INFORMATION FOR SERVICE OF PROCESS PROVIDED BY PETITIONER/PETITIONER-IN-RECONVENTION PLEASE PROVIDE AS MUCH INFORMATION AS POSSIBLE. THIS INFORMATION WILL HELP LAW ENFORCEMENT LOCATE DEFENDANT (or DEFENDANT-IN-RECONVENTION) TO SERVE A COPY OF THE PETITION AND TEMPORARY RESTRAINING ORDER (IF ISSUED). THE FOLLOWING INFORMATION IS NEEDED ON THE DEFENDANT (or DEFENDANT-IN-RECONVENTION). COURT NAME COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : OTHER NAMES USED DATE OF BIRTH ______/______/______ Index No. SOCIAL SECURITY # : Calendar No. DRIVERS LICENSE # _________________________ STATE ______ EXP. DATE ______/______/______ HOME ADDRESS No. & Street Plaintiff(s) -against- : JUDICIAL SUBPOENA Apt. No. : City State TEL. NO. Zip Code : WORK ADDRESS Name of employer : Defendant(s) No. & Street Apt.: No. ...................................................... DEPARTMENT City State Zip Code WORK DAYS/HOURS TEL NO. THE PEOPLE OF THE STATE OF NEW YORK TO PHYSICAL DESCRIPTION: G MALE G FEMALE RACE EYE COLOR __________ HAIR COLOR __________ HEIGHT __________ WEIGHT DISTINGUISHING FEATURES (scars, tattoos, facial hair, etc.) GREETINGS: MOTOR VEHICLE: YOU, that all business and excuses being laid aside, you and each of you attend before WE COMMAND , the HonorableLICENSE PLATE # _______________ YEAR ________ MAKE _____________ COLOR at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed DOES date, to testify and (or DEFENDANT-IN-RECONVENTION): or adjournedTHE DEFENDANT give evidence as a witness in this action on the part of the HAVE A HISTORY OF VIOLENCE TOWARDS OTHERS (OTHER THAN VICTIM)? G YES G NO HAVE A HISTORY comply with this subpoena is OR ALCOHOL? contempt of court and will makeNO liable to G YES G you Your failure to OF USING/ABUSING DRUGS punishable as a the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a G YES G NO result CARRY failure to comply. of your A WEAPON? IF YES, WHAT KIND OF WEAPON? Witness, Honorable , one of the Justices of the Court OTHER PLACES AND TIMESday of MAY BE FOUND: (Friends, relatives, bars, hangouts) in County, , 20 S/HE (Attorney must sign above and type name below) ANY OTHER INFORMATION WHICH MAY BE HELPFUL: Attorney(s) for _________________________________________________________________________________________ _________________________________________________________________________________________ Office and P.O. Address Date Petitioner’s / Petitioner-in-Reconvention’s Signature Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: LPOR H v.4 American LegalNet, Inc. www.USCourtForms.com