COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : GOVERNMENTAL AGENCY (Family Code §§ 17400 and 1706): Index No. FOR COURT USE ONLY FL-683 : TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): Calendar No. Plaintiff(s) : : : : JUDICIAL SUBPOENA -against- SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: Defendant(s) BRANCH NAME: : ...................................................... PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT: THE PEOPLE CAUSE STATE OF NEW YORK ORDER TO SHOW OF THE FOR MODIFICATION Child Support Health Care Injunctive Relief CASE NUMBER: TO Other: 1. 2. TO (name): YOU ARE ORDERED TO APPEAR IN THIS COURT AS FOLLOWS TO GIVE ANY LEGAL REASON WHY THE RELIEF SOUGHT IN THE ATTACHED APPLICATION SHOULD NOT BE GRANTED. a. Date: GREETINGS: Time: Dept.: Rm.: b. Address of court is same as that above other (specify): WE COMMAND YOU,notedall business and excuses being laid aside, you and each of you attend before 3.a. IT IS FURTHER ORDERED that a completed Request for Order and SupportingCourt Declaration (Governmental) (form FL-684), or the Honorable at the equivalent application order form, a blank Response to Governmental Notice of Motion or Order to Show Cause (Governmental) located at County of (form FL-685), and the following must be served with this order: (1) (2) (3) (4) 3.b. (1) , in room , on the day of , 20 , at o'clock in the noon, and at any recessed Financial information and blank Income and Expense Declaration (form FL-150) or Financial Statement (Simplified) or adjourned date, to testify and give evidence as a witness in this action on the part of the (form FL-155) Points and authorities Order for Genetic (Parentage) Testing (form FL-627) Other (specify): Petitioner/plaintiff Respondent/defendant Other parent is restrained from transferring, encumbering, hypothecating, concealing, or in any way disposing of the following property Witness, Honorable , one of the Justices of the (describe): (3) Court in Other (specify):County, day of , 20 Date: JUDICIAL OFFICER (2) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Time for service hearing is shortened. Service must be on or before (date): the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Any responsive declaration must be served on or before (date): result of your failure to comply. NOTICE This case may be referred to a court commissioner for hearing. By law, court commissioners do not have the authority to issue final orders and (Attorney must sign above and type name below) judgments in contested cases unless they are acting as temporary judges. The court commissioner in your case will act as a temporary judge unless, before the hearing, you or any other party objects to the commissioner acting as a temporary judge. The court commissioner may still hear your case to make findings and a recommended order. If you do not like the recommended order, you must object to it within 10 court days; otherwise, the recommended order will become a final order of the court. If you object to the recommended order, a judge will make a temporary order and set a new hearing. Attorney(s) for Child support is based on your ability to pay, which may include your income, earning capacity, lifestyle, or presumed income set by statute. The amount of child support can be large and can continue until the children reach age 18. You should give the court information about your income and expenses. If you do not, the support order will be based on other information given to the court or presumed income set by statute. You do not have to pay any fee to file your Response to Governmental Notice of Motion or Order to Show Cause (Governmental) (form FL-685) and your completed Income and Expense Declaration (form FL-150) or Financial Statement (Simplified) (form FL-155). You must file Office and P.O. Address any documents with the court and serve copies at least nine court days before the hearing date to the local child support agency and the other party unless ordered otherwise. Add five calendar days if you serve by mail within California. (See Code of Civil Procedure 1005 for other situations.) To determine court and calendar days, go to www.courinfo.ca.gov/selfhelp/courtcalendars/. Request for Accommodations Telephone No.: Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five court days before the trial. Contact the clerk's office or go to www.courtinfo.ca.gov/forms for Request for Accommodations by Persons With Facsimile No.: Disabilities and Order (form MC-410). (Civil Code, § 54.8) Form Adopted for Mandatory Use Judicial Council of California FL-683 [Rev. July 1, 2005] E-Mail Address: Mobile ORDER TO SHOW CAUSE Tel. No.: (Governmental) Page 1 of 1 Family Code §§ 215, 4001-4002, 4251, 17400 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com