COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. This Parenting Plan is for the: children of: JUDICIAL SUBPOENA Plaintiff(s) -againstMother: ______________________ (Plaintiff) (Defendant) : Soc. Sec. No. _________________________ : Father: ______________________ (Plaintiff) (Defendant) Soc. Sec. No. _________________________ : Defendant(s) : . . . . .[. . . ] .The .final. Parenting .Plan. submitted. to .the .court .with agreement of both parties. . ... ... ........ ... ........ .. .. .... ... -OR- NO AGREEMENT COULD BE REACHED AND: THE PEOPLE OF THE STATE OF NEW YORK [ TO [ ] Presented by the plaintiff. ] Presented by the defendant. The child(ren) of this marriage or relationship under 18 are: NAME GREETINGS: DATE OF BIRTH PRESENT ADDRESS 1. _____________________ ___________________ _________________________ WE COMMAND YOU, that ___________________ laid aside, you and each of you attend before 2. _____________________ all business and excuses being_________________________ , the Honorable at the Court 3. _____________________ ___________________ _________________________ located at County of 4. _____________________ ___________________ _________________________ in room _____________________ of ___________________ _________________________ recessed , on the day , 20 , at o'clock in the noon, and at any 5. or adjourned date, to testify and give evidence as a witness in this action on the part of the 6. _____________________ ___________________ _________________________ OTHER CHILDREN IN THE HOME OF EACH PARENT ARE: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to NAME LIVING WITH FATHER MONTHS RESIDING 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. OR MOTHER WITH PARENT 1. _____________________ ___________________ 2. _____________________ ___________________ Witness, Honorable 3. _____________________day___________________ Court in County, of , 20 4. _____________________ ___________________ _________________________ _________________________ , one of the Justices of the _________________________ _________________________ We have crossed off the portions of this document where we do not have name below) (Attorney must sign above and type agreement or do not desire agreement. We have checked the boxes for a particular option where we have agreement. We understand that in those paragraphs where no option is given that the court requires that provision to be in agreement. Attorney(s) for I. PARENTING We understand that although we will no longer be married or living together, that in general the best arrangement for the child(ren) is toOffice frequent Address have and P.O. and continuing contact with both parents. We care about the well-being and needs of our child(ren). We each understand that when given the responsibility of parenting that each will provide the Telephone No.: child(ren) with (a) regular and nutritious food, (b) clean and appropriate clothing, (c) Facsimile No.: E-Mail Address: Mobile Tel. No.: 1 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. sanitary and reasonably private living and sleeping quarters, (d) appropriate medical : examinations and treatment, and (e) guidance and counseling in worldly andSUBPOENA JUDICIAL spiritual Plaintiff(s) matters. -against- : In addition, WE AGREE each parent shall, when caring for the child(ren): : [ ] train the child to obey and respect the child's teachers and the law : [ ] require the child to attend all regular sessions of school until graduation, unless Defendant(s) excused by medical reasons, the school, the Court, or both parents. : ...................................................... [ ] personally supervise and control the conduct and activities of the child except when the child is at school or in known or usual recreational activities, or in the immediate care of another competent person. [ ] Other: ______________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ________________________________________________________________________ TO ________________________________________________________________________ SHARED PARENTING: As a result of considering our child(ren)'s best interest, we have found and GREETINGS: decided: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before [ ] That both parents are fit and proper parents and that there is no reason for either , the Honorable at the Court parent to be supervised or located at restricted from sharing and being an active parent in otherwise County of the in room lives of our child(ren). of , on the day , 20 , at o'clock in the noon, and at any recessed -ORor adjourned date, to testify and give evidence as a witness in this action on the part of the [ ] That conditions beyond the age and needs of the child(ren) exist which have caused one parent to take a greater role in parenting than the other. These considerations are: ________________________________________________________________________ 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 one court is being modified.) MODIFICATION: (You need to fill out this paragraph only if a previous order,of the of the Justices of the Court in County, day of , 20 [ ] A modification of a previous order is being requested because of the following circumstances that have changed since the court's prior order: ______________________ ________________________________________________________________________ (Attorney must sign above and type name below) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Attorney(s) for OTHER LITIGATION: To the best of [ ] Plaintiff's [ ] Defendant's [ andOur knowledge, no Office ] P.O. Address proceedings concerning the children of the parties are pending in the Court of this or any other state, and no of no other person who claims custody or visitation rights to the child(ren). Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 2 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. II. RESIDENTIAL CUSTODY SCHEDULE: parenting responsibilities include the : following plans. JUDICIAL SUBPOENA Plaintiff(s) -against- : A. Pre-School [ ] There are no children of preschool age, or we are agreed that all our children shall : be upon the same schedule as the school-age child(ren). [ ] Prior to enrollment in school, the parents shall each take responsibility for caring for : the child(ren) as follows: Defendant(s) : ...................................................... Mother's portion of parenting time at her home shall be: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK TO Father's portion of parenting time at his home shall be: ________________________________________________________________________ ________________________________________________________________________ GREETINGS: ________________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before B. School Schedule , the Honorable at the Court [ located each parent shall have responsibility for parenting the County of ] Upon enrollment in school, at children as follows: 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 Mother's portion of parenting time at her home shall be: ________________________________________________________________________ ________________________________________________________________________ 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. Father's portion of parenting time at his home shall be: Witness, Honorable , one of the Justices of the ________________________________________________________________________ Court ________________________________________________________________________ in County, day of , 20 ________________________________________________________________________ C. Summer Schedule [ ] Same as schedule above. -OR(Please list days, evenings, overnights, and times) (Attorney must sign above and type name below) Attorney(s) for Mother's portion of parenting time at her home shall be: ________________________________________________________________________ ________________________________________________________________________ Office and P.O. Address ________________________________________________________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 3 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. Father's portion of parenting time at his home shall be: : ________________________________________________________________________ JUDICIAL SUBPOENA Plaintiff(s) ________________________________________________________________________ -against: ________________________________________________________________________ : D. Schedule for Holidays : 1. Priorities: Holidays listed below have priority over the Parenting schedule set forth Defendant(s) above. : ...................................................... VACATIONS a. Both of us shall discuss our vacations, defined as a trip of up to _____ days away THE from the OF THE home, and we agree that the [ ] Mother [ ] Father shall have PEOPLE parent's STATE OF NEW YORK priority for vacation time in even numbered years, and the other parent shall have priority TO in odd numbered years. b. [ ] We agree that the parent's summer vacations have priority over holidays. GREETINGS: c. [ ] Other priorities: ________________________________________________ ________________________________________________________________________ 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 WEEKEND testify and give evidence as a witness on a action on the part of the or adjourned date, toHOLIDAYS: When a holiday falls in thisweekend (or the Friday before or the Monday after), the parent with whom the child(ren) is scheduled to be with for that holiday will have the entire weekend unless specifically noted otherwise. TheYour failure tothe child(ren) forsubpoena is punishable as a contempt of court and will make you liable to schedule for comply with this the holidays listed below is as follows: 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. Holiday Witness, Honorable CourtMartin Luther King Day in County, day of President's Day Easter Memorial Day July 4th Labor Day Veteran's Day Thanksgiving Day Christmas Vacation (1st Part) With Mother With Father (Specify) (Specify) , one of the Justices of the Odd/Even/Every Odd/Even/Every , 20 _________________ __________________ _________________ __________________ _________________ __________________ (Attorney _________________ must sign above and type name below) __________________ _________________ __________________ _________________ __________________ _________________ Attorney(s) for__________________ _________________ __________________ _________________ __________________ 4th of July: If it occurs on a Tuesday, Wednesday, or Thursday, we Address it shall Office and P.O. agree that begin on ___________ at ________ o'clock ___. m. , and end _____________ at ___________o'clock ___.m. