COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. REJECTION OF UCC FILING No. : Index : FROM: _________________________ COUNTY CLERK OF Calendar No. COURT SUPERIOR : JUDICIAL SUBPOENA TO: ________________________________________________________________ Plaintiff(s) -against- (NAME OF FILING PARTY) : Date and time the record would have been : filed, had it been accepted: : _____:_____ AM/PM ____________________ (MM/DD/YYYY) Defendant(s) : ...................................................... GENERAL ! ! ! The record has not been communicated by a method or medium authorized by this filing office. An amount at OF equal to the OF NEW YORK THE PEOPLEleastTHE STATEfiling fee was not submitted. Filing office is unable to read or decipher the information. TO INITIAL FINANCING STATEMENT ! ! ! ! ! ! ! ! ! AMENDMENT OR CORRECTION STATEMENT ! Failure to identify a file number of an initial Failure to provide the name of the debtor. financing statement to which it relates. GREETINGS: ! Identifies an initial financing statement for which Failure to indicate whether the debtor is an effectiveness aside, you individual or WE COMMAND YOU, that all business and excuses being laidhas lapsed. and each of you attend before an organization. Continuation , the Honorable at the Court ! Failure to file within the six-month window prior located at the County as If identifiedof an individual, failure to provide last in room the debtor.on the name of , day of , 20 ,to lapse. o'clock in the at noon, and at any recessed Assignment action on the part of the or adjourned date, to testify and give evidence as a witness in this ! Failure to provide a name for the assignee. If identified as an organization, failure to provide organizational information for the debtor. ! Failure to provide a mailing address for the o a type of organization Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to assignee. o a jurisdiction of organization the party on whose behalf this indication that issued for a maximum penalty of $50 and all damages sustained as a subpoena was o an organization ID# or an result ofdebtor has nonecomply. Amendment of Party Information the your failure to New Debtor Failure to provide a mailing address for the ! Failure to indicate whether the debtor is an Witness, Honorable , one of the Justices of the debtor. individual or an organization. Failure to in for the Court provide a name County,secured party. day of , 20 ! If identified as an individual, failure to provide the last name of the debtor. Failure to provide a mailing address for the ! If identified as an organization, failure to provide secured party. (Attorney must sign above and type name below) organizational information for the debtor In the case of an assignment reflected on an initial o a type of organization financing statement, failure to provide a name of o a jurisdiction of organization the assignee. o an organizational ID# or indication that Attorney(s) for In the case of an assignment reflected on an initial the debtor has none. financing statement, failure to provide a mailing o Failure to provide a mailing address for address for the assignee. the debtor. Fee Paid o New Secured Party Office and P.O. Address Form of payment: ___________________ ! Failure to provide name for the secured party. Comments: _________________________________ __________________________________________ __________________________________________ ! Failure to provide a mailing address for the secured party. No.: Telephone Facsimile No.: E-Mail Address: Mobile Tel. No.: GSCCCA 07/01/01 American LegalNet, Inc. www.USCourtForms.com