COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. IN THE MAGISTRATE COURT OF GWINNETT COUNTY STATE OF GEORGIA : Calendar WARRANT NO(S). ______________________________ Plaintiff(s) : No. JUDICIAL SUBPOENA MOTION OF VICTIM TO MODIFY SPECIAL CONDITIONS OF BOND -against- : In the matter of SPECIAL CONDITIONS OF BOND previously set in the above styled warrant, Petitioner hereby requests the Court to Modify Special Conditions of Bond to the extent : that the Defendant shall have “NO VIOLENT CONTACT” with the victim and to allow the parties to continue to have conversations and contact with one another pending the outcome of the above styled case. Victim states as follows: : . 1. I have not been coerced nor forced into making this request by the Defendant, Defendant’s family, or anyone Defendant(s) else, and I freely and voluntarily request that the Defendant be allowed to contact me, so long as Defendant has : .no. violent.contact. with. me. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... ..... ... ... And also for the following reasons: _____________________________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK _____________________________________________________________________________________________ TO _____________________________________________________________________________________________ ___________________________________ Victim, (affiant) GREETINGS: Sworn to and subscribed before me, this _______ day of __________________, 20____. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court _______________________________________________ JUDGE, GWINNETT County ofMAGISTRATE COURT OFlocated at COUNTY in room , on the day of , 20 , at o'clock in the noon, and at any recessed ORDER OF COURT or adjourned date, to testify and give evidence as a witness in this action on the part of the The above matter coming before the Court on Motion of the Victim, and after hearing evidence and reviewing the victim’s affidavit, the Court hereby orders, that the Special Conditions of Bond are modified as follows; 1. ( ) The Special Conditions of with this rescinded. Your failure to comply Bond are 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 2. ( ) The Special Conditions of Bond are modified to the extent that Defendant may have limited contact with the result of your failure to comply. victim as follows: Court in ( ) No Violent Contact Witness, Honorable , one of the Justices of the ( ) __________________________________________________________________________________ County, day of , 20 ______________________________________________________________________________________ 3. ( ) The Special Conditions of Bond shall remain in effect without Modification. 4. ( ) As an additional SPECIAL CONDITION OF BOND, the Defendant is ordered to: (Attorney must sign above and type name below) ( ( ) Participate in AA a minimum of _______ times per week; ) Participate in counseling and treatment for: ( ) Substance abuse ( ) Violence counseling; Attorney(s) for All other Provisions of the SPECIAL CONDITIONS OF BOND shall remain in full effect unless specifically addressed herein. SO ORDERED, this _____ day of ________________, 20____. Office and P.O. Address __________________________________________________ JUDGE, MAGISTRATE COURT OF GWINNETT COUNTY W:\Magforms & C:\MyFiles\Forms\Motion of Victim to modify special Telephoneof Bond Mag. 20-13 (Aug 01) Conditions No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com