COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.STATE OF OHIOIN THE COMMON PLEAS COURTCOUNTY OF CUYAHOGAJUVENILE COURT DIVISIONJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF: D.O.B.AFFIDAVIT: UNIFORM CHILD CUSTODYD.O.B.JURISDICTION ACTD.O.BO.R.C. Sections 3109.21 to .36. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CHILD/CHILDREN OF: MOTHERSTREET ADDRESSTHE PEOPLE OF THE STATE OF NEW YORK TOCITYSTATEZIP CODEFATHERSTREET ADDRESS CITYGREETINGS:STATEZIP CODEWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,, being duly sworn, states the following: 1.) BEGINNING with the child(ren)s PRESENT ADDRESS, state the places where the child(ren) lived withinlocated at County ofo'clock in the day ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thethe last FIVE(5) YEARS, and the names and PRESENT ADDRESSES of the persons with whom the child (ren) lived during that period.FROM//TO PRESENTWith: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 result of your failure to comply.Address:, one of the Justices of theFROM//TO //With:Court in Witness, Honorableday of, 20 County,Address:(Attorney must sign above and type name below)FROM//TO //With:Attorney(s) forAddress:Office and P.O. AddressFROM//With:TO //Telephone No.: Facsimile No.: E-Mail Address:Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Address:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)2.) Have you participated as a party, witness, or in any other capacity in any other litigation concerning the custody of the child (ren) in this or any other state? ( )Yes ( ) No If YES, explain: .3.)State any information you have about any custody proceeding concerning the child(ren) pending in a court of this or any other state. Include the case number, name of the court, and the address of the court:.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.) State the name and address of any person not a party to the proceedings, who has physical custody of the child(ren) or who claims to have custody or visitation rights with respect to the child(ren).THE PEOPLE OF THE STATE OF NEW YORK TO5.) Have you previously been convicted of or pleaded guilty to any criminal offense involving any act that has resulted in a child being an abused or neglected child or previously been determined, in a case which a neglectful act that was the basis of the adjudication? ( )YES or ( )NO If yes, explain: GREETINGS: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 of6.) State whether you have ever been convicted of or pleaded guilty to a violation of O.R.C. 2919.25 (criminal domestic violence) involving a victim who at the time of the offense was a member of the family or household that is subject of this proceeding. Further, have you been convicted of or pleaded guilty to any other offense involving a victim who at the time of the offense was a member of the family or household that is the subject of this proceeding and caused physical harm to the victim in the commission of that offense? ( ) YES ( ) NO, If yes, explain:o'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,I UNDERSTAND THAT I HAVE A CONTINUING DUTY TO INFORM THE COURT OF ANY PARENTING PROCEEDING CONCERNING THE CHILD (REN) IN THIS OR ANY OTHER STATE OF WHICH I OBTAIN INFORMATION DURING THIS PROCEEDINGS.(Attorney must sign above and type name below)Attorney(s) forAFFIANTOffice and P.O. AddressSIGNED AND SWORN TO BEFORE ME THIS DAY OF, 20.Telephone No.: Facsimile No.: E-Mail Address: NOTARY PUBLICMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
|
Get this form for FREE as a print-only pdf
