COURT Form B - Custody Mediation COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : STATE OF NORTH CAROLINA Wayne County Lenoir County GreeneCounty File No. Plaintiff(s) Plaintiff: VERSUS -against- : : : Defendant: In Index No. The General Court Of Justice District Court Division Family Court Calendar No. JUDICIAL SUBPOENA REQUEST FOR EXPEDITED MEDIATION : Pursuant to Rule 5.12 of the Eighth Judicial District Family Court Rules, the Plaintiff and the Defendant hereby request that the : mediation process in this custody matter be expedited. Date Plaintiff/Plaintiff's Attorney Defendant(s) : ...................................................... Date Defendant/Defendant's Attorney NOTE TO PARTIES: ThisTHE STATE OF NEW YORK Case Manager Prior to being filed with the Clerk's Office. THE PEOPLE OF form must be submitted to the Time Date Upon the Request by both parties, this case is scheduled for TO Expedited Mediation as indicated at the right. Location GREETINGS: Case Manager Date 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 Court Use Only 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 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Eighth Judicial District Form B - Custody Mediation 3/01 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com