COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... IN THE DISTRICT COURT OF SPOKANE COUNTY WASHINGTON THE PEOPLE OF THE STATE OF NEW YORK _____________________________ TO Petitioner _______ DOB NO. vs. GREETINGS: ORDER TO PROCEED WITHOUT _____________________________ all business and excuses being laid aside, you and each of you attend before ______ PAYMENT OF FEES WE COMMAND YOU, that Respondent DOBat the (Unlawful Harassment) , the Honorable Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed MOTIONin this action on the part of the or adjourned date, to testify and give evidence as a witness The petitioner moves the court for an order permitting the petitioner to proceed without paying the filing fee or other court related fees. 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 wasCERTIFICATE issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. The undersigned states: Witness, Honorable , one of the Justices of the I am the petitioner in this action. I believe that I have valid reasons for bringing this action and that I Court in , this am entitled to relief. County, I am unable today of filing fee in 20 proceeding. pay the I have the following assets: (Attorney must sign above and type name below) Cash $___________ My monthly income is $__________________ Checking $___________ My monthly expenses are $__________________ Attorney(s) for Savings $___________ My source of income is ___________________ I have _______________minor children living with me. Office and P.O. Address ORDER TO PROCEED WITHOUT PAYMENT OF FEES (HARASSMENT) (ORALFF) RCW 10.14.060 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: PAGE 1 OF 2 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. ‫ٱ‬ I am seeking an order for protection against a person who has stalked me as that term is defined in : JUDICIAL SUBPOENA Plaintiff(s) RCW 9A.46.110, or from a person who has engaged in conduct that would constitute a sex offense as defined in RCW 9A.44.130, or from a person who is a family or household member as defined in RCW -against: 26.50.010(2) who has engaged in conduct that would constitute domestic violence as defined in RCW 26.50.010(10).” : I certify under penalty of perjury under the Laws of the State of Washington that I have read the : foregoing statements in the Application, know the contents thereof, and believe them to be true and Defendant(s) correct. : ...................................................... Dated at Spokane, Washington on _____________________ 20 ____. THE PEOPLE OF THE STATE OF NEW YORK ____________________________________________ Petitioner TO ORDER GREETINGS: The clerk of the court shall file papers and pleadings of the petitioner in this proceeding without payment of filing WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before or other court related fees. , the Honorable at the Court The Law Enforcement agency where respondent resides shall serve all papers in this action without located at County of charging fee for service to the petitioner. 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 Dated this ________________________________ day of _________________________________20__. Presented by: failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Your 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 , one of the Justices of the ___________________________________________ _____________________________________ Court in County, day of , 20 JUDGE/COURT COMMISSIONER Petitioner (Attorney must sign above and type name below) Attorney(s) for District Court complies with Americans with Disabilities ActAddress Office and P.O. (ADA). Persons with disabilities that would require accommodation should call the Court (509)477-3661, TDD available. ORDER TO PROCEED WITHOUT PAYMENT OF FEES (HARASSMENT) (ORALFF) RCW 10.14.060 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: PAGE 2 OF 2 American LegalNet, Inc. www.USCourtForms.com