COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)ARIZONA SUPERIOR COURT, COUNTY OF (1)(2) Case No. Petitioner/Plaintiff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ATLAS No. DOBSSNTHE PEOPLE OF THE STATE OF NEW YORK TOCHILD SUPPORT ORDER (4)Respondent/DefendantDOBSSNGREETINGS:THE COURT FINDS THAT:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable1. The parties owe a duty to support the following children: Name,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 roomDate of BirthSocial Security Number(14)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.2. The parties' circumstances are as follows:, one of the Justices of theMotherFatherCourt in Witness, Honorableday of, 20 County,Gross Monthly Income$$(8)Spousal Maintenance Paid -/+ Received$$(9)(Attorney must sign above and type name below)Child Support for Other Children Paid)) (10) ($($Attorney(s) forAdjustment for Supporting Other Children($)) (11) ($$$Adjusted Monthly Gross Income(12)Combined Adjusted Monthly Gross Income(13)$Office and P.O. AddressBasic Child Support Obligation(15)$Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comRevised 11/00Page 1 of 5COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Adjustments to Child Support Obligation:MotherFatherMedical/Dental Insurance Premium$(16)$. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Child Care$(17)$Adjusted for Tax Exemption$(17a)$THE PEOPLE OF THE STATE OF NEW YORK TOExtra Education$(18)$Court-ordered Parenting Time/Exchange (also called visitation )$(19)$Extraordinary Child$(20)$GREETINGS:Child(ren) 12 or Older 0 -10%(21)$WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Total Adjustments(22)$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 roomTotal Monthly Child Support Obligation(23)$Each Party's Proportionate Share of Income$(26)$Each Party's Support Obligation$(29)$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.Adjustment for Costs Associated with Parenting Time Using($)) (30) ($Table ATable B)) (31) ($Medical/Dental Insurance Premium Adjustment($, one of the Justices of theCourt in Witness, Honorableday of, 20 County,Child Care Adjustment($)) (31) ($)) (31) ($Extra Education Adjustment($(Attorney must sign above and type name below)Extraordinary Child Adjustment($)) (31) ($)) (31) ($Parenting Time/Exchange Adjustment($Attorney(s) for$$Adjustments Subtotal(32)$$Preliminary Child Support Amount(33)Equal Time Sharing, Unequal Incomes$$(34)Office and P.O. AddressMultiple Children, Divided Custody$$(35)Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comRevised 11/00Page 2 of 5COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Self Support Reserve TestPaying party's Adjusted Gross Income from line 12$(12)$Minus self support reserve($710) (36a) ($710). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Minus arrears($) (36b) ($)$RESULT$(37)THE PEOPLE OF THE STATE OF NEW YORK TOIf the amount from line 37 above is less than the Preliminary Child Support Amount, line 33, the court MAY order the resulting amount as child support order on line 37, absent a deviation. AMOUNT TO BE ORDERED:$(38)$3. Paying Party's employer/payor is:GREETINGS:Name:Payroll Dept. Address: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 room4. Written Findings for Physical Custody Adjustment and/or Other Adjustments: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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,5. The court finds that the paying party has the ability to pay child support in the amount from line 38:(Attorney must sign above and type name below)6. The court, having considered the best interests of the child(ren), deviates from the guidelines for the following reason(s):Attorney(s) forApplication of the guidelines is inappropriate. Application of the guidelines is unjust. The parties have signed a written agreement with knowledge of the amount of support that would have been ordered by the guidelines but for the agreement.Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comRevised 11/00Page 3 of 5COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)The court makes the following findings regarding the deviation:The child support order would have been $ The child support order after deviation is $ All parties have signed the agreement free of duress and c
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