COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No. District Court County Court Denver Juvenile Court County, Colorado Court Address:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)In re: Petitioner:v.Respondent/Co-Petitioner:COURT USE ONLY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Case Number:Attorney or Party Without Attorney (Name and Address):THE PEOPLE OF THE STATE OF NEW YORK TOPhone Number:E-mail: FAX Number:Atty. Reg. #:DivisionCourtroomNOTICE TO TERMINATE INCOME ASSIGNMENTTo (Employer/Trustee/Other Payor of Funds at (address)GREETINGS:You are notified that the Income Assignment on (name of Obligee) activated on (date) will terminate effective (date).WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomThis notice is issued by: (check one) Obligee Obligee's attorney/representative Child Support Enforcement Unit CourtYour 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 result of your failure to comply.Dated: Signature, one of the Justices of theCourt in Witness, Honorableday of, 20 County,Subscribed and affirmed, or sworn to before me in the County of , State of , this day of , 20 .(Attorney must sign above and type name below)My commission expires: Notary Public/ClerkAttorney(s) forCERTIFICATE OF MAILINGI certify that on (date) the original and one copy of this document were filed with the Court; and, a true and accurate copy of the NOTICE TO TERMINATE INCOME ASSIGNMENT was served on the other parties by placing it in the United States mail, postage pre-paid, and addressed to the following:Office and P.O. AddressTO: Telephone No.: Facsimile No.: E-Mail Address: (Your signature)Mobile Tel. No.:JDF 84 10/03 NOTICE TO TERMINATE INCOME ASSIGNMENTAmerican LegalNet, Inc. www.USCourtForms.com
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