COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. CHANGE OF ADDRESS/CHANGE OF EMPLOYMENT COURT CASE NUMBER: Plaintiff(s) : JUDICIAL SUBPOENA ____________________________ DATE: -against- : _________________ CHANGE FOR: CUSTODIAL PARENT ____ NON-CUSTODIAL PARENT ____ : (Please check one) ******************************************************************* : CUSTODIAL PARENT NAME:________________________________________________________ Defendant(s) : ...................................................... SOCIAL SECURITY NUMBER: _______________________ DATE OF BIRTH: ________________ HOME PHONE: ________________________ WORK PHONE: ________________________ THE PEOPLE OF THE STATE OF NEW YORK EMPLOYER/ADDRESS: __________________________________________________________ TO _________________________________________ ZIP CODE ___________ ******************************************************************* GREETINGS: NON-CUSTODIAL PARENT NAME:___________________________________________________ SOCIAL SECURITY NUMBER: that all business and excuses being laidBIRTH:you and each of you attend before WE COMMAND YOU, _______________________ DATE OF aside, ________________ , the Honorable at the Court HOME located at County of PHONE: _________________________ WORK PHONE: ______________________ in room , on the day of , 20 , at o'clock in the noon, and at any recessed EMPLOYER/ADDRESS: _________________________________________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the ________________________________________ ZIP CODE ____________ 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. OLD ADDRESS: _______________________________________________________________ Witness, Honorable , one of the Justices of the ___________________________________________ ZIP CODE ___________ Court in County, day of , 20 NEW ADDRESS: _______________________________________________________________ ___________________________________________ ZIP CODE ___________ (Attorney must sign above and type name below) SIGNATURE: _______________________________________________________________ ******************************************************************************* Attorney(s) for OFFICE USE ONLY DATE RECEIVED: ______________________ RECEIVED BY: _______________________ DATE CHANGED IN COMPUTER: ______________ CHANGED BY: ______________________ Office and P.O. Address COPIES FORWARDED TO: ____________________ DEPOSITORY Telephone No.: ____________________ LEGAL DEPT Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com