COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. Signal Credit Management Services TIME PAYMENT APPLICATION : JUDICIAL SUBPOENA Plaintiff(s) -against- (253) 620-2239 OR (800) 874-1958 : : ACCOUNT INFORMATION : Case #________________ Defendant(s) : Name. __________________________________________________________________________________ .. ................................................... (Last) (First) (M.I.) (Nickname) Residence Address________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK City, State, Zip___________________________________________________________________________ TO Mailing Address (if different) _________________________________________________________________ Home Telephone # ________________________ Work Telephone # ________________ GREETINGS: Date of Birth ________________ Sex M ____ F ____ Single ____ Married ____ Div ____ Widowed ____ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Drivers License # __________________________________ SSN __________________________________ , the Honorable at the Court located at County of Employment or Name of Business ____________________________________________________________ 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 Employer Address _________________________________________________________________________ Occupation ___________________________________________ Take Home Pay ______________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Nearest Relative Namebehalf this subpoena was issued for a maximum penalty_________________________ the party on whose _________________________________ Relationship of $50 and all damages sustained as a result of your failure to comply. Relative Address _________________________________________Phone ____________________ Witness, Honorable , one of the Justices of the Contact Person Name ____________________________________Phone ______________________ Court in County, day of , 20 Contact’s Address _________________________________________________________________________ (Attorney SPOUSE INFORMATION must sign above and type name below) Name __________________________________________________________________________________ (Last) (First) (M.I.) (Nickname) Attorney(s) for Residence Address (if different from above) _______________________________________________________ City/State/Zip _______________________________________Telephone ______________________ Office and P.O. Address Employer or Name of Business_______________________________________________________________ Employer Address _________________________________________________________________________ Telephone No.: Facsimile No.: Occupation __________________________ Take Home Pay ______________ SSN ___________________ E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com