Waiver Of Consent Wrongful Death And Survival Claims {14.1}

COURT .OUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... .. : : Index No. Calendar No. PROBATE COURT OF HAMILTON COUNTY, OHIO : JUDICIAL SUBPOENA Plaintiff(s) RALPH WINKLER, JUDGE -against: : : ESTATE OF CASE NO. , DECEASED Defendant(s) : ..................................................... HE PEOPLE OF THE STATE OF NEW YORK O WAIVER AND CONSENT WRONGFUL DEATH AND SURVIVAL CLAIMS REETINGS: The undersigned waive notice of the hearing and consent to and approve the settlement and distribution as set forth in Form 14.0, Application to Approve Settlement and Distribution of Wrongful Death and Survival Claims, a copy of which I have received. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , e Honorable at the Court located at ounty of room , on the day of , 20 , at o'clock in the noon, and at any recessed r 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 e party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a esult of your failure to comply. Witness, Honorable ourt in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: FORM 14.1 - WAIVER AND CONSENT WRONGFUL DEATH AND SURVIVAL CLAIMS www.USCourtForms.com American LegalNet, Inc. 04/01/97