COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : DNA-8 Rev. 2-04 Page 1 of 2 Doc. Code: OAF Index No. Case No. : Court [ Calendar No. ] District [ ] Family [ ] Circuit ORDER FOR ATTORNEY’S FEES : BUSE (FOR DEPENDENCY, NEGLECT, A Commonwealth of Kentucky JUDICIAL SUBPOENA County Plaintiff(s) OR TERMINATION OF PARENTAL RIGHTS Court of Justice www.kycourts.net Division _____________________ -against: KRS 620.100; 625.080; CR 17.03(5) PROCEEDINGS) : IN THE INTEREST OF: ____________________________________________________________________, A CHILD Provide the following information about Counsel / Payee Law Firm: : Name: __________________________________________________________________________________________ Defendant(s) : .. .................................................. Address:. . ________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ THE ID No. ______________ or Social Security Federal TaxPEOPLE OF THE STATE OF NEW YORK No. ______________ Tax Status: [ ] Individual TO [ ] Sole Proprietorship [ ] Public Service Corporation Phone No. __________________ [ ] Partnership/Joint Venture [ ] Corporation [ ] Government/Non-profit Agency On _______________, 2_____, the above-named Counsel/Law Firm was appointed to represent the following person(s) whose case was disposed of on ________________, 2_____: GREETINGS: the above-named child; [ ] [ ] the parent(s) of the above-named child [give name(s) excuses being laid aside, you and each of you attend before WE COMMAND YOU, that all business and of parent(s)]:____________________________________ [ ] ________________________________________________________________________________________; , the Honorable at the Court located at County of the non-parent(s) exercising custodial control or supervision of the above-named child [give name(s) of parent(s)]: 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 _________________________________________________________________________________________. Pursuant to KRS [ ] 620.100 [ ] 625.080, it is HEREBY ORDERED that said Counsel/Payee Law Firm be awarded a fee of $_________________. (NOTE: KRS 620.100 limits fees to $250.00 in District Court and $500.00 in Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Circuitthe party on whose behalf this subpoena was issued for a maximum penalty oflimits and all $500.00 per case inas a Court per case in dependency, neglect and abuse proceedings. KRS 625.080 $50 fees to damages sustained termination of parental rights proceedings in Circuit Court.) result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the COUNSEL/PAYEE LAW FIRM FOR THE ABOVE-NAMED CHILD SHALL BE PAID BY (select one): 1. [ ] day of , 20 the Finance and Administration Cabinet. (NOTE: In termination proceedings pursuant to KRS 625.080, the Cabinet for Families and Children (CFC) must be the proposed custodian for the Finance and Administration Cabinet to pay the fee.) (Attorney must sign above and type name below) [The following options are available only for a Guardian Ad Litem for the above-named child(ren) in KRS Chapter 625 Involuntary Termination Proceedings]: Attorney(s) for 2. [ ] ____________________________________________________, the proposed adoptive parents; 3. [ ] _____________________________________________________________________, parent(s); 4. [ ] ________________________________________________________________, agency; 5. [ ] ___________________________________, petitioner (whenP.O. Address proposed custodian). Office and CFC is not the Date: ____________________, 2____ Distribution: OR ___________________________________________________ Judge’s Signature Telephone No.: ___________________________________________________ Facsimile No.: Judge’s Name Print/Type E-Mail Address: Court File Finance & Administration Cabinet, Room 388A, Capitol Annex, Frankfort, KY 40601 (attested copy) Mobile Tel. No.: Other Person or Agency, if any, ordered to pay attorney’s fee American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : DNA-8 Rev. 2-04 Page 2 of 2 : Plaintiff(s) -against- 1. Index No. Case No. _______________________ Calendar No. : JUDICIAL SUBPOENA AFFIDAVIT OF COUNSEL : In Case No. _______________________, I was appointed by the ____________________ [ ] District Court : [ ] Family Court [ ] Circuit Court on __________________, 2____, to represent [ ] the above-named child; [ ] parent(s); [ ] non-parent(s) exercising custodial :control or supervision of the above-named child. 2. In performing the duties described below, I spent __________ hours and __________ minutes. Defendant(s) : ... .............. ... ............................ 3. . . . The. duties I performed. are: .__________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ________________________________________________________________________________________ ________________________________________________________________________________________ TO ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ GREETINGS: ________________________________________________________________________________________ ________________________________________________________________________________________ WE COMMAND 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 ________________________________________________________________________________________ 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 ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 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. ________________________________________________________________________________________ Witness, Honorable , one of the Justices of the ________________________________________________________________________________________ Court in County, day of , 20 ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ (Attorney must sign above and type name below) 4. I have not been paid by the person(s) I represent or by anyone on his/her/their behalf; nor have I been promised any payment for this service in the future. 5. Further the Affiant sayeth naught. Date: ___________________, 2_____ Attorney(s) for Affiant’s Signature: ________________________________________ Office and P.O. Address Sworn to before me on __________________, 2____. My Commission expires: __________________, 2_____. _______________________________________________ Name Telephone No.: Facsimile No.: _______________________________________________ Title E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com