COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. INFORMAL ADJUSTMENT AGREEMENT Plaintiff(s) : JUDICIAL SUBPOENA IN THE JUVENILE COURT OF -against: ____________________________ COUNTY, GEORGIA In the interest of: _________________________________, : CASE NUMBER _____________________ SEX _______________________________ : DOB _____________ AGE ____________ Defendant(s) : ...................................................... The above-named child having been charged with THE PEOPLE OF THE STATE OF NEW YORK and; TO child and his parent/guardian having acknowledged the following: The (1) That the admitted facts bring the case within the jurisdiction of the Court; (2) That the child has been advised that he/she has a right to have an attorney represent him/her in this GREETINGS: matter and that if he/she is unable to afford to hire an attorney, one will be supplied free of charge; WE COMMAND YOU, that make any and excuses he/she chooses you and (3) That he/she does not have to all business statement if being laid aside, not to; each of you attend before , the Honorablethis matter could be heard formallythe at before a judgeCourt than by an officer of the (4) That rather located at County of Court. in room , on the day of , 20 , at o'clock in the noon, and at any recessed orThe child and parent do and give elect to have witness in this action onto have an the adjourned date, to testify hereby evidence as a an attorney ____ not the part of attorney ____ and to proceed with this informal handling. _______________________________ _________________________________ 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 Signature of Parent/Guardian damages sustained as a maximum penalty of $50 and all Signature of Child result of your failure to comply. _______________________________ _________________________________ Date Date Witness, Honorable , one of the Justices of the Court inCourt havingCounty, , 20 This determined day ofthe above-named child is subject to the jurisdiction and that protection of this court as provided by law, and; This Court having found that counsel and advice without (Attorney must sign above and type name below) of an adjudication is in the best interest the public and the child, and; The child and his/her parent(s) or guardian having consented to the informal adjustment with Attorney(s) for knowledge that consent is not obligatory. It is therefore agreed that the case of the above-named child is informally adjusted under the conditions and stipulations attached hereto and incorporated and P.O. Address adjustment by Office in this informal reference. Rev. 01/2001 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: JUV-17 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. Further, the above-named child and his/her parent(s) or guardian acknowledge that they have : been advised, by a copy of this informal Plaintiff(s) and agree that any violation of any provision adjustment, JUDICIAL SUBPOENA of this adjustment may result in the filing of a petition at any time during the term or period of this -against: informal adjustment or any extension thereof. : Consented to by: Recommended by: : _____________________________ ________________________________ Defendant(s) : . .Child. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Officer . . .Juvenile Court .... . . . . . . of . . . . _____________________________ Parent/Guardian THE PEOPLE OF THE STATE OF NEW YORK _____________________________ Attorney TO Approved, this GREETINGS: ________ day of _______________________________, 20_____. WE COMMAND YOU, that all business_____________________________________ attend before and excuses being laid aside, you and each of you , the Honorable at the Court Judge/Associate Judge of located at County of _______________________ County Juvenile Court 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 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. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Rev. 01/2001 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: JUV-17 American LegalNet, Inc. www.USCourtForms.com