Prepared by/ Return to: Warning! THIS LEGAL DOCUMENT REFLECTS THAT A CONSTRUCTION LIEN HAS BEEN PLACED ON THE REAL PROPERTY LISTED HEREIN. UNLESS THE OWNER OF SUCH PROPERTY TAKES ACTION TO SHORTEN THE TIME PERIOD, THIS LIEN MAY REMAIN VALID FOR ONE YEAR FROM THE DATE OF RECORDING, AND SHALL EXPIRE AND BECOME NULL AND VOID THEREAFTER UNLESS LEGAL PROCEEDINGS HAVE BEEN COMMENCED TO FORECLOSE OR TO DISCHARGE THIS LIEN. CLAIM OF LIEN (Per Chapter 713 of the Florida Statutes) STATE OF FLORIDA COUNTY OF BREVARD COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BEFORE ME, personally appeared ____________________________________________, : Index No. who was duly sworn and says that she/he is (the lienor herein/the agent of the No. herein) : Calendar lienor : ______________________________________________________________, whose address is JUDICIAL SUBPOENA Plaintiff(s) -against__________________________________________________ ;: and that in accordance with a contract : with ___________________________________________________, lienor furnished labor, services or : materials consisting of ________________________________, on the following described real property Defendant(s) : .... .. ...... ...... ....... located. in .Brevard.County,. Florida: . . . . . . . . . . . . . . . . . . . . . . . . . THE PEOPLE OF THE STATE OF NEW YORK TO owned by _____________________________________________________________________, of GREETINGS: of $_________________, of which there remains unpaid $__________________, a total value WE COMMAND items on _____________________, _______; and and each the items and furnished the first of theYOU, that all business and excuses being laid aside, youthe last ofof you attend before , the Honorable at the Court located at County of on _____________________, _______; and that lienor served his Notice to Owner on 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 _____________________, _______, by ___________________________________, and (if required) that the lienor served copies of the Notice on the contractor on ______________________, _______, 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 by ________________________, and on the subcontractor on ______________________, _______, by 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) print or type name State of Florida Attorney(s) for County of Brevard The foregoing instrument was acknowledged before me this ___ day of __________, 20 ___, A. D., who is personally known to me or who has produced __________________________ as identification, and who did/did not take an oath. Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Print or type name Notary Public My Commission Expiers: American LegalNet, Inc. www.USCourtForms.com