COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Index No. Calendar No. RETURNED CHECK :NOTICE SUBPOENA JUDICIAL Plaintiff(s) -against: FROM: : Defendant(s) : ...................................................... NOTICE REQUIRED BY LAW : O.C.G.A. SECTION 16-9-20 TO: THE PEOPLE OF THE STATE OF NEW YORK TO CERTIFIED MAIL NO. You are hereby notified that the following instruments(s) CHECK NO. GREETINGS: CHECK DATE CHECK AMOUNT NAME OF BANK 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 County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the drawn upon whose behalf this subpoena was issued for payable to penalty of $50 and all damages sustained as a and a maximum , the party on (has) (have) been dishonored. Pursuant to Georgia Law, you have TEN (10) DAYS from receipt result of your failure to comply. of this notice to tender payment of the total amount of the instrument(s) plus the applicable service charge(s) of $ , and any fee charged to the holder, of the instrument(s) the a Witness, Honorable one of the Justices of by bank or financial institution as a resultof the instrument(s) not being honored, the total amount Court in County, day of , 20 due being ____________ dollars and ______ cents. Unless this amount is paid in full within the specified time above, a presumption in the law arises that you delivered the instrument(s) with the intent to defraud and the dishonored instrument(s) and all other available information relating to (Attorney must sign above and type name below) 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 PROSECUTION. Attorney(s) for Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com