COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Your Name: Your Address: Your City, State, Zip Code: Your Phone Number:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)/ ATLAS Number (if applicable) Attorney Bar Number (if applicable): RepresentingSelf (Without Attorney) OR Attorney forPetitioner ORRespondentIN THE SUPERIOR COURT OF THE STATE OF ARIZONA IN AND FOR THE COUNTY OF MARICOPA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .))THE PEOPLE OF THE STATE OF NEW YORK TOCase #: Petitioner,))OBLIGOR'S FINANCIAL AFFIDAVIT vs.)(Person Ordered to Pay Support) ) Respondent.)GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable1.NAME:,LastFirstM.I.located at County of2.ADDRESS: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 roomStreet AddressCityStateZip CodeYour 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 $50 and all damages sustained as a result of your failure to comply.3.TELEPHONE NUMBERS: Home: ( )Work: ( )Message:)(, one of the Justices of the4.// MonthDATE OF BIRTH:Court in Witness, Honorableday of, 20 County,DayYear5.//SOCIAL SECURITY NUMBER:(Attorney must sign above and type name below)6.NAME OF PRESENT SPOUSE:7.NAME AND AGE(S) OF MINOR CHILD(REN), COMMON TO YOU AND YOUR PRESENT SPOUSE OR PREVIOUS RELATIONSHIP, LIVING WITH YOU:Attorney(s) forAGENAMENAMEAGEOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:©Superior Court of Arizona in Maricopa CountyDRESE13f July 25, 2002Mobile Tel. No.:Page 1 of 4USE CURRENT VERSION ALL RIGHTS RESERVEDAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)8.NAME OF EMPLOYER: ADDRESS OF EMPLOYER:Street AddressCityStateZip Code. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.IF UNEMPLOYED NOW, WHY?THE PEOPLE OF THE STATE OF NEW YORK TOYOUR USUAL OCCUPATION? WHEN LAST EMPLOYED:10.LIST ALL INCOME WHICH YOU RECEIVE FROM ANY SOURCE:GREETINGS:INCOMEDOLLAR AMOUNTGross monthly pay (wages, salary, tips, commission, etc. before taxes)WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable$ Rents (amount after expenses)$ Pensions and retirement income,$ Social Security incomelocated at County of$ Dividends and interest incomeo'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$ Disability and unemployment pay$ Current child support and spousal maintenance received$ Welfare and Aid to Dependent Children$ Trust funds$ Income from any other sourceYour 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 $50 and all damages sustained as a result of your failure to comply.$TOTAL MONTHLY INCOME $, one of the Justices of the11.Court in Witness, Honorableday of, 20 County,LIST ALL BANKS, SAVINGS AND LOAN, CREDIT UNIONS, OR OTHER FINANCIAL INSTITUTIONS IN WHICH YOU HOLD ACCOUNTS AND/OR SHARES: INSTITUTIONDOLLAR AMOUNTADDRESS(Attorney must sign above and type name below)$$Attorney(s) for$Office and P.O. Address$Telephone No.: Facsimile No.: E-Mail Address:©Superior Court of Arizona in Maricopa CountyDRESE13f July 25, 2002Mobile Tel. No.:Page 2 of 4USE CURRENT VERSION ALL RIGHTS RESERVEDAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)INSTITUTIONADDRESSDOLLAR AMOUNT $$. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$THE PEOPLE OF THE STATE OF NEW YORK TO12.LIST THE NAMES OF ANY INDIVIDUALS OTHER THAN THOSE NAMED IN THE PRESENT ACTION, WHOM YOU ARE UNDER COURT ORDER TO SUPPORT, AS WELL AS THE AMOUNT OF THE ORDER:NAMEGREETINGS:AMT. OF ORDER $$WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County of$o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room$$Your 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.13., one of the Justices of theLIST ALL PROPERTY, INCLUDING YOUR HOME AND ALL MOTOR VEHICLES, ITS VALUE ANY LIENS OR INDEBTEDNESS, AND WHO INDEBTEDNESS IS OWED: DESCRIPTION OF PROPERTYVALUETO WHOM OWEDINDEBTEDNESSOF LIENCourt in Witness, Honorableday of, 20 County,$$$$(Attorney must sign above and type name below)$$Attorney(s) for$$$$Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:©Superior Court of Arizona in Maricopa CountyDRESE13f July 25, 2002Mobile Tel. No.:Page 3 of 4USE CURRENT VERSION ALL RIGHTS RESERVEDAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)14.LIST ALL MONTHLY EXPENSES FOR WHICH YOU ARE RESPONSIBLE TO PAY AT THE PRESENT TIME: MORTGAGE/RENTGAS & ELECTRICTELEPHONEWATER $$$$. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FOODMEDICAL & DENTAL INSURANCE $OTHERTRANSPORTATION(Gas, Bus Fare, Not car payment) $THE PEOPLE OF THE STATE OF NEW YORK TO$$14.LIST ALL INSTALLMENT CONTRACTS AND REVOLVING CREDIT PAYMENTS THAT YOU HAVE NOT INCLUDED IN ITEM 14:GREETINGS:BALANCE DUETO WHOM OW
|
Get this form for FREE as a print-only pdf
