COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.IN THE CIRCUIT COURT OFCOUNTY, MISSOURICalendar No.Judge or Division:Case Number:Petitioner:Petitioner's Address:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)SSN:vs.Respondent's Address:Respondent:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SSN:(Date File Stamp)Motion for Family Access OrderTHE PEOPLE OF THE STATE OF NEW YORK TO(Check each box that applies)A judgment of dissolution or legal separation was entered inCounty, Missouri.The judgment of dissolution or legal separation was modified inCounty, Missouri.(name) has denied or interfered with custody, visitation or third party custody under the judgment of dissolution, legal separation or modification without good cause by the following acts: (Please provide the specific facts, including dates and times, which you claim are a violation of the court's judgment.)GREETINGS: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.I request that the court find that(name) has denied or interfered with: (check the box that applies), one of the Justices of theCourt in Witness, Honorableday of, 20 County,Custody or visitation under the judgment. Third party custody under the judgment. I further request thatbe ordered to: (check each box that applies)Provide a period of visitation, custody or third party custody not less than the period of time denied. Participate in counseling regarding the importance of providing the child(ren) with a continuing and meaningful relationship with both parents.Participate in Alternative Dispute Resolution to assist in resolving the problems which caused the filing of this motion. Pay a fine of up to $500. Post bond or security to ensure future compliance with the court's judgment. Pay the cost of counseling to re-establish the parent-child relationship. Pay reasonable expenses incurred as a result of the denial or interference with custody, visitation or third party custody, including attorney's fees and court costs of the proceeding to enforce custody, visitation or third party custody. Other (specify):(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:OSCA (7-99) FA10452.400 RSMo1 of 2Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.I swear /affirm under penalty of perjury that these facts are true according to my best knowledge and belief.Calendar No.DateYour SignatureJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Your Street AddressCityStateZipYour Telephone Number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Notice of Alternative Dispute ResolutionAt the initial hearing, the Court may order Alternative Dispute Resolution to assist you and the person against whom you have filed this motion in resolving the problems which caused the filing of this motion. You and the person against whom you have filed this motion may be required to attend more than one session. Any cost of the Alternative Dispute Resolution will be paid by you andthe person against whom you have filed this motion in the proportions determined by the Court.THE PEOPLE OF THE STATE OF NEW YORK TONotice to(name)GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,PURSUANT TO SECTION 452.400, RSMO, YOU ARE REQUIRED TO RESPOND TO THE CIRCUIT CLERK WITHIN TEN DAYS OF THE DATE OF SERVICE. FAILURE TO RESPOND TO THE CIRCUIT CLERK MAY RESULT IN THE FOLLOWING:1.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 roomAN ORDER FOR A COMPENSATORY PERIOD OF CUSTODY, VISITATION OR THIRD-PARTY CUSTODY AT A TIME CONVENIENT FOR THE AGGRIEVED PARTY NOT LESS THAN THE PERIOD OF TIME DENIED; 2.PARTICIPATION BY THE VIOLATOR IN COUNSELING TO EDUCATE THE VIOLATOR ABOUT THE IMPORTANCE OF PROVIDING THE CHILD WITH A CONTINUING AND MEANINGFUL RELATIONSHIP WITH BOTH PARENTS; 3.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.ASSESSMENT OF A FINE OF UP TO FIVE HUNDRED DOLLARS AGAINST THE VIOLATOR; 4.REQUIRING THE VIOLATOR TO POST BOND OR SECURITY TO ENSURE FUTURE COMPLIANCE WITH THE COURT'S ORDERS; 5., one of the Justices of theCourt in Witness, Honorableday of, 20 County,ORDERING THE VIOLATOR TO PAY THE COST OF COUNSELING TO RE-ESTABLISH THE PARENT-CHILD RELATIONSHIP BETWEEN THE AGGRIEVED PARTY AND THE CHILD; AND 6.(Attorney must sign above and type name below)A JUDGMENT IN AN AMOUNT NOT LESS THAN THE REASONABLE EXPENSES, INCLUDING ATTORNEY'S FEES AND COURT COSTS ACTUALLY INCURRED BY THE AGGRIEVED PARTY AS RESULT OF THE DENIAL OF CUSTODY, VISITATION, OR THIRD PARTY CUSTODY. A response to this motion must befiled in writing with the Circuit Clerk of the court named above.Attorney(s) forPlease keep a copy of this Motion to bring with you to any scheduled hearing or alternative dispute resolution.Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:OSCA (7-99) FA10452.400 RSMo2 of 2Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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