COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.DAYTON MUNICIPAL COURT 301 W. Third Street, Dayton, OH 45402Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)TO THE CLERK: DAYTON MUNICIPAL COURT, SMALL CLAIMS DIVISION Form MC-1Case No. Plaintiff.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vs.REQUEST TO FORWARD JUDGMENT TO REGISTRARTHE PEOPLE OF THE STATE OF NEW YORK TO Defendant.GREETINGS:I, , Plaintiff, Plaintiff's attorney in the above case do request that a certified copy of the Judgment whereby Defendant was adjudged liable for damages upon an action arising out of the ownership, maintenance, or use of a motor vehicle be forwarded to the Registrar of Motor Vehicles. I affirm that the Defendant has failed to satisfy the within Judgment within thirty (30) days after it was rendered. The information required by the Registrar is as follows:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomJudgment DebtorLast Know Address 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.Date of Birth , one of the Justices of theSocial Security NumberCourt in Witness, Honorableday of, 20 County,Operator's License Number (Attorney must sign above and type name below)Date of Accident Attorney(s) forLicense Plate Number Dated this day of , 20 Office and P.O. AddressPLAINTIFFTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com