COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : FORM 3 Plaintiff(s) Calendar No. JUDICIAL SUBPOENA IN THE CIRCUIT COURT OF (COUNTY NAME) COUNTY, MISSOURI -against: : In Re: ) ) : ) Petitioner, ) Defendant(s) : ). . . . . . . . . . . . . ......................................... vs. ) Case No. ) ) Respondent. OF NEW YORK ) THE PEOPLE OF THE STATE TO STATEMENT OF PROPERTY OF PETITIONER/RESPONDENT (MODIFICATION/PATERNITY) SOCIAL SECURITY NUMBER: GREETINGS: Instructions: This form must be completed in full. If additional space is required, add a page indicating the section number and supply all information requested. Show only dollar amounts, rounding to the nearest dollar. STATEMENT IS TO BE CURRENT WITHIN 15 DAYS OF HEARING. laid aside,submit this formof you attend before WE COMMAND YOU, that all business and excuses being Failure to you and each may result in the prohibition of the presentation of affirmative evidencethe the information recited herein. , the Honorable at of Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed PROPERTY OF PETITIONER/RESPONDENT or adjourned date, to testify and give evidence as a witness in this action on the part of the A. Real Estate - List interest in real estate owned by you, including leaseholds. Include street address. Present Fair Market Value Amount Owed 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 B. Motor Vehicles. Include all automobiles, boats, trailers, aircraft, Present Amount Owed recreational vehicles and campers in which you have an interest. Fair Market Value (Attorney must sign above and type name below) List year, make, model, and vehicle identification number. Attorney(s) for Office and P.O. Address 38th Circuit Form 3 (Rev. 1-1-2000) 1 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : : C. Bank Accounts. List all checking and savings accounts, time Plaintiff(s) deposits, money market certificates, etc., held in your name, alone or with another person. Give the name of the institution, the names on : -againstthe account and the account number. Index No. Calendar No. Present JUDICIAL Fair Market Value Amount Owed SUBPOENA : : Defendant(s) : ...................................................... D. Cash on Hand held by you or under your control, directly or indirectly. THE PEOPLE OF THE STATE OF NEW YORK TOE. Securities. List all stocks, including both public and closely held corporations, bonds, promissory notes, mortgages, money market funds and all other such property in which you have an interest. Give the names in which the securities are held. Present Fair Market Value Amount Owed 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 F. Life Insurance. List the type of policy, name of issuing company, Present Amount Owed insured, beneficiaries, face value and cash value of any policy in Fair Market Value Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to which you have an interest. 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) G. Retirement Pension and/or Profit Sharing. List name of the company, and the present total value of any plan in which you hold an interest. Present Fair Market Value Amount Owed Attorney(s) for Office and P.O. Address 38th Circuit Form 3 (Rev. 1-1-2000) 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. H. Interest in trust. List any interest which you hold in a trust. : Present JUDICIAL Fair Market Value -against- : Plaintiff(s) Amount Owed SUBPOENA : : Defendant(s) : ...................................................... I. Interest in contracts made and not performed held by you. List the parties to the contract, your interest to the contract and the expected date of performance, if any. Present Fair Market Value Amount Owed THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: J. Interest in pending litigation or suit not yet filed held by you. Present Amount Owed Fair Market Value each of you attend before WE COMMAND YOU, that all business and excuses being laid aside, you and , 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 K. Interest infailure to comply withanimals. List the nature of the as a contempt of court and will make you liable to Present Amount Owed Your farm equipment, crops, this subpoena is punishable property held by you. Fair Market $50 and all damages sustained as a Value the party on whose behalf this subpoena was issued for a maximum penalty of 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 L. Debts owed to you by others. List the name of the debtor, any security, date of loan and due date, if any, of any debts owed to you. Present Fair Market Value Amount Owed Office and P.O. Address 38th Circuit Form 3 (Rev. 1-1-2000) 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : M. Interests in sole proprietorships, partnerships or joint ventures