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Statement Of Social Security Numbers Form. This is a Arizona form and can be use in Bankruptcy Court Federal.
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Tags: Statement Of Social Security Numbers, Arizona Federal, Bankruptcy Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
UNITED STATES BANKRUPTCY COURT
:
DISTRICT OF ARIZONA Calendar No.
Plaintiff(s)
In re
:
JUDICIAL SUBPOENA
)
:
)
CHAPTER ______
)
:
)
CASE NO. _______________
:
)
)
Defendant(s)
:
Debtor(s). . . . . . ) . . . . . . . . . . . . . . . . . . .
.............................
.
__________________________________)
-against-
STATEMENT OF SOCIAL SECURITY NUMBER(S)
THE PEOPLE OF THE STATE OF NEW YORK
TO Name of Debtor (enter Last, First, Middle): __________________________________________
1.
(Check the appropriate box and, if applicable, provide the required information).
GREETINGS:
/ /Debtor has a Social Security Number and it is: _ _ _-_ _-_ _ _ _
(If more than one, state all).
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable / /Debtor does not have a Social Security Number.
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or2. Name of date, to testify and give evidence as a witness in this action on the part of the
adjourned Joint Debtor (enter Last, First, Middle): ______________________________________
(Check the appropriate box and, if applicable, provide the required information).
/ /Joint Debtor has a Social Security Number and it is:
_ _ _-_ _-_ _ _ _
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(If more than one, state all).for a maximum penalty of $50 and all damages sustained as a
this subpoena was issued
result of your failure to comply.
/ /Joint Debtor does not have a Social Security Number.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
I declare under penalty of perjury that the foregoing is true and correct.
(Attorney must sign above and type name below)
______________________________________________________________________________
Date
Signature of Debtor
Attorney(s) for
______________________________________________________________________________
Date
Signature of Joint Debtor
Office and P.O. Address
Submit Original to Court. No copies needed. Do not file electronically.
Telephone No.:
----------------------------------------------------------------------------------------------------------------------Facsimile No.:
*Joint debtors must provide information for both spouses.
E-Mail Address:
Penalty for making a false statement: Fine up to $250,000 or up to 5 years imprisonment or both. 18 U.S.C.ยงยง 152 and 3571.
Mobile Tel. No.:
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