COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Side 1 Index No. COUNTY OF LOS ANGELES : AUDITOR-CONTROLLER Calendar No. TAX DIVISION : JUDICIAL SUBPOENA Plaintiff(s) Yr/Seq TRANSFER TAXES TO THE UNSECURED:ROLL REQUEST -against- Date of From: Request (1) (Name) (Dept/Co.) (Address) : : Defendant(s) : ...................................................... Subject: TRANSFER TO THE UNSECURED ROLL DUE TO SUBSEQUENT OWNERSHIP CHANGE ON PROPERTY LOCATED AT: (2) THE PEOPLE OF THE STATE OF NEW YORK PARCEL NO. TO Due to change of ownership on (Date) (3) from (seller) To (Buyer) transfer the secured assessment AIN # (4) Sequence No. (5) Roll Year (5) Tax Rate Area GREETINGS: (TRA) (5) Date bill created (See STR) (6) Master parcel (if not the Same as above) (7) Prior aside, you and each of you attend before WE COMMAND YOU, that all business and excuses being laidrequest submitted for above parcel & sequence (8) Yes , the Honorable at the Court No If yes, Date prior request submitted located at County of in room , on the day of , 20 , at TAXES PAID: the o'clock in noon, and at any recessed TAXPAYER REQUESTING TRANSFER: or adjourned date, to testify and give evidence as a witness in this action on the part of the (9) (Name) (Address) Tel: ( (10) Yes No If paid, by whom (Address) Unknown 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 Note: Proof of tax payment result of your failure to comply. Must be submitted. Witness, Honorable Transfer to the Unsecured Roll: Court in County, , one of the Justices of the day of , 20 In the name of: (11) Last known address (Attorney must sign above and type name below) FOR OFFICE USE ONLY (12) Yr/Seq, Disposition, Reason Attorney(s) for Yr/Seq, Disposition, Reason Office and P.O. Address Mail to: Auditor-Controller, Tax Division No.: Telephone Transfer Unit, RoomFacsimile No.: 153 Kenneth Hahn Hall of Administration E-Mail Address: 500 West Temple St., Los Angeles, CA 90012-2766 Mobile Tel. No.: Phone: (213) 974-8368, Fax: (213) 617-0592 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. Side 2 COUNTY OF LOS ANGELES : AUDITOR-CONTROLLER Calendar No. : Plaintiff(s) TRANSFER TAXES TO THE UNSECURED ROLLJUDICIAL REQUEST INSTRUCTIONS FOR FILING -against- SUBPOENA : : 1. Name and address of individual filing request for taxpayer. Leave blank if the request is submitted by the taxpayer. : 2. Property or situs address. 3. Date taxpayer acquired the property. 4. The AIN numberTHE STATE OF NEW YORK Identification Number made up of the map book, page THE PEOPLE OF is the 10-digit Assessors and parcel numbers. Defendant(s) : ...................................................... TO 5. Write the sequence number, roll year, and TRA for the tax bill that the taxpayer wants to transfer. If the taxpayer has a copy of the bill, the sequence and roll year are listed directly before the parcel number and the TRA directly after. GREETINGS: 6. Indicate the date the bill YOU,initially business and excuses being laid aside, you and each of you the Secured was that all billed (if available). The bill date can be found on attend before WE COMMAND Tax Honorable Roll (STR). , the at the Court 7. Ifin room taxpayer's parcel is a condo, townhouse, parcel cut or parcel combine, include the master parcel , on the day of , 20 , at o'clock in the noon, and at any recessed that was deleted to testify and give evidence as a parcel(s).this the bill being investigated resulted from an or adjourned date, in order to create the new witness in If action on the part of the escape assessment, include the 8900 number. 8. Indicate whether a previous transfer request has been submitted for the same year and sequence and if so Your failure toprevious request was submitted. as a contempt of court and will make you liable to the date the comply with this subpoena is punishable 9. 10. County of located at 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. Indicate the name, address, and telephone number of the taxpayer submitting the transfer request if different from #1 above. Witness, Honorable Court in (if known) whether the taxes have been ,paid. County, day of 20 Indicate , one of the Justices of the NOTE: If the taxes have been paid proof of payment (copies of the front and back of the check(s)) must be included or the application will not be accepted. Proof of payment may consist of either the original or copies of one of the following: (1) tax receipt (Attorney must sign above and type name below) stamp, (2) bearing the Tax Collector's "Paid" front and back of cancelled check receipt(s), (3) money order receipt(s), (4) cashier's check receipt(s). Attorney(s) for 11. Name and address (if known) of taxpayer responsible for the tax bill. NOTE: If the taxpayer's new address is not indicated on the request, the unsecured bill will be sent to the property (situs) address. 12. To be completed by the Auditor-Controller's office. Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com