COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. APPLICATION FOR GARNISHMENT FOR FAMILY SUPPORT : JUDICIAL SUBPOENA Plaintiff(s) Please print and fill in as many blanks as you can. -against- : 1. Your name - (affiant): : 2. Your mailing address: : Defendant(s) 3. Name of person to whom support is to be paid - (plaintiff) : ...................................................... 4. Name of person who is required to pay support - (defendant) 5. PEOPLE OF THE STATE OF THE Defendant’s home address: NEW YORK 6. Defendant’s mailing address: TO 7. Defendant’s social security number: 8. Defendant’s employer - (garnishee): GREETINGS: Name: Address: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court 9. Names located at County of of children: in room , on the day of , 20 , at o'clock in the noon, and at any recessed a. who willin this action on the (18) of the become eighteen part on or adjourned date, to testify and give evidence as a witness month/day/year b. who will become eighteen (18) on c. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to who will become eighteen (18) on the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a d. who will become eighteen (18) on result of your failure to comply. e. Witness, Honorable Court in County, who will become eighteen (18) on Justices of the , one of the day of 10. The amount of support past due is $ , 20 . 11. Attach certified copy of support order and return this application to clerk. (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.: American LegalNet, Inc. www.USCourtForms.com