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Confidential Social Security Number Form. This is a Iowa form and can be use in District Court Statewide.
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Tags: Confidential Social Security Number Form, Iowa Statewide, District Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
IN THE IOWA DISTRICT COURT FOR ________________SUBPOENA
JUDICIAL COUNTY
Plaintiff(s)
________________________________________________________________________
-against) :
_________________________________________, )
:
Plaintiff(s) / Petitioner(s),
)
vs.
) Case No. ____________________
:
)
Defendant(s)
_________________________________________, ) : CONFIDENTIAL SOCIAL
......................................................
Defendant(s) / Respondent(s),) SECURITY NUMBER FORM
__________________________________________)_____________________________
Please note: This form is for the submission of social security numbers ONLY. Dates of birth and
employer identification numbers are not confidential and should appear on the heading or face of the
THE PEOPLE OF THE STATE OF NEW YORK
petition, answer, etc. Please print or type all information.
TO
Name
Plaintiff(s) /
Social Security Number
1. ___________________________ ______________________________
Petitioner(s)
GREETINGS:
2. ____________________________ _____________________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
3.____________________________ _____________________________
located at
County of
in room
, on4. ____________________________ _____________________________ recessed
the
day of
, 20
, at
o'clock in the
noon, and at any
or adjourned date, to testify and give evidence as a witness in this action on the part of the
5. ____________________________ _____________________________
Defendant(s) / 1. ___________________________ ______________________________ you liable to
Your failure to comply with this subpoena is punishable as a contempt of court and will make
Respondent(s)
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.
2. ___________________________ ______________________________
3.____________________________ _____________________________
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
4. ____________________________ _____________________________
5. ____________________________ (Attorney must sign above and type name below)
_____________________________
Other Parties 1. ___________________________ ______________________________
Attorney(s) for
2. ___________________________ ______________________________
3.____________________________ _____________________________
Office and P.O. Address
Information supplied by ____________________________________________________
Telephone No.:
Signature:_______________________________________ Date: ___________________
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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