COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address). TELEPHONE NO.: No. Index : Plaintiff(s) ATTORNEY FOR (Name): FOR COURT USE ONLY Calendar No. : : JUDICIAL SUBPOENA -against- SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA LIMITED CIVIL 800 SOUTH VICTORIA AVE., VENTURA CA. 93009 3855 - F ALAMO ST., SIMI VALLEY, CA. 93063-2110 PLAINTIFF/PETITIONER: : : CASE NUMBER: Defendant(s) : ...................................................... DEFENDANT/RESPONDENT: Date: THE PEOPLE OF PAYMENT OF JUDGMENT BY INSTALLMENTS MOTION FOR THE STATE OF NEW YORK TO NOTICE IS HEREBY GIVEN that on thereafter as the matter may be heard, in Courtroom , at Time: Courtroom: a.m p.m. or as soon of the above-captioned court, defendant GREETINGS: be paid in installments. shall move the court for an order permitting payment of the judgment in the within action to WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable pursuant to: at the Court This motion is made California Code of Civil Procedure Section 582.5 located at County of California Vehicle Code sections 16379 and 16380. in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned the defendant on the grounds thatdate, to testify and give evidencethe a witness in thisjudgment inthe part of the does not have as means to pay the action on this action. is severely restricted in finding employment without the ability to drive. Facts supporting this motion are set forth in the following declaration. Judgment debtor requests a payment schedule as follows: 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 $50 and all damages sustained as a result of your failure to comply. dollars ($ ) per month commencing on each succeeding month thereafter until the entire $ Witness, Honorable in full. Court in County, Date: and $ , one of the Justices of the judgment amount is paid day of , 20 (Signature of Defendant) (Attorney must sign above and type name below) (Type or Print Name) I, DECLARATION , declare as follows: Attorney(s) for , State of California. 1. I am the judgment debtor in this action. I am a resident of the County of I have personal knowledge of the following facts and if called upon to testify, I could and would give competent testimony to the facts stated in this declaration. Office and P.O. Address 2. On or about , I was involved in a motor vehicle accident. At the time of the accident I did not have insurance to cover me for liability resulting from the accident. Optional Form VN153 [Rev. 07/01/03] Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: MOTION FOR PAYMENT OF JUDGMENT BY INSTALLMENTS Page one of two American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... Short Title: . . . . . . . . : : Case Number: Index No. Calendar No. Other (describe) ___________________________________________________________________________________ __________________________________________________________________________________________________ : JUDICIAL SUBPOENA Plaintiff(s) __________________________________________________________________________________________________ -against- : 3. On or about _________________________________, a judgment was entered against me in this case in the sum of $ __________ in damages and $ _____________________________ in costs; and that the: total amount of the judgment is $________________. 4. I am not able to pay the judgment because ______________________________________________________________________ ________________________________________________________________________________________________________ Defendant(s) : ________________________________________________________________________________________________________ ...................................................... ________________________________________________________________________________________________________ 5. As a result of the judgment against me in this case: : THE PEOPLE OF THE STATE OF NEW YORK my driver's license has been suspended. I am unable to work without a driver's license because: TO _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ GREETINGS: Other (describe) ____________________________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ___________________________________________________________________________________________________ the___________________________________________________________________________________________________ , Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed 6. In order to get my driver's license reinstated, I must arrange for a payment schedule which I can reasonably meet. or adjourned date, to testify and give evidence as a witness in this action on the part of the Other (describe) ____________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 7. My monthly income is $ ____________________________. I have _______________ persons living in my household whom I result of your my income is attached support. Proof of failure to comply. to this declaration as Exhibit "A". My completed financial statement is attached to this declaration as Exhibit "B". I believe I can make payments of $ ____________ per month commencing on _________________. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages