COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SUPERIOR COURT OF WASHINGTON COUNTY OF JUVENILE COURT STATE OF WASHINGTON v.THE PEOPLE OF THE STATE OF NEW YORK TONO:MOTION AND DECLARATION FOR ORDER TO CORRECT OR DESTROY IMPROPERLY RETAINED RECORDS (MTAF)GREETINGS:Respondent(s). D.O.B.:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomI. MOTIONI, , request that the court issue an order directing (Name) to correct to destroy records pertaining to me. (Juvenile Justice or Care Agency) I request the court to set a date for a hearing on this motion.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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)SignatureTitle/Relationship II. DECLARATIONAttorney(s) forI, , hereby declare as follows: 2.1I am the respondent in the above-captioned case. I make this declaration of personal knowledge and could and would competently testify to its contents.Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:MTN/DECL FOR ORD TO CORRECT/DESTROY RECORDS (MTAF) -Page 1 of 2 WPF JU 10.0200 (9/2000) -RCW 13.50.010(6)(7)Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.2.2I have reasonable cause to believe information concerning me is included in the records of the above-referenced agency because:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)2.3The information should:no longer be in the possession of the agency and should be destroyed because:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TObe corrected, because the following inaccuracies exist therein:2.4I have given reasonable notice of this motion to all parties to the original action and to any agency whose records will be affected by this motion including (list persons, agencies, methods of notice):GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomI declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.Signed at , Washington on . (Place)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.(Date)Declarant Type or Print Name, one of the Justices of theCourt in Witness, Honorableday of, 20 County,Copy Received; Approved For Entry; Notice of Presentation Waived: (Attorney must sign above and type name below) SignatureAttorney(s) forSignature Title/AgencyTitle/AgencyOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:MTN/DECL FOR ORD TO CORRECT/DESTROY RECORDS (MTAF) -Page 2 of 2 WPF JU 10.0200 (9/2000) -RCW 13.50.010(6)(7)Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com