COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. CIVIL INFORMATION SHEET : Calendar No. I. (a) PLAINTIFF ATTORNEY (NAME & NUMBER) I. PLAINTIFF(S) : JUDICIAL SUBPOENA Plaintiff(s) DEFENDANT ATTORNEY (IF KNOWN) -against- : II. NATURE OF SUIT : : Defendant(s)u (101) Contract : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u . (201) .Motor Vehicle Tort . ... . u (301) Assault & Battery u (302) Construction Defects u (303) Medical Malpractice THE PEOPLE OF THE STATE OF NEW YORK u (304) Legal Malpractice u (306) Product Liability u (399) Other Non-Vehicle Tort TO u (401) Condemnation u (501) Foreclosure DEFENDANT(S) u (511) Agreement of Sale Foreclosure u (503) Agency Appeal GREETINGS: u (504) Declaratory Judgment u (599) Other Civil Action 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 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 III. ORIGIN (Attorney must sign above and type name below) u A. Original Proceeding u B. Transfer from District Court u C. Transfer from another Circuit Attorney(s) for IV. DEMAND $ ______________________________________________________________________ V. JURY DEMAND u YES u NO VI. CLASS ACTION u YES u NO Office and P.O. Address VII. REQUEST TO EXEMPT FROM ARBITRATION u YES u NO VIII. RELATED CASE(S) JUDGE ________________________________________________________________ DOCKET ______________________________________________________________ RESERVED FOR COURT USE CIV NO ____________________________________________________________ 1C-P-167 Telephone No.: Facsimile No.: E-Mail Address: ______________________________________________________________________ Mobile Tel. No.: IX. SIGNATURE OF ATTORNEY OF RECORD American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. INSTRUCTIONS FOR ATTORNEYS COMPLETING THE CIVIL INFORMATION SHEET : JUDICIAL SUBPOENA Plaintiff(s) The civil information sheet and the information contained herein neither replaces nor supplements the filings, the service pleadings or other papers as required -againstby law, except as provided by the rules: of court. This form is required by the Clerk of Court for the purpose of initiating the civil docket sheet. Consequently, a civil information sheet is submitted to the Clerk of Court for each civil complaint filed. : The attorney filing a civil complaint is to complete the form as follows: : I. PLAINTIFFS-DEFENDANTS List names: last, first, middle initial. Defendant(s) : . . . . . . . . . . . . . . . . government agency, . . . . . . . . . . . . . If the .plaintiff .or.defendant. is. a . . . . . . . . . . . . . . . . . use. only. the. full name. If the plaintiff or defendant is an official within a government agency, first identify the agency and then the official’s name and title. If there are several plaintiffs-defendants, list them on an attachment noting in this section, “(see attachment)”. THE PEOPLE OF THE STATE OF NEW YORK 1(a). ATTORNEYS List the attorney’s name and license number. TO If there are several attorneys, list them on an attachment noting in this section, “(see attachment”. II. NATURE OF SUIT PlaceGREETINGS: appropriate box. an “ ” in the If the cause fits more than one nature of suit, select the most definitive. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before III. ORIGIN , the Proceedings: cases originating in the circuit district. Honorable at the Court A. Original located from district court under Hawaii Rev. Stat. §604-5, 633-31 (1985). at County of B. Transfer from District Court: cases transferred in from , on the day of , 20 , at o'clock in the noon, and (1985). C. Transferroom another Circuit: cases transferred from another circuit under Hawaii Rev. Stat §603-37-37.5at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the IV. DEMAND Indicate the remedy being demanded such as a monetary sum or preliminary injunction. Your V. JURY DEMAND 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 Indicate whether or not a jury is being demanded. issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. VI. CLASS ACTION Indicate whether or not aHonorable is being filed. Witness, class action , one of the Justices of the Court in County, day of , 20 VII. REQUEST TO EXEMPT FROM ARBITRATION Indicate whether or not the form, “Request to Exempt from Arbitration” is being filed. VIII. RELATED CASES (Attorney must sign above and type name below) List the docket number(s) and the corresponding judge for related pending cases. IX. DATE AND ATTORNEY SIGNATURE Date and sign the civil information sheet. Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com