COURT COUNTY OFIN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNYSLVANIA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.DOMESTIC RELATIONS SECTIONCalendar No.)Docket Number: Plaintiff,JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)) )PACSES Case Number: vs.) )Other State ID Number: ) Defendant.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ACKNOWLEDGEMENT OF PATERNITY WAIVER OF TRIALTHE PEOPLE OF THE STATE OF NEW YORK TOI,, do hereby acknowledge that I am the fatherof the child,, born on,in,County,. Thischild was born to, of.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 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 roomI have been advised of and do hereby waive my rights to (1) genetic tests on the issue of paternity, (2) a trial on the issue of paternity, and (3) an attorney to represent me on the issue of paternity.Conference Officer/WitnessDefendantYour 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 theAttorney for DefendantCourt in Witness, Honorableday of, 20 County,I verify that the statements made in this acknowledgement and waiver are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. ยง4904, relating to Unsworn Falsification to Authorities.(Attorney must sign above and type name below)Attorney(s) forDefendantAND NOW,, on recommendation of the conference officer named above, the acknowledgement of paternity and waiver of trial are accepted. BY THE COURT:Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:JUDGEMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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