COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA q BANNING 155 E. Hays, Banning, CA 92220 q BLYTHE 265 North Broadway, Blythe, CA 92225 q HEMET 880 N. State St., Hemet, CA 92543 q INDIO 46-200 Oasis St., Indio, CA 92201 Murrieta, q MURRIETA 30755-D Auld Road,No. CA 92563 : Calendar q RIVERSIDE 4050 Main St., Riverside, CA 92501 q RIVERSIDE 4175 Main St., Riverside, CA 92501 : JUDICIAL SUBPOENA Plaintiff(s) TEMECULA 41002 County Center Dr., #100, Temecula, CA 92591 q -againstDate Name: : Case Number : Examination in Supplementary Proceedings __________________________________ ..... EMPLOYMENT. Driver's :License No. Social Security No. Defendant(s) : ................................................ _______________________ _______________________ 1. 2. 3. What is your occupation? Name and address of your business or employer: How often are you paid? THE PEOPLE OF THE STATE OF NEW YORK q daily q weekly q every two weeks q twice a month q other (explain): 4. 5. 6. What is your gross pay each pay period? $ __________________________ What is your take-home pay each pay period? $ __________________________ If your wife or husband earns any income, give the name and address of the business or employer: q monthly TO GREETINGS: 7. 8. How much money do you have in cash? $ _________________________ How much other money do you have in banks, savings andand excuses unions laid aside,financial institutions, either in your own WE COMMAND YOU, that all business loans, credit being and other you and each of you attend before name or jointly? List: the Honorable at the Court Name and Address of located at County of Balance in room Financial Institution , on the day ofAccount No. , 20 , at Individual or Joint the o'clock in noon, and at any recessed a. b. , or adjourned date, to testify and give evidence as a witness in this action on the part of the $ $ PROPERTY 9. Your other to comply boats owned in your name or jointly: List all automobiles,failurevehicles andwith 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 Different all damages sustained as a Legal Owner if $50 and result & Year failure to comply. Make of your Lic. No. Value From Registered Owner Amount Owed a. b. $ Witness, Honorable $ Court in County, or jointly:of day 10. List all real estate owned in your name $ , one of the Justices of the $ , 20 Address of Real Estate Fair Market Value a. b. Amount Owed $ $ (Attorney must sign above and type $ name below) $ OTHER PERSONAL PROPERTY (Do not list household furniture and furnishings, appliances or clothing.) 11. List anything of value not listed above owned in your name or jointly: Description Value a. b. Attorney(s) for Address Where Property is Located $ $ 12. Do you have any means by which you could satisfy this judgment, either Office and in partAddress in whole or P.O. or by installments? 13. I declare under penalty of perjury under the laws of the State of California that the foregoing, including any attachments, is true and correct and that this declaration is executed on (date) ________________ at (place) _____________________________ Telephone No.: Facsimile No.: .............................................................................................................................................................. TYPE OR PRINT NAME E-Mail Address: Mobile Tel. CMC (Rev. 07/01/2003) JUDGMENT DEBTOR'S STATEMENT OF ASSETS No.: SIGNATURE RI-031 American LegalNet, Inc. www.USCourtForms.com