COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.COURT OF COMMON PLEAS, GEAUGA COUNTY, OHIOCalendar No.CASE NO.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)STATE OF OHIO) County of) ss:AFFIDAVIT, being sworn, says:1.He/she is the plaintiff/defendant in the above-entitled action.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.This is an action for, as to(insert name of , born, . child)THE PEOPLE OF THE STATE OF NEW YORK TO3.This child's present address is 4.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableThis child has lived in the following places and with the following persons within the last five years: (List addresses and dates when child lived there and list person with whom the child lived during this time and that person's present address.) Addresses and DatesPersons and Present Addresses,located at County ofAtWith fromo'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 roomtoPresently at AtWith fromtoPresently at NOTE: If more space is needed, please attach a separate piece of paper with the additional information.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.5., one of the Justices of theHe/she has/has not participated as a party, witness, or in any other capacity in any other litigation concerning the custody of this child in this or any other state. 6.Court in Witness, Honorableday of, 20 County,He/she has/has no information of any custody proceeding concerning this child pending in a court of this or any other state. 7.(Attorney must sign above and type name below)He/she knows/does not know of any person not a party to the proceedings who has physical custody of this child or claims to have custody or visitation rights with respect to this child. 8.Attorney(s) forHe/she understands that he/she has a continuing duty to inform the Court of any custody proceeding concerning this child in this or any other state of which he/she obtains information during this proceeding.9.He/she has/has not previously been convicted or or pled guilty to any criminal offense or been determined a perpetrator per R.C. 3109.27(A)(4).Office and P.O. Address(signature) Sworn to before me and subscribed to in my presence thisTelephone No.: Facsimile No.: E-Mail Address:, 20 .day ofMobile Tel. No.:(signature and title of officer)American LegalNet, Inc. www.USCourtForms.com
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