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Confidential Information Form. This is a Iowa form and can be use in District Court Statewide.
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Tags: Confidential Information Form, Iowa Statewide, District Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
IN THE IOWA DISTRICT COURT FOR ________________________COUNTY
:
Calendar No.
___________________________________________________________________________
:
)
JUDICIAL SUBPOENA
Plaintiff(s)
_________________________________,
)
Case No. _____________________
:
Petitioner/Plaintif-againstf,
)
)
CONFIDENTIAL
:
)
§598.22b & 602.6111(2)
v.
)
FORM
:
_________________________________,
)
Respondent/Defendant
)
Defendant(s)
:
......................................................
___________________________________________________________________________
Please note:
THE PEOPLEThis form is for the submission of information required by §598.22B and 602.6111(2).
OF THE STATE OF NEW YORK
Parties are encouraged, but not required, to complete and sign a joint form. Please print or type all information.
TO
Petitioner/Plaintiff
Name: (Last)___________________________(First)_______________(Middle)___________
GREETINGS:
Address: ____________________________________________________________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
City___________________________ State_____________Zip code___________________
,
the Honorable
at the
Court
located at
County of
Social Security No.: ___________________ Driver’s License No.: ______________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
orDOB: _______________________________ witness in this action on the part of the
adjourned date, to testify and give evidence as a Telephone No: (____)______________________
Employer: ___________________________________________________________________
Employer’s Address: ___________________________________________________________
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
City___________________________ State_____________Zip code____________________
result of your failure to comply.
Employer’s Telephone No: (_____)___________________________
Witness, Honorable
Respondent/Defendant
Court in
County,
, one of the Justices of the
day of
, 20
Name: (Last)___________________________(First)_______________(Middle)___________
(Attorney must sign above and type name below)
Address: ____________________________________________________________________
City___________________________
State_____________Zip code___________________
Attorney(s) for
Social Security No.: ___________________ Driver’s License No.: ______________________
DOB: _______________________________ Telephone No: (____)______________________
Office and P.O. Address
Employer: __________________________________________________________________
Employer’s Address: __________________________________________________________
Telephone No.:
City___________________________ State_____________Zip code___________________
Facsimile No.:
E-Mail Address:
Employer’s Telephone No: (_____)___________________________
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Child/Children
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
-against:
(1) Name: (Last)________________________(First)_______________(Middle)___________
:
Social Security No: _____________________ DOB: _________________________________
:
Defendant(s)
(2) Name: (Last)________________________(First)_______________(Middle)___________
:
......................................................
Social Security No: _____________________ DOB: __________________________________
THE PEOPLE OF THE STATE OF NEW YORK
(3) Name: (Last)________________________(First)_______________(Middle)___________
TO
Social Security No: _____________________ DOB: __________________________________
GREETINGS:
(4) Name: (Last)________________________(First)_______________(Middle)____________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Social Security No: _____________________ DOB:___________________________________
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
(5 Name: (Last)________________________(First)_______________(Middle)_____________
Social Security No: _____________________ DOB: ___________________________________
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.
The party/parties submit the above information in compliance with the Court’s Order and with the knowledge the
information will be used to enforce any support Order under Chapters 234, 252A, 252C, 252F, 252H, 252K, 600B,
Witness, Honorable
, one a the to promptly file
as provided for in Sections 598, The Code, and 602.6111(2), The Code. The parties have ofduty Justices of the with
the Clerk
Court in of the District Court or the Child Support Recovery20 an update of this information if their address or
County,
day of
, Unit
employment change.
Dated this __________ day of ______________________________,sign above and type name below)
___________.
(Attorney must
___________________________________ __________________________________________
Signature of Petitioner/Plaintiff
Printed Name of Petitioner/Plaintiff
Attorney(s) for
___________________________________ __________________________________________
Signature of Respondent/Defendant
Printed Name of Respondent/Defendant
Office and P.O. Address
___________________________________ _________________________________________
Signature of Attorney for Petitioner/Plaintiff
Signature of Attorney for Respondent/Defendant
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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www.USCourtForms.com
