COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : : : Name: : Address:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Defendant(s) . . . . . . . ..... .......... ) Phone: ( PRO SE THE PEOPLE OF THE STATE OF NEW YORK IN TO THE PROBATE DIVISION OF THE JUDICIAL DISTRICT COURT COUNTY, OF (Court Address) GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before OF , the Honorable at the AFFIDAVITCourtSUSPENSION OF PARENTAL CUSTODY RIGHTS located at County of IN THE MATTER OF GUARDIANSHIP 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 Probate No. , a Minor. Judge: 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 comply. I, , Petitioner in the above named legal Witness, Honorable , one of the Justices of the proceeding, do solemnly swear and affirm to the best of my knowledge that the custody Court in County, day of , 20 rights of the parents of the Minor named above have been terminated or suspended by waiver of living parent(s), circumstances, or prior Court Order. must sign above and type name below) (Attorney TO SUPPORT THIS CLAIM, I submit the following attached affidavits and/or Attorney(s) for information to the Court: A. ( ) Parental waiver of custody rights. B. ( ) The death certificates of Minor’s parent(s); and and P.O. Address Office Minor’s birth certificate. C. ( ) Prior Court Order suspending parental custody rights. D. ( ) Documents and other Affidavits explaining circumstances which make Telephone No.: parent(s) unable or unwilling to exercise parental custodyNo.: Facsimile rights and responsibilities. E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... E. ( ) Other relevant exhibits listed below: THE PEOPLE OF THE STATE OF NEW YORK TO DATE: GREETINGS: Petitioner 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 NOTARY CLAUSE STATE OF UTAH, Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on COUNTY OF whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Petitioner, Honorable Court in County, , one of the Justices , personally appeared of the day of , 20 before me, the undersigned Notary Public, and proved to me Petitioner’s identity with documentation in the form of ; and (Attorney must sign above and type name below) upon being sworn and under oath, signed the preceding document entitled AFFIDAVIT OF SUSPENSION OF PARENTAL CUSTODY RIGHTS in my presence and acknowledged and Attorney(s) for affirmed that the information contained in the document is true to the best of Petitioner’s own personal knowledge and that Petitioner has signed the document voluntarily for its stated purpose. Office and P.O. Address DATE: Telephone No.: ________________________________ Facsimile No.: E-Mail Notary Address: Mobile Tel. No.: August 2001 Affidavit for Suspension of Parental Custody Rights American LegalNet, Inc. www.USCourtForms.com