COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Rev.7/93Calendar No.UNITED STATES DISTRICT COURTJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)WESTERN DISTRICT OF LOUISIANAPlaintiff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .versusCivilActionNo./DefendantJudgeMag.JudgeTHE PEOPLE OF THE STATE OF NEW YORK TOMOTIONFORAPPOINTMENTOFCOUNSELUNDERSECTION706(f)OFCIVILRIGHTSACTOF1964GREETINGS:PART1:EFFORTSTOOBTAINCOUNSELWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Declaring that the information I have given below is true and correct,Iapplytothecourtforappointmentofanattorney.located at County ofA.Haveyoutalkedwithanyattorneyabouthandlingyourclaim?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 roomYesNoIf"yes",givethefollowinginformationabuteachattorneywith whomyoutalked: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.AttorneyWhen:, one of the Justices of theHow(bytelephone,inperson,etc.):Court in Witness, Honorableday of, 20 County,Whywasthisattorneynotemployedtohandleyourclaim?(Attorney must sign above and type name below)AttorneyAttorney(s) forWhen:How(bytelephone,inperson,etc.):Office and P.O. AddressWhywasthisattorneynotemployedtohandleyourclaim?Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:1American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.AttorneyJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)When:How(bytelephone,inperson,etc.):Whywasthisattorneynotemployedtohandleyourclaim?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B.Explainanyothereffortsyouhavemadetocontactanattorneyto handleyourclaim:THE PEOPLE OF THE STATE OF NEW YORK TOC.Give any other information which supports your application for thecourttoappointcounsel:GREETINGS: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 roomD.Nameandaddressofeachattorneywhohasrepresentedyouinthe lastten(10)years: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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com2COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.PART2:FINANCIALINFORMATIONJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)(DONOTFILLTHISOUTIFYOUHAVEALREADYSUPPLIEDTHISINFORMATIONINTHEAPPLICATIONTOPROCEEDWITHOUTPREPAYINGCOSTS).1.FULLNAME2.ADDRESS(StreetAddressorP.O.Box). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(City)(State)(ZipCode)THE PEOPLE OF THE STATE OF NEW YORK TO(Telephone)3.MARITALSTATUS:SingleMarriedSeparatedDivorcedWidowedGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable4.Areyoupresentlyemployed?YesNo,If the answer is "yes," give your occupation, the name and address of your employer and the gross and net amount of your salary.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 room(Occupation)(GrossSalary)(NetSalary)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 $50 and all damages sustained as a result of your failure to comply.(NameandaddressofYouremployer), one of the Justices of the5.If you are not presently employed, state the date of your last employment, the name and address of your employer and your salary.Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)(Datelastemployed)(Salary)Attorney(s) for(NameandAddressoflastEmployer)6.Ifyouaremarriedandifyourspouseisemployed,statehis/her name,occupation,employer,addressofemployerandsalary.Office and P.O. Address(Salary)(Occupation)(Nameofspouse)Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:3American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.7.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Approximatelyhowmuchmoneyhaveyoureceivedinthepasttwelve monthsfromthefollowingsources:aswages,salary,commissionsorearnedincomeofanykind?asworkman'scompensationordisabilityinsurance?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .asrentpayments,interest,dividends?aspensions,annuitiesorlifeinsurancepayments?THE PEOPLE OF THE STATE OF NEW YORK TOfromsocialsecurity,unemploymentcompensationorwelfarepayments?asgiftsorinheritance?GREETINGS:fromothersources?WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable8.How much money do you own or have in any checking or savings account?,$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 room9.Doyouownorhaveanyinterestinanyrealestate,automobiles or other vehicles,
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