Plaintiff(s) held by you. List the names of all other persons who share an interest in this business with you and the percent interest you hold -against- Calendar No. : Present JUDICIAL Fair Market Value Amount Owed SUBPOENA : : : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK O. Other Assets. List all assets below not already listed herein in TOwhich you hold any interest. Present Fair Market Value Amount Owed 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 38th Circuit Form 3 (Rev. 1-1-2000) 4 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) Liabilities: -against- Calendar No. : JUDICIAL SUBPOENA : List all loans from any bank, credit union, savings and loan association or other lending institution for which you have any liability. Indicate who signed the loan, the date of the loan, : purpose of the loan, actual disposition of the proceeds and state the name and address of the lender. Also, list all credit card balances and store charges. State whose name is on the credit card. Also, list all other indebtedness and give the name and address of the creditor. : Name of Creditor Balance Defendant(s) Current : ...................................................... Secured? By What? Required Monthly Payment THE PEOPLE OF THE STATE OF NEW YORK TO 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 38th Circuit Form 3 (Rev. 1-1-2000) 5 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) IN THE-against- COURT OF CIRCUIT Calendar No. : JUDICIAL SUBPOENA :COUNTY, MISSOURI : In Re: ) ) : ) Petitioner,Defendant(s) ) : ). . . . . . . . . . . . . ......................................... vs. ) Case No. ) ) Respondent. ) THE PEOPLE OF THE STATE OF NEW YORK TO STATEMENT OF PROPERTY OF SOCIAL SECURITY NUMBER: GREETINGS: PROPERTY OF PETITIONER/RESPONDENT 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 A. Real Present Amount at any in room Estate , on the day of , 20 , at o'clock in the noon, andOwed recessed Fair Market Value 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. B. Motor Vehicles. Witness, Honorable Court in County, Present Amount Owed , one of the Fair Market Value Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for C. Bank Accounts. 38th Circuit Form 3 (Rev. 1-1-2000) Present Office and P.O. Address Fair Market Value 1 Amount Owed Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) Calendar No. : JUDICIAL SUBPOENA -against- : D. Cash on Hand held by you or under your control, directly or indirectly. : : E. Securities. Present Fair Market Value Amount Owed Present Fair Market Value Defendant(s) : ...................................................... Amount Owed THE PEOPLE OF THE STATE OF NEW YORK TO F. Life Insurance. 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 G. Retirement Pension and/or Profit Sharing. Present Amount Owed the party on whose behalf this subpoena was issued for a maximum Fair Market $50 and all damages sustained as a penalty of Value 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) H. Interest in trust. Present Attorney(s) for Value Fair Market Amount Owed Office and P.O. Address 38th Circuit Form 3 (Rev. 1-1-2000) 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : I. Interest in contracts made and not performed held by you. Plaintiff(s) -against- Calendar No. : Present JUDICIAL Fair Market Value Amount Owed SUBPOENA : : : Defendant(s) : . . .J. .Interest .in . . . . . . .litigation .or .suit.not .yet filed. held .by.you. . . . . . . . . . . . . pending . . . . . . . . . . . . . . . . . . . . . . . Present Fair Market Value Amount Owed Present Fair Market Value Amount Owed THE PEOPLE OF THE STATE OF NEW YORK TO K. Interest in farm equipment, crops, animals. 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. L. Debts owed to you by others. Witness, Honorable Court in County, Present Fair Market Value Amount Owed , one of the Justices of the day of , 20 (Attorney must sign above and type name below) M. Interests in sole proprietorships, partnerships or joint ventures held by you. Present Fair Market Value Amount Owed Attorney(s) for Office and P.O. Address 38th Circuit Form 3 (Rev. 1-1-2000) 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : O. Other Assets. : Plaintiff(s) -against- Calendar No. Present JUDICIAL Fair Market Value Amount Owed SUBPOENA : : : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO 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) Liabilities: Name of Creditor Current Balance Secured? By Attorney(s) for What? Required Monthly Payment Office and P.O. Address 38th Circuit Form 3 (Rev. 1-1-2000) 4 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO 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 38th Circuit Form 3 (Rev. 1-1-2000) 5 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com