COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Supreme Court of the State of New York Appellate Division: Second Judicial DepartmentJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)AFFIDAVITCHANGE OF ATTORNEY NAME. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOState of New York) County of ) s.s.:,beingdulysworn, deposes and says that:GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,1. I was admitted to the practice of law by the Appellate Division, Second Department, on , under the name of . 2. I now seek permission to change the name under which I practice law to . 3. I have not been known by any other names.(strike one) I have been known by the following other names: 4. I seek to change the name under which I practice law for the following reason: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 roomYour 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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,My name has been changed by court order pursuant to Civil Rights Law § 63 (attachacertifiedcopyofthecourtorderauthorizingthenamechange).(Attorney must sign above and type name below)Attorney(s) forMy surname has changed by reason of marriage pursuant to Domestic Relations Law §§ 14 and 15(b) and Civil Rights Law § 65(1) (attachacertifiedcopyof your certificate of marriage registration setting forth your changed marital surname). My surname has changed by reason of a divorce or an annulment of a marriage pursuant to Domestic Relations Law § 240-a and Civil Rights Law § 65(2) (attach a certified copy of your judgment of divorce or annulment authorizing the resumptionofuseofasurnamebywhichyouwereknownpriortomarriage).Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:5. I am in good standing at the bar, in that I am not disbarred or suspended from practice, I am duly registered with the Office of Court Administration, and I am current in the payment of the biennial registration fee.Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.6. I am not currently subject to a pending disciplinary investigation and to my knowledge there are no complaints of professional misconduct filed against me. 7. No previous application to change the name under which I practice law has been made (except as follows).JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .WHEREFORE I request that the name under which I am authorized to practice law as recorded on the Roll of Attorneys and Counselors-at-Law on file in the office of the Clerk of this court be changed as set forth above.THE PEOPLE OF THE STATE OF NEW YORK TODated: , New York , 200NAMEGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Sworn to before me this day of , 200located 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 roomNotary PublicYour 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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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