COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. CIVIL CASE INFORMATION STATEMENT : Index No. DOMESTIC RELATIONS CASES : IN THE FAMILY COURT OF Plaintiff(s) -against- Calendar No. : COUNTY, WEST VIRGINIA JUDICIAL SUBPOENA : : I. CASE STYLE: : IN RE Defendant(s) : THE .MARRIAGE/CHILDREN. OF:. . . . . . . . . . . . . . . . . . . . . . ... ........................ ... PETITIONER CASE No. THE PEOPLE OF THE STATE OF NEW YORK TO Judge Street GREETINGS: City State Zip WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Phone Number : ( ) , the Honorable at the Court located at County of Social Security #: 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 and Your failure to comply with this subpoena is Days to as a contempt of court and will make you liable to punishable the party on whose behalf this subpoena was issued for a maximum penalty of Service all damages sustained as a RESPONDENT Answer Type of $50 and result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 Street City Phone Number : ( State Zip (Attorney must sign above and type name below) ) Attorney(s) for Social Security #: Original and SCA-F-103-1 (Revised 12/01) copies of petition enclosed/attached.Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : PETITIONER: RESPONDENT: : Index No. CASE NUMBER: Calendar No. I. PLEASE CHECK HERE IF EITHER PARTY SEEKS : CHILD SUPPORT OR ALIMONY. JUDICIAL SUBPOENA Plaintiff(s) II. : PLEASE CHECK IF A FAMILY VIOLENCE PROTECTIVE ORDER IS NOW IN EFFECT. III. TYPE OF CASE OR RELIEF: (Check all that apply) -against- : : Divorce w/o children Grandparent Visitation Defendant(s) : Divorce. w/ .children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... .. ....... Annulment Paternity Separate Maintenance THE PEOPLE OF THE STATE OF NEW YORK Child Support only Other (specify): TO Child Custody w/o Divorce IV. GREETINGS: DO YOU OR ANY OF YOUR CLIENTS OR WITNESSES IN THIS CASE REQUIRE SPECIAL ACCOMMODATIONS DUE TO A DISABILITY? being laid aside, you and each of you YES before WE COMMAND YOU, that all business and excuses attend NO , at the Court Wheelchair accessible hearing room and other facilities located at Interpreter or,other auxiliary aid for in the in room , on the day of 20 , at o'clock the hearing impairedany recessed noon, and at Reader or as a witness in thisaid foron the part of the other auxiliary action the visually impaired or adjourned date, to testify and give evidence the Honorable IF YES, PLEASE SPECIFY: County of Spokesperson or other auxiliary aid for the speech impaired Other: V. Name Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to LIST ALL MINOR CHILDREN AFFECTED BY THIS ACTION: 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 of Birth Witness, Honorable Court in County, SSN , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney Name: Representing: for Attorney(s) Petitioner Respondent Firm: Address: Telephone: _________________________________________ Dated: Office and P.O. Address Proceeding Without An Attorney SCA-F-103-2 (Revised 12/01) Signature Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com