COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Form B21 (12/03) : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : UNITED STATES BANKRUPTCY COURT : DISTRICT OF MAINE : Defendant(s) : . .Case .Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... ........ STATEMENT OF SOCIAL THE PEOPLE OF THE STATE OF NEW YORK SECURITY NUMBER(S) TO filing jointly, inform ation for b oth spo uses m ust be pro vided o n this form If Debtor Name GREETINGS: (enter fu ll nam e) WE COMMAND _ _ _ - all business _ or; (check if applicable) Social Security Number YOU, that _ _- _ _ _ and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of not the in” Debtor does , on have Social Security Number room 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 Joint Debtor Name (enter fu ll nam e) Social Security Number _ _ _ -this_- _ _ _ _ punishable asapplicable) of court and will make you liable to Your failure to comply with _ subpoena is or; (check if a contempt 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. ” Joint Debtor does not have Social Security Number Witness, Honorable Court in County, , one of the Justices of the day of , 20 I declare under penalty of perjury that the foregoing is true and correct (Attorney must sign above and type name below) Signature of D ebtor Date Attorney(s) for Signature o f Joint D ebtor Date Office and P.O. Address Penalty for making a false statement: Fine up to $250,000 or imprisonment for up to 5 year, or both. 18 U.S.C.§152 and §3571 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com