COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : INSTRUCTIONS FOR PERSONS FILINGJUDICIAL SUBPOENA A PRO SE Plaintiff(s) PETITION FOR WRIT OF HABEAS CORPUS UNDER 28 U.S.C. §2254 -against- : These instructions are to help you understand the forms for filing a petition for writ of habeas corpus and : a little bit about Court procedures, but THE COURT CANNOT GIVE YOU LEGAL ADVICE. Is this form for you? : Defendant(s) : . .Generally, .§2254 . . . . .be. used. by.a person. in custody. pursuant .to a judgment by a state court or who in . . . . . . . . . . . . . may . . . . . . . . . . . . . . . . . . . . . . . . . . . the future will be in custody pursuant to a judgment by a state court, to seek a determination that the custody is in violation of the Constitution, laws, or treaties of the United States. 28 U.S.C. §2244(b) limits the jurisdiction THE Court OF NEW YORK THE PEOPLE OFof thisSTATEto one petition per judgment, unless permission to consider a second or successive petition is given by the United States Court of Appeals for the Fourth Circuit. If you previously filed TO a habeas corpus petition under 28 U.S.C. §2254 challenging the same judgment, which was dismissed or denied with prejudice, do not use these forms . Use the forms for filing a motion with the United States Court of Appeals to authorize consideration of a second or successive habeas corpus petition. GREETINGS: How to file a petition WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court To begin a lawsuit you must file an original and one copy of your petition with the court. You should keep County of the petition for your located at a copy of own records. The Court is not responsible for providing copies to you. inALL COPIES MUST BE IDENTICAL TO THE20 room , on the day of , ORIGINAL. , 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 petition must be legibly handwritten or typed. If you need more space to answer a question you may write on the back of the form or attach additional pages. All pages should be 8 ½” by 11". Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on the Respondents are the warden or administrator of the facility where you are detained and the Generally, whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Attorney General for the State of Maryland. In some cases, there may be other respondents. Witness, Honorable , one of the Justices of the If you wish to challenge judgments from different courts or judgments entered at different times in different Court in County, day of , 20 cases, you must file a separate petition for each judgment. If you are challenging multiple convictions in a single indictment or in cases which were tried at the same time, you may file a single petition. (Attorney must sign above and type name below) Answer the questions about state court proceedings carefully. FAILING TO PROVIDE THE INFORMATION REQUESTED MAY RESULT IN YOUR PETITION BEING DENIED OR CAUSE DELAYS IN PROCESSING YOUR PETITION. Attorney(s) for In your petition list each ground on which you are seeking relief and state the facts of your case that support each ground. Because federal law limits the circumstances under which a second or successive petition may be considered, you should include all grounds upon which you wish P.O. Address It is not necessary Office and to seek relief. to provide legal citations. If you wish to submit arguments in support of your petition, they should be in the form of a separate memorandum. 2254 Petition (Rev. 02/18/2005) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : The petition must be signed under oath by Plaintiff(s) seeking relief or by someone authorized to act on the person JUDICIAL SUBPOENA his or her behalf. -against- : When the forms are completed mail the original and one copy to: Clerk, United States District Court for : the District of Maryland, 101 West Lombard Street, Baltimore, Maryland 21201. : How to ask for the filing fee to be waived Defendant(s) : ...................................................... There is a fee of $5.00 for filing this type of lawsuit. This must be paid at the time your petition is filed. If you are unable to pay the filing fee you may ask the Court to let you proceed in forma pauperis. The practice of this Court STATE OF NEW leave THE PEOPLE OF THEis that a motion for YORKto proceed in forma pauperis will not be granted if, after paying the filing fee, you would have $25.00 or more left in your institutional account. What the court will do with your petition TO Once your petition is received by the Court it will be reviewed and a case number and judge will be assigned. Everything that you receive from the Court about your case will have your case number on it. GREETINGS: Everything that you send to the Court other than the petition and motion and affidavit to proceed in forma pauperis should have the case number on it. The Court may order that you provide additional of you attend before WE COMMAND YOU, that all business and excuses being laid aside, you and each information. , the Honorableis important that you submit the information in a timely manner. If you do not respond your at the Court If it does, it located at County ofmay be denied. The Court may order that the Respondents fil an answer to your petition. If an petition inanswer is filed you may file a reply within thirty days from ,the date it was filedin the other time as at fixed room , on the day of , 20 at o'clock or such noon, and is any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the by the Court. Things to know about representing yourself Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party onspecific behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a There are whose procedural rules which apply to actions under 28 U.S.C. §2254. They are called the result of your failure to comply. Rules Governing Habeas Corpus Cases Under Section 