COURT

COUNTY OF
......................................................
: Index No.
IN THE COUNTY COURT IN AND FOR BROWARD COUNTY FLORIDA CLOCK IN
: Calendar No.
DIVISION:
[ ] CIVIL
STATEMENT
Plaintiff(s) OF: CLAIM
JUDICIAL SUBPOENA
[ ] OTHER -against- :
PLAINTIFF (S) vs. DEFENDANT (S)
:
CASE NUMBER
: SP
Defendant(s) : DIV:
......................................................
The Plaintiff sues the Defendant for money owed Plaintiff by Defendant; and which is past due and unpaid;
for (As marked (x) below) :

THE PEOPLE OF[THE

] Goods,
STATE OFwares
NEWand merchandise sold by Plaintiff, to Defendant;
YORK
[ ] Work done and materials furnished by Plaintiff, to Defendant;
TO [ ] Money loaned by Plaintiff to Defendant;
[ ] Money due to Plaintiff upon accounts stated and agreed to between them;
[ ] On a written instrument, copy of which is attached hereto;
[ ] Rent for certain premises in Broward County, Florida, Viz;
[ ] Other (Explain)
GREETINGS:
[ ] Any additional facts in connection with any of the above:
(Use additional sheet if necessary)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
the Honorable at the Court
______________________________________________________________________________________________ ,
County of located at
in room ______________________________________________________________________________________________
, on the day of , 20 , at o'clock in the noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
______________________________________________________________________________________________

______________________________________________________________________________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Where
the party on whose Plaintiff
behalf demands judgment
this subpoena in thefor
was issued sum of $_________________
a maximum together
penalty of $50 and with court
all damages costsaswhich
sustained a the
court
result of your may to
failure assess.
comply.The Plaintiff, says the foregoing is a just and true statement of the amount owing by the
Defendant to Plaintiff, exclusive of all set-offs and just grounds of defense.
Affiant states that the Defendant(s) is/are not in the military service of the United States.
Witness, Honorable , one of the Justices of the
Court in SWORN AND County, day of BEFORE
SUBSCRIBED , 20ME this _______ day of _____________________ , 20______ .

PLAINTIFF OR ATTORNEY HOWARD C. FORMAN,

CLERK
(Attorney must signOF
aboveCOURTS
and type name below)

ADDRESS OF PLAINTIFF/ATTORNEY
Attorney(s) for
_________________________________________ by:____________________________________________
DEPUTY CLERK
_________________________________________
NOTARY PUBLIC
Office and P.O. Address
PLAINTIFF/ATTORNEY TELEPHONE State of Florida

Telephone No.:
(________) MY COMMISSION
Facsimile No.: EXPIRES:
E-Mail Address:
ATTORNEY BAR NUMBER: Mobile Tel. No.:
FORM 633 SEARCH FEE : 698 American LegalNet, Inc. COPY FEE : 699
REVISED 1/03
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