COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : UNITED STATES BANKRUPTCY COURT Index No. WESTERN DISTRICT OF WASHINGTON : : In re: Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA Case No. : Debtor Adversary No. : In re: : Plaintiff v. Defendant(s) : ...................................................... Defendant THE PEOPLE OF THE STATE in Form 16A, 16B, 16C, or 16D, as appropriate] [Caption as OF NEW YORK TO NOTICE OF APPEAL , [plaintiff or defendant] appeals under 28 U.S.C. § 158(a) or (b) from the judgment, order, or decree of the bankruptcy judge [describe] GREETINGS: . entered in this adversaryCOMMAND[or other proceeding describe type] proceeding YOU, that all business and excuses being laid aside, you and each of you attend before WE . , the Honorable at the Court on the day of , . [year] located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed The or adjourned date, to testify and give evidence as a decree appealed from and the names, addresses, and names of all parties to the judgment, order, or witness in this action on the part of the telephone numbers of their respective attorneys are as follows: 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. Dated: Court in Witness, Honorable County, Signed: , one of the Justices of the day of , 20 Attorney for Appellant (or Appellant, if not represented by an attorney) (Attorney must sign above and type name below) Name: Attorney for Appellant (or Appellant, if not represented by an attorney) Address: Attorney(s) for Telephone No: Office and P.O. Address If a Bankruptcy Appellate Panel Service is authorized to hear this appeal, each party has a right to have the appeal heard by the district court. The appellant may exercise this right only by filing a separate statementNo.: Telephone of election at the time of the filing of this notice of appeal. Any other party may elect, with the time provided in 28 U.S.C. § 158(c), to have the appeal heard by the district court. Facsimile No.: E-Mail Address: If a child support creditor or its representative is the appellant, and if the child support creditor or its representative files the form specified in § 340(g) of the Bankruptcy Reform Act of 1994, no fee is required. Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com