COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. CIRCUIT COURT OF CLAY COUNTY, MISSOURI : JUDICIAL SUBPOENA Plaintiff(s) PROBATE DIVISION -against: No._____________________ Matter of _____________________________________, Deceased. : DESIGNATION OF RESIDENT AGENT : Defendant(s) : I, _______________________________________, residing at ...................................................... , desiring to serve as Personal Representative of the above named decedent, pursuant to Sec. 473.117 RSMo., hereby THE PEOPLE OF THE STATE OF NEW YORK appoint, , as my agent for TO service of process upon me and for the receipt of all notices to me within the State of Missouri concerning said estate. THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE GREETINGS: UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before FALSE AFFIDAVIT OR DECLARATION. , the Honorable at the Court located at County of Date:_____________________ 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 _________________________________________ Personal Representative 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. ACCEPTANCE OF APPOINTMENT AS RESIDENT AGENT I, _______________________________, residing at, one of the Justices of the Witness, Honorable Court in County, day of , 20 , Missouri, Telephone Number , having been appointed pursuant to Sec. 473.117 RSMo., to act as agent for service of process on and receipt of notice to (Attorney must sign above and type name below) , within the State of Missouri, concerning the above estate, hereby acknowledge such appointment and consent to act as such agent. Attorney(s) for THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A Office and P.O. Address FALSE AFFIDAVIT OR DECLARATION. Date Form 520-D Revised 3/17/2003 Telephone No.: Facsimile No.: Resident Agent E-Mail Address: Page 1 of Mobile Tel. No.: 1 American LegalNet, Inc. www.USCourtForms.com