COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Name, Address, and Telephone Number of Defendant Index No. Calendar No. Space for Use of Court Clerk Only Plaintiff(s) -against- : : : : JUDICIAL SUBPOENA Defendant(s) : ...................................................... SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA In re the Paternity/Child Support Action Against: THE PEOPLE OF THE STATE OF NEW YORK TO Case Number: GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court REQUEST FOR COURT APPOINTED COUNSEL located at County of Defendant AND HEARING 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 I am the defendant in the above-captioned paternity/child support action. I am without Your failurehirecomply with this subpoenarequest the court contempt of court and willfor me. funds to to my own attorney and is punishable as a to appoint an attorney 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 appointment comply. A hearing for your failure toof counsel in the above-captioned case is requested to be set for Thursday, Court in Witness, Honorable (Date) County, , at 8:30 a.m. in Courtroom , one of the the Hall of Justice, at Justices of the day of , 20 800 So. Victoria Avenue, Ventura, California. (Attorney must sign above and type name below) Dated: (Signature of Defendant) Attorney(s) for Office and P.O. Address Optional Form VN085 [Rev. 07/01/03] Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: REQUEST FOR COURT APPOINTED COUNSEL AND HEARING American LegalNet, Inc. www.USCourtForms.com