COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : STATE OF NORTH CAROLINA __________________ COUNTY Index No. Calendar No. : IN JUDICIAL OF JUSTICE Plaintiff(s) THE GENERAL COURT SUBPOENA DISTRICT COURT DIVISION File: No. __________________ -against- : Plaintiff Counsel for Plaintiff : Defendant(s) : . . . . . . . . . . . . . . . . . . .vs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Defendant Counsel for Defendant THE PEOPLE OF THE STATE OF NEW YORK Nature of Request TO Motion _____________ Pre-Trial _____________ Hearing ____________ Other Non-Jury Disposition _______________ Probable Number of Witnesses: __________________________GREETINGS: Estimated Time for Hearing: _____________________________Has Case WE COMMANDPre-Trial? ______________________________________ been called for 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 Iin room request that the above day of case be set20 hearing. To the best of my knowledge, at any recessed hereby named for , at the , on the , o'clock in the noon, and case is ready date,hearing, and Igive not knowas aany reasonthiswill have to be continued. for to testify and do evidence of witness in it action on the part of the or adjourned Date of Request Attorney requesting hearing 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 Address and Telephone Number ORDER OF ASSIGNMENT must sign above and type name below) (Attorney The above request for hearing was received on the _________ day of ____________________ , 2_______ , and the above case is hereby assigned to Judge _____________________________ , Attorney(s) for for hearing on the ____________ Day of ______________________ , 2______ at ___________ or as soon thereafter as may be heard, ______________________________________________ . This the __________- day of ____________________ , 2_______ . P.O. Address Office and Chief District Court Judge District 1 FDCVD-5 Request for a Civil Action Hearing Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com