COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. WG-025 CONFIDENTIAL : APPLICATION OF (Name): Calendar No. CASE NUMBER: Plaintiff(s) -against- : : TAXPAYER/RESPONDENT JUDICIAL SUBPOENA CONFIDENTIAL STATEMENT OF TAXPAYER'S : SOCIAL SECURITY NUMBER Supplement to Temporary Earnings Withholding Order for Taxes (Form WG-024) : (Do not attach to Order) Defendant(s) : ....... .......... ........... ......... ..... ....... This separate .Confidential .Statement of .Taxpayer's .Social .Security Number contains the social security number of the taxpayer-respondent in the case referenced above. This supplement should be kept separate from the Temporary Earnings Withholding Order for Taxes filed in this case, and should not be a public record. THE PEOPLE OF THE STATE OF NEW YORK TO INFORMATION ON TAXPAYER-RESPONDENT: 1. Name: 2. Social Security Number: GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court TO COURT CLERK located at IS CONFIDENTIAL. DO NOT FILE County of THIS STATEMENT in room ,THIS CONFIDENTIAL STATEMENT ,IN A PUBLIC COURT FILE. on the day of , 20 at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 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. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Form Adopted for Mandatory Use Judicial Council of California WG-025 [Rev. January 1, 2007] Telephone No.: Facsimile No.: E-Mail Address: CONFIDENTIAL SUPPLEMENT TO Mobile Tel. No.: TEMPORARY EARNINGS WITHHOLDING ORDER FOR TAXES (Wage Garnishment-State Tax Liability) Page 1 of 1 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com