COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : POWER OF ATTORNEY DELEGATING PARENTAL POWERS JUDICIAL SUBPOENA Plaintiff(s) -against- : __________________________________________________________ , a parent or guardian Typewritten or Printed Name of Parent or Guardian : of the minor child/ren [name(s) and birthdate(s)] : ________________________________________ , born Defendant(s) : ...................................................... ________________________________________ , born ________________________________________ , born THE PEOPLE OF THE STATE OF NEW YORK pursuant to Idaho Code Section 15-5-104, delegates his/her parental powers to [name(s)] TO ____________________________________________________________________________ of (current address) ______________________________________________________________ ____________________________________________________________________________ . GREETINGS: This delegation of power includes all powers regarding the care, custody, and property of the WE COMMAND YOU, that all business and excuses being laid aside, you and child/ren. minor child/ren except the power to consent to marriage or adoption of the minoreach of you attend before , the Honorable at the Court (Check the boxes to indicate yes or no.) located at County of my delegate to travel outside the United States withnoon,minor any recessed the and at inThis power expressly allows day of room , on the , 20 , at o'clock in the child/ren. [ ]Yes testify]No give evidence as a witness in this action on the part of the [ and or adjourned date, to This power of attorney shall remain in full force and effect for six (6) months, unless earlier revoked by me in writing. Or [ ] I am military personnel serving beyond the territorial limits of the United States and this power this subpoena is punishable as a contempt ofeffect for twelve (12) liable to Your failure to comply with of attorney shall remain in full force and court and will make you months, unless earlier revoked by me in writing. a maximum penalty of $50 and all damages sustained as a the party on whose behalf this subpoena was issued for result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 ___________________________________ Signature of parent or guardian STATE OF ______________ ) : ss County of _______________ ) (Attorney must sign above and type name below) 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 Office and P.O. Address the same. ___________________________________ Notary Public for _____________________ Telephone No.: Residing at _________________________ Facsimile No.: Commission expires: _________________ E-Mail Address: Mobile Tel. No.: PARENTAL POWER OF ATTORNEY CAO 6-2 11/01/02 American LegalNet, Inc. www.USCourtForms.com