COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) -against: : : : Defendant(s) : ...................................................... Index No. Calendar No. JUDICIAL SUBPOENA THE PEOPLE OF THE STATETHE STATE OF WASHINGTON FOR WHATCOM COUNTY SUPERIOR COURT OF OF NEW YORK | | Plaintiff/Petitioner, | vs. | | | GREETINGS: | Defendant/Respondent | WE COMMAND YOU, that all business| and TO No. ORDER TRANSFERRING TO ARBITRATION ON STIPULATION excuses being laid aside, you and each of you attend before , the Honorable at the Court BASED ON THE FOLLOWING STIPULATIONS: located at County ofThat the case may be transferred to arbitration, in room That this case is the , on at issue; that no affirmative pleading 20 day of , remains ,unanswered; o'clock in the willnoon, and at any recessed at that no other parties be served with summons; and that the case is in evidence as a for arbitration, or adjourned date, to testify and give all respects ready witness in this action on the part of the That the following person has been selected and has agreed to serve as arbitrator: (leave blank if the parties are not stipulating to an arbitrator) NAME: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ADDRESS/PHONE: the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a IT IS of your failure to comply. result THEREFORE ORDERED that this case is transferred to arbitration under the provisions of WCMAR. DONE IN OPEN COURT this the day of , 20 . Witness, Honorable Court in County, PRESENTED BY: Attorney for Plaintiff Typed Name: Address/Phone: OTHER ATTORNEY/PARTY: Name: Address/Phone: , one of the Justices of the day of Judge , 20 SIGNED: Attorney for Defendant Typed Name: Address/Phone: (Attorney must sign above and type name below) Attorney(s) for OTHER ATTORNEY/PARTY: Name: Address/Phone: Office and P.O. Address Attorney for: Attorney for: Order Transferring to Arbitration on Stipulation.doc Page 1 of 1 Telephone No.: [File with County Clerk] APPENDIX D Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com