2254 In The United States District Courts. The Federal Rules of Civil Procedure will apply in some circumstances, as well as the Local Rules of this Court. Witness, Honorable Court in County, , one of the Justices of the day of , 20 Unless directed otherwise, all communications to the Court about your case should be addressed to: Clerk of the Court (Attorney must sign above and type name below) United States District Court 101 West Lombard Street Baltimore, Maryland 21201 Attorney(s) for You must notify the Court in writing of any change in your address. Failure to do this may result in dismissal of your case. Office and P.O. Address After you file the petition no communication about your case should be sent directly to any judge. If you want to ask the Court to do something, you should file a motion. Pleadings and motions should be filed 2254 Petition (Rev. 02/18/2005) 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : with the Clerk and a copy should be mailed to the attorney representing the respondent(s) or directly to JUDICIAL SUBPOENA Plaintiff(s) the respondent(s) if he/she does not have an attorney. It is important to include a certificate of service on -against: anything you file after your petition showing when you mailed copies and to whom they were sent. The certificate of service appears at the end of the pleading or motion and looks like the sample below. : : CERTIFICATE OF SERVICE Defendant(s) : . . . . . . . . I . . . . . . .certify .that. on.this ______. day .of. ___________________, _____, a copy of this . hereby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (title of the document) , was mailed, postage prepaid, to (name and address of the attorney or person to whom you sent it). THE PEOPLE OF THE STATE OF NEW YORK (your signature TO ) It is not necessary to state in the certificate of service that copies were sent to the Court or to the Clerk. GREETINGS: Do not file any motions or memoranda that are longer than fifty pages unless you have received permission from the Court. Most motions and memoranda should be much shorter aside, youpages. of you attend before WE COMMAND YOU, that all business and excuses being laid than fifty and each , the Honorable at the Court located at Countydo not have to file copies of exhibits that are already on file in the same case. For example, if the of You inrespondents in your case file an answer and attach as an , at room , on the day of , 20 o'clock in the noon, and at any recessed exhibit a copy of your post conviction petition, or adjourned date, to testify and give evidence as a witness in this action on the part of the you do not have to attach a copy of that document to any motions or memoranda you file. You may simply refer to the copy that is already in the file. Your failure to comply motion, subpoena is punishable as contempt of court and sign someone You must sign every pleading, with this and memorandum that youafile. You MAY NOT will make you liable to the party on whose behalf this subpoena on behalf offor a maximum penalty of $50 and all damages sustained as a else’s name, nor may you file anything was issued someone else. result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address 2254 Petition (Rev. 02/18/2005) 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : FORM TO BE USED BY A PERSON FILING A PETITION FOR JUDICIAL SUBPOENA Plaintiff(s) WRIT OF HABEAS CORPUS UNDER 28 U.S.C. §2254 -against- : IN THE UNITED STATES DISTRICT COURT : FOR THE DISTRICT OF MARYLAND : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO (Full name, date of birth, identification number and address of the petitioner) GREETINGS: v. Civil Action No. (Leave blank. aside, you in each of you WE COMMAND YOU, that all business and excuses being laidTo be filledandby Court.) attend before , the Honorable at the Court located at County of in(Name of the Warden or otherday of having , 20 room , on the , at o'clock in the noon, and at any recessed person or adjourned date, to testify and give evidence as a witness in this action on the part of the custody of the petitioner) and Your failure to comply with THE STATE THE ATTORNEY GENERAL OFthis 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 OF MARYLAND result of your failure to comply. Witness, Honorable , one of the Justices of the PETITION FOR WRIT OF HABEAS CORPUS Court in County, day of , 20 1. Name and location of the court which entered the judgment/conviction being challenged. (Attorney must sign above and type name below) 2. Date of judgment or sentencing. Attorney(s) for 3. Length of sentence. Office and P.O. Address 2254 Petition (Rev. 02/18/2005) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : 4. Nature of offense (all counts). Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : 5. What was your plea? (check one) : (a) Not Guilty [ Defendant(s) :[ . . . . . . . . (b). . . . .Not Guilty. on .Agreed. Statement.of. Facts. . . . . . .. ........ .. ..... ........ . .... (b) Guilty [ (c) Nolo Contendere [ (d) Alford Plea [ THE PEOPLE OF THE STATE OF NEW YORK ] ] ] ] ] If TO you entered different pleas to different counts or charges, explain. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable of trial. (check one) at the Court 6. Kind located at County of in room (a) , on day of [ ] , 20 , at o'clock in the noon, and at any recessed Jury the or adjourned date, to testify and give evidence as a witness in this action on the part of the (b) 7. Judge Only [ ] Did you testify at the trial? 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 Yes [ ] No [ ] result of your failure to comply. 8. Did you appeal or seek leave to appeal to the Maryland Court of Special Appeals? Witness, Honorable Court in County, Yes [ ] , one of the Justices of the day of , 20 No [ ] If you answered yes, provide the following information: (Attorney must sign above and type name below) A. What grounds did you raise? Attorney(s) for Office and P.O. Address 2254 Petition (Rev. 02/18/2005) 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : B. What was the result? Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : C. What was the date of the decision by the Court of Special Appeals? : Defendant(s) : ...................................................... 9. Did you file a petition for writ of certiorari to the Maryland Court of Appeals? Yes No [ ] THE PEOPLE[OF]THE STATE OF NEW YORK TO If you answered yes, what was the result? GREETINGS: If you answered yes, what was the date of the decision by the Court of Appeals? 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 in10. room Did you , on a petition daywrit of certiorari20 the ,United States Supreme Court? , to at o'clock in the noon, and at any recessed file the for of or adjourned date, to testify and give evidence as a witness in this action on the part of the Yes [ ] No [ ] Your failure to comply withwas the result?is punishable as a contempt of court and will make you liable to If you answered yes, what this subpoena 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 Court in County, , one of the Justices of the If you answered yes, what was the date of the decision by the Supreme Court? 11. day of , 20 (Attorney must sign above and type name below) Have you filed any post conviction petitions challenging this judgment/sentence? Yes [ ] No [ ] Attorney(s) for If you answered yes, provide the following information for each post conviction petition: A. Name and location of the court where you filed. Office and P.O. Address 2254 Petition (Rev. 02/18/2005) 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : B. Date the post conviction petition was filed. Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : C. What grounds did you raise? : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO D. GREETINGS: E. What was the result? What was the date of the decision? 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 F. , on the day of , 20 , at noon, and Did you file an application for leave to appeal to theo'clock of Special Appeals? at any recessed Court in the or adjourned date, to testify and give evidence as a witness in this action on the part of the Yes [ ] No [ ] Your failure towas the result? subpoena is punishable as a contempt of court and will make you liable to G. What comply with this 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 What was the date of the decision by the Court of Special Appeals? Court in County, day of , 20 H. I. (Attorney must sign above and type name below) If the Court of Special Appeals granted your application for leave to appeal but affirmed a decision denying post conviction relief, did you file a petition for writ of certiorari to the Court of Appeals? Attorney(s) for Yes [ ] J. No [ ] What was the result? 2254 Petition (Rev. 02/18/2005) Office and P.O. Address 4 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : K. Index No. Calendar No. What was the date of the decision by the Court:of Appeals? JUDICIAL SUBPOENA Plaintiff(s) -against- : 12. Have you filed any other actions in any state or federal court challenging the judgment which is the : subject of this petition? : Yes [ ] No [ ] Defendant(s) : ...................................................... If you answered yes, provide an explanation of what you filed, where, when, and what the result was. THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: 13. Do COMMAND YOU, that all PENDING excuses being laid aside, you and each of you attend WE you CURRENTLY HAVE business andin any state or federal court any motion, petition, or before , the Honorable appeal concerning the judgment being challenged at the petition? Court in this located at County of in room Yes [ ], on the day of ] , 20 , at o'clock in the noon, and at any recessed No [ or adjourned date, to testify and give evidence as a witness in this action on the part of the If you answered yes, describe what you filed, when, where, and its current status. 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 Court in County, , one of the Justices of the day of , 20 14. In most cases federal law requires that a habeas corpus petition be filed within one (1) year of the date your conviction became final. The time when a post conviction petition isabove and type on appeal does pending or name below) (Attorney must sign NOT count towards the one year. 28 U.S.C. § 2244(d). If this petition is being filed more than one year after your conviction became final, explain why it is late and/or why you believe the one year limitations period does not apply. Attorney(s) for Office and P.O. Address 2254 Petition (Rev. 02/18/2005) 5 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : 15. State BRIEFLY every ground on which you claim you are being held unlawfully. BRIEFLY JUDICIAL SUBPOENA Plaintiff(s) summarize the facts supporting each ground. If necessary, you may attach additional pages. -against- A. : Ground One: : Supporting Facts: : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO B. GREETINGS: Ground Two: Supporting Facts: 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 C. Ground Three: 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 Supporting Facts: result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) D. Ground Four: Attorney(s) for Supporting Facts: Office and P.O. Address 2254 Petition (Rev. 02/18/2005) 6 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : 16. If any of the issues that you are raising in this petition have not been presented to a state court, JUDICIAL SUBPOENA Plaintiff(s) explain which issues are being raised for the first time and why. -against- : : : Defendant(s) : ...................................................... 