Request Form For Social Security Number Removal
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Request Form For Social Security Number Removal Form. This is a Florida form and can be use in Lake Local County.
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Tags: Request Form For Social Security Number Removal, Florida Local County, Lake
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
Request Form For Social Security
:
Calendar No.
:
Number Removal SUBPOENA
JUDICIAL
Plaintiff(s)
-against-
:
Date:________________________
:
Name of Holder of Social Security Number: ________________________________________
:
Phone Number: (optional)_______________________________________________________
Defendant(s)
:
......................................................
Relationship to Requester:
[ ] Self
THE PEOPLE OF THE STATE OF NEW YORK
[ ] Attorney, specify
TO
[ ] Legal Guardian, specify
For Redaction/Removal of Social Security Number from an Official Record Image,
GREETINGS:
please provide:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
theInstrument Number/Book and Page Number/Document Type Court
Honorable
at the
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
theFor Redaction/Removal of Social Security Numbers from Court Records, all damages sustained as a
party on whose behalf this subpoena was issued for a maximum penalty of $50 and
result of your failure to comply.
please specify:
Witness, Honorable
Case Number/Document Name/Page Number
Court in
County,
day of
, one of the Justices of the
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Signature: _____________________________________________________
Date Request Received:________________________ Office and P.O. Address
Date Request Completed:_______________________
Clerk Processing Request:______________________
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
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