COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : This Space For Office Use Only Index No. STATE OF OREGON : Calendar No. Corporation Division – Notary 255 Capitol Street NE, Suite 151 Salem, OR 97310-1327 : JUDICIAL SUBPOENA Plaintiff(s) 503-986-2593 -againstFAX 503-986-2300 : FilingInOregon.com/notary This Space For Office Use Only : TERMINATION OF NOTARY PUBLIC COMMISSION DUE TO RESIGNATION IF YOU ARE MOVING OUT OF STATE, : PLEASE PROVIDE AN ADDRESS AND PHONE NUMBER WHERE YOU CAN BE REACHED PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK. READ INSTRUCTIONS BEFORE FILLING OUT FORM. Defendant(s) : . Commission .No:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Commission Expiration: .......... .. ......... Notary Notary Commission Name: THE PEOPLE OF THE STATE OF NEW YORK Mailing Address: Employer Business Name & Address: TO GREETINGS: Resident Street Address (If different from mailing address above): 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 Daytime Phone Number & on the in room , Extension: day of , 20 Home Phone Number: in the , at o'clock noon, and at any recessed or)adjourned date, to testify and give evidence as a witness in this action on the part of the ( ( ) Reason for resignation: 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 Effective Date of Resignation: comply. Date of Journal Storage: *Journal StorageWitness, Honorable Address: Court in County, , one Journal at Storage Address: Describe Exact Location ofof the Justices of the day of , 20 (Attorney must sign above and type name below) Signature Date Attorney(s) for A notary public whose commission was terminated because of resignation shall arrange for the storage of his/her notarial records, in any form and at any location within 30 days following resignation. The records or any reproduction of the records must be readable and the notary public must be able to obtain possession of such records within 15 days of receipt of a request for such records pursuant to OAR 160-100-320(1). Office and P.O. Address A notary public shall store such records for a period of seven years after the date of resignation. After the seven-year period, the notary public may destroy such records pursuant to OAR 160-100-320(3). Telephone No.: *or a Letter of Retention agreement with employer pursuant to OAR 160-100-360.No.: Facsimile E-Mail Address: Mobile Tel. No.: 508 (Rev. 05/03) American LegalNet, Inc. www.USCourtForms.com