COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : CIRCUIT COURT OF CLAY COUNTY, MISSOURI JUDICIAL SUBPOENA Plaintiff(s) PROBATE DIVISION -against- : No. CV_____________________ : : Matter of ______________________________________________ Disabled/Minor/Deceased Defendant(s) : ...................................................... RECEIPT I hereby acknowledge that I have received the following property from THE PEOPLE OF THE STATE OF NEW YORK and Conservator/Personal Representative in the estate of Disabled/Minor/Deceased; in full TO satisfaction of the balance due to me in accordance with the Final Settlement of the above estate, and the Order of this Court as follows: 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 aSignature of court and will make you liable to contempt the party on whose behalf this subpoena was issued for a maximum Address $50 and all damages sustained as a penalty of result of your failure to comply. STATE OF Witness, Honorable Court in County, COUNTY OF ) day of ) , one of the Justices of the , 20 On this _____ day of _________________________, 20_____, before the undersigned, (Attorney must sign above and type name below) personally appeared , to me know to be the person described in and who signed the same as h_____ free act and deed. Attorney(s) for IN TESTIMONY WHEREOF, I have hereunto signed my name and affixed my official seal. NOTARY Office and P.O. Address PUBLIC My commission Expires: Form 202 Revised 9/19/03 CLERK BY Telephone No.: Facsimile No.: E-Mail Address: Page 1 Mobile Tel. No.: of 1 Deputy Clerk American LegalNet, Inc. www.USCourtForms.com