COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number and address): Index No. Calendar No. : Plaintiff(s) TELEPHONE NO: E-MAIL ADDRESS (OPTIONAL) ATTORNEY FOR: : : : JUDICIAL SUBPOENA -against- FAX NO: (OPTIONAL) SUPERIOR COURT OF SAN LUIS OBISPO COUNTY San Luis Obispo Branch : 1035 Palm Street, Room 385, San Luis Obispo, CA 93408-2500 web site: www.slocourts.net In the matter.of .the Adoption Petition. of: .... . .............. .. Defendant(s) : .............................. THE PEOPLE OF THE STATE OFSTATEMENT FINANCIAL NEW YORK TO (STEPPARENT ADOPTION) CASE NO: We, the undersigned declare that our gross family income as substantiated by our most recent Federal GREETINGS: Tax Return, filed in 20____, falls into the category checked below: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before $19,000 and below , the Honorable at the Court located at County of $19,001-$34,999 in room , on the 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 $35,000-$49,999 $50,000 and above 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. We declare under penalty of perjury under the laws of the State of California that the foregoing is true and Witness, Honorable , one of the Justices of the correct. Court in County, day of , 20 Dated: ___________________________ ________________________________________ Petitioner (Attorney must sign above and type name below) ________________________________________ Parent Attorney(s) for Retaining Custody Office and P.O. Address AD01 Rev. May 2003 Mandatory Telephone No.: Facsimile No.: E-Mail Address: FINANCIAL STATEMENT (STEPPARENT ADOPTION) Mobile Tel. No.: FC9002 American LegalNet, Inc. www.USCourtForms.com