COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Short Title of Case Index No. Calendar No. Case Number : Plaintiff(s) -againstVERIFICATION : JUDICIAL SUBPOENA (INDIVIDUAL) : : : In the above entitled action , I am theDefendant(s) Plaintiff/Petitioner : ...................................................... I have read and know the contents of the foregoing THE PEOPLE OF THE STATE OF NEW YORK Complaint/Petition Cross complaint TO Defendant/Respondent Answer/Response Other The matters stated in the foregoing document are true of my own knowledge, except as to the matters GREETINGS: that are stated on my information or belief and as to those matters I believe them to be true. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before the Honorable under penalty of perjury under the laws of the StateCourt at the I declare of California that the foregoing is true , located at County ofcorrect. and 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 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 resultExecuted on (date): of your failure to comply. at (City): Witness, Honorable Court in County, day of , California. , 20 , one of the Justices of the (Attorney must sign above and type name below) Attorney(s) for Type or print name Signature Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Optional Form VN165 [Rev. 07/01/03] VERIFICATION (INDIVIDUAL) American LegalNet, Inc. www.USCourtForms.com