COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : REFERENCE: PERMANENT ADDRESS BLOCKING FOR PROPERTY IN JUDICIAL SUBPOENA Plaintiff(s) _____________________________________COUNTY. -against: Pursuant to Florida Statute, Section 119.07, ________________________________ : (Print name of employee, Sworn Personnel) : am requesting that you suppress any information in your public records, which Defendant(s) : . .would .reveal .my .home. address, .including:*. . . . . . . . . . . . . . . ..... ..... .. .... ....... ......... PROPERTY WHICH I OWN IN __________________COUNTY, FOR WHICH I HAVE BEEN GRANTED THE PEOPLE OF THE STATE OF NEW YORK HOMESTEAD EXEMPTION. TO Title is held in the following name(s):____________________________________ Street Address of Property:____________________________________________ GREETINGS: City_________________________ Parcel ID#____________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court PROPERTY WHICH I OWN IN __________________COUNTY EITHER located at County of ALONE, OR, on the JOINTLY WITH ANOTHER at PARTY, WHICH HAS NOTat any recessed in room day of , 20 , o'clock in the noon, and orBEEN GRANTED HOMESTEAD, a witness in this action on the part TAX BILL IS adjourned date, to testify and give evidence as BUT FOR WHICH THE of the MAILED TO MY ATTENTION AT MY HOME ADDRESS (attach additional sheet if necessary): 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 Title is held in the following name(s):______________________________________________ result of your failure to comply. Street Address of Property:______________________________________________________ Witness, Honorable , one of the Justices of the City________________________________ Parcel20 Court in County, day of , ID#________________________________ Title is held in the following name(S):______________________________________________ (Attorney must sign above and type name below) Street Address of Property:______________________________________________________ City________________________________ Parcel ID#_______________________________ Attorney(s) for SIGNATURE OF EMPLOYEE:______________________________DATE:____________ OFFICE OF EMPLOYMENT:_________________________________________________ Office and P.O. Address *The Property Appraiser cannot be held responsible for blocking address or parcels not listed above. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com