COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... SUPERIOR OF THE STATE OF NEW YORK THE PEOPLECOURT OF WASHINGTON COUNTY OF TO STATE OF WASHINGTON, Plaintiff, No. vs. PETITION FOR CERTIFICATE AND GREETINGS: __________________________________, ORDER OF DISCHARGE Defendant. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court SID: located at County of If no SID, use DOB: 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 Note to defendant: A Certificate and Order of Discharge does not operate to remove a criminal Conviction from your record. It does not remove any restrictions on the ownership, possession or control of firearms/ammunition under state/federal law. A Certificate and Order of Discharge does not remove any Domesticfailure to comply withor obligations to register as a sex contempt of court and will make you liable to Your Violence restrictions this subpoena is punishable as a offender. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Comes now the defendant in the above captioned matter and petitions the court for a Certificate result of your failure to comply. and Order of Discharge pursuant to RCW 9.94A.637. Witness, Honorable , Judgment and Sentence I have completed all requirements imposed on me by the court in theone of the Justices of the Court in in this case,County, the day of of legal financial obligations, restitution, principal and , 20 imposed including payment interest, as well as all applicable collection costs. I certify (or declare) under penalty of perjury under the laws ofmust sign aboveWashington that the (Attorney the State of and type name below) foregoing is true and correct. Attorney(s) for Signed at _______________________, [City] ____________ [State] on ____________________ [Date]. ____________________________________ Signature of Defendant Print or Type Name Office and P.O. Address PT FOR CERT. AND ORD. OF DISCHARGE (****) - Page 1 of 2 WPF CR 08.0600 (6/2004) RCW 9.94A.637 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : JUDICIAL SUBPOENA Plaintiff(s) -------------------------------------------------------------------------------------------------------------------------------against: Confirmation of Financial Obligations: : A check of the Clerks’ financial records shows that the defendant: has/has not completed the payment of all legal financial obligations (including principal and interest) and all applicable collection costs. Defendant(s) : ...................................................... ____________________________________ [Deputy] Clerk- Finance section THE PEOPLE OF THE STATE OF NEW YORK ________________________________ Date ------------------------------------------------------------------------------------------------------------------------------TO Confirmation of Court-ordered Requirements: A check of Department of Corrections records shows that the defendant has/has not satisfactorily completed all GREETINGS: court-ordered requirements. ____________________________________ ________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Community Corrections Officer Date , the Honorable at the Court located at County of OR in room , on the day of , 20 , at o'clock in the noon, and at any recessed orI adjourned date,the testify and materials to showa witness incompleted the requirements of the Judgment to following give evidence as that I have this action on the part of the am submitting and Sentence, such as community service hours and substance evaluation/treatment (attach to this document). 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, day of ___________________________________________ , 20 Defendant Pro Se/Attorney for Defendant/WSBA No. , one of the Justices of the ______________________________ Date (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address PT FOR CERT. AND ORD. OF DISCHARGE (****) - Page 2 of 2 WPF CR 08.0600 (6/2004) RCW 9.94A.637 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com