COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Form B 21 Official Form 21 (12/03) Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : United States Bankruptcy Court : EASTERN DISTRICT OF KENTUCKY ____________ DIVISION : IN RE: _______________________________________ Defendant(s) : ...................................................... _______________________________________ DEBTOR(S) CASE NO. _________ THE PEOPLE OF THE STATE OF NEW YORK Address _______________________________________ TO _______________________________________ Chapter ______ Employer's Tax Identification (EIN) No(s) [if any]: ______________ GREETINGS: Last four digits of Social Security No(s): ________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court locatedOF SOCIAL SECURITY NUMBER(S) at County of STATEMENT in room , on the day of , 20 , at o'clock in the noon, and at any recessed or1. Name of Debtor (enter give evidenceMiddle):_______________________________ adjourned date, to testify and Last, First, as a witness in this action on the part of the (Check the appropriate box and, if applicable, provide the required information.) Debtor has a Social Security Number punishable _ a contempt of court and will make you liable to Your failure to comply with this subpoena isand it is: _ as _-_ _-_ _ _ _ (If more than one, state all.) the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result q your failure to comply. of Debtor does not have a Social Security Number. q 2. Name of Joint Debtor (enter Last, First, Middle):__________________________ Witness, Honorable , one of the Justices of the (Check Court in the appropriate box and, of applicable,, provide the required information.) County, day if 20 q q Joint Debtor has a Social Security Number and it is: _ _ _-_ _-_ _ _ _ (If more than one, state all.) (Attorney must sign above and type name below) Joint Debtor does not have a Social Security Number. I declare under penalty of perjury that the foregoing is true and correct. Attorney(s) for X ______________________________________________ Signature of Debtor Date Office and X ______________________________________________ P.O. Address Signature of Joint Debtor Date Telephone No.: *Joint debtors must provide information for both spouses. Penalty for making a false statement: Fine of up to $250,000 orFacsimile No.:imprisonment or both. up to 5 years 18 U.S.C. §§ 152 and 3571. E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com