COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. IN THE DISTRICT COURT OF THE ______ JUDICIAL DISTRICT OF THE : JUDICIAL SUBPOENA Plaintiff(s) STATE OF-against- IN AND FOR THE COUNTY OF _________ IDAHO, : : Register No. PLAINTIFF, ) : ) Plaintiff, Defendant(s) ) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .) . . . . . REQUEST FOR STATEMENT OF DAMAGES . ....... -vs) SOUGHT IN EVALUATION UNDER SMALL ) LAWSUIT RESOLUTION ACT DEFENDANT, ) THE PEOPLE OF THE STATE OF NEW YORK ) Defendant, ) (I.C. §7-1507(1)(a)) ______________________________ ) TO COMES NOW the Defendant [through his/her attorney of record, _______________________], and demands that the claimant provide a GREETINGS: written statement setting forth separately the amounts of any WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable general or other damagesthe at sought in Court evaluation. special, the located at County of in room 1. This the , on request is made pursuant to Idaho Code § 7-1507(1)(a). 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. Such statement shall be served on all parties no later than twenty-one (21) days after receipt of demand. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 3. This request has been filed with penalty of $50 and all the party on whose behalf this subpoena was issued for a maximumthe evaluator. damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 DATED this _____ day of _______, 20____. (Attorney must sign above and type name below) ______________________ Signature Attorney(s) for Office and P.O. Address REQUEST FOR STATEMENT OF DAMAGES SOUGHT IN EVALUATION UNDER SMALL Telephone No.: LAWSUIT RESOLUTION ACT Facsimile No.: Page 1 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. CERTIFICATE OF SERVICE : Plaintiff(s) JUDICIAL SUBPOENA I do hereby -againstcertify that a true, full and correct copy of the : foregoing Request for Statement of Damages Sought in Evaluation : Under Small Lawsuit Resolution Act was this _____ day of ________, : 20_____, serviced upon the following Defendant(s) : ...................................................... in the manner indicated below. THE PEOPLE OF THE STATE OF NEW YORK Name of Claimant [ ] U.S. Mail postage prepaid TO Address [ ] Overnight Delivery [ ] Hand Delivery GREETINGS: [ ] Telefax 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 Evaluator [ ] U.S. Mail postage prepaid in room , on the day of , 20 , at o'clock in the noon, and at any recessed orAddress date, to testify and give evidence as a witness[ ] Overnight part of the adjourned in this action on the Delivery [ ] Hand Delivery Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to [ ] Telefax 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. Signature Witness, Honorable Court in County, , one of the Justices of the day of , 20 Attorney (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address REQUEST FOR STATEMENT OF DAMAGES SOUGHT IN EVALUATION UNDER SMALL Telephone No.: LAWSUIT RESOLUTION ACT Facsimile No.: Page 2 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com