Small Claims Subpoena Form - Salt Lake City Justice Court Page 4
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4SALT LAKE CITY JUSTICE COURT
333 SOUTH 200 EAST, PO BOX 145499, SALT LAKE CITY, UT 84111-5499
Phone: 801-535-6301 / Fax: 801-535-6302
Name__________________________________________,Plaintiff )
Street Address__________________________________________ )
SMALL CLAIMS
City, State, ZIP_________________________________________ )
DECLARATION OF COMPLIANCE
vs.
)
WITH SUBPOENA
Name________________________________________,Defendant )
Street Address__________________________________________ )
Case No.__________________________
City, State, ZIP_________________________________________ )
(1)
I have knowledge of the facts contained in this declaration.
(2)
The documents or tangible things copied or produced are a full and complete response to the subpoena.
(3)
The documents or tangible things are
the originals.
copies that are true copies of the originals.
(4)
The reasonable cost of copying or producing the documents or tangible things is $___________.
I declare under criminal penalty of Utah Code Section 78B-5-705 that this Declaration of Compliance with Subpoena is
true and correct.
Date
Sign here ►
Typed or printed name
Custodian of the records
Attorney for the custodian of the records
Certificate of Service
I certify that I served a copy of this Small Claims Declaration of Compliance with Subpoena on the following people.
Person’s Name
Method of Service
Served at this Address
Served on this Date
Mail
Hand Delivery
Left at business
(With person in charge.)
(Other Party or Attorney)
Mail
Hand Delivery
Salt Lake City Justice Court
(Clerk of Court)
Mail
Hand Delivery
Left at business
(With person in charge.)
Mail
Hand Delivery
Left at business
(With person in charge.)
Date
Sign here ►
Typed or printed name
SCDCS
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