CJA Payee Registration And Change Of Address Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
CJA Payee Registration And Change Of Address Form. This is a Florida form and can be use in USDC Middle Federal.
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Tags: CJA Payee Registration And Change Of Address, Florida Federal, USDC Middle
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
New attorney
Index No.
:
United States District Court Calendar No.
Middle District of Florida
:
JUDICIAL SUBPOENA
Plaintiff(s)
CJA PAYEE REGISTRATION AND CHANGE OF ADDRESS
-against:
Change of Address
:
NAME:
:
SOCIAL SECURITY NUMBER:
REQUIRED FIELD
Defendant(s)
:
......................................................
MAILING ADDRESS:
THE PEOPLE OF THE STATE OF NEW YORK
TO
TELEPHONE:
FAX NUMBER:
GREETINGS:
E-MAIL ADDRESS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Indicate below how payments should be reported to the IRS:
located at
County of
in room
, on the SSN and name, as indicated at
day of
, 20
, above. o'clock in the
noon, and at any recessed
Under my
or adjourned date, to testify and give evidence as a witness in this action on the part of the
– OR –
To the firm with which I am affiliated. The firm’s taxpayer identification number,
Your failure to and addressthis subpoena is punishable as a contempt of court and will make you liable to
name comply with are:
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failureID comply.Firm:
Taxpayer to No. of
Witness, Honorable
Firm Name:
Court in
County,
day of
Firm Address:
(If different from above)
, one of the Justices of the
, 20
(Attorney must sign above and type name below)
Payee Signature:
Date:
Attorney(s) for
Please return this form to:
Joan Calcutt
Office and P.O. Address
CJA Deputy Clerk for the
Middle District of Florida
Telephone No.:
FAX:
407-835-4228 Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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