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:ADVICE OF RIGHTS TO REVISION (ADR)Respondent(s). D.O.B.:GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,I. ADVICElocated 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 roomThe proceedings before the commissioner having been completed, you are now advised that: 1.1You have the right to have a Superior Court judge review (consider revising) the decision of the commissioner. 1.2Unless a written motion demanding revision is filed with the clerk of the Superior Court within ten (10) days from the entry of the order or judgment, you cannot ever seek revision. 1.3Your 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.If you have no lawyer to file a motion for revision for you, the clerk of the court will, if requested by you, file a motion on your behalf. 1.4If you cannot afford the cost of seeking revision, you have the right to have such parts of the record as are necessary for review of the errors you allege submitted to the Superior Court for you, at public expense., one of the Justices of theCourt in Witness, Honorableday of, 20 County,Dated: COMMISSIONERII. RECEIPT OF ADVICE(Attorney must sign above and type name below)2.1The above advice of my rights to seek revision was read to me in open court; 2.2I understand these rights; and 2.3I received a copy of the above rights as read to me.Attorney(s) forDated: RESPONDENT ATTORNEY FOR RESPONDENT Type or Print Name/Bar NumberOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:ADVICE OF RIGHTS TO REVISION (ADR) -Page 1 of 1 WPF JU 07.0910 (9/2000) -RCW 2.24.050Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com