17. Do you have any other sentence(s) to be served after you complete the sentence(s)/commitment that is being OF THE in this OF NEW THE PEOPLEchallengedSTATEpetition? YORK TO Yes [ ] No [ ] If you answered yes, provide the following information about each of your future sentences: GREETINGS: A. Name and location of the court that imposed the sentence. 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 B. , on the day of , 20 , at o'clock in the noon, and at any recessed Length of the sentence. or adjourned date, to testify and give evidence as a witness in this action on the part of the C. Have you filed, or do you intend to file, a petition attacking this sentence? Your failure to comply with this No [ ] is punishable as a contempt of court and will make you liable to subpoena Yes [ ] 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. WHEREFORE, Petitioner prays that the Court grant him all relief to which he may be entitled in this action. Witness, Honorable Court in County, , one of the Justices of the day of , 20 I DECLARE UNDER THE PENALTIES OF PERJURY THAT THE INFORMATION ABOVE IS TRUE AND CORRECT. (Attorney must sign above and type name below) SIGNED THIS ______ day of _______________________, __________. Attorney(s) for (original signature of petitioner) Office and P.O. Address (address of petitioner) 2254 Petition (Rev. 02/18/2005) 7 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : FORM TO BE USED BY A PERSON SEEKING LEAVE TO PROCEED JUDICIAL SUBPOENA Plaintiff(s) IN FORMA PAUPERIS IN A HABEAS CORPUS ACTION -against- : IN THE UNITED STATES DISTRICT COURT : FOR THE DISTRICT OF MARYLAND : Defendant(s) : ...................................................... (name of petitioner) v. THE PEOPLE OF THE STATE OF NEW YORK Civil Action No. (Leave blank. To be filled in by Court.) TO (name of respondent) GREETINGS: MOTION AND that all business and excuses being laid aside, you and each WE COMMAND YOU, AFFIDAVIT TO PROCEED IN FORMA PAUPERIS of you attend before , the Honorable at the Court located at County ofI, , declare that I am the petitioner in this case. I 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 understand that the fee for filing this type of case is $5.00. Because of my poverty, I am unable to pay the filing fee and costs of this action at this time, nor am I able to give security therefor. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whosethat I have asubpoena was issued for a maximum penalty ofin these proceedings. sustained as a I believe behalf this meritorious complaint and am entitled to relief $50 and all damages result of your failure to comply. In support of this motion, I answer the following questions: Witness, Honorable Court in County, 1. day of , one of the Justices of the , 20 Are you presently employed in an institutional job or other assignment that results in compensation of any sort, including work release? YES [ ] a. NO [ ] (Attorney must sign above and type name below) If you answered YES, list your employer or assignment and the amount of your Attorney(s) for wages. Employer/assignment: Office and P.O. Address Monthly gross wages: 2254 Petition (Rev. 02/18/2005) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Monthly net wages:Plaintiff(s) b. -against- Calendar No. : JUDICIAL SUBPOENA : If you answered NO, state the date of your last employment or assignment, the name of your employer or assignment, and the amount of wages you received. : : Date: Defendant(s) : . . . . . . . . . . . . . . . . . . . . . Employer/assignment: . . . . . . . . . . . . . . . .................. Monthly gross wages: Monthly net wages: THE PEOPLE OF THE STATE OF NEW YORK TO 2. GREETINGS: Within the past twelve months have you received any income from: 1) settlements, judgments, or monetary awards from a court; 2) Social Security, public assistance, workers’ compensation or disability payments; 3) a business, profession or other form of self-employment; 4) rent, interest or dividends; 5) retirement, annuity, pension or insurance payment; 6) gifts or inheritances; 7) or any other sources? WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable Court YES [ ] NO [ ]at the located at County of in room , you answered YES, list the amount received, date it was in the day of , 20 , at o'clock received, and theand at any recessed noon, source. If on the or adjourned date, to testify and give evidence as a witness in this action on the part of the Amount Date received Source 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 Court in County, 3. 4. 5. , one of the Justices of the day of , 20 How much money do you have in your institutional account? How much money do you have in checking, savings or sign above and type name below) the other accounts outside of (Attorney must institution? Do you own or have any interest in any real estate, stocks, bonds, notes, automobiles, or other valuable property (not including ordinary householdfor Attorney(s) furnishings and clothes)? YES [ ] NO [ ] Office and P.O. Address If you answered YES, list the value and describe each item. 2254 Petition (Rev. 02/18/2005) 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Value : Description Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... 6. List everyone OF NEW businesses and the government) that you owe money and the THE PEOPLE OF THE STATE (includingYORK amount that you owe. TO Creditor Total debt Monthly payment 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 7. List any other major monthly expenses that you are actually paying. 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 $50payment damages sustained as a Description Monthly and all result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) I DECLARE UNDER THE PENALTIES OF PERJURY THAT THE INFORMATION ABOVE IS TRUE AND CORRECT. Attorney(s) for (date) 2254 Petition (Rev. 02/18/2005) (original signature of petitioner) Office and P.O. Address 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com