IN THE COUNTY COURT IN AND FOR BROWARD COUNTY FLORIDA CLOCK IN

DIVISION
[ ] CIVIL
STATEMENT OF CLAIM
[ ] OTHER (SECURITY DEPOSIT)
PLAINTIFF (S) VS. DEFENDANT (S)

CASE NUMBER
( )SP

( )CC
COURT
PLAINTIFF(S), ________________________________________________________________________________
COUNTY OF
......................................................
: Index No.
sues defendant________________________________________________________________ , and
: Calendar No.

alleges: Plaintiff(s)
:
JUDICIAL SUBPOENA
-against- :
There is now due, owing and unpaid from defendant to plaintiff $__________ ,
:

with interest since _________________________ , 20_____ , :for return of security deposit required on
Defendant(s) :
......................................................
the rental of premises located in Broward County, Florida:

____________________________________________________
THE PEOPLE OF THE STATE OF NEW YORK

TO
____________________________________________________

____________________________________________________
GREETINGS:

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Further, that the
thedefendant
Honorable is not in the MilitaryatService
the of the
CourtUnited States. This action , has
County of located at
been brought in a country
in roomin which
, onvenue
the is proper,
day of pursuant
, 20 , at to Chapter
o'clock in the47, Florida
noon, and atStatutes.
any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
WHEREFORE, plaintiff demands Judgment in the amount of $_________________________
plus Court Costs. 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
SWORN TO AND SUBSCRIBED BEFORE ME this ________ day of ____________________ 20____ .
result of your failure to comply.

Witness, Honorable , one of the Justices of the

NOTARY PUBLIC Court in County, day of , 20 HOWARD C. FORMAN,
State of Florida_____________________________________ CLERK OF COURTS
My commission expires:
BY_____________________________________________
(Attorney must sign above and type name below)

Attorney/Plaintiff DEPUTY CLERK

Attorney’s Bar for

Attorney(s) No.

Address of Attorney/Plaintiff
__________________________________________________ Office and P.O. Address

Attorney/Plaintiff Telephone No.

__________________________________________________
Telephone No.:
__________________________________________________ Facsimile No.:
( ) E-Mail Address:
Mobile Tel. No.:
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