COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Name: Address: Telephone: ( Index No. Plaintiff(s) ) -against- Calendar No. : JUDICIAL SUBPOENA : : In Pro Per : THE SUPERIOR COURT OF CALIFORNIA Defendant(s) : ...................................................... IN AND FOR THE COUNTY OF PLACER In THE PEOPLE OF THE STATE OF NEW YORK Re Matter/Marriage of: ) Case No. ) ) PETITIONER’S TO Petitioner: ) RESPONDENT’S ) PRE-TRIAL STATEMENT and ) GREETINGS: ) Settlement Conference Respondent: ) Date: ____________________ WE COMMAND YOU, that all business and) excuses being laid aside, you and each of you attend before , the Honorable at the ) Trial orCourt Cause Long located at County of __________________________________________) Date: ____________________ in room , 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 PRELIMINARY INFORMATION Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Petitioner: the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result Name ________________________________________________ of your failure to comply. 1.) Witness, Honorable D.O.B. ____________________ Court in County, day of , one of the Justices of the , 20 Present Employer ____________________________________________________ Gross Monthly Income $______________________ (Attorney must sign above and type name below) 2.) Respondent: Attorney(s) for Name ________________________________________________ D.O.B. ____________________ Office and P.O. Address Present Employer ____________________________________________________ Gross Monthly Income $______________________ Telephone No.: 3.) Facsimile No.: Date of Marriage ___________________________ E-Mail Address: Mobile Tel. No.: -1- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Date of Separation __________________________ Plaintiff(s) Length of Marriage __________________________ -against- 4.) Index No. Calendar No. : JUDICIAL SUBPOENA : Issues to be Considered by the Court (check those that apply): : [ ] Dissolution of the Marriage : [ ] Child Custody Defendant(s) : ...................................................... [ ] Child Support [ ] Spousal Support THE PEOPLE OF THE STATE OF NEW YORK TO [ ] Property Division and Equalization [ ] Assignment of Debts GREETINGS: __________________________________________________________________ [ ] Other (specify) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court DISSOLUTION OF MARRIAGE located at County of (Complete if you are requesting dissolution of marriage) in room , 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 5.) When was the Respondent served with the Summons and Petition for Dissolution? ___________________________________ Your (Date) 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. CHILDREN OF THE RELATIONSHIP 6.) Witness, Honorable , relationship: Provide the following information regarding minor children of the one of the Justices of the Court in County, day of , 20 Name Date of Birth Age _________________________________ ________ _________________________________ __________________ ________ _________________________________ Attorney(s) for __________________ ________ _________________________________ __________________ ________ _________________________________ 7.) __________________ Office and P.O. Address __________________ ________ (Attorney must sign above and type name below) In Present Custody of _____________________________________________________________ Telephone / Other) (Petitioner / Respondent No.: Facsimile No.: E-Mail Address: EXISTING ORDERS FOR CUSTODY AND SUPPORT Mobile Tel. in issue) (Complete if child custody or child support isNo.: -2- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : 8.) Is there presently an order for child custody in effect? : Plaintiff(s) a.) [ ] Yes [ ] No -against- 9.) Index No. Calendar No. JUDICIAL SUBPOENA : If yes, list existing child custody orders: : Name of Child Date of Order Party Having Custody : Party Having Visitation ________________________________________________________________________________ Defendant(s) : ...................................................... ________________________________________________________________________________ ________________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK TO ________________________________________________________________________________ 10.) Is there presently an order for payment of child support? a.) [ ] Yes [ ] No GREETINGS: 11.) If yes, list existing child support orders: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable of Order at the Court Party to Whom Payable Date Type of Order/Amount located at County of in room , 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. AGREEMENTS BETWEEN THE PARTIES (Complete in all cases) Witness, Honorable , one of the Justices of the Court in day any , 20 12.) Do you and theCounty, other party have of agreements concerning child custody or property or debts to be awarded to a party? a.) [ ] Yes [ ] No (Attorney must sign above and type name below) b.) If yes, list and describe each agreement: __________________________________________ ____________________________________________________________________________ Attorney(s) for ____________________________________________________________________________ ____________________________________________________________________________ Office and P.O. Address ____________________________________________________________________________ Telephone No.: CHILD CUSTODY Facsimile No.: (Complete if child custody or child support is in issue) E-Mail Address: Mobile Tel. No.: -3- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : 13.) Index No. : Calendar No. Describe the child custody/visitation arrangements presently being followed by you and the other parent: __________________________________________________________________________ : JUDICIAL SUBPOENA Plaintiff(s) -against________________________________________________________________________________ : : ________________________________________________________________________________ : ________________________________________________________________________________ Defendant(s) : .. .... .. ...... .... . ...... .......... 