COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Clerk’s Index No. Use only Calendar No. IN THE DISTRICT COURT OF DOUGLAS COUNTY, KANSAS : Seventh Judicial District JUDICIAL SUBPOENA Plaintiff(s) Small Claims Division -against- : ________________________________________Plaintiff : ________________________________________________Address : Defendant(s) : . . . . . . . . . . . . . . . . . . . Vs.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ________________________________________________Defendant Case No. ________SC_______________ THE PEOPLE OF THE STATE OF NEW YORK ________________________________________________Address TO ________________________________________________Social Security No. of Defendant REQUEST FOR GARNISHMENT TO THE CLERK: Issue an Order of Garnishment in the above-entitled cause returnable according to law, and GREETINGS: direct the same to the Sheriff of _______________________County, Kansas. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court _______________________________________________________Garnishee _____Attach Earnings located at County of in room , on the day of , 20 , at o'clock in the _____Attach noon, and at any recessed Other Property or adjourned date, to testify and give evidence as a witness in this action on the part of the _______________________________________________________Address _______________________________________________________Phone No. 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 Earnings Other Property/Non-earnings result of your failure to comply. If this garnishment is attaching the earnings of the Witness, Honorable defendant, please complete the following: Court in County, If this garnishment is attaching funds, credits, or other , one of the Justices indebtedness held by a bank, savings and loan of the , 20 association, credit union, or finance company, please complete the following: day of Purpose of the garnishment is to satisfy a judgment. As of this date the unpaid balance is: (Attorney must sign above and type name below) Judgment $__________________________ The amount of $_______________________ is to be withheld. (This amount is 110% of the amount of the judgment.) I hold a good faith belief that the party to Attorney(s) for be served with this garnishment order has, or will have, assets of the judgment debtor. Interest $ ___________________________ Court Costs $_________________ Maximum to be Withheld: $____________________ Office and by garnishee on Note: When figuring unpaid balance, subtract from judgment amount any monies being heldP.O. Address previous garnishments, but not yet paid to you. The judgment creditor is required to maintain an account of all monies and credits applied to the judgment, all interest accrued, and the remaining unsatisfied balance. The court may at any time require you to provide this information. Telephone No.: Facsimile No.: E-Mail Address: _______________________________________________ Mobile Tel. Judgment Creditor No.: Date Issued:____________ By:_____________ American LegalNet, Inc. www.USCourtForms.com