COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. Instructions for Application and Request for Public Data : Calendar No. Fill out the form and describe the information requested as completely as possible. Be sure to include a : telephone number where we may contact you with additional questions. JUDICIAL SUBPOENA Plaintiff(s) -against- : Send the completed, signed request to: : Research Director Fourth Judicial District Court: C-1252 Hennepin County Government Center Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . .300 .South. Sixth. Street. . . . . . . ... .... .... ..... Minneapolis, MN 55487-0421 After receipt of the request, we will determine an approximate cost. We will then call the requestor with that THE PEOPLE OF THE STATE OF NEW YORK cost estimate. TO Generally, requests can be filled in two weeks. 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 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 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: HC 2827 (2/94) (Rev.1/94) American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar Application and Request for Public Data No. Fourth Judicial District - Hennepin County : JUDICIAL SUBPOENA Notice to Requestor: This application will be processed Plaintiff(s) in accordance with the Fourth Judicial District Data and evaluated Dissemination Policy. Once submitted, this application and the information contained herein shall become a public record subject to -against: disclosure. : Part I Name of Requestor ________________________________________________ Title_____________________________________ : Address of Requestor _______________________________________________________________________________________ Defendant(s) : Phone Number_____________________ . Dated.of.Request. ___________________ Request needed by ______________________ ......................... .... . ..... ............... This request is being made for records in the following area(s): Civil Criminal Conciliation Court Juvenile Court Other(Includes non-computerized records) Housing Court THEProbate OF THE STATE OF NEW YORK PEOPLE Describe information requested (Be specific) TO Time parameters of requests: FROMGREETINGS: ______ month ______ day ______ year TO ______ month ______ day _______ year WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Reasonthe Honorable is wanted (optional, to be used for statistical purposes only) Court the information at the , located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed Agreement or adjourned date, to testify and give evidence as a witness in this action on the part of the It is understood that the fourth Judicial District, the District Administrator, or court staff are not responsible for any misrepresentation in the information provided to the requestor and are not liable for any use, disclosure or intentional or unintentional dissemination of this information. The undersigned requestor further agrees to pay, unless payment has been waived, the cost of Your processing this request. 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. Signature of Requestor Witness, Honorable , one of the Justices of the Part II - Response to Application and Request for Data Court in County, day of , 20 (Court Use Only) You are hereby notified that your application has been processed and evaluated in accordance with the Fourth Judicial District's Data Dissemination policy, and it is, (Attorney must sign above and type name below) Granted If denied, the reason(s) for denial is/are as follows: Training for customer access Potential disruption of the ongoing business of Court Denied Attorney(s) for Cost Court and/or Information Service's Time Comments ________________________________________________________________________________________________ Office and P.O. Address _________________________________________________________________________________________________________ The estimated cost for fulfilling your request is $____________ . Payment and/or authorization is required before processing. Telephone No.: Return request to ___________________________________________ __________________________ Facsimile No.: Court Administrator/Designee Date E-Mail Address: Address:________________________________________________________________ Phone:____________________________ Mobile Tel. No.: HC 2827 (2/94) (Rev.1/94) American LegalNet, Inc. www.USCourtForms.com