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Confidential Address Form. This is a Louisiana form and can be use in General Court Statewide.
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Tags: Confidential Address Form, F, Louisiana Statewide, General Court
COURT
PETITIONER
PARISH/CITY OF
V.
STATE OF LOUISIANA
DIVISION:
FILED:
DEFENDANT
NUMBER:
CLERK:
COURT
COUNTY . .
CONFIDENTIAL . . . . . . . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ADDRESS FORM
:
TO BE USED WHEN PETITIONER DOES NOT Index No.
WANT DEFENDANT
TO LEARN ADDRESS
:
Calendar No.
PETITION FOR PROTECTION FROM ABUSE
:
JUDICIAL Art. 1564, et seq.
Pursuant to La. R.S. 46:2131, et seq., La. R.S. 46:2151, La. R.S. 13:4248 or La. Ch. C.SUBPOENA
Plaintiff(s)
-against:
The petition of _______________________________________, born ________________________
your name
:
a domiciliary of the State of _____________________, respectfully represents:
:
month, day, year
Paragraph 1
Defendant(s)
:
. . . . . Petitioner .files . . . . petition .on behalf. of: . . . . . . . . . . . . . . . .
. . