COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Name of Person Filing Document: Your Address: Your City, State, Zip Code: Your Telephone Number: RepresentingJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Self orAttorney for Attorney State Bar Number:SUPERIOR COURT OF ARIZONA MARICOPA COUNTY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .In the Matter of (check one or both)PB Number: GuardianshipConservatorship ofPETITION FOR RELEASE OF FUNDS FROM RESTRICTED ACCOUNTTHE PEOPLE OF THE STATE OF NEW YORK TOa minor oran adult1.APPOINTMENT: The following person was appointed (name) and accepted appointment as (check one box):GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableGuardian and conservator on (date); Guardian (date),. Conservator (date)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 room2.BIRTH DATE. The minor or adult was born on (date) 3.RESTRICTED FUNDS: The minor/adult has exactly $in a restricted account, (account number) #deposited with (name of bank or financial institution)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.4., one of the Justices of theCourt in Witness, Honorableday of, 20 County,NO PREVIOUS WITHDRAWALS. No previous withdrawals have been made from the account without a written order of this Court. (If this statement is true, check the box. If the statement is not true, see a lawyer for help.) 5.REASON THE FUNDS ARE NEEDED. The minor/adult needs funds from the restricted account for the following reasons and in the following amounts:(Attorney must sign above and type name below)REASON/PURPOSEAMOUNTAttorney(s) fora. b.c.Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Page 1 of 2©Superior Court of Arizona in Maricopa CountyPBGCR11f June 11, 2002Use only most current version ALL RIGHTS RESERVED PTTMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)6.NO OTHER SOURCE OF FUNDS.There is no other source of funds to pay for these needs, and no parent or other person is under a legal obligation to satisfy this need. (If this statement is true, check the box. If the statement is not true, see a lawyer for help.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .REQUEST TO THE COURTPETITIONER ASKS THAT THE COURT DO THE FOLLOWING THINGS AFTER NOTICE AND HEARING: 1.THE PEOPLE OF THE STATE OF NEW YORK TODirect the release of restricted funds in the amounts and for the purposes requested in this Petition;2.Require proof to be filed with this Court within a reasonable period of time that the released funds have been used for the purposes described in this Petition;GREETINGS:3.Make any other orders the Court decides are in the best interests of the minor/adult.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,OATH AND VERIFICATION OF PETITIONER STATE OF ARIZONA ) County of Maricopa ) ss.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 roomI, the Petitioner, being duly sworn and under oath, state that I have read this petition. All the statements in the Petition are true and correct and complete to the best of my knowledge and belief.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.SIGNED:Subscribed and sworn to before me thisday ofby the Petitioner,,., one of the Justices of theCourt in Witness, Honorableday of, 20 County,NOTARY PUBLIC:My Commission Expires:(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Page 2 of 2©Superior Court of Arizona in Maricopa CountyPBGCR11f June 11, 2002Use only most current version ALL RIGHTS RESERVED PTTMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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