COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Matter of Index No. Calendar No. : CIRCUIT COURT OF CLAY COUNTY, MISSOURI JUDICIAL SUBPOENA Plaintiff(s) PROBATE DIVISION -against: No. : , *minor - *disabled. : Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .REPORT . . . .PRIVATE .SALE OF REAL PROPERTY . . . . . . . . OF . . . . . . . . . . . (Sec. 475.240 RSMo.) The undersigned Conservator___ of the aforesaid estate reports to the Court: THE PEOPLE OF THE STATE OF NEW YORK TO That pursuant to an order of this Court dated the directing the private sale of real property described 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 ___he sold said property on the , to in room , on the day of , 20 , at o'clock in the noon, and at any recessed for the total sum of $ , which or adjourned date, to testify and give evidence as a witness in this action on the part of the is more than three-fourths of its appraised value of $ ; That a true copy of the signed real estate contract is attached hereto and incorporated herein by reference. 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 WHEREFORE, said Conservator___ request___ that said sale be confirmed and to comply. approved and that ___he be authorized and directed to execute to the Purchaser___ a good and sufficient deed for said real property in accordance with the terms of the aforesaid contract. Witness, Honorable , one of the Justices of the Court in County, day of , 20 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 (Attorney must sign above andOF MAKING A FALSE TO THE PENALTIES type name below) AFFIDAVIT OR DECLARATION. Attorney(s) for Date Conservator___ Office and P.O. Address (Affidavit on back of this form must be executed) Form 404 Revised 3/14/2003 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) Index No. Calendar No. : AFFIDAVIT JUDICIAL SUBPOENA -against: , BEING DULY SWORN STATES THAT ___HE___ DID NOT DIRECTLY OR INDIRECTLY PURCHASE SAID REAL PROPERTY OR ANY :PART THEREOF, OR ANY INTEREST THEREIN, AND THAT ___HE___ IS --ARE NOT INTERESTED IN THE PROPERTY SOLD : EXCEPT AS STATED IN SAID REPORT. Defendant(s) : ...................................................... Conservator___ THE PEOPLE OF THE STATE OF NEW YORK Subscribed and sworn to before me this ______ day of , 20___. TO (Seal) GREETINGS: commission expires 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 Form 404 Revised 3/14/2003 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 2 of 2 American LegalNet, Inc. www.USCourtForms.com