COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : IN THE DISTRICT COURT OF ___________ COUNTY, KANSAS : IN THE MATTER OF THE ESTATE OF ______________________________. DECEASED : CASE NO. __________ Defendant(s) : . . . . . . . . Comes .now, .____________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of _________________________________________ (Name) (Address) and represents to the court that the estate of the above named decedent, now in process of administration herein, less all credits as shown below or by “Exhibit A” attached hereto(additional pages may be attached if necessary), is indebted to this petitioner as follows: THE PEOPLE OF THE STATE OF NEW YORK DATE ITEMS DEBTS CREDITS TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before TOTAL DEBITS & CREDITS , the Honorable at the Court located at County of NET AMOUNT OF CLAIM XXXXXXXX in room , on the 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 WHEREFORE, Petitioner prays the allowance of his demand against said estate to the sum of $ _________ with interest thereon at the rate of ____% per annum from ___________________, ___ to __________________, _____, and the same be assigned to the _________ class; that this court forthwith fix a failure to place for the hearing of this is punishable as a contempt of court and will make by liable to Your time and comply with this subpoena petition and order that notice be given as provided you law. 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. (Claimant) VERIFICATION Witness, Honorable (To be used by individual Claimant Only) , one of the Justices of the STATE Court in OF KANSAS, _____________________ COUNTY, SS: County, day of , 20 _________________________________, of lawful age, being duly sworn upon oath, says that _____ signed the foregoing petition: that _____ knows the contents thereof, and that all the statements therein contained are true. ___________________________________ (Attorney must sign above and type name below) (Claimant) SUBSCRIBED AND SWORN TO before me this _____________________, _____. ___________________________________ (Name & Title of Court Official-Notary Public Attorney(s) for VERIFICATION BY AGENT (To be used by Agent or Member of Firm Only) STATE OF KANSAS, ____________________ COUNTY, SS: _________________________________, of lawful age, being duly sworn upon oath, says that he is the agent of the above named petitioner; that the matters and things stated inP.O.foregoing petition are within Office and the Address the personal knowledge of this affiant; that this affiant is duly authorized to make this affidavit and that the allegations contained in said petition are true. ___________________________________ Telephone (Claimant) No.: SUBSCRIBED AND SWORN TO before me this _____________________, _____. Facsimile No.: ___________________________________ E-Mail Address: (Name & Title of Court Official-Notary Public Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com