IN THE COUNTY COURT OF POLK COUNTY, FLORIDA CIVIL DIVISION CASE NO. _____________________ Plaintiff, vs. Defendant. _________________________________________________/ SUBPOENA DUCES TECUM THE STATE OF FLORIDA: TO: YOU ARE HEREBY COMMANDED to appear before the Honorable ____________________________, Judge of the County Court, in the [Choose One] Florida, in [Choose one] _____, on the _____ floor (use blue elevator) on the ______ day of ______________, ___________, 20__ at _____ _.M., to testify in the above styled cause and to bring with you the following: If you fail to appear, you may be in contempt of Court. You are subpoenaed to appear by the parties below and unless excused from this subpoena by them or the Court, you shall respond to this subpoena as directed. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact the Office of the Court Administrator, (863) 534-4690, within two (2) working days of your receipt of this Subpoena Duces Tecum; if you are hearing or voice impaired, call TDD (863) 534-7777 or Florida Relay Service 711. DATED this _____ day of ________________________, 20____. RICHARD M. WEISS, CLERK Circuit & County Courts By________________________________ Deputy Clerk __________________________________ Name of party requesting subpoena Attorney for ________________________ __________________________________ __________________________________ (Address) American LegalNet, Inc. www.FormsWorkflow.com