COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : -against- _______________________________________ Defendant : BATON ROUGESUBPOENA JUDICIAL CITY COURT CITY OF BATON ROUGE : Plaintiff(s) Calendar _____________ DIV. ____ SUIT NO. No. : _______________________________________ Plaintiff VS. Index No. STATE OF LOUISIANA : Defendant(s) : ...................................................... AFFIDAVIT OF CORRECTNESS OF ACCOUNT THE PEOPLE OF THE STATE OF NEW YORK TO BEFORE ME, the undersigned authority, personally came and appeared: GREETINGS: _________________________________________, who, being first duly sworn, did depose and say that AFFIANT WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before he/she is employed by Plaintiff, that he/she is at the personally familiar with the account at issue in this , the Honorable Court located at County of litigation, that the balance due by ______________________________________________, Defendant, 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 to______________________________________________, Plaintiff, is $___________________, as more fullyYour failure in comply with attached heretopunishable asaa part hereof,court and will make you liable to described to Exhibit I, this subpoena is and made contempt of that the services and/or the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a products described into comply. were actually rendered and/or provided to defendant, and that, despite result of your failure Exhibit I repeated amicable demands, Plaintiff has been unable to collect this debt., one of the Justices of the Witness, Honorable Court in County, day of , 20 _____________________________________________ AFFIANT (Attorney must sign above and type name below) Attorney(s) for SWORN TO AND SUBSCRIBED, before me, Notary Public, on the ____ day of ____________, 20____. Office and P.O. Address ________________________________________________ NOTARY PUBLIC Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Civil – Affidavit of Correctness of Account (05-13-03) American LegalNet, Inc. www.USCourtForms.com