COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Probate .Court Form No. 124 .... .. .. : Certificate of Service STATE OF VERMONT DISTRICT OF _______________________ IN RE ___________________________ -against- Plaintiff(s) Index No. : PROBATE COURT Calendar No. : JUDICIAL SUBPOENA DOCKET NO._______________ : : CERTIFICATE OF SERVICE : Defendant(s) I, ______________________________________, of ____________________________________, : ...................................................... do hereby certify that on ____________________, 20 ____ I mailed by (first class mail) (certified mail, return receipt requested) * the following documents (s) : ____________________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ____________________________________________________________________________________ ____________________________________________________________________________________ TO ____________________________________________________________________________________ ____________________________________________________________________________________ ________________________________________________________________________________________ GREETINGS: To the following persons at the addresses stated: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Name City State Zip , the Honorable Street or P.O. 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 Signed ________________________________ 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 yourthis mailing is the first notice of these proceedings being provided to any party, the mailing must * NOTE: If failure to comply. be certified, return receipt requested, and this Certificate of Service must be notarized. Witness, Honorable , one of the Justices of the Court in County, day of , 20 Subscribed and sworn to before me this __________________ day of __________________ 20 ______. (Attorney must sign above and type name below) ____________________________________ Notary Public Expiration Date: for Attorney(s) Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com