COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Index No. Calendar No. RETURNED CHECK :NOTICE SUBPOENA JUDICIAL Plaintiff(s) -against- FROM : : _____________________________ :NOTICE REQUIRED BY LAW O.C.G.A. S ECTION 16-9-20 _____________________________ : Defendant(s) : ...................................................... _____________________________ TO: _____________________________ THE PEOPLE OF THE STATE OF NEW YORK CERTIFIED MAIL NO.______________ _____________________________ TO _____________________________ GREETINGS: You are hereby notified that the following instrument(s) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at CHECK DATE CHECK AM OUNT NAM E OF BANK County of NO. CHECK in room , on the day of , 20 , at o'clock_______________ at any recessed in the noon, and __________ _____________ ________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the __________ __________ __________ _____________ _____________ _____________ ________________ ________________ ________________ _______________ _______________ _______________ 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 result of your failure to comply. drawn upon __________________________and payable to_____________________________, Witness, Honorable one DAYS from of the (has/have) been dishonored. Pursuant to Georgia Law, you have TEN, (10)of the Justices receipt of Court notice to tender payment ofday of in County, ,of the instrument(s) plus the applicable service 20 this the total amount charge(s) of $________________ and any fee charged to the holder of the instrument(s) by a bank or financial institution as a result of the instrument(s) not being honored, the total amount due being (Attorney must sign above and type name below) _________________________dollars and ___________________cents. Unless this amount is paid in full within t he s p ecified time above, a presumption in law arises that you delivered the instruments(s) with the intent to defraud and the dishonored instrument(s) and all other available Attorney(s) for information relating to this incident may be submitted to the magistrate for the issuance of a criminal warrant or citation or to the district attorney or solicitor-general for CRIMINAL PROS ECUTION. Office and P.O. Address ___________________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com