COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAUNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF LOUISIANAPlaintiff(s) -against-Defendant(s)IN RECASE NO. DEBTOR(S). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .MAILING MATRIX Verification/DeclarationTHE PEOPLE OF THE STATE OF NEW YORK TO(The penalties for making a false statement or for concealing property is a fine up to $500.00 or imprisonment for up to five (5) years or both). (18 U.S.C. ยงยง 152 and 4571).DECLARATIONGREETINGS: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 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 roomYour 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.I/We, , named as the debtor(s) in this case, and , counsel of record for the debtor(s) in this case, declare under penalty of perjury that we have read the foregoing mailing matrix, consisting of pages, and that it is true and correct to the best of our information and belief. DATE:DEBTORDATE:, one of the Justices of theCO-DEBTORCourt in Witness, Honorableday of, 20 County,Attorney's Name (Bar Roll #) Street or P. O. Address City, State, Zip Telephone ((Attorney must sign above and type name below)) -Faxsimile (Attorney(s) for)-(if party has such a line) E-Mail Address: Attorney for Debtor(s)Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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