14.) . . . Have. the. parents. been .to. custody. mediation? . . . . . . . . . . [ ] Yes [ ] No 15.) PEOPLE OF THE STATE OF NEW YORK THE If yes, has the report been completed? [ ] Yes [ ] No TO If the report has not been completed, when do you think it will be completed? __________________ (date) What is the date of the completed report and recommendation? ____________________ GREETINGS: (date) What custody/visitation arrangement is recommended by the Mediator’s Report? WE describe): _________________________________________________________________ (BrieflyCOMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of ________________________________________________________________________________ in room , 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 custody arrangement you wantfor acourt to order at the present time (check the 16.) Describe the behalf this subpoena was issued the maximum penalty of $50 and all damages sustained as a result appropriate box): of your failure to comply. a.) Witness,Remain the same. [ ] Honorable Court in County, day of , one of the Justices of the , 20 b.) [ ] Adopt Mediator’s report dated: ___________________________________ c.) [ ] Other (describe): ________________________________________________________ (Attorney must sign above and type name below) _______________________________________________________________________ Attorney(s) for _______________________________________________________________________ _______________________________________________________________________ Office and P.O. Address _______________________________________________________________________ SEPARATE PROPERTY Telephone No.: AND DEBTS (Complete if Property Division is an issue) Facsimile No.: 17.) E-Mail Address: Does either party presently have property or debts which are Tel. party’s separate property? Mobile the No.: -4- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : [ ] Yes : [ ] No Index No. Calendar No. : 18.) JUDICIAL SUBPOENA If yes, list each item of property and Plaintiff(s)the party that property or debt belongs to: debt, and -against- : Description of Item/Debt Party to Whom it Belongs : 1. _____________________________________________________________________________ : 2. _____________________________________________________________________________ Defendant(s) : ...................................................... 3. _____________________________________________________________________________ 4. _____________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK TO 5. _____________________________________________________________________________ COMMUNITY PROPERTY AND DEBTS (Complete if Property Division is an issue) GREETINGS: 19.) Property owned by the Parties: WE COMMAND YOU, that all business and party) (List the property owned by you and the otherexcuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of Description of Item Present Value Who Has It (H or W) in room , 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 1. ______________________________________________________________________________ 2. _____________________________________________________________________________ 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 3. _____________________________________________________________________________ result of your failure to comply. 4. _____________________________________________________________________________ Witness, Honorable , one of the Justices of the Court 5. _____________________________________________________________________________ in County, day of , 20 6. _____________________________________________________________________________ (Attorney must sign above and type name below) 20.) Shared Debts of the Parties: (List the debts for which you and the other party are liable) Attorney(s) for Creditor Name – Purpose of Debt Amount Owing 1. ________________________________________________ $___________________ Office and P.O. Address 2. ________________________________________________ $___________________ 3. ________________________________________________ No.: Telephone $___________________ Facsimile No.: 4. ________________________________________________ E-Mail Address: $___________________ Mobile Tel. No.: -5- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. 5. ________________________________________________ $___________________ : 21.) JUDICIAL SUBPOENA Plaintiff(s) Has either party made payments after your separation on debts shared by the parties? -against[ ] Yes [ ] No : 22.) If yes, list all payments on shared Debts of the Parties: : Creditor Name – Date of Payment : Amount Paid Defendant(s) : . . . . . 