Appeal by enclosing it in an envelope AND a. depositing the sealed envelope with the United States Postal Service with the postage fully prepaid. b. placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary business practices. I am readily familiar with this business's practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid. 4. The envelope was addressed and mailed as follows: a. (Name of county): b. Address: c. d. District Attorney/City Attorney Date mailed: Place of mailing (city and state): 5. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . (TYPE OR PRINT NAME) TR-165 [Rev. January 1, 2007] (SIGNATURE OF DECLARANT) ABANDONMENT OF APPEAL (Infraction) Page 2 of 2