COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : DEBTOR: ________________________________ Plaintiff(s) Index No. Calendar No. CASE NO: ______________ : JUDICIAL SUBPOENA -against-QUARTERLY FEE SUMMARY(1) : Month Ended __________________________, ______ : Payment Date : Cash Quarterly Disbursements(2) Fee Due Defendant(s) : . . January. . . . . . . . . . . . . . . ._________________. . . . . . . . . . . . . . . . . ..... .............. February March Check No. Date _________________ _________________ TOTAL THE PEOPLE OF THE STATE OF NEW YORK 1st Quarter TO April $ _________________ ____________ ___________ _________ ____________ ___________ _________ _________________ _________________ _________________ May June TOTAL GREETINGS: 2nd Quarter $ _________________ WE COMMAND _________________ YOU, that all business and excuses being laid aside, you and each of you attend before July August _________________ , the Honorable at the Court September _________________ located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed TOTAL 3rd Quarter $ and give evidence ___________ _________ or adjourned date, to testify_________________ as a witness ____________ on the part of the in this action October November December _________________ _________________ _________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the TOTAL whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a party on result of your failure to comply. 4th Quarter $ _________________ ____________ ___________ _________ ___________________________________________________________________________ Witness, Honorable , one of the Justices of the Court in County, day of , 20 (1) This Summary is to reflect the current calendar year’s information cumulative to the end of the reporting period. (Attorney must sign above and type name below) (2) Should agree with line 3, FORM 2-B, Disbursements are net of transfers to other debtor in possession bank accounts. Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Form 2-F Page 1 of 2 Revised 10/96 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. CHAPTER 11 QUARTERLY FEES Plaintiff(s) -against- FEE SCHEDULE : : : TOTAL QUARTERLY DISBURSEMENTS JUDICIAL SUBPOENA QUARTERLY FEE : -0- to $ 14,999.00 $ 250.00 $ 15,000.00 to $ 74,999.00Defendant(s) 500.00 : ...................................................... 75,000.00 to 149,999.00 750.00 150,000.00 to 224,999.00 1,250.00 225,000.00 to 299,999.00 1,500.00 THE PEOPLE OF THE STATE999,999.00 OF NEW YORK 300,000.00 to 3,750.00 1,000,000.00 to 1,999,999.00 5,000.00 TO 2,000,000.00 to 2,999,999.00 7,500.00 3,000,000.00 to 4,999,999.00 8,000.00 5,000,000.00 or more 10,000.00 ___________________________________________________________________ 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 Failure to pay the quarterly fee is cause for conversion or dismissal of the Chapter 11 case [11 USC §1112(b)(10)]. Your failure to comply with this Checks are to be made payable subpoenaUnited StatesaTrustee and mailedwill the you liable to to The is punishable as contempt of court and to make the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a address set forth comply. result of your failure tobelow. Fees are not to be mailed or delivered to the local Office of the United States Trustee. If any check is returned “unpaid” for any reason, all subsequent payments must be made by way of cashier’s check, certified check, or Witness, Honorable , one of the Justices of the money order. Court in County, day of , 20 To ensure proper credit, it is imperative that the debtor in possession and Chapter 11 Trustee write the case number on each check and remit the payment with the (Attorney must sign above and is name below) coupon provided with the quarterly billing. A separate check and coupontype required for each quarterly payment even if more than one quarterly fee is paid at the same time. Attorney(s) for Send all payments to: UNITED STATES TRUSTEE PAYMENT CENTER P.O. Box 198246 Atlanta, GA 30384 Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Form 2-F Page 2 of 2 Revised 10/96 American LegalNet, Inc. www.USCourtForms.com