COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.IN THE CIRCUIT COURT OFCOUNTY, MISSOURICalendar No.Case Number: Judge or Division:Court ORI Number:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Petitioner:Protected Child: DOB/Age of Protected Child: SSN:Sex:Respondent's Home Address:Home Phone Number:FMRace:vs.(Date File Stamp)Respondent:Respondent's Work Address:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Alias/Nicknames: Respondent's DOB: SSN (if known): Sex:Work Phone Number: Work Hours:THE PEOPLE OF THE STATE OF NEW YORK TOFMRace:Motion to Modify Judgment/Full Order of Child ProtectionA Judgment/Full Order of Child Protection was entered inCounty, Missouri.A change has occurred in the circumstances of the child or his/her custodian and the modification is necessary to serve the best interests of the child. Below are the specific facts, including dates and times, which 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 roomI request that the court find grounds for modification for: (check the box that applies)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,Installments of maintenance or support. Custody.Visitation.Other (specify): I swear /affirm under penalty of perjury that these facts are true according to my best knowledge and belief.DateYour Signature(Attorney must sign above and type name below)NOTICE: Section 455.510.3 RSMo provides that a Petitioner seeking protection under the Child Protection Orders Act is not required to reveal any current address or place of residence of the child on this petition. Do not provide this information if doing so will endanger the child.Your Street AddressAttorney(s) forZipCityStateYour Telephone NumberOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:OSCA (09-03) CP50455.060 RSMo1 of 1Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
|
Get this form for FREE as a print-only pdf
