COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Rev. 1/98:::::::Index No.PLEASE COMPLETE THIS FORM AND BRING IT TO THE HEARINGCalendar No.HUSBAND/WIFE GUIDELINES WORKSHEET:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)CAPTION:C A S E N O .DATE OF MARRIAGE:HUSBAND:FULL NAME:E M P L O Y E D B Y :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .BIRTHDATE:A D D R E S S :DRIVER'S LICENSE NO.THE PEOPLE OF THE STATE OF NEW YORK TOSSN:P A Y P E R I O D :(w e e k , m o n t h )ADDRESS:N u m b e r o f P a y s A n n u a l l y :ANNUAL GROSS INCOME: $GREETINGS:RESIDENCE TELEPHONE NO.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableWIFE:,located at County ofFULL NAME:EMPLOYED BY:o'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 roomBIRTHDATE:ADDRESS:DRIVER'S LICENSE NO.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.SSN:PAY PERIOD:(week, month)ADDRESS:Number of Pays Annually:ANNUAL GROSS INCOME: $, one of the Justices of theCourt in Witness, Honorableday of, 20 County,RESIDENCE TELEPHONE NO.(Attorney must sign above and type name below)XXHUSBANDWIFEAttorney(s) forSworn to before me and subscribed inSworn to before me and subscribed inmy presence this.my presence this.Office and P.O. AddressNOTARY PUBLICNOTARY PUBLICTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com