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 4 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. Thanksgiving: Our child(ren) shall spend Thanksgiving from [ ] Wednesday or [ ] ________________ after school until [ ] Friday or [ :] Sunday at _____ o'clock (a.m.) JUDICIAL SUBPOENA Plaintiff(s) or (p.m.) -against- : Christmas: Our child(ren) shall divide their Christmas :break as follows: First Part: _______________________________________________________________ Second Part: _____________________________________________________________ : Other: __________________________________________________________________ Defendant(s) : ...................................................... Spring Break: Our child(ren) shall spend SPRING BREAK from school with the father in [ ] odd [ ] even numbered years and with the mother in [ ] odd [ ] even numbered years. We define spring break as the following time period: ________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ________________________________________________________________________ TO Easter: We agree that our child(ren) shall spend Easter [ ] Sunday [ the scheduled parent. ] weekend with GREETINGS: agree that our child(ren) shall spend Mother's Day with the mother and Father's [ ] We Day with the fathther each year. 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] Special Days: [ ], Birthdays: ____________________________________________________ any recessed in room on the day of , 20 , at o'clock in the noon, and at [ Other: and give evidence as a witness in this action on the part of the or adjourned date,]to testify_______________________________________________________ _____________________________________________________________ III. OTHER ARRANGEMENTS 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 of parenting and we agree thatsustained as a We recognize decision making is an important part penalty of $50 and all damages result of your failure to comply. the parent who has the parenting responsibility shall make decisions about their day to day care and control Witness, Honorable , one of the Justices of the CourtPolicy for changing our sharedof in County, day parenting: We agree to change our parenting time , 20 schedule as infrequently as possible. In the event that changes need to be made, we agree to request of each other such change at least _____ days in advance. We understand that (Attorney must sign above and type during a requests may need to be refused from time to time. When are child(ren) are sickname below) scheduled block of parenting time, and can not be with the other parent, this time will be made up as soon as possible. Attorney(s) for [ ] Education: We agree that each of us will communicate with our child(ren)'s schools to remain informed, and attend conferences with our child(ren)'s teachers and counselors. We also agree to share information about our child(ren)'s school progress, behavior and events with each other. Major decisionsOffice and P.O. Address made by: about education will be [ ] Both mother and father [ ] Mother [ ] Father. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 5 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. [ ] Health Care: We agree that in emergencies, each parent can consent to emergency : medical treatment for our child(ren) as needed. Our intent is to take care of SUBPOENA JUDICIAL the Plaintiff(s) emergency first and communicate with the other parent as soon as possible. We agree -against: that each parent has the right to the child(ren)'s medical information and records, and we will communicate with each other on major health care for our child(ren)., however : major decisions about non-emergency health care will be made be [ ] Both mother and father [ ] Mother [ ] Father. All matters calling for :elective surgery, major medical, dental, optical, or orthodontic work shall be discussed and resolved before the work is Defendant(s) started. : ...................................................... [ ] If we cannot agree on a special medical provider or the reasonableness of costs for a procedure, then the child's normal medical provider shall refer the child to another health provider for THE PEOPLE OF THE STATE OF NEW YORK consultation or a second opinion about the costs and services. Both parties shall then be bound by the decision of the normal TO medical provider after he/she considers the opinion of the referring medical provider. Medical Support Order: Where medical insurance is provided, it is our intent that: GREETINGS: both parties shall have access to insurance information regarding the (1) child(ren). WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable(2) all insurance payments are made/forwarded promptly and directly to health at the Court care providers. located at County of (3) the child(ren) day of health care under at available medical health care and at any recessed receive in room , on the , 20 , an o'clock in the noon, plan. (4) to court and give evidence as a witness in this action on the part of the or adjourned date,the testify shall retain jurisdiction to amend any order to establish or maintain a Qualified Medical Child Support Order. And further, both parties shall sign any document that provides continuing health care for our child(ren). Your failure to comply with Relocation by one