COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : IN THE SUPREME COURT OF THE STATE OF DELAWARE JUDICIAL SUBPOENA Plaintiff(s) -against- : ____[1]___________, No. ___[5]___ : ___[2]___ Below, Appellant, : Defendant(s) : ...................................................... v. THE PEOPLE OF THE STATE OF NEW YORK ____[3]___________, TO ___[4]___ Below, Appellee. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before MOTION TO PROCEED IN FORMA PAUPERIS , the Honorable at the Court located at County of Pursuant to day of Supreme Court 20 , at 26, o'clock in the___[6]___, declare and 30, I, in room 1. , on the , Rules 20, noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the that I am the appellant in the above-entitled case; that because of my poverty I am Your failure to comply with of subpoena is punishable as a security court and will make you unable to make prepayment thisfees or costs or to givecontempt of therefor; and that I 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. believe I am entitled to relief. Witness, Honorable Court in 2. County, day of I appeal from an order , one of the Justices of the 20 of the ,___[7]___ Court, entered on the date of ___[8]___ in the case of ___[9]___ v. ______, No.___[10]___. (Attorney must sign above and type name below) 3. Circle either A or B and complete, as appropriate: A Attorney(s) for I am presently employed. The name and address of my employer are ___[11]___. The total monthly amount of my salary or wages is ___[12]___. Office and P.O. Address B I am not employed. My last date of employment was ___[13]___. The total amount I last received as Telephone No.: Facsimile wages salary orNo.: E-Mail Address: Mobile Tel. No.: was ___[14]___. American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : 4. from: Index No. Calendar No. Circle "yes" or "no." Plaintiff(s) I have received :within the last 12SUBPOENA JUDICIAL months money -against- : a business, profession, or self-employment : rent payment, interest, or dividends : pensions, annuities, or life insurance payments Defendant(s) : . . . . . . . . gifts. . . . inheritances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . or . . . . . . . . . . . . any other source yes yes yes yes yes no no no no no If PEOPLE OF THE to any portion YORK THEanswer is “yes” STATE OF NEW of the above statement, please describe each source TO of income and the total amount received within the last 12 months: ___[15]___. 5. I have $___[16]___ in cash and $___[17]___ in checking or savings GREETINGS: accounts (including funds that prison accounts). being laid aside, you and each of you attend before WE COMMAND YOU, in all business and excuses , the Honorable at the Court located at County of6. I own: 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 real estate yes no bonds or stocks yes no notes Your failure to comply with this subpoena is punishable as a contempt of yes and will make you liable to court no the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a cars yes no result of your failure to comply. other valuable property (except ordinary household yes no furnishings and clothes) Witness, Honorable Court in County, , one of the Justices of the day of , 20 If answer is “yes” to any portion of the above statement, please describe the item and give its approximate value: ___[18]___. 7. (Attorney must sign above and type name below) Circle either A or B and complete, as appropriate: Attorney(s) for Office and P.O. Address -2- Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : A Index No. Calendar No. : I have previously moved to proceed in forma pauperis in the JUDICIAL SUBPOENA Plaintiff(s) -against- : Supreme Court of Delaware. The case number was ___[19]___. The request was : ___[20]___. : I . . . . . . . . . . . .Defendant(s) . . . . : proceed . . . . . . . . . . . . . . .B. . . . . . .have. not. previously. moved .to. . . ..... .... in forma pauperis in the Supreme Court of Delaware. THE PEOPLE OF THE STATE OF NEW YORK WHEREFORE, having shown just cause for relief, appellant moves for leave TO to proceed in forma pauperis. 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 Appellant 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 SWORN AND SUBSCRIBED before me this ________ day of ______, 19____. 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. Notary Public Witness, Honorable Court in , one of the Justices of the My commission expires of County, day _______________, 19____. , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address -3- Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : I hereby certify that the appellant named herein has the sum SUBPOENA JUDICIAL of $___[21]___ Plaintiff(s) -against- : on account to the appellant's credit at the institution where the appellant is confined. : I further certify that the appellant has the following securities to the appellant's credit : Defendant(s) : . .according. . . . the . institution’s .records: . .___[22]___.. . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . THE PEOPLE OF THE STATE OF NEW YORK TO Authorized Officer of Institution GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court ORDER located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed This ________day of __________________, 19____, upon consideration of or adjourned date, to testify and give evidence as a witness in this action on the part of the appellant’s motion for leave to proceed in forma pauperis, it is hereby ORDERED Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose be GRANTED/DENIED leavemaximum penalty forma and all damages sustained as a that appellant behalf this subpoena was issued for a to proceed in of $50 pauperis, limited result of your failure to comply. only to waiver of the docketing deposit required by Supreme Court Rule 20(a). Witness, Honorable Court in County, , one of the Justices of the day of , 20 BY THE COURT: (Attorney must sign above and type name below) Attorney(s) for Justice Office and P.O. Address -4- Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) Insert: -against- Calendar No. : JUDICIAL SUBPOENA : : [1] Appellant's name. : Defendant(s) : . .[2]. . . . Appellant's .lower. court. status.. . . . . . . . . . . . . . . .. ............ ..... ..... ...... [3] Appellee's name. THE PEOPLE OF THE STATE OF NEW YORK [4] Appellee's lower court status. TO [5] Supreme Court appeal number, if known. GREETINGS: [6] Appellant's name. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court [7] Lower court. located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed [8] Date of decision on appeal. or adjourned date, to testify and give evidence as a witness in this action on the part of the [9] Lower court case caption. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whosecourt casesubpoena was issued for a maximum penalty of $50 and all damages sustained as a [10] Lower behalf this number. result of your failure to comply. [11] Name and address of employer. Witness, Honorable Court in County, day of , one of the Justices of the , 20 [12] Total monthly amount of salary or wages. [13] Date last employed. (Attorney must sign above and type name below) [14] Total amount of salary or wages last received. Attorney(s) for [15] If answer is "yes" to question 4, describe each source of income and the total amount received within the last 12 months. Office and P.O. Address [16] Total amount of cash on hand. -5- Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. [17] Total amount of funds available in checking :or savings accounts, JUDICIAL SUBPOENA Plaintiff(s) including funds in prison accounts. : -against: [18] If answer is "yes" to question 6, describe each item and give its approximate value. : Defendant(s) : . .[19] . . Case . number(s). of. any .prior. .Supreme. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Court appeal in which a request was made to proceed in forma pauperis. [20] Indicate whether the prior request(s) THE PEOPLE OF THE STATE OF NEW YORK to proceed in forma pauperis was granted or denied. TO [21] Amount on account at institution. GREETINGS: [22] Securities to credit according to institution's records. 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 -6- Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com