COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : POST-SALE REGISTRATION CERTIFICATION BY BUSINESS OPPORTUNITY : SELLER Defendant(s) : ...................................................... The undersigned seller of business opportunities, having applied for post-sale registration under Section 36b-62(e) of the Connecticut Business THE PEOPLE OF THE STATE OF NEW YORK to the Connecticut Banking Opportunity Investment Act, certifies Commissioner as follows: TO 1. Each purchaser-investor to whom an unregistered business opportunity was sold has signed the post-sale registration document consisting of an Explanatory Statement and Statement of Non-prejudice; and GREETINGS: 2. Included herewith are business and excuses being laid aside, you and each of you attend WE COMMAND YOU, that allthe signed documents referenced above and their before return receipts; and , the Honorable at the Court located at County of 3. as of in room Attachedthe , on hereto day "Exhibit A" is a list at the names, in the , 20 , of o'clock addresses and at any recessed noon, and telephone numbers evidence purchaser-investors to whom the or adjourned date, to testify and give of thoseas a witness in this action on the part of business opportunities have been sold without compliance with the registration provisions of sections 36b-60 to 36b-80, inclusive, and the amount of payment furnished by each purchaser-investor for the business Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to opportunity. 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. Witness, Honorable Print Name of Business Opportunity Seller: , 20 Court in County, day of Signature of Executive Officer or Authorized Person of Similar Rank: Print Name of Signatory: Date: , one of the Justices of the __________________________ (Attorney must sign above and type name below) __________________________ __________________________ Attorney(s) for __________________________ Office and P.O. Address Revised 5/1/2000 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : EXHIBIT A: LIST OF PURCHASER-INVESTORS (Use Additional Sheets if : Necessary) Defendant(s) : . . . . . . . .Prepared .Pursuant. to .Section. 36b-62(e)(3) .of. the Connecticut Business ......... ......... .. ....... ............ . Opportunity Investment Act THE PEOPLE OF THE STATE OF NEW YORK TO NAME ADDRESS TELEPHONE NUMBER PAYMENT AMOUNT GREETINGS: 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 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 result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com