Request Form For Bank Account Debit Charge Or Credit Card Number Removal
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Request Form For Bank Account Debit Charge Or Credit Card Number Removal Form. This is a Florida form and can be use in Lake Local County.
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Tags: Request Form For Bank Account Debit Charge Or Credit Card Number Removal, Florida Local County, Lake
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Request Form
:
Index No.
Calendar No.
For
:
JUDICIAL Number
Plaintiff(s)
Bank Account, Debit, Charge, or Credit CardSUBPOENA
-againstRemoval :
:
Date:___________________
:
Name of Holder of Number: ____________________________________________________________
Defendant(s)
:
......................................................
Phone Number: (optional)_______________________________________________________________
Relationship to Requester:
THE PEOPLE OF THE STATE OF NEW YORK
[ ] Self
TO
[ ] Attorney, specify
[ ] Legal Guardian, specify
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Enter Honorable
the numbers you want to have removed from Court Records:
the
at the
Court
,
located at
County of
[ ] Bank Account Number: ____________________________________________________ at any recessed
in room
, on the
day of
, 20
, at
o'clock in the
noon, and
or adjourned date, to testify and give evidence as a witness in this action on the part of the
[ ] Debit Account Number: ____________________________________________________
[ ] Charge Account Number: ___________________________________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the partyCard Account Number: _______________________________________________
[ ] Credit 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.
Enter the Case Number/Document Name/Page Number for the numbers you want removed:
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
Signature: _____________________________________________________
Date Request Received:________________________
Date Request Completed:_______________________
Clerk Processing Request:______________________
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Please complete and mail or fax form to: Central Intake, Lake Mobile Tel. No.:Circuit Court,
County Clerk of
550 West Main Street, Post Office Box 7800,Tavares, FL 32778-7800
FAX: (352) 742-4166
American LegalNet, Inc.
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