parent: 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. If a move from a current residence will make it unreasonable to continue the custody/visitation schedules, or make it adverse to the best interests of our child(ren): Witness, Honorable Court in County, , one of the Justices of the day of 20 You must choose one of,the next two choices [ ] We each agree to renegotiate a new Parenting Plan Agreement prior to any move from either of our current residences. In case of a move our communication would focus on how we can still be involved as parents in a way that would meet above and type name below) (Attorney must sign the needs of our child(ren). -OR- Attorney(s) for [ ] We each agree that when learning of a move, or likely possibility, that the moving parent shall give written notice to the other parent. Notice shall be given no later than [ ] 60 days [ ] _____ days before the date of the intended move -OR- within 48 hours Office and P.O. Address of learning of the move if the time period is less than the minimum agreed above. The written notice shall contain: 1. The new address and mailing address, where known Telephone No.: 2. Telephone number, if known Facsimile No.: E-Mail Address: Mobile Tel. No.: 6 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. 3. Date of intended move : 4. Specific reasons for the move JUDICIAL SUBPOENA Plaintiff(s) 5. and within ______ days send the other parent a proposed new schedule of -against: visitation. 6 [ ] Other items: _____________________________________________ : __________________________________________________________________ : -AND- (Choose one of the following two choices) Defendant(s) : ...................................................... [ ] The children shall remain with the parent staying here until this matter is resolved. -ORTHE PEOPLE OF THE STATE OF NEW YORK TO [ ] The children are allowed to move with the parent leaving this area until this matter is resolved. However, the existing visitation schedule shall be honored to the extent possible. GREETINGS: OTHER agreements we have if one parent plans on moving are: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable[ ] The parent moving shall pay allthe at transportation costs for visitation until an Court agreement is reached. located at County of [ ], Wethe agree to immediately20 paragraph). in room on both day of , mediate the issues (Seein the , at o'clock mediationnoon, and at any recessed [ _____________________________________________________________ or adjourned date, ]to testify and give evidence as a witness in this action on the part of the Communication: During the separation from our child(ren), we will maintain frequent contact with them by phone, letter, postcards, video or audio tapes. Each parent shall Your failure to comply with this to privacy to such communication. court and will also respect their child(ren)'s rightsubpoena is punishable as a contempt ofNeither parentmake you liable to the party on whose behalfor otherwise interfere with the maximum penalty of $50 and all damages sustained as a shall read, censor, this subpoena was issued for a other parent's correspondence. result of your failure to comply. Likewise, we will also encourage and help our child(ren) communicate freely with the other parent by phone, letter, etc. We also agree to inform the other parent of the address , one of the away from and Witness, Honorable where our child(ren) can be reached anytime they are Justices of the telephone number Court home for longer than [ ] 48 hours [ ] _____ 20 in County, day of , hours. The parents shall not use the child(ren) as messengers. Each party shall provide the other (Attorney must sign above and type name parent with the child(ren)'s address and telephone number while in that parent's care. below) Safety: We each agree not to compromise the safety of our child(ren). We further agree: [ ] Not to leave our children unattended until they are _____ years old. Attorney(s) for [ ] Not to operate a vehicle after using alcohol or medication when our children are in the vehicle, or use alcohol carelessly when our child(ren) are in our care. [ ] We agree to provide and use child safety seats for our children under the age of _____ years of age. Office and P.O. Address Mediation: As our child(ren) grow and change, and our life situations change, we agree to be flexible and cooperative, and communicate so we can continue to meet the needs of Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 7 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Index No. Calendar No. our child(ren). However, in the event that we cannot agree on substantial issues or : decisions involving our minor child(ren): JUDICIAL SUBPOENA Plaintiff(s) [ ] We agree to submit such conflicts to a mediator. If we cannot agree as to a -against: particular mediator, we shall file a motion asking the judge to appoint one. We agree not to submit this matter to the court until we have made all efforts to : resolve it through mediation. Each parent shall pay the costs of mediation [ ] 50% each [ ] in the same percentage as our income compares to the total child : support income. Defendant(s) : . . . . . . . . . . . [ . . .]. _____________________________________________________________ . ...................................... __________________________________________________________________ __________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK Love and Affection: Each parent shall foster love and affection between the child and the other party. TO Neither parent shall do anything, nor permit any other person residing in their household to do anything, which would estrange the child from the other parent, or that would distort the child's opinion of the other, or would impair the child's love and respect for the GREETINGS: other. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Readiness: , the Honorable at the Court The child(ren) shall be ready and promptly available for all visits and exchanges. located at County of The child(ren) shall be sent with sufficient clean clothing appropriate for ordinary in room , on the day of , 20 , at o'clock in the noon, and at any recessed activities. or adjourned date, to testify and give evidence as a witness in this action on the part of the Interference: If the child is invited or desires to participate in any activities which may interfere Your failure to comply with this subpoena is punishable as a contempt of court and or with the other parent's time with the child, neither parent shall encourage, permit,will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of the otherall damages sustained as a consent to such activities without first conferring on this matter with $50 and parent. result of your failure to comply. Attorney's Fees: Witness, Honorable that one of the parents is in willful disobedience the an agreed the , one of of Justices of If the court finds Courtupon provision County,agreement, then the party seeking to enforce that provision may be in day of , 20 of this entitled to costs and reasonable attorney's fees at the discretion of the court. Waiver of Appearance: (Choose one of the following) (Attorney must sign above and type name below) [ ] The Defendant waives his/her right to appear in court, present evidence, or present alternative other than have been agreed to in this document, and freely and voluntarily Attorney(s) for consent to having the court accept this agreement as written and order that it become binding on both parties without his/her appearance before the court. -OR- Office and P.O. Address [ ] Both Plaintiff and Defendant agree to appear in court at the time the court considers approving this document. Plaintiff agrees to provide the defendant written notice of that Telephone No.: hearing. Facsimile No.: E-Mail Address: Mobile Tel. No.: 8 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. Complete Agreement: The parties signing this agreement state that this: written agreement contains the JUDICIAL SUBPOENA Plaintiff(s) entire understanding of both parties and that no other written or verbal agreements have -against: been made. : Voluntary Execution: The parties acknowledge that they enter into this: agreement freely, voluntarily, and without any duress or undue force, pressure or influence, and intending to be bound Defendant(s) legally by this agreement. : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO 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 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 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 9 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. IN WITNESS WHEREOF: the parties have set their agreement to this document as : indicated by their signatures below. Plaintiff(s) JUDICIAL SUBPOENA -against- STATE OF IDAHO :SS COUNTY OF BANNOCK : ) ) ) : : _______________________________ (Print Name), being first duly sworn on oath, deposes and states: that he/she is theDefendant(s) in this matter; that such parent has named parent : ...................................................... read the above and foregoing agreement, knows the contents thereof, and agrees that the provisions of this agreement shall be legally binding upon him/her. ________________________________________ THE PEOPLE OF THE STATE OF NEW YORK (Parent Signature) TO SUBSCRIBED AND SWORN before me this _____ day of _________, ______ ________________________________________ NOTARY PUBLIC FOR IDAHO Residing at: ______________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before My commission expires: ____________________ , the Honorable at the Court (SEAL) located at County of GREETINGS: 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 STATE OF IDAHO :SS COUNTY OF BANNOCK ) ) ) 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 andon oath, _______________________________ (Print Name), being first duly sworn all damages sustained as a result of your failure to comply. deposes and states: that he/she is the named parent in this matter; that such parent has read the above and foregoing agreement, knows the contents thereof, and agrees that the Witness, this agreement shall be legally binding upon him/her.one of the Justices of the , provisions ofHonorable Court in County, day of , 20 ________________________________________ (Parent Signature) (Attorney must sign above and type name below) SUBSCRIBED AND SWORN before me this _____ day of _________, ______ ________________________________________ Attorney(s) for NOTARY PUBLIC FOR IDAHO Residing at: ______________________________ My commission expires: ____________________ (SEAL) Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 10 American LegalNet, Inc. www.USCourtForms.com