COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : POWER OF ATTORNEY DELEGATING PARENTAL POWERS Calendar No. To a grandparent, sibling of parent or sibling of the minor child/ren : JUDICIAL SUBPOENA Plaintiff(s) __________________________________________________________ , a parent or guardian -againstTypewritten or Printed Name of Parent or Guardian : of the minor child/ren [name(s) and birthdate(s)] : _____________________________________________ , born : _____________________________________________ , born Defendant(s) : . . _____________________________________________. ,. born ................................................. . pursuant to Idaho Code Section 15-5-104, delegates his/her parental powers to (name(s)) ____________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK of (current address) _______________________________________________________________ TO ____________________________________________________________________________ . who is a [ ] grandparent, or [ ] sibling of a parent , or [ ] sibling of the above minor child/ren. This delegation of power includes all powers regarding the care, custody, and property of the GREETINGS: minor child/ren except the power to consent to marriage or adoption of the minor child/ren. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before This power , the Honorable expressly allows my delegate to travel outside the United States with the minor at the Court County of [ ]Yes [ ]No located at child/ren. in room , on the day of , 20 , at o'clock in the noon, and at any recessed orThis power of attorney shall give evidence as a witnesseffect for [ ] on the (3) years, unless earlier adjourned date, to testify and remain in full force and in this action three part of the revoked by me in writing; OR [ ] until _____________________________________________ ___________________________________________________________________________ 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 unless earlier revoked by me result of your failure to comply. in writing. Witness, Honorable Court in County, day of , one of the Justices of the ___________________________________ , 20 Signature of Parent or Guardian ____________________________________________________________________________ Optional Notarization (Attorney must sign above and type name below) STATE OF ______________ ) : ss County of _______________ ) Attorney(s) for On the ______ day of ______________________, 20_____, before me, a Notary Public, personally appeared ___________________________________________________________, known or identified to me to be the person whose name is subscribed to the within or foregoing instrument, and acknowledged to me that s/he executed the same. Office and P.O. Address ___________________________________ Notary Public for _____________________ Residing at _________________________ Telephone No.: Commission expires: _________________ Facsimile No.: E-Mail Address: Mobile Tel. No.: PARENTAL POWER OF ATTORNEY - RELATIVE CAO 6-2A (with optional Notarization) Effective 10/20/2003 American LegalNet, Inc. www.USCourtForms.com