COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. CHANGE OF ADDRESS : CASE NUMBER: : Plaintiff(s) Calendar No. JUDICIAL SUBPOENA ____________________________ -against- : CHANGE FOR: PAYEE ______ PAYOR ______ DATE: _________________ (Please check one) : ******************************************************************* : PAYEE NAME:_________________________________________________________________ Defendant(s) : . . . . . . . . . . . . . .HOME. PHONE:. ________________________ . . . . WORK PHONE: ________________________ .... ...... ........................ EMPLOYER/ADDRESS: __________________________________________________________ THE PEOPLE OF THE STATE _________________________________________ OF NEW YORK TO ZIP CODE ___________ DATE OF BIRTH: ____________________ ******************************************************************* GREETINGS: PAYOR NAME: __________________________________________________________________ HOME PHONE: _________________________ WORK aside, you and each of you attend before WE COMMAND YOU, that all business and excuses being laidPHONE: ______________________ , the Honorable at the Court EMPLOYER/ADDRESS: _________________________________________________________ located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed ________________________________________ ZIP CODE ____________ or adjourned date, to testify and give evidence as a witness in this action on the part of the DATE OF BIRTH: __________________ ******************************************************************* 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 OLD ADDRESS: result of your failure to comply. _______________________________________________________________ ___________________________________________ ZIP CODE ___________ Witness, Honorable , one of the Justices of the Court in County, day of , 20 NEW ADDRESS: _______________________________________________________________ ___________________________________________ ZIP CODE ___________ SIGNATURE: (Attorney must sign above and __________________________________________ type name below) ******************************************************************************* OFFICE Attorney(s) for USE ONLY DATE RECEIVED: ______________________ RECEIVED BY: _______________________ DATE CHANGED IN COMPUTER: ______________ CHANGED BY: ______________________ CODE: __________ Office and P.O. Address COPIES FORWARDED TO: ____________________ CASE MGR. ____________________ LEGAL DEPT Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com