Response To Child Support Information Form {DRS31f}

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Name of Person Filing:(A) Your Address: Your City, State, Zip Code: Your Telephone Number: ATLAS Number (if applicable): Attorney Bar Number (if applicable): RepresentingJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Self (Without a lawyer) ORAttorney forSUPERIOR COURT OF ARIZONA MARICOPA COUNTY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(B)Case Number:(C) Name of PetitionerTHE PEOPLE OF THE STATE OF NEW YORK TORESPONSE TO CHILD SUPPORT INFORMATION FORMName of Respondent STATEMENTS TO THE COURT, UNDER OATH: 1.GREETINGS:INFORMATION ABOUT MY SPOUSE, the Petitioner: Name:Address:Social security number: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 ofDate of Birth: Job Title: Employer's Name: Employer's 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 roomINFORMATION ABOUT ME, the Respondent: Name:Address:Social security number: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.Date of Birth: Job Title: Employer's Name: Employer's Address:, one of the Justices of theCourt in Witness, Honorableday of, 20 County,INFORMATION ABOUT MARRIAGE: Date of Marriage: 4.INFORMATION ABOUT YOUR CHILD(REN): The following child(ren) is/are under 18 and were born to or adopted by my spouse and me during our marriage or paternity has been established.NAME(Attorney must sign above and type name below)Attorney(s) forDATE OF BIRTHSOCIAL SECURITY NUMBERCurrently Resides with:FatherMotherOffice and P.O. AddressCurrent Address:Telephone No.: Facsimile No.: E-Mail Address:© Superior Court of Arizona in Maricopa CountyDRS31f June 24, 2002Page 1 of 4Use current form ALL RIGHTS RESERVED SIRMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)NAMESOCIAL SECURITY NUMBERDATE OF BIRTHCurrently Resides with:MotherFatherCurrent Address: NAME. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SOCIAL SECURITY NUMBERDATE OF BIRTHCurrently Resides with:MotherFatherTHE PEOPLE OF THE STATE OF NEW YORK TOCurrent Address: NAMESOCIAL SECURITY NUMBERDATE OF BIRTHCurrently Resides with:MotherFatherGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Current Address: 5.ACCESSAbout how many days each week does the other parent see the children?located at County ofdays About how much time each dayo'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 roomhours6.MEDICAL INSURANCE Who provides medical insurance for the children?Mother orFather How much does that parent pay each month for the children's medical insurance? $ 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.If you are not sure how much it costs to insure the children, state how much that parent pays and for how many people: $Number of people7.DAY CARE, one of the Justices of theDo the child(ren) require day care?YesNo Court in Witness, Honorableday of, 20 County,Father Mother orIf the child(ren) require day care, who pays it?How much does it cost each month on average over the entire year? $ 8.INFORMATION ABOUT SPOUSAL MAINTENANCE/SUPPORT A.(Attorney must sign above and type name below)Does Mother regularly pay court-ordered spousal maintenance/support (alimony)? YesNo If so, how much each month? $Attorney(s) forB.Does Father regularly pay court-ordered spousal maintenance/support? YesNo If so, how much each month? $9.INFORMATION ABOUT INCOME A.Office and P.O. AddressWhat is Mother's gross (total) monthly income (before deductions and taxes)? $ B.What is Father's gross (total) monthly income (before deductions and taxes)? $Telephone No.: Facsimile No.: E-Mail Address:© Superior Court of Arizona in Maricopa CountyDRS31f June 24, 2002Page 2 of 4Use current form ALL RIGHTS RESERVED SIRMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)10.INFORMATION ABOUT OTHER CHILDREN. A.Does Mother pay court-ordered child support for any other children?YesNoIf so, how much each month? $B.Does Father pay court-ordered child support for any other children?YesNoIf so, how much each month? $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C.Does Mother support any other natural or adopted children who also live with Mother?YesNo If so, how many and what are their names, ages and dates of birth?THE PEOPLE OF THE STATE OF NEW YORK TOD.Does Father support any other natural or adopted children who also live with Father? YesNo If so, how many and what are their names, ages and dates of birth?GREETINGS:11.OTHER CHILD SUPPORT ORDERS WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableAre there any other child support orders in effect for any of the children in described in #10 above?,YesNo If so, list the name of the child affected, the name of the issuing court(s) and case number(s):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 room12.PREGNANCYWife is not pregnant, or Wife is pregnant. The baby is due onYour failure to comply with this subpoena is punishable