COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : CHANGE OF ADDRESS/NAME JUDICIAL SUBPOENA Plaintiff(s) -against: (Please print the information below) : CASE NUMBER: DR________________________________________ : NAME:____________________________________________________ Defendant(s) : ...................................................... DATE OF BIRTH:___________________________________________ OLD ADDRESS:____________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ____________________________________________ ____________________________________________ TO NEW ADDRESS:___________________________________________ GREETINGS: ___________________________________________ ___________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court TELEPHONE NUMBER:_____________________________________ located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed IF YOU ARE testify and give evidence as witness PROVIDE on the part of the or adjourned date, toCHANGING YOUR NAME,aPLEASEin this actionEITHER A CERTIFIED COPY OF THE MARRIAGE LICENSE OR OTHER PROPER DOCUMENTATION. PREVIOUS NAME:______________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to CURRENT NAME:______________________________________________ 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. PLACE WHERE YOU CAN BE REACHED OTHER THAN THE ABOVE ADDRESS: Witness, Honorable , one of the Justices of the ___________________________________________________ Court in County, day of , 20 ___________________________________________________ ___________________________________________________ (Attorney must sign above and type name below) PHONE#:__________________________________________ Attorney(s) for SIGNATURE:___________________________________ DATE:___________  Office and P.O. Address IN CSE:_______ IN GAVEL:_______ COPY TO DOR:________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com