COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Plaintiff(s) -against-Defendant(s) CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR......................................................City/County JUDICIAL SUBPOENALocated at .................................................................................... Case No.................................................vs. Petitioner............................................................................................................................................................Respondent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PROTECTIVE ORDER ADDENDUMFailure to provide information in any of the shaded areas will prevent law enforcement from processing the Court's Protective Order. This may endanger your safety or the safety of another protected party. Please provide as much information as possible.THE PEOPLE OF THE STATE OF NEW YORK TORESPONDENT (Alleged Abuser)Full Name:Date of Birth:Approximate Age:Race:Sex:Height:Weight:Hair Color:Eye Color:Skin Tone (Light/Medium/Dark):GREETINGS:Scars, Tattoos (where on body and description):WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Home Address/Phone Number:located at County ofWork Address/Phone Number: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 roomVehicle Make:Model/Color:Year:Tag#:State:Driver's License #:Weapons: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.Other locations or information about Respondent:PETITIONER, one of the Justices of the(Person Requesting Assistance)Court in Witness, Honorableday of, 20 County,Full Name:Approximate Age:Date of Birth:Race:Sex:Height:Weight:(Attorney must sign above and type name below)INFORMATION ABOUT OTHER PERSONS PETITIONER WANTS PROTECTEDAttorney(s) forFull Name:Age:Date of Birth:Sex:Race:Full Name:Age:Date of Birth:Sex:Race:Full Name:Age:Date of Birth:Sex:Race:Office and P.O. AddressFull Name:Age:Date of Birth:Sex:Race:Telephone No.: Facsimile No.: E-Mail Address:Petitioner's Signature ............................................................................................ Date .................................Mobile Tel. No.:CC-DV 1A (Rev. 2/2003)American LegalNet, Inc. www.USCourtForms.com
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