: Calendar CALIFORNIA SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OFNo. BANNING 155 E. Hays, Banning, CA 92220 BLYTHE 265 North Broadway, Blythe, CA 92225 HEMET 880 N. State St., Hemet, CA 92543 -againstINDIO 46-200 Oasis St., Indio, CA 92201 :MURRIETA 30755-D Auld Road, Murrieta, CA 92563 JUDICIAL SUBPOENA RIVERSIDE 4050 Main St., Riverside, CA 92501 RIVERSIDE 4175 Main St., Riverside, CA 92501 : TEMECULA 41002 County Center Dr., #100, Temecula, CA 92591 Plaintiff(s) : : THERE IS A $60.00 FEE TO PROCESS THIS APPLICATION Defendant(s) APPLICATION FOR RELIEF UNDER PENAL CODE 1203.4/1203.4a PC : ...................................................... 1. Case Number __________________________________ Birthdate_____________________________________________ Drivers License Number _______________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK 2. Full Name__________________________________________________________________________________________ FIRST TO MIDDLE LAST Address____________________________________________________________________________________________ CITY STATE ZIP GREETINGS: 3. 1203.4 PC/I was placed on probation. My probation expired on 1203.4a PC/I was not placed on probation. COMMAND YOU, that all business and excuses being laid aside, . WE you and each of you attend before , the Honorable at the Court 4. I have fully complied with all terms of my probation and/or performed the sentence of the court, am not now serving a located at County of sentence for any offense and am not now under charge of commission of any crime and have since such pronouncement in room , on the day of , 20 , at o'clock in the noon, and at any recessed of judgment conformed to and obeyed all laws except as follows: or adjourned date, to testify and give evidence as a witness in this action on the part of the (IF NONE, WRITE "NO EXCEPTIONS") Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 5. request that my plea of guilty/nolo contendere/conviction be set aside, of $50 not all damages sustained as a the party on Iwhose behalf this subpoena was issued for a maximum penalty a plea of and guilty be entered and the case dismissed. comply. result of your failure to I declare under penalty of perjury that the foregoing is true. Witness, Honorable Court in __________________________ , 20 County, day of Dated: , one of the Justices of the Executed at __________________________________, California (Attorney must sign above and type name below) SIGNATURE ORDER Attorney(s) for APPLICATION AND RELIEF REQUESTED IN PARAGRAPH 5 ABOVE GRANTED. APPLICATION DENIED. REASON: Office and P.O. Address Dated: JUDGE OF SUPERIOR COURT Telephone No.: This order does not relieve you of the obligation to disclose the conviction in response to any direct question contained in any questionnaire or application for public office, for licensure by any state or local agency, or Facsimile No.: for contracting with the California State Lottery. E-Mail Address: Mobile Tel. No.: (Rev. 07/01/2003) APPLICATION FOR RELIEF UNDER PENAL CODE 1203.4/1203.4a PC American LegalNet, Inc. www.USCourtForms.com RI-OTS11