COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Name Plaintiff(s) -against- Index No. Calendar No. Citation # : JUDICIAL SUBPOENA Case :# : The undersigned recipient of a uniform traffic citation does : hereby swear or affirm that due to the following, it is Defendant(s) : . .impossible. . or. . impractical . .to . . . . . . . . . . . . . as. ordinarily required, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . furnish, . . Proof of a valid registration certificate, because THE PEOPLE OF THE STATE OF NEW YORK Vehicle has since been sold, stolen, or destroyed; TO Vehicle is owned by another person; State in which vehicle is registered does not issue a certificate of registration; GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Other: , 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 Proof of security (Personal Injury Protection Insurance) because 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 stolen or damages sustained as a Vehicle has since been sold, of $50 and all result of your failure to comply. destroyed; Witness, Honorable Vehicle is owned by another person; Justices of the , one of the Court in County, day of , 20 Owner of vehicle is not required by Section 627.733 to maintain Personal Injury Protection insurance; (Attorney must sign above and type name below) Other: Attorney(s) for Defendant’s Signature Office and P.O. Address Sworn to before me this Notary Public day of , . Telephone No.: Facsimile No.: or E-Mail Address: Deputy Clerk Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com