1.. . ________________________________________________ . .............................................. $___________________ 2. ________________________________________________ $___________________ THE PEOPLE OF THE STATE OF NEW YORK 3. ________________________________________________ 4. ________________________________________________ $___________________ 5. ________________________________________________ TO $___________________ $___________________ GREETINGS: FUNDS HELD BY OTHERS WE COMMAND YOU, that all business and excuses being laidissue) you and each of you attend before (Complete if Property Division is an aside, , the Honorable at the Court located at County of 23.) Does any firm, business, or other entity have money or property in which either party presently has in room , on the day of , 20 , at o'clock in the noon, and at any recessed an interest (e.g., life insurance policies, deposit accounts)? or adjourned date, to testify and give evidence as a witness in this action on the part of the [ ] Yes 24.) [ ] No If yes, list each item of property and the party who presently has the property, and describe your Your failure to comply interest in the property: 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 , one of the Justices of the ________________________________________________________________________________ Court in County, day of , 20 ________________________________________________________________________________ 25.) Does either party have an interest in a retirement plan, profit must sign above and type plan? (Attorney sharing or pension name below) [ ] Yes [ ] No 26.) If yes, list the business, agency or employer who maintains the plan, and describe the party’s interest Attorney(s) for in the plan (e.g., party’s employer, party is receiving benefits from plan): ________________________________________________________________________________ Office and P.O. Address ________________________________________________________________________________ ________________________________________________________________________________ Telephone No.: Facsimile No.: ________________________________________________________________________________ E-Mail Address: Mobile Tel. No.: -6- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. TRACING (Complete if Property Division is an issue) : JUDICIAL SUBPOENA Plaintiff(s) 27.) -againstWas an item of property acquired by you and the other party using money or other property which : was the sole property of just one of you? : [ ] Yes [ ] No 28.) : If yes, list each item of property and describe how the property was acquired and what money or property belonging to just one party was used in acquiring the property described. Defendant(s) : ...................................................... (Example: a car owned before marriage was traded in to buy the car both parties now own): Describe in THE the circumstances: ___________________________________________________ THE PEOPLE OF detailSTATE OF NEW YORK TO ________________________________________________________________________________ ________________________________________________________________________________ GREETINGS: ________________________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ________________________________________________________________________________ , the Honorable at the Court located at County of PROPOSAL FOR DIVISION OF PROPERTY AND DEBTS in room , on the day of , 20 , at o'clock in the noon, and at any recessed (Complete if Property Division is an issue) or adjourned date, to testify and give evidence as a witness in this action on the part of the 29.) Proposed Division of Property and Debts: Your failure to complyItem this subpoena is punishable as a contempt of courtAward to W you liable to and will make Description of with Award to H the party on whose behalf this subpoena was issued for a maximum penalty of itemandspace) of $50 in all damages sustained as a (list value result of your failure to comply. 1. ______________________________ ____________ ____________ Witness, Honorable Court 2. ______________________________ in County, day of , one of the Justices of the , 20 ____________ ____________ 3. ______________________________ ____________ ____________ (Attorney must sign above and type name below) 4. ______________________________ ____________ 5. ______________________________ ____________ Attorney(s) for ____________ 6. ______________________________ ____________ ____________ 7. ______________________________ ____________ Address ____________ Office and P.O. 8. ______________________________ 30.) ____________ ____________ ____________ Telephone No.: What is the total value of the property you propose the court should award? Facsimile No.: – to Petitioner $________________ E-Mail Address: – to RespondentTel. No.: Mobile $_________________ -7- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : 31.) Index No. Calendar No. What is the total amount of the parties’ debts you propose the court should award? : JUDICIAL SUBPOENA Plaintiff(s) -against– to Petitioner $________________ – to Respondent $_________________ : : CURRENT INCOME AND EXPENSES (Complete in all cases) : 32.) Attach a completed Income and Expense Declaration which has current income and expense Defendant(s) : . . . . . information .for .you.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......... .. ... SPOUSAL SUPPORT (Complete if Spousal Support is in issue) THE PEOPLE OF THE STATE OF NEW YORK 33.) Is there presently an order for payment of spousal support? TO a.) [ ] Yes (complete b., c. and d.) [ ] No (go on to 34.) b.) Payable by which party? ___________________ GREETINGS: to which party? ___________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court c.) How much per month? ___________________ located at County of (amount) in room , 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 d.) Date the order was issued: ___________________ (date) Your failure Support: Future Spousal 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 a.) your failure to Party pay Spousal Support to the other Party? of Should one comply. 