COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) -against- Index No. Calendar No. :R.I. Bankr. Form S JUDICIAL SUBPOENA See R.I. LBR 8001-1 : UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF RHODE ISLAND - - - - - - - - - - - - - - - -* In re: : : : Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . .BK No. . Debtor(s) Chapter : - - - - - - - - - - - - - - - -* THE PEOPLE OF THE STATE OF NEW YORK APPELLANT ELECTION FORM TO Appeal of Order or Judgment of U.S. Bankruptcy Court, District of Rhode Island dated , Doc. No. . 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 APPELLANT(S) APPELLEE(S) 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 Attorney failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Attorney (If known) the partyName, Address, and subpoena was issued for a maximum penalty of $50 and all damages sustained as a (Firm on whose behalf this Telephone No.) result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign I ELECT TO HAVE THIS APPEAL HEARD above and type name below) BY THE BANKRUPTCY APPELLATE PANEL FOR THE FIRST CIRCUIT Attorney(s) for I ELECT TO OPT OUT OF THE BANKRUPTCY APPELLATE PANEL FOR THE FIRST CIRCUIT AND REQUEST THAT THIS APPEAL BE HEARD BY THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF RHODE ISLAND Office and P.O. Address By: Telephone No.: Dated: Signature of Attorney (or Appellant, if pro se) Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com