COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.United States District Court Middle District of FloridaCalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)CJA PAYEE REGISTRATION AND CHANGE OF ADDRESSNew attorneyChange of AddressNAME: SOCIAL SECURITY NUMBER:REQUIRED FIELD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .MAILING ADDRESS:THE PEOPLE OF THE STATE OF NEW YORK TOTELEPHONE:FAX NUMBER: E-MAIL ADDRESS:GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Indicate below how payments should be reported to the IRS: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 roomUnder my SSN and name, as indicated above. OR To the firm with which I am affiliated. The firm's taxpayer identification number, name and address are: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 theTaxpayer ID No. of Firm: Firm Name: Firm Address: (If different from above)Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Payee Signature:Date:Attorney(s) forPlease return this form to:Joan Calcutt CJA Deputy Clerk for the Middle District of FloridaOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:FAX: 407-835-4228Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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