COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. ADDITIONAL CLAIMS INFORMATION SHEET : JUDICIAL SUBPOENA Plaintiff(s) I. Filing Attorney -against- : II. Civil No. : : Defendant(s) III. Case Name : ...................................................... THE PEOPLE OF Pleading IV. Title of THE STATE OF NEW YORK TO V. Does the above pleading join any additional party(ies) not previously named? _____ Yes _____ No GREETINGS: If “yes,” please list each additional party(ies) below: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Name(s) Party Designation , the Honorable at the Court located at County of 1. __________________________________________ ______________________________________ 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 2. __________________________________________ ______________________________________ 3. __________________________________________ ______________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 4. __________________________________________ ______________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of youradditional space is needed, please attach additional sheet. If failure to comply. Witness, Honorable , one of the Justices of the VI. Does the above pleading remove any party(ies) previously named? _____ Yes _____ No Court in County, day of , 20 If “yes,” please list each party who has been removed: Name(s) (Attorney must sign aboveParty Designation and type name below) 1. __________________________________________ ______________________________________ 2. Attorney(s) for __________________________________________ ______________________________________ 3. __________________________________________ ______________________________________ 4. __________________________________________ ______________________________________ Office and P.O. Address If additional space is needed, please attach additional sheet. VII. Signature of Filing Attorney Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Date American LegalNet, Inc. www.USCourtForms.com 1C-P-009 COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. INSTRUCTIONS FOR ATTORNEYS:COMPLETING SUBPOENA JUDICIAL Plaintiff(s) THE ADDITIONAL CLAIMS INFORMATION SHEET -against: The additional claims information sheet and the information contained herein neither replaces nor supplements : the filings, the service pleadings or other papers as required by law, except as provided by the rules of court. This form, approved by the Administrative Judge is required by the Clerk of the Court for the purpose of : ascertaining the status of parties to the lawsuit. Defendant(s) : . . . Consequently,. .an. . . . . . . . . . claims. . . . . . . . . . . .sheet .is . submitted to the Clerk of the Court for each . . . . . . . . . . . . additional . . . . . information . . . . . . . . affirmative pleading filed subsequent to the initial complaint. The attorney filing such affirmative pleadings shall complete the form as follows: THE PEOPLE OF THE STATE OF NEW YORK I. Filing Attorney TO List the attorney’s name, license number, firm name (if applicable), address and telephone number. II. Civil No. Indicate the civil number assigned to the case. GREETINGS: III. Case Name WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the HonorableIndicate a brief case title (full caption at the not necessary). UseCourt al.” designation is acceptable. of “et. located at County of IV.room of Pleadingthe Title in , on day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and title of the pleadingwitness in this action on the part of the give evidence as a being filed. Indicate the exact V. Joining Parties and Party Designation If there to more than four (4) additional parties, list them on an attachment noting make section Your failure arecomply with this subpoena is punishable as a contempt of court and will in this you liable to “(see behalf this subpoena was “party for a maximum as follows: Additional damages sustained the party on whose attachment).” Examples of issued designation” are penalty of $50 and allplaintiff; additional as a result of your defendant;comply. cross-defendant; additional counterclaimant; additional counterclaim-defendant; failure to additional plaintiff intervenor; defendant intervenor; third-party defendant, etc. Witness, Honorable VI. Removing Parties and Party Designation Court in County, day of Same as Section V above. VII. , one of the Justices of the , 20 Signature of Filing Attorney (Attorney Date and sign the Additional Claims Information Sheet. must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com