COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. DISTRICT COURT OF ______________COUNTY, KANSAS : JUDICIAL SUBPOENA Small Claims Procedure Plaintiff(s) -against- : ______________________________________________________________ : Plaintiff-name and address vs. : ______________________________________________________________ Defendant(s) : Defendant-name and address ...................................................... Case No. _________________ THE PEOPLE OF THE STATE OF NEW YORK TO JUDGMENT DEBTOR’S STATEMENT OF ASSETS TO THE JUDGMENT CREDITOR: If the judgment debtor has not paid you or the Clerk of the Court the amount of the judgment with costs and GREETINGS: interest due within 15 days of the date that the judgment was entered, mail a copy of the judgment and this form to the judgment debtor by first class U.S. mail, postage prepaid. Also obtain a certificate of mailing from the WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before post office. , the Honorable at the Court County of located at TO THE JUDGMENT ,DEBTOR: day of in room on the , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give and it may witness in this provided by law at any A judgment has been entered against youevidence as abe enforced as action on the part of the time. In addition unless you pay the judgment, you must fill out this form and mail it or take it to the creditor within 30 days of the time you received it. This communication is an attempt to collect a debt and any information obtained will be used for that purpose. 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. EMPLOYMENT INFORMATION r Occupation ________________________________________ Witness, Honorable Court in County, , one of the Justices of the r Business or employer name and address ______________________________________________________ day of , 20 r Pay schedule _____ daily; _____ weekly; _____every two weeks; _____ twice a month; _____monthly: _____ other (explain)_____________________________________________________________________ r Gross pay each pay period $______________ (Attorney must sign above and type name below) r Take home pay each period $______________ Attorney(s) for CASH AND BANK ACCOUNT INFORMATION r Cash on hand $_____________ Office and P.O. Address r Cash in banks, savings and loans, credit unions, and other financial institutions either in your own name or jointly (list): Name and address of financial institution: Account Number: Individual or Joint: Balance: _________________________________ Telephone No.: Facsimile No.: ___________________ _________________ $____________ E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : _________________________________ ___________________ Plaintiff(s) _________________________________ -against- : ___________________ : Index No. Calendar No. _________________ $____________ JUDICIAL SUBPOENA _________________ $____________ : PROPERTY INFORMATION: : r List of all automobiles, other vehicles, and boats owned jointly or in your name: Defendant(s) : ...................................................... Make and Year: ____________________ Value: _______________ Legal Owner: _______________________________ THE PEOPLE OF THE STATE OF NEW YORK Amount Owed: ________________ ____________________ _______________ _______________________________ ________________ TO ____________________ _______________ _______________________________ ________________ r Real Estate in your name or jointly: GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each Amount Owed: of you attend before Address of Real Estate Fair Market Value: the Honorable at the _______________________________________________ located at County of Court _____________________ _______________ in room , on the day of , 20 o'clock in the _______________________________________________ , at _____________________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. INSTRUCTIONS FOR CORPORATIONS OR PARTNERSHIPS Witness, Honorable , of of assets of the the Attach to this form a statement describing the nature, value, and exact locationone all the Justices ofcorporation of Court and County, day of , 20 the partners,in a statement showing that the person signing this form is authorized to submit this form on behalf of the corporation or partnership. (Attorney must sign above and foregoing is I declare under penalty and perjury under the laws of the State of Kansas that the type name below)true and correct. Date: _______________________________ ________________________________________ Type or Print Name ________________________________________ Type or Print Address Attorney(s) for ________________________________________ Signature of Judgment Debtor or Office and P.O. Address Authorized Agent of Corporation or Partnership Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com ,