COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : State of New Jersey : Docket Index No. No.: ________________ Calendar No. Essex County Surrogate’s Court SUBPOENA JUDICIAL Plaintiff(s) In the matter of the Guardianship of -against- : : ____________________________________________________, a Minor AKA: ______________________________________________ ACCEPTANCE AND : POWER OF ATTORNEY } : I, ________________________ about to be appointed by a judgment of the Surrogate of the County of Essex Guardian of the person Defendant(s) : only of the above-named. minor.do. hereby . . . . . . my.acceptance of said .Guardianship. . . . . . . . . . . . . . . . . . . . declare . . . . . . . . . . . . . . . . . . . . . . . . Signature Dated: ______/______/______ THE PEOPLE OF THE STATE OF NEW YORK Signed in the presence of: TO Witness Signature (Attorney or Notary) KNOW ALL MEN BY THESE PRESENTS, that I, _________________________ residing at ______________________________ GREETINGS: ___________________________________, pursuant to the provisions of Revised Statutes 3B:14-47 do hereby make, constitute and appoint Joseph P. Brennan, COMMAND YOU, that all Essex, in the State of New Jersey, and theirs successors in of youmy true before WE Jr. Surrogate of the County of business and excuses being laid aside, you and each office, attend the Honorable at the Court and lawful attorney upon whom may be served any and all process affecting the aforesaid estate, or any interest therein, whereof I am located at County of the Guardian. 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 And I do further agree that any process against the aforesaid estate, so served, shall be of the same force and effect as if duly served upon me within this State. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the partyI on whose behalfmy hand and sealwas ____/____/____ In Witness Whereof, have hereunto set this subpoena this issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. __________________________________ Signature Witness, Honorable Signed, sealed and delivered in the presence of: Court in , one of the Justices of the County, day of , 20 Attorney or Notary Public of the State of New Jersey (Attorney must sign above and type name below) STATE OF NEW JERSEY COUNTY OF ESSEX } SS. Attorney(s) for BE IT REMEMBERED, that on this, ____/____/____, before me, the subscriber, a Notary Public of New Jersey, personally appeared ____________________________ who I am satisfied is the person named in the foregoing power of attorney, and I having first made known to them the contents thereof, they did thereupon acknowledge that they signed, sealed and delivered the said power of attorney as their voluntary act and deed, for the uses and purposes therein expressed. Office and P.O. Address ______________________________________________ Attorney or Notary Public of the State of New Jersey J4.DOC Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com ,