COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. STATE OF SOUTH CAROLINA : Index No. OFFICE OF THE SECRETARY: OF STATENo. Calendar Notary Department P. O. Box 11350 Columbia, SC 29211 THE HONORABLE MARK HAMMOND : JUDICIAL (803) 734-2119 SUBPOENA Plaintiff(s) -against- (803) 734-2512 : : Application for change of Name of Notary Public : Defendant(s) # ______________________ Check : ...................................................... Fee Paid__________________ THE PEOPLE OF THE STATE OF NEW YORK STATE OF SOUTH CAROLINA TO COUNTY OF _______________________ To: Secretary of State of South Carolina GREETINGS: Name on original application ____________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Date original commission issued__________________________________________________________ located at County of Name to be changed to __________________________________________________________________ recessed in room , on the day of , 20 , at o'clock in the noon, and at any or adjourned date, to testify and give evidence as a witness in this action on the part of the Present Address________________________________________County__________________________ City and Zip Code _______________________________Social Security # ________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to theof Birth ________________________ was issued for a maximum penalty of $50 and all damages sustained as a party on whose behalf this subpoena EMAIL___________________________________________ Date result of your failure to comply. Do you possess qualifications of an elector as provided in Article XVII, Section 1, of the Constitution of 1895? Witness, Honorable Court in County, day of (Voter Registration #) _____________________________ Date ___________________________________ _______________________________________________ Signature of Applicant (sign your new name) , one of the Justices of the , 20 (Attorney must sign above and type name below) Sworn to an subscribed before me this Attorney(s) for ___________ day of__________________20_____ Office and P.O. Address ____________________________________________________ Notary Public of South Carolina My Commission expires ___________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: MAIL APPLICATION AND FEE OF $10.00 TO THE ABOVE ADDRESS American LegalNet, Inc. www.USCourtForms.com