COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON : Calendar No. In re ) : ) Case No. JUDICIAL SUBPOENA Plaintiff(s) ) -against: ) REAFFIRMATION AGREEMENT ) COVERSHEET FOR DEBTOR(S) : ) WITH NO ATTORNEY ) : ) [NOTE: YOU MUST FULLY COMPLETE ALL BLANKS ) ON Defendant(s) AND ATTACH COPIES THIS FORM : ...................................................... ) OF ALL DOCUMENTS REQUIRED BELOW. ) ) IF DOCUMENTS ARE DEFICIENT IN ANY THE PEOPLE OF THE STATE OF NEW YORK ) WAY, THEY WILL BE RETURNED AND WILL Debtor(s) ) NOT BE CONSIDERED BY THE COURT!] TO CREDITOR NAME: CREDITOR ADDRESS: GREETINGS: PROPOSED: PRINCIPAL: $ INTEREST RATE: % per annum PAYMENT: $ monthly WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court SUMMARY OF TERMS OF NEW AGREEMENT: 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 ORIGINAL DEFAULT PROVISIONS ARE ON PAGE(S) OF THE ATTACHED ORIGINAL AGREEMENT. DESCRIPTION OF SECURITY: (If none, so indicate) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to PRESENT MARKET whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a the party on VALUE OF SECURITY: $ result of your failure to comply. “TOTAL MONTHLY INCOME” LISTED ON SCHEDULE I: $ Witness, Honorable “TOTAL MONTHLY EXPENSES” LISTED ON SCHEDULE J: $ Court in County, day of , 20 , one of the Justices of the I, THE UNDERSIGNED, CERTIFY EACH OF THE FOLLOWING UNDER PENALTY OF PERJURY THAT: (1) BOTH the original reaffirmation agreement AND a copy of the original written agreement between the debtor and creditor which created the debt and any security interest, and any documents incorporated (Attorney must sign above ARE ATTACHED to this LBF by reference therein, and type name below) #718; (2) the reaffirmation agreement controls if there are any discrepancies between it and this LBF #718; AND (3) all of the above information is true and correct. Attorney(s) for Signature N Print/Type Name & Signer’s Relation to Case Office and P.O. Address TO BE COMPLETED BY CREDITOR: The original agreement date of the new agreement; and the new agreement DOES Date: N Creditor OSB# (if atty.) WAS WAS NOT in default as of the DOES NOT waive the default. Telephone No.: Facsimile No.: E-Mail Address: Title: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : 718 (10/1/01) Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: 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 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. Witness, Honorable Court in 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 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com