COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.INSTRUCTIONSJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Use this packet for a fee deferral at the start of your case. If you want a deferral or waiver at the end of your case, use the Self-Help Center packet, Filing Fee Deferral at the End of Your Case.A fee deferral lets you pay your court fees in installments instead of all at once. You may qualify for a deferral if your gross income is at or below the levels in the table below or if you have extraordinary expenses that bring your income at or below these levels.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Household Size (all related individuals)Gross Monthly Income Level1$1,122.502$1,515.00THE PEOPLE OF THE STATE OF NEW YORK TO3$1,907.504$2,300.005$2,692.506$3,085.00GREETINGS:7$3,477.508*$3,870.00WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable*For family units with more than 8 members, add $392.50 for each additional member.,located at County ofRead all Instructions and Forms before starting. Fill out forms by typing or printing in black ink.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 roomSTEP 1:FILL OUT THE APPLICATION FOR DEFERRAL OF COURT FEES AND/OR COSTS AND CONSENT TO JUDGMENTYour 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.(1)Enter your name; street address; city, state, and zip code; and phone number. (2)Enter Plaintiff/Petitioner's name as it appears on the Complaint/Petition. (3), one of the Justices of theEnter Defendant/Respondent's name as it appears on the Complaint/Petition. (4)Court in Witness, Honorableday of, 20 County,Enter the county where you live. (5)Check each fee you want deferred. (6)(Attorney must sign above and type name below)Check each type of assistance you receive. If you check any box, do not fill out the rest of the form. Just date and sign in front of the Clerk of Court (see below). (7)Check if applicable. (8)Attorney(s) forIf you checked the box in Item 7, leave blank. If you didn't check the box in Item 7, check and explain if applicable. (9)Enter the name and relationship to you of each person you support financially. (10)Check each type of assistance you receive. If you check "Other", explain. (11)Enter your employer's name and address and the month and year you began working there. (12)Office and P.O. AddressEnter your monthly gross income. (13)Enter your other current monthly income, if any, and explain. (14)Enter your spouse's monthly gross income if you know it. (15)Enter the total of the amounts in the Monthly Income section.Telephone No.: Facsimile No.: E-Mail Address:Page 1 of 3 Revised May 2003Mobile Tel. No.:Coconino County Law Library and Self-Help CenterAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.(16)Fill in the blanks. (17)JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Enter the total of the amounts in the Monthly Expenses and Debts section. (18)Fill in the blanks. (19)Enter the total of the amounts in the Statement of Assets section. (20)Enter the descriptions and amounts of your extraordinary expenses, if any. (21)Enter the total of the amounts in the Extraordinary Expenses section.Do not date and sign until you're in front of the Clerk of Court (see below). Make sure you read and understand the Consent to Judgment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .STEP 2:FILL OUT THE AFFIDAVIT IN SUPPORT OF APPLICATION FOR DEFERRAL OR WAIVER OF SERVICE COSTSTHE PEOPLE OF THE STATE OF NEW YORK TOIf you're asking for a fee deferral for service by sheriff or publication, fill out the Affidavit.(1)Enter your name; street address; city, state, and zip code; and phone number. (2)GREETINGS:Enter Plaintiff/Petitioner's name as it appears on the Complaint/Petition. (3)Enter Defendant/Respondent's name as it appears on the Complaint/Petition. (4)WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Enter the county where you live. (5)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 roomCheck if you're asking for a fee deferral for service by sheriff. If you check, check each statement that applies, and explain if applicable. (6)Check if you're asking for a fee deferral for service by publication. (7)If you checked the box in Item 6, check and explain. (8)If you checked the box in Item 6, check and fill in the blanks. (9)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.Enter the date. (10)Enter the other party's last known address.Do not date and sign until you're in front of the Clerk of Court (see below)., one of the Justices of theSTEP 3:FILL OUT THE ORDERCourt in Witness, Honorableday of, 20 County,(1)Enter your name; street address; city, state, and zip code; and phone number. (2)(Attorney must sign above and type name below)Enter Plaintiff/Petitioner's name as it appears on the Complaint/Petition. (3)Enter Defendant/Respondent's name as it appears on the Complaint/Petition. (4)Enter your name.Attorney(s) forDo not fill in any other blanks. The court will fill in those blanks.STEP 4:TAKE THE FORMS TO THE CLERK OF COURTOffice and P.O. AddressWhen you go to the Court House to file your Complaint/Petition or other papers, also take the original and one copy of the following.Telephone No.: Facsimile No.: E-Mail Address:Page 2 of 3 Revised May 2003Mobile Tel. No.:Coconino County Law Library and Self-Help CenterAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY O
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