COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : IN THE _____________COURT FOR _______________ JUDICIAL SUBPOENA COUNTY, TENNESSEE Plaintiff(s) -against_______________________________________ Plaintiff VS. : : NO. ____________________ : ________________________________________ Defendant(s) : . . . . . . . . Defendant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... THIRTY (30) DAY MEDIATION PROGRESS REPORT THE PEOPLE OF THE STATE OF NEW YORK Mediation was ordered on _______________________________________________________. TO Has mediation commenced in this case? Yes, start date ________________________; No ____ If yes, list sessions. If no, explain status of mediation. 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 attorney with this subpoena is punishable as a contempt of court and will make you Name of Plaintiff’sto comply ______________________________________________________ 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 of Defendant’s attorney_____________________________________________________ Name your failure to comply. Witness, Honorable , one of the Justices of the Name, address, phone and fax number of mediator: Court in County, day of , 20 ______________________________________________________________________________ ______________________________________________________________________________ (Attorney must sign above and type name below) ______________________________________________________________________________ ______________________________________________________________________________ Attorney(s) for _____________________________________ Mediators Signature ________________________ Date Office and P.O. Address Please file the original in the Clerk's office. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com