COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : SUPERIOR COURT OF THE DISTRICT IndexCOLUMBIA OF No. FAMILY DIVISION - DOMESTIC RELATIONS BRANCH : 500 Indiana Avenue, N.W., Washington, D.C. 20001 Calendar No. Plaintiff(s) SUMMONS : JUDICIAL SUBPOENA Plaintiff Defendant TO: -against- Jacket Number: : : : vs. You are hereby SUMMONED and required to file an answer to the complaint, which is herewith served upon you, at the Defendant(s) : office . . .the Clerk.of. this. Court.in.Room.4230, .500 .Indiana.Avenue, .N.W., .within twenty (20) days after service of this summons of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . upon you, exclusive of the day of service, and to serve a copy of said answer upon the plaintiff's attorney, indicated below. If you fail to do so, action may be taken against you for the relief demanded in the complaint. It is recommended that you seek the advice of an attorney to assist you in this case. PLAINTIFF'S ATTORNEY: THE PEOPLE OF THE STATE OF NEW YORK Name: Address: TO Witness, the Honorable Chief Judge of the Superior Court of the District of Columbia and seal of said Court. SEAL GREETINGS: Clerk of the Superior Court of the District of Columbia Name: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Date: By: Deputy Clerk , the Honorable at the Court located at MARSHAL OR PROCESS SERVER County of FOR USE OF U.S. in room , on that I served the within Summons and at the day of , 20 , Complaint upon in the o'clock noon, and at any recessed I hereby certify and return or adjourned date, to testify and give evidence as a witness in this action on the part of the Address: on the at AM/PM 20 Your failure day of to comply with this subpoena is punishable as a contempt, of court and will make you liable to the party on Personally. whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure person of suitable age and discretion then abiding in the defendant's usual place of abode. Individual served is a to comply. I further certify that defendant is not a resident of the District of Columbia. I hereby certify and Honorable after diligent investigation I am unable to serve ,the individual, company, corporation, Witness, return that one of the Justices of the etc., named above. Court in County, day of , 20 Dates of Endeavor and/or Remarks: Time: AM/PM OFFICE OF THE U.S. MARSHAL DISTRICT OF COLUMBIA (Attorney must sign above and type name below) By: Signature of Marshal Representative PROCESS SERVER'S CERTIFICATION I hereby certify that I am a competent person over eighteen years of age residing or maintaining a regular place of business in the District of Columbia with no interest in the subject matter of this suit nor am I a party thereto and that I have served this SUMMONS and COMPLAINT as indicated above. Signature of Process Server: Business Address: Residence: Subscribed and sworn to before me this day of Telephone No.: , 20 Age: Attorney(s) for Office and P.O. Address FD(10)-456/Jan. 92 WHITE-LEGAL RECORD COPY YELLOW-SERVICE COPY Facsimile No.: E-Mail Address: Notary Public, District of Columbia (Deputy Clerk) Mobile Tel. No.: PINK-MARSHAL'S COPY (District of Columbia) GOLDENRDD-SERVER'S COPY (Outside of D.C.) 2-1073 wd-12 American LegalNet, Inc. www.USCourtForms.com