COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.IN THE COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS LAKE COUNTY, OHIO JUDGE FRANCINE M. BRUENINGCalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Plaintiffvs.Case No.Defendant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CHANGE OF ADDRESS FORMToday's Date:Effective Date of Change:THE PEOPLE OF THE STATE OF NEW YORK TOYour Name:FirstMiddleLastOther Party:GREETINGS:FirstMiddleLastWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableThe following information pertains to: Your Name:,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 roomFirstMiddleLastOld Mailing Address: Number and StreetUnit or Apt. 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.CityStateZip, one of the Justices of theNew Mailing Address:Number and StreetCourt in Witness, Honorableday of, 20 County,Unit or Apt. No.CityZipState(Attorney must sign above and type name below)Residence Address:Number and StreetUnit or Apt. No.Attorney(s) forZipStateCityOffice and P.O. AddressI understand that I have a continuing statutory obligation to inform the Court of any changes in my residence and/or mailing address hereafter.Telephone No.: Facsimile No.: E-Mail Address:DateSignatureMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com