COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)PARENT'S WORKSHEETINSTRUCTIONSThis worksheet provides the information the court needs to determine child support amounts in accordance with Arizona's Child Support Guidelines. You may get a copy of the Guidelines from the Clerk of the Superior Court's office. An automated child support calculation is also available on the Supreme Court's website at http://www.supreme.state.az.us/childsup.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TONOTE: THESE INSTRUCTIONS CAN BE MADE AVAILABLE IN LARGE FORMAT OR ON AUDIO TAPE UPON REQUEST.COMPLETE THIS WORKSHEET IF:GREETINGS:..You are a party to a court action to establish a child support obligation or to modify an existing order for child support.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 ofTO COMPLETE THIS WORKSHEET YOU WILL NEED TO KNOW: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 room..Your case number. ..Your monthly gross income and that of the other parent. ..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.The monthly cost of medical insurance for the children who are the subject of this action. ..Monthly child care amounts paid to others. ..The number of days the child(ren) spend with the non-custodial parent. ..Monthly obligations of yourself and the other parent for child support or court-ordered spousal support., one of the Justices of theFOLLOWTHESEINSTRUCTIONSNUMBEREDTOMATCHTHEIDENTIFYINGNUMBERSIN PARENTHESES ON THE FORM. TYPE OR PRINT NEATLYUSING BLACK INK. The number in brackets after the instructions tells you where to look in the Guidelines for this item, for example, [Guidelines 5].Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)BASIC INFORMATION(1)Type or print the name, mailing address, and daytime and evening phone number of the person filing the form. If you are representing yourself without an attorney check the box in front of Self . (The space marked state bar number is used only if an attorney is preparing this form.)Attorney(s) for(2)Type or print the name of the county in which this worksheet is being filed. (This may already be printed on the form.)Office and P.O. Address(3)If you are providing this information to establish a child support amount, Type or print the name, date of birth(DOB),andsocialsecuritynumber(SSN)ofthepersonshownasthepetitionerontheoriginalpetitionTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:Page 1 of 11Revised 10/00American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.filed in the case that requests a support order be established. If you are providing this information to modify your current support amount, Type or print the name, date of birth (DOB), and social security number (SSN) of the person who is shown as the petitioner on the order that established the current support order.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)(4)Type or print the name, date of birth (DOB), and social security number (SSN) of the person shown as the Respondent on the document you used to answer Item 3.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(5)Type or print your case number and the ATLAS number. If you do not have a case number, leave this item blank. If you do not have an ATLAS number, leave this item blank.THE PEOPLE OF THE STATE OF NEW YORK TO(6)Mark the appropriate box(es) to indicate the party or parties completing the form.MONTHLY GROSS INCOMENOTE:..GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Terms such as "gross income" and "adjusted gross income" as used here do not have the same meaning as when they are used for tax purposes. ..located at County ofIf you are converting a weekly Gross Income to a monthly amount multiply the weekly amount by 4.33. (52 weeks รท 12 months = 4.33 average weeks in a month)"Gross income" is NOT the same as "take-home" pay (gross income is the higher number). ..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 room(7)If you estimate or attribute income in Item 8, check the box indicating which parent's income is estimated or attributed, and explain in Item 7 on the Basis For Amounts Shown on Worksheet. Examples of ESTIMATED income: He was promoted to supervisor and I know that position pays more; she has the same job as my sister, who works at the same place and makes this amount. Example of ATTRIBUTED income: My ex-wife was a secretary earning $1500/month. Now she has remarried and is staying home as a homemaker.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,(8)Type or print thetotalamount of your Gross Incomeeachmonth. Gross income means the amountbefore taxesandotherdeductionsaretakenout. Forincomefromself-employment,rent,royalties,proprietorship of a business, joint ownership of a partnership or closely held corporation, gross income means gross receipts minus ordinary and necessary expenses required to produce income. What you include as ordinaryand necessary expenses may be adjusted by the court, if deemed inappropriate for determining gross income for child support. Ordinary and necessary expenses include one-half of the self-employment tax actually paid. Gross Income includes monies from:(Attorney must sign abo
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