COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. IN THE COURT OF ________________________ COUNTY, KANSAS : Plaintiff(s) ____________________________________________________ -against- Plaintiff/Judgment Creditor : Vs. JUDICIAL SUBPOENA : ____________________________________________________ : Defendant/Judgment Debtor ____________________________________________________ Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address/City/County/State. ....................... ____________________________________________________ SSN/TIN THE PEOPLE OF THE STATE OF NEW YORK Pursuant to Chapter of 61 of Kansas Statutes Annotated TO NOTICE OF APPEAL To GREETINGS: __________________________, the above-named Plaintiff (or Defendant): WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Take notice that ____________________________, defendant(or plaintiff) does and has appealed to , the Honorable at the Court _____________________________ from at judgment(or order, ruling or decisions) rendered and made located the County of in theroom in above-entitled, action on the ____________ day of ___________________, 20______, wherebyrecessed on the day of , 20 , at o'clock in the noon, and at any it was by said court decided, ordered and adjudgedathat ________________________________________ or adjourned date, to testify and give evidence as 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. Signature Witness, Honorable Court in County, day of Dated __________________, 20_______. , one of the Justices of the , 20 (Attorney CERTIFICATE OF SERVICEmust sign above and type name below) I certify that I Have served a copy of the above notice of appeal on __________________________, on the ____________ day of ____________________, 20_____; Attorney(s) for said notice in the United by depositing States mail, postage prepaid, in an envelope addressed to said person at the last address of such person known to me (or, by handing a copy of said notice to __________________________________________ at ________________________________________________________________________________). Office and P.O. Address ____________________________________ Telephone No.: Signature Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com