COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) -against: : : : Defendant(s) : ...................................................... Index No. Calendar No. JUDICIAL SUBPOENA COURT OF WASHINGTON FOR THE PEOPLE OF THE STATE OF NEW YORK NO. TO Petitioner vs. Respondent GREETINGS: ORDER MODIFYING/ TERMINATING ORDER FOR PROTECTION - HARASSMENT (ORMTOA) (Clerk's action required) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ORDER , the Honorable at the Court located at County of The MOVING PARTY (requester) is the Petitioner Respondent. 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 The court received the moving party's motion for an order to modify/terminate the terms and conditions of the following order: Temporary Order for Protection, filed on [date]. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Order for Protection, filed on [date]. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a _____________________________________, filed on [date]. result of your failure to comply. The court finds that the order referenced above shall be: Witness, Honorable terminated. continued in effected but modifieddayfollows: as of Court in County, , 20 , one of the Justices of the (Attorney must sign above and type name below) Attorney(s) for This order is a temporary modification. It will be effective until the hearing scheduled below. The parties are directed to appear for a hearing on _____________________, at _____ a.m./p.m., Office and P.O. Address at ___________________________________________________________________ [location]. ORD MOD/TERM ORD FOR PROTECTION - HARASSMENT (ORMTOA) - Page 1 of 2 No.: Telephone UH-09.0200 (6/2002) - RCW 10.14.180 Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. IT IS FURTHER ORDERED that the clerk of court shall forward a copy of this order on or before the next : judicial day to: JUDICIAL SUBPOENA Plaintiff(s) ___________________________ County Sheriff's Office _____________________ Police -against: Department WHERE PETITIONER LIVES which shall enter it in a computer-based criminal intelligence system available in this state used by law enforcement to list outstanding warrants. : SERVICE The clerk of court shall also forward a copy of this order on or before the next judicial day to: ____________________ County Sheriff's Office __________________ Police Department WHERE THE OTHER PARTY LIVES which shall personally serve__________________________ [name] Defendant(s) : .with. a . . . . . . . . . . . . . .and.shall .promptly.complete.and. return .to .this .court proof of service. . . . copy of this order . . . . . . . . . . . . . . . . . . . . . . . . . . . The moving party (requester) shall make arrangements for service of this order on the other party. The moving party shall use either a · legal process server · the Law Enforcement agency where the other party lives, or · a person over the age of 18 that is not a party in this case. The server shall complete and return to the court proof of service. THE PEOPLE OF THE STATE OF NEW YORK The other party appeared and was informed of the order by the court; further service is not required. : TO DATED _____________ at ______________ a.m./p.m. JUDGE/COURT COMMISSIONER I acknowledge receipt of a copy of this Order: I acknowledge receipt of a copy of this Order: GREETINGS: __________________________________________ Moving Party (requester) Date Non-moving party WE COMMAND YOU, that all business and excuses being laid aside, you and each of Date attend before you , 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 ORD MOD/TERM ORD FOR PROTECTION - HARASSMENT (ORMTOA) - Page 2 of 2 No.: Telephone UH-09.0200 (6/2002) - RCW 10.14.180 Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com