COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)REQUEST FOR HEARING AND NOTICE OF HEARINGINSTRUCTIONSCOMPLETE THIS FORM IF:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A Request to Modify Child Support Pursuant to Guidelines' Simplified Procedure has been filed, andYou want to have a hearing to explain your position.THE PEOPLE OF THE STATE OF NEW YORK TOTO REQUEST A HEARING YOU WILL NEED:A copy of the Request to Modify Child Support, andA completed Parent's Worksheet for Child Support Amount. GREETINGS:NOTE: There may be a charge for filing this Request. There may be other charges including an appearance fee if this is your first appearance in this case. If you cannot pay these fees, you may request the fees be waived or deferred. The Clerk of the Superior Court has the necessary forms to ask for waiver/deferral. FOLLOW THESE INSTRUCTIONS WHICH ARE NUMBERED TO MATCH THE IDENTIFYING NUMBERS ON THE FORM. PLEASE TYPE OR PRINT NEATLY USING BLACK INK. 1.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 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 theFill in the name, address, and phone number of the person filing the form.(The spaces marked representing and state bar number are used only if an attorney is preparing this form.) 2.Court in Witness, Honorableday of, 20 County,Fill in the name of the county that appears in this space on the Request to Modify Child Support. (This may already be printed on the form.) 3.Fill in the name of the person shown as the petitioner on the Request to Modify Child Support.(Attorney must sign above and type name below)4.Attorney(s) forFill in the name of the person shown as the respondent on the Request to Modify Child Support. 5.Fill in the case number that appears on the Request to Modify Child Support.6.You must date and sign here in person before a Notary Public or a clerk of court. By signing, you are stating under oath that the contents of this Request for Hearing are true and correct to the best of your knowledge. 7.Office and P.O. AddressLeave this area blank; it will be completed by personnel at the Office of the Clerk of the Superior Court when you file these documents.Telephone No.: Facsimile No.: E-Mail Address:02/16/01 modhearinst.wpdPage 1 of 2Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.8.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)List the name and current mailing address of the other party to this action. If you are using the child support services of the Department of Economic Security (DES) or if the other party answered YES to item 13 on the Request to Modify Child Support, you MUST also mail a copy of this Request for Hearing and Notice of Hearing to the DES. 9.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sign and date the form to indicate that youwill mail the Request for Hearing and Notice of Hearing as indicated. WHEN YOU HAVE COMPLETED THIS FORM:Give the form and your completed worksheet to the Clerk of the Superior Court. The Clerk's office will fill in the date, time, and place of the Hearing and have the notice signed. IMMEDIATELY AFTER THE COURT SETS THE HEARING AND FILLS IN THE INFORMATION IN ITEM 7: You must send the Request for Hearing and Notice of Hearing as indicated in item 8.THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS: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 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,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:02/16/01 modhearinst.wpdPage 2 of 2Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)(1) Person Filing: Mailing Address: City, State, Zip Code: Daytime Phone: Evening Phone: Representing:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .r Self or r AttorneyTHE PEOPLE OF THE STATE OF NEW YORK TOState Bar Number (if applicable)ARIZONA SUPERIOR COURT, COUNTY OF (2)(3)(4) Case No.GREETINGS:Petitioner/PlaintiffATLAS No.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Respondent/DefendantREQUEST FOR HEARING AND NOTICE OF HEARING (Simplified Procedure)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 roomA request to Modify Child Support Pursuant to Guidelines' Simplified Procedure has been filed.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 information provided on the Parent's Worksheet that was the basis for the Request to Modify Child Support is not
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