34.) [ ] Yes [ ] No Witness, Honorable , one of the Justices of the Court b.) Why / whyCounty, in day of , 20 not? ____________________________________________________________ __________________________________________________________________________ (Attorney must sign above and type name below) __________________________________________________________________________ __________________________________________________________________________ Attorney(s) for __________________________________________________________________________ CHILD SUPPORT and P.O. Address Office (Complete in all cases where child custody or child support is in issue) 35.) Is there presently an order for payment of child support? Telephone No.: a.) [ ] Yes (complete b., c. and d.) [ ] NoFacsimile No.: (go on to 36.) b.) E-Mail Address: Payable by which party? ___________________ Mobile Tel. No.: -8- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. to which party? ________________________________________ : JUDICIAL SUBPOENA Plaintiff(s) (party name, or district attorney) -against- c.) : How much per month? d.) ___________________ : (amount) Date the order was issued: ___________________ e.) Is current or past due support being collected by the Department of Child Support Services or : Defendant(s) : . . . . . the. District. Attorney’s. Family .Support. Division. for. any.county? .. ...... ......... ...... ...... ....... .. ... [ ] No [ ] Yes, for the following county/ies: THE PEOPLE OF THE STATE OF NEW YORK 36.) Does either party presently pay for day care for work? TO a.) [ ] Yes [ ] No b.) If yes, what is the monthly cost of day care? $___________________ GREETINGS: 37.) Future Child Support: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court a.) Should one Party continue to pay Child Support to the other Party? located at County of [ ] Yes [ ] No in room , 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 b.) If no, why not? ______________________________________________________________ __________________________________________________________________________ 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. c.) Amount of time the child(ren) spend with each parent: Witness, Honorable Court in County, day of Father ____________ percent , one of the Justices of the , 20 Mother ____________ percent OTHER ISSUES (Complete if there are additional issues before sign above and type name below) (Attorney must the court) 38.) If there are other issues the Court is to consider, identify each and describe the circumstances: Attorney(s) for ________________________________________________________________________________ ________________________________________________________________________________ Office and P.O. Address ________________________________________________________________________________ ________________________________________________________________________________ Telephone No.: Facsimile No.: ________________________________________________________________________________ E-Mail Address: Mobile Tel. No.: -9- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. ________________________________________________________________________________ Plaintiff(s) -against- : JUDICIAL SUBPOENA : Date: _____________________________ (Date signed) : ______________________________________ : (Signature) Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .[ . ] . Petitioner . [ ] Respondent THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , 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 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: -10- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : INSTRUCTIONS FOR PRE-TRIAL SJUDICIAL NTS TATEME SUBPOENA Plaintiff(s) -against- : The following is required before your settlement conference and trial dates: : 1. Complete all sections of the Pre-Trial Statement that apply to you. : Defendant(s) : . .2.. . . . . Insert . your. Settlement. Conference. and . Trial dates on the first page of the . ...... .... ........... ............ .... .... form. 3. Attach any additional sheets you used to answer the questions on the form. THE PEOPLE OF THE STATE OF NEW YORK 4. TO 5. Make four (4) copies of the statement and any attachments. Have another adult serve one copy on the other party by mail. GREETINGS: 6. Ask the person serving the other party to complete a Proof of Service by Mail (one may be attached all business and your Pre-Trial Statement). WE COMMAND YOU, that to the end of excuses being laid aside, you and each of you attend before , the Honorable at the Court 7. located at County ofFile the original and the remaining three (3) copies of the Pre-Trial Statement in room (with Proof of Service completed 20 attached) o'clockthethe , on the day of , and , at noon, and with in clerk’s office. at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 8. Deadline: All of this must be completed and served by both parties no later than 20 days before your trial date (25 days if service is by mail). If neither party complies with this requirement, the settlement conference will take place Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose trial date subpoenadropped. for only one party complies, thedamages sustained as a but the behalf this will be was issued If a maximum penalty of $50 and all settlement result of your failure to comply. conference will take place, but the complying party has the option to proceed with the trial, or change or drop the trial date. Witness, Honorable , one of the Justices of the Court in Note: If County, obtaining a divorce or legal separation, be sure to also , 20 9. you are day of complete your financial disclosures and file your form entitled “Declaration Regarding Service of Declaration of Disclosure and Income & Expense (Attorney must sign above and type name below) Declaration” by the same deadline. Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: -11- American LegalNet, Inc. www.USCourtForms.com