Last updated: 4/5/2007
PSP Data Sheet Information
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Description
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar PSP Data Sheet Information No. JUDICIAL SUBPOENA Plaintiff(s) Defendant Information: _____________________________________________________ First -againstMiddle Last : Suffix (Jr, Sr,) : Defendant's Alias: _________________________________________________________ : Defendant's Sex: Male / Female : Home Phone: _____________________ Defendant(s) : Defendant's. Race:. . . . . . Caucasian ./ .African . . . . . . . . ./.Hispanic ./ .Latino / ....... ..... . . . . . . . . . . . . . . American . . . . . . . Asian American / Pacific Islander / Other ____________________ _____ Defendant's Date of Birth: __________ ___________ THE PEOPLE OF THE STATE OF NEW YORK Month Day ________ Year (20___) Age: ________________ Defendant's Address (if known): ______________________________________________ City/State/Zip_________________________________________________________________ GREETINGS: TO Defendant's State of Birth: ______________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , at the Court Fair / Light / Medium / Dark / Other _______________________ located at County of in room , on the day of , Defendant's Weight (in pounds):________and at any recessed 20 , at o'clock in the noon, Defendant's Height (approx.): ______________ or adjourned date, to testify and give evidence as a witness in this action on the part of the the Honorable Defendant's Skin Tone: Defendant's Eye Color: ___________________ Defendant's Hair Color: _______________ Defendant's Scars,failure toTattoos: with this subpoena is punishable as a contempt of court and will make you liable to Your Marks, comply _____________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Defendant's Social Security Number:_____________________________________________ result of your failure to comply. FBI Number: Witness, Honorable _______________________________________________________________ of the , one of the Justices Defendant's Miscellaneous Number:_____________________________________________ Defendant Spends Time (Bars, Friends, etc.): ______________________________________ Defendant's Operator's License Number: _________________________________________ Attorney(s) for Defendant's Operator's License State: __________ Operator's License Year: _____________ (Attorney must sign above and type name below) Court in County, day of , 20 Defendant's Vehicle Registration Number: ________________________________________ Office and P.O. Address Defendant's Vehicle Registration State: __________________________________________ Defendant's Vehicle Registration Year: __________________________________________ Telephone No.: Defendant's Vehicle Registration Type: __________________________________________ Facsimile No.: E-Mail Address: Revised 10/27/03 Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. Defendant's Vehicle Identification Number: _______________________________________ Defendant's Vehicle Year: ____________________________________________________ : Vehicle Model: ____________________________________________________________ JUDICIAL SUBPOENA Plaintiff(s) -against: Defendant's Vehicle Style: ___________________________________________________ First Color of Vehicle: _______________________________________________________ : Second Color of Vehicle: _____________________________________________________ : : Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Defendant(s) . . . . . . . ........ . . . . Information ...... (vehicle): ________________________________________________________________________________ ________________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK Defendant's Place of Employment:______________________________________________________ TO Employer's Address: ___________________________________________________________________ City / State / Zip Code GREETINGS: Employer's Telephone Number:________________________ Shift worked______________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before the Honorable in room , on the day of at the , 20 , at Court o'clock in the noon, and at any recessed , located at County of Does Defendant have access to any weapons? Yes / No or adjourned date, to No this action on the part of the Is this an eviction? Yes /testify and give evidence as a witness in Hearing Date: _______________________ 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 Plaintiff Information: to comply. result of your failure _______________________________________________________________________________ Witness, Honorable , one of the Justices of the First Court in Middle County, day of Last , 20 Suffix (Jr, Sr, etc.) Sex: Male / Female Race: Caucasian / African American / Hispanic / Latino / Asian American / Pacific Islander / Other ____________________ (Attorney must sign above and type name below) Date of Birth: _____/_____/_______ Plaintiff Telephone Number:__________________________________________________________ Attorney(s) for ____ Address is confidential Office and P.O. Address Address is: ______________________________________________________________________ City /State /Zip Code Attorney Name: ______________________________________ Phone No.: __________________ Telephone No.: Facsimile No.: E-Mail Address: Revised 10/27/03 Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. Other Protected Person(s): : Calendar No. 1. ____________________________________________________________________________ First Middle Last Suffix (Jr, Sr, etc.) Sex: Male / Female Race: Caucasian / African American / Hispanic / Latino / -against: Asian American / Pacific Islander / Other ____________________ : Plaintiff(s) : JUDICIAL SUBPOENA Date o