COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. ___________________________________, Pro Se : Index No. Plaintiff’s Name : ___________________________________ Address Plaintiff(s) ___________________________________ -againstZip _______________________ Phone Calendar No. : JUDICIAL SUBPOENA : : : IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT OF Defendant(s) : THE . STATE. .OF .IDAHO,. . . . .AND . FOR. . . . . .COUNTY . OF. ._________________ . . . . . . . . . . . . . . IN . . . . . . THE . . . . . . . . . . . . . . . _______________________________________ ) ) CASE NO. CV-__________________ __________________________________, ) THE PEOPLE OF THE STATE OF NEW YORK Plaintiff, ) STANDARD CUSTODY CHILD SUPPORT -vs) WORKSHEET TO ) ) __________________________________, ) Defendant. ) _______________________________________) GREETINGS: CHILD WE COMMAND OF BIRTH all business and excuses being laid aside, you and each of you attend before DATE YOU, that CHILD DATE OF BIRTH the Honorable _______________________ County of at the , Court ___________ located ______________________ at ___________ 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 _______________________ _______________________ 1. 2. 3. ___________ ______________________ ___________ Plaintiff Defendant Combined Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to MONTHLY party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a I.C.S.G. INCOME the (From Affidavit Verifying Income) $_________ $_________ $________ result of your failure to comply. PERCENTAGE SHARE OF INCOME Witness, Honorable (Each parent’s income on line 1 divided by Combined)County, Court in day of , one of the Justices of the _________% , 20 BASIC CHILD SUPPORT OBLIGATION (Apply line 1 Combined to Child Support Schedule) _________% $________ (Attorney must sign above and type name below) 4. EACH PARENT’S CHILD SUPPORT OBLIGATION (Multiply line 2 times line 3 for EACH parent) $_________ RECOMMENDED CHILD SUPPORT ORDER (Amount from Line 4 for the NON-custodial parent) $_________ for Attorney(s) $________ Office and P.O. Address STANDARD CUSTODY CHILD SUPPORT WORKSHEET Page 1 of 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : OTHER COSTS TO BE CONSIDERED BY THE COURT: Plaintiff(s) Calendar No. : JUDICIAL SUBPOENA a. Work-related child care costs -against- b. Health insurance premiums/uninsured health care expenses +________ : c. Tax benefit for dependency exemptions : : +________ +________ Defendant(s) : ...................................................... Comments, calculations, or rebuttals: THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: 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 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 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. 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 Prepared by: ________________________________ Date: ______________________ Office and P.O. Address STANDARD CUSTODY CHILD SUPPORT WORKSHEET Page 2 of 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com