COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : Worksheet – Child Support Obligation JUDICIAL Plaintiff(s) IN RE: -against- CASE NO: FATHER: MOTHER: SUBPOENA : : : PARENTING TIME CREDIT WORKSHEET Defendant(s) : . . . . . . . . . . . . . Children. . . . . . . . . . . . . . . . .DOB . . . . . . . . . . . . . . . ...... ... Children DOB THE PEOPLE OF THE STATE OF NEW YORK TO Line: 1PT Enter GREETINGS: Annual Number of Overnights 2PT WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Enter Weekly Basic Child Support Obligation – BCSO , the Honorable at the Court ______.__ (Enter Line 4 from Child Support Worksheet) located at County of 3PT Enter Totalthe Time in room , on Parentingday of Expenses as, a Percentage of the BCSOin the 20 , at o'clock (Enter noon, and at any recessed .________ Appropriate TOTAL Entry evidence as PT) from Table a witness in this action on the part of the or adjourned date, to testify and give 4PT Enter Duplicated Expenses as a Percentage of the BCSO (Enter Appropriate DUPLICATED Entry from Table PT) .________ 5PT Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Parent’s Share of Combined Weekly Income .________ the party on(Enter Line 2 from Child Support Worksheet) a maximum penalty of $50 and all damages sustained as a whose behalf this subpoena was issued for result of your failure to comply. 6PT Witness, Honorable Average Weekly Total Expenses during Parenting Time (Multiply Line 2PTthe Justices of the , one of ______.__ times Line 3PT) Court in 7PT County, day of , 20 Average Weekly Duplicated Expenses (Multiply Line 2PT times Line 4PT) 8PT Parent’s Share of Duplicated Expenses (Multiply Line 5PT times Line 7PT) 9PT Allowable Expenses during Parenting Time (Line 6PT – Line 8PT) ______.__ (Attorney must sign above and type name below) ______.__ Attorney(s) for ______.__ Enter Line 9PT on Line 7 of the Child Support Worksheet as the Parenting Time Credit Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com