COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : STATE OF NORTH CAROLINA COUNTY OF CUMBERLAND Index No. CVS form IN THE GENERAL COURT OF JUSTICE : Calendar No. SUPERIOR COURT DIVISION : Number Plaintiff(s) SPECIAL PROCEEDINGS APPEAL Special Proceedings FileJUDICIAL SUBPOENA -against: SP C O V E R S H E E T Filing Date Appeal Date OFFICIAL USE ONLY : : Name Plaintiff 3 Name Plaintiff 1 Name of Attorney. .... Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name.of . . . . . . . . . Attorney Address (Of Party If Pro Se/ Of Attorney If Represented) Address (Of Party If Pro Se/ Of Attorney If Represented) THE PEOPLE OF THE STATE OF NEW YORK Name Plaintiff 2 Name Plaintiff 4 TO Name of Attorney Name of Attorney Address (Of Party If Pro Se/ Of Attorney If Represented) GREETINGS: Address (Of Party If Pro Se/ Of Attorney If Represented) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before VERSUS , the Honorable at the Court Name Defendant 1 of Name Defendant 3 located at County in room , on the day of , 20 , at o'clock in the noon, and at any recessed Name of Attorney Name inAttorney of this action on the part of the or adjourned date, to testify and give evidence as a witness Address (Of Party If Pro Se/ Of Attorney If Represented) Address (Of Party If Pro Se/ Of Attorney If Represented) 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 Name Defendant 2 Name Defendant 4 result of your failure to comply. Name of Attorney Name of Attorney Witness, Honorable Court in County, day of Address (Of Party If Pro Se/ Of Attorney If Represented) REQUEST FOR JURY TRIAL  Ë , one of the Justices of the , 20 Address (Of Party If Pro Se/ Of Attorney If Represented) (Attorney must sign above (If no selection is indicated, this case will be calendared for trial by Judge) and type name below) NO Ë YES CLAIM IS BASED UPON Ë FORECLOSURE Attorney(s) for Ë PROTECTIVE SERVICES Ë ADOPTION Ë PARTITION Ë INCOMPETENCY Office and P.O. Address Ë OTHER (describe) _____________________________________________________________________________ NOTE: All papers filed in a civil action shall include as the first page of the filing a cover sheet that has been accurately completed, and attached Telephone No.: to the filing. The Clerk of Superior Court shall refuse to file any paper that does not include the required cover sheet. Facsimile FORWARD - T RIAL COURT ADMINISTRATOR No.: CCLF-CV- 013(SP) CCLF-SP appeal.doc E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com