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Domestic Intake Worksheet - Georgia

Domestic Intake Worksheet Form. This is a Georgia form and can be used in Family Division Superior Court Fulton Local County .
 Fillable pdf Last Modified 8/5/2003
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COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Style of Case: __________________________________________ DOMESTIC INTAKE WORKSHEET Index No. Case Number: ____________________________ Calendar No. Plaintiff(s) -againstPart A-Information About the Parties JUDICIAL SUBPOENA Date of Filing: ____________________________ Judge Assigned to Case:____________________ : : : Petitioner/Plaintiff: Address: Defendant(s) : ...................................................... : _____________________________________________________________________________________________ Name(s) _____________________________________________________________________________________________________ Street Address County City State Zip THE PEOPLE OF THE STATE OF NEW YORK Telephone Number: _____________________________________________________________________________________________ Home Work TO Date of Birth: ___________________________ _____________________________________________________________________________________________ Name Petitioner's Attorney: GREETINGS: COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before _____________________________________________________________________________________________ Street Address City Court State Zip , the Honorable at the located at County of inTelephone Number: the room , on __________________________________________________________ day of , 20 , at o'clock in the noon, and at any recessed Attorney's or adjourned date, to testify and give evidence as a witness in this action on the part of the WE Attorney's Address: Respondent/Defendant: _____________________________________________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable Name(s) Street Address County City State Zip to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Address: result of your failure to comply. _____________________________________________________________________________________________________ Witness, Honorable , one of the Justices of the County, day of , 20 _____________________________________________________________________________________________ Home Date of Birth: ___________________________ Work (Attorney must sign above and type name below) Court in Telephone Number: Respondent's Attorney: _____________________________________________________________________________________________ Name Attorney(s) for Attorney's Address: _____________________________________________________________________________________________ Street Address City State Zip ________________________________________________ Office and Attorney's Telephone Number: P.O. Address IF YOUR CASE IS ASSIGNED TO THE FAMILY DIVISION, IT IS MANDATORY THAT YOU COMPLETE AND Telephone No.: RETURN THIS WORKSHEET AT YOUR 30-DAY SCHEDULING CONFERENCE. IF YOUR CASE IS NOT ASSIGNED TO THE FAMILY DIVISION, PLEASE COMPLETE AS SOON AS POSSIBLEFacsimile No.: TO THE FULTON COUNTY AND RETURN E-Mail Address: SUPERIOR COURT FAMILY DIVISION, 136 PRYOR ST., SUITE C-826, ATLANTA, GEORGIA 30303. Mobile Tel. No.: Last revised 10/15/99 American LegalNet, Inc. www.USCourtForms.com COURT Part B-- COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . Cases . . . . . . Information.About. the. Current .Case. and .Related . . . . . . . . . ... .. : : Plaintiff(s) -against: : : : Defendant(s) : ...................................................... Index No. Calendar No. NUMBER OF CHILDREN: NAMES OF CHILDREN: JUDICIAL SUBPOENA Current Claim(s)/Issue(s)/Allegation(s): 9 9 9 9 9 Divorce Child Custody TO Visitation Child Support Paternity THE PEOPLE OF THE STATE OF NEW YORK 9 Legitimation 9 Family Violence 9 Child Abuse 9 URESA 9 DHR 9 9 9 9 Adoption Guardianship Substance Abuse Other Issues: ____________________________ ____________________________ GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable in any other Fulton County Court aat the or cases involving the petitioner, respondent, or any Court Is there currently pending case minor children ofof relationship? 9 located at Yes 9 No County the in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, Case number,give evidence as abelow. in this action on the part of the to testify and and style of case witness If yes, please list the Court, Court Case Number Style of Case 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 _______________________________ comply. _______________________ _______________________________ result of your failure to Witness, Honorable _______________________________ Court 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.: Last revised 10/15/99 American LegalNet, Inc. www.USCourtForms.com
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