COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)INTRASTATE 3 WITHDRAWAL OF OFFERING NY # Name of Issuer TO: ATTORNEY GENERAL OF THE STATE OF NEW YORK REAL ESTATE FINANCING BUREAU 120 BROADWAY -23RD FLOOR NEW YORK, NEW YORK 10271 The offering of the above issuer dated , as amended, is hereby withdrawn and abandoned. Listed below and on continuation sheets are the names and addresses of all persons who subscribed to this offering, the amount paid by each person and the amount returned to them as of . If less than the full amount has been returned, there is attached hereto a statement explaining why less than all funds have been returned and an accounting for the proceeds not returned.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOName & AddressAmount Paid InAmount ReturnedDateGREETINGS: 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 of o'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 room(If more space required, attach continuation sheets)STATE OF NEW YORK ) : ss.: COUNTY OF ) , being duly sworn, deposes and says that the above account is a true, accurate and complete statement of the withdrawal and abandonment of the offering of securities of (Issuer) of which your deponent is (Title) . Sworn to before me this day of , 20 Notary PublicYour 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)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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