COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : CIRCUIT COURT OF CLAY COUNTY, MISSOURI JUDICIAL SUBPOENA Plaintiff(s) PROBATE DIVISION -against- : No.__________________ : Matter of _______________________________________, deceased. : Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . JUDGMENT .AND. DECREE .DETERMINING HEIRSHIP ............ .... ......... On this _____ day of ___________________________, 20______, hearing is THE PEOPLE OF THE STATE OF NEW YORK TO held on the application for determination of the heirs of . The applicant is present in person and by attorney . GREETINGS: The Court finds that the notice of the time and place of the hearing has been WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before given as provided by law and proof thereof duly filed. Thereupon, evidence is produced , the Honorable at the Court located at County of upon said petition and, after hearing and considering the same and being duly advised in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned in the premises, give Court finds: witness in this action on the part of the date, to testify and the evidence as a 1. That the matters and facts stated in said petition are true. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 2. That subpoena was issued for a maximum penalty of $50 and deceased, age ______, the party on whose behalf this ______________________________________, all damages sustained as a result of your failure to comply. _______________________________________________________, died on domiciled in Witness, Honorable Court in County, day residing at of , one of the Justices of the and, . , 20 3. That no administration has been commenced on decedent’s estate in this State nor has any Will of the decedent been offered for probate in this State (Attorney must sign above and type name below) within the statutory time limitations. 4. That the decedent at the time of Attorney(s) for the following described death owned property locating and having a situs in this State, as described in exhibit on the reverse side of this judgment. Office their interests 5. And that the heirs of the decedent andand P.O. Address in the property of the decedent, at the decedent’s death, according to the Missouri laws of descent and distribution, are as described herein. No.: Telephone Form 573-D Revised 3/17/2003 Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Index No. Calendar No. : PROPERTY TO BE JUDICIAL SUBPOENA DISTRIBUTED Plaintiff(s) -against- : : : 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 ofINTEREST you attend before RELATIONSHIP NAME , 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. Court in Witness, Honorable County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) WHEREFORE, IT IS HEREBY ADJUDGED AND DECREED that the above described property, upon theAttorney(s) for death of , became the property of the heirs and in the portions set out above. Office and P.O. Address Form 573-D Revised 3/17/2003 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 2 of 2 JUDGE American LegalNet, Inc. www.USCourtForms.com