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Returned Check Notice Form. This is a Georgia form and can be use in Houston Local County.
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Tags: Returned Check Notice, Georgia Local County, Houston
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
:
Index No.
Calendar No.
RETURNED CHECK :NOTICE SUBPOENA
JUDICIAL
Plaintiff(s)
-against-
FROM :
:
_____________________________
:NOTICE REQUIRED BY LAW
O.C.G.A. S ECTION 16-9-20
_____________________________
:
Defendant(s)
:
......................................................
_____________________________
TO:
_____________________________
THE PEOPLE OF THE STATE OF NEW YORK
CERTIFIED MAIL NO.______________
_____________________________
TO
_____________________________
GREETINGS:
You are hereby notified that the following instrument(s)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
CHECK DATE
CHECK AM OUNT
NAM E OF BANK
County of NO.
CHECK
in room
, on the
day of
, 20
, at
o'clock_______________ at any recessed
in the
noon, and
__________
_____________
________________
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
the party 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.
drawn upon __________________________and payable to_____________________________,
Witness, Honorable
one DAYS from of the
(has/have) been dishonored. Pursuant to Georgia Law, you have TEN, (10)of the Justices receipt of
Court notice to tender payment ofday of
in
County,
,of the instrument(s) plus the applicable service
20
this
the total amount
charge(s) of $________________ and any fee charged to the holder of the instrument(s) by a bank
or financial institution as a result of the instrument(s) not being honored, the total amount due being
(Attorney must sign above and type name below)
_________________________dollars and ___________________cents. Unless this amount is paid
in full within t he s p ecified time above, a presumption in law arises that you delivered the
instruments(s) with the intent to defraud and the dishonored instrument(s) and all other available
Attorney(s) for
information relating to this incident may be submitted to the magistrate for the issuance of a criminal
warrant or citation or to the district attorney or solicitor-general for CRIMINAL PROS ECUTION.
Office and P.O. Address
___________________________________
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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