COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Case Name: Plaintiff(s) Index No. Calendar No. : Cause No.: JUDICIAL SUBPOENA -againstATTACHMENT B: Paragraph 6 (m); sexual misconduct with a:minor in the second degree or attempt, solicitation or conspiracy to commit a sex offense, or a kidnapping offense involving a minor, as defined : in RCW 9A.44.130. (If required, attach to Statement of Defendant on Plea of Guilty.) Because this crime involves sexual misconduct with a minor in the second degree or attempt, solicitation : or conspiracy to commit a sex offense, or a kidnapping offense involving a minor, as defined in RCW 9A.44.130, I will be required to register with Defendant(s) the county of the state of Washington where I the sheriff of : . .reside. .If .I .am .not . .resident . . .Washington but I . . . a .student .in .Washington or I am employed in . . . . . . . . . . a . . . . . . of . . . . . . . . . . . . . am . . . . . . . . Washington or I carry on a vocation in Washington, I must register with the sheriff of the county of my school, place of employment, or vocation. I must register immediately upon being sentenced unless I am in custody, in which case I must register at the time of my release with the person designated by the agency that THE PEOPLE OF THEISTATE OF NEW within 24 hours of my release with the sheriff of the county of the has me in custody and must also register YORK state of Washington where I will be residing, or if not residing in the state of Washington, where I am a TO student, where I am employed, or where I carry on a vocation. If I leave this state following my sentencing or release from custody but later move back to Washington, I must register within 30 days after moving to this state or within 24 hours after doing so if I am under the jurisdiction of GREETINGS: this state's Department of Corrections. If I leave this state following my sentencing or release from custody, but later while not a resident of Washington I become employed in Washington, carry out a vocation in Washington, orYOU, that all in Washington, I must being laid aside, you and each of you attend before WE COMMAND attend school business and excuses register within 30 days after attending school in this state or becoming employed or carryingthe a vocation in Court this state, or within 24 hours after , the Honorable at out doing so if I am under the jurisdiction of this state’s Department of Corrections. located at County of inIf I change my residence within day of I must send writtenat room , on the , 20 , notice of o'clock in the residence toand at any recessed noon, the sheriff a county, my change of orwithin 72 hours of moving.andI give evidence as a witness in this action on the part ofIthe send written adjourned date, to testify If change my residence to a new county within this state, must notice of the change of address at least 14 days before moving to the county sheriff in the new county of residence, I must register with the sheriff of the new county within 24 hours of moving, and I must also give written notice of my change of address to the sheriff of the county where last registered within 10 days of Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to moving. If I move out of Washington State, I must send written notice within 10 days of moving to the new the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a state or foreign country to the county sheriff with whom I last registered in Washington State. result of your failure to comply. If I move to another state, or if I work, carry on a vocation, or attend school in another state I must register a new address, fingerprints, and photograph with the new state within 10 of theafter establishing Witness, Honorable , one days Justices of the residence, or after beginning to work, carry on a vocation, or attend school in the new state. I must also Court in County, day of , 20 send written notice within 10 days of moving to the new state or to a foreign country to the county sheriff with whom I last registered in Washington State. If I am a resident of Washington and I am admitted to a public or private must sign above higher education, I (Attorney institution of and type name below) shall, within 10 days of enrolling or by the first business day after arriving at the institution, whichever is earlier, notify the sheriff of the county of my residence of my intent to attend the institution. Attorney(s) within 24 hours of release in the If I lack a fixed residence, I am required to register. Registration must occur for county where I am being supervised if I do not have a residence at the time of my release from custody or within 48 hours, excluding weekends and holidays, after ceasing to have a fixed residence. If I enter a different county and stay there for more than 24 hours, I will be required to register in the new county. I must also report in person to the sheriff of the county where I am registered on a weekly basis. The weekly Office and P.O. Address report will be on a day specified by the county sheriff’s office, and shall occur during normal business hours. I may be required to provide a list of the locations where I have stayed during the last 7 days. The lack of a STATEMENT ON PLEA OF GUILTY (Attachment “B”) - Page 1 of 1 CrRLJ-04.0200 (4/2002) - CrRLJ 4.2(g) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. fixed residence is a factor that may be considered in determining a :sex offender’s risk level and shall make JUDICIAL SUBPOENA Plaintiff(s) me subject to disclosure to the public at large pursuant to RCW 4.24.550. -against: If I apply for a name change, I must submit a copy of the application to the county sheriff of the county of my residence and to the state patrol not fewer than five days before the entry of an order granting the : name change. If I receive an order changing my name, I must submit a copy of the order to the county sheriff of the county of my residence and to the state patrol within 5 days of the entry of the order. RCW : 9A.44.130(7). Defendant(s) : ...................................................... _______________________________ Defendant’s signature THE PEOPLE OF THE STATE OF NEW YORK TO 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 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. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address STATEMENT ON PLEA OF GUILTY (Attachment “B”) - Page 2 of 2 CrRLJ-04.0200 (4/2002) - CrRLJ 4.2(g) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com