COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . .STATE.OF.HAWAI‘I . . ......... .. ..... .. ...... DISTRICT .COURT: TWO-SIDED FORM Form#5DC06 Index No. ADDITIONAL CLAIM(S)/PARTY(IES) INFORMATION SHEET Read reverse before completing this form : Calendar No. (1) Plaintiff(s) (2) Civil No. : Plaintiff(s) JUDICIAL SUBPOENA Reserved for Court Use: -against- : Filed On: Rec#: : $ : (3) Filing Party(ies)/Filing Party(ies)’ Attorney (Name, Attorney Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Number, Firm Name (if applicable), Address, Telephone and .... Facsimile Numbers) (1) Defendant(s) THE PEOPLE OF THE STATE OF NEW YORK TO (4) Title of Document Being Filed GREETINGS: 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 ❑ (5) Doesin room document, addthe new claim(s)? the above on any day of , 20 , at o'clock in the noon,❑ Yes any recessedNo and at or adjourned date, to testify and give evidence as a witness in this action on the part of the If “yes”, please list party(ies) claimed against below: Name(s) Party Designation Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 1. ___________________________________________________ for a maximum penalty of $50 and all damages sustained as a ____________________________________________________ the party on whose behalf this subpoena was issued result of your failure to comply. 2. ___________________________________________________ ____________________________________________________ Witness, Honorable 3. ___________________________________________________ , one of the Justices of the ____________________________________________________ Court in County, day of 4. ___________________________________________________ , 20 ____________________________________________________ 6) Does the above document join any additional party(ies) not previously named? ❑ Yes (Attorney must sign above and type name below) ❑ No If “yes”, please list each additional party(ies) below: Name(s) Attorney(s) forParty Designation 1. ___________________________________________________ ____________________________________________________ 2. ___________________________________________________ ____________________________________________________ 3. ___________________________________________________ ____________________________________________________ 4. ___________________________________________________ ____________________________________________________ Office and P.O. Address (7) Date: CIVLINF2.2X (Amended 4/18/97) 5D-E-168 (04/03) Telephone No.: Facsimile No.: Signature of Filing Party(ies)/Filing Party(ies)’ Attorney: E-Mail Address: Mobile Tel. No.: Print/Type Name: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : HAWAI‘I SUPREME COURT RULES No. Calendar INSTRUCTIONS FOR COMPLETING THE : JUDICIAL SUBPOENA DISTRICT COURT ADDITIONAL Plaintiff(s) CLAIM(S)/PARTY(IES) INFORMATION SHEET -against: This form is required by the Court to ascertain the status of parties to the lawsuit and is used for computer information purposes. Consequently, this form is to be submitted to :the Clerk of the Court for each affirmative pleading filed subsequent to the initial Complaint, however, this form does not replace nor supplement the pleadings. : The term “affirmative pleadings” as used above Defendant(s) refers to Counterclaims, Crossclaims, Intervenor’s Complaints, : ...................................................... Third-Party Complaints, etc. The Filing Party(ies)/Filing Party(ies)’ attorney filing such affirmative pleadings shall complete this form. THE PEOPLE OF blank. If information YORK Do not leave any areas THE STATE OF NEWdoes not apply indicate “not applicable”. (1) PLAINTIFF(S) - DEFENDANT(S) TO • Fill in Plaintiff(s) - Defendant(s) name. List names the same way as in the Complaint. (Full caption not necessary). Use of “et al.” designation is acceptable. (2) CIVIL NO. GREETINGS: • Indicate civil number assigned to case. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before (3) FILING PARTY(IES)/FILING ATTORNEY , the Honorable at the Court • County of Party(ies)/Filing Party(ies)’ attorney’s name, license number, firm name (if applicable), address, List Filing located at telephone in room and facsimile numbers. If of , on the day additional space is necessary to list all attorney(ies), a separate page may be , 20 , at o'clock in the noon, and at any recessed attached noting this testify “(see attachment)”. or adjourned date, to section,and give evidence as a witness in this action on the part of the (4) TITLE OF DOCUMENT BEING FILED • Indicate exact title of the document being filed. • If title ofYour failure to being filed doesn’t fit in the is punishable asan contempt ofnoting and will make you liable to the document comply with this subpoena block, list it on a attachment court in this section, the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a “(see attachment)”. result of your failure to comply. (5) NEW CLAIM(S) AND PARTY(IES) DESIGNATION Witness, Honorable , one of the Justices this section, • If there are more than four (4) parties being claimed against, list them on an attachment noting inof the Court in day of , 20 “(see attachment)”. County, • Examples of “party designation” are as follows: Plaintiff(s), Defendant(s); Counterclaimant(s); Cross-Defendant(s); Intervenor(s); Third-Party Plaintiff(s) and Third-Party Defendant(s); etc. (Attorney must sign above and type name below) (6) JOINING PARTY(IES) AND PARTY(IES) DESIGNATION • If there are more than four (4) additional parties, list them on an attachment noting in this section “(see attachment)”. Attorney(s) for (7) SIGNATURE OF FILING PARTY(IES)/FILING PARTY(IES)’ ATTORNEY • The filing party(ies)/filing party(ies)’ attorney should date and sign this section. Office and P.O. Address In accordance with the Americans with Disabilities Act if you require an accommodation or assistance, please contact the Telephone No.: District Court Administration Office at PHONE NO. 246-3347, FAX 246-3353, or TTY 539-4853 at least ten (10) working Facsimile No.: days in advance of your hearing or appointment date. E-Mail Address: Mobile Tel. No.: 5D-E-168 American LegalNet, Inc. www.USCourtForms.com