COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. FORM 13/NON -CRIMINAL LE GAL PRO CEED INGS - Use with Question 13 : Applicant’s Name: Caption or title of case: Case #: Plaintiff(s) : Calendar No. SSN: JUDICIAL SUBPOENA Date: of final disposition: -against- Date filed: Name, address, and telephone number of court where case is/was filed: : : Description/explanation of the case: Defendant(s) : ...................................................... Full name(s) and address(es) of plaintiff(s): THE PEOPLE OF THE STATE OF NEW YORK Full name(s) and address(es) of defendant(s): TO Description of Final Disposition: GREETINGS: WE COMMAND YOU, that the imposition of financial obligation against you? Did this proceeding result in a judgment or all business and excuses being laid aside, you and each of you attend before YES NO , the Honorable at the Court located at County of If so, has that judgment or obligation been satisfied? YES NO N/A in room on the day of , 20 , at o'clock in the noon, and at any recessed If YES, attach, proof of satisfaction. or adjourned date, to testify and give evidenceowed. If NO, explain why and state amount still 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. If you wer e ordered to pay maintenance, alimony, or child support, provide the name, addr ess, and telephone number of the payee or office receiving your payments. Witness, Honorable , one of the Justices of the Court in County, day of , 20 (Attorney must sign above and type name below) ATTACH A COPY OF PETITION AND ANY JUDGMENT OR FINAL DISPOSITION RENDERED. Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com