COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. In the District Court of _______________ County : Calendar No. _________________________ Plaintiff -againstvs. _________________________ Defendant Plaintiff(s) : JUDICIAL SUBPOENA : Case Number__________ : : Defendant(s) : ...................................................... AFFIDAVIT SHOWING INDIRECT CONTEMPT COMES NOW_______________________________, having been duly sworn under THE PEOPLE OF THE STATE OF NEW YORK TO oath, and states to the court: That on ____ day of __________________, _____, the Court granted judgment GREETINGS: _______________________ for the amount of $________________________. against the WE ____ day of ___________________, _____, a Statement of Assets form was On theCOMMAND 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 sent to ______________________________, and a certificate of mailing of said form filed 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 with the Clerk of the District Court. It has now been more than thirty (30) days since the mailing of the assets form and records show that the judgment has not been paid nor has Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the assets form behalf this subpoena was issued the party on whose been returned to the Court. for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. WHEREFORE, the undersigned prays that the Court hear evidence in this matter Witness, Honorable , one of the Justices of the and that Court in _________________________ be found 20 be in indirect contempt for failing to County, day of , to comply with the orders of the Court and that he/she be punished for the violation of said orders. (Attorney must sign above and type name below) __________________________________ Attorney(s) for Subscribed and sworn before me this ____ day of ______________________, _____. ___________________________________ Office and P.O. Address Clerk/Deputy of the District Court Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: AFFIDAVIT INDIRECT CONTEMPT FORM #2 - PAGE 1 American LegalNet, Inc. www.USCourtForms.com