COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.IN THE CIRCUIT COURT OFCOUNTY, MISSOURICalendar No.Case Number: Judge or Division:Court ORI Number:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Respondent's Home Address:Petitioner:Petitioner's DOB: Sex:FMRace:Home Phone Number:vs.(Date File Stamp)Respondent's Work Address:Respondent:Work Phone Number: Work Hours:Alias/Nicknames:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other Locations Where Respondent May Be Served:Respondent's DOB: SSN (if known):THE PEOPLE OF THE STATE OF NEW YORK TORespondent's Relationship to Petitioner:Sex:FMRace:SpouseEx-SpouseRelated by Blood/MarriageChild(ren) in CommonResided TogetherOtherGREETINGS:Adult Abuse/Stalking Motion for Renewal of Full Order of Protection The Petitioner requests that the court renew the Full Order of Protection that was issued against Respondent onWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,(date) for the reason that(date) and terminates onlocated 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 roomThe allegations in the petition for the order of protection still exist on this date. I still believe that I am in immediate and present danger of abuse. The following incidents of abuse have occurred since the date the petition was filed: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 reasons:, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Pursuant to 455.040 RSMo, Petitioner requests that the court renew the full order of protection for not less than 180 days and not more than one year. I swear/affirm under penalty of perjury that these facts are true according to my best knowledge and belief. NOTICE:Section 455.030.3 RSMo provides that a Petitioner seeking protection under the Adult Abuse Act is not required to reveal any current address or place of residence on this motion. Do not provide this information if doing so will endanger you.Attorney(s) forDateAttorney's Name, Missouri Bar No., if ApplicablePetitioner's SignatureOffice and P.O. AddressAddressAddress (Optional)City, State and ZipCity, State and ZipTelephone No.: Facsimile No.: E-Mail Address:TelephoneTelephoneOSCA (09-03) AA25455.030.3, 455.040 RSMo1 of 1(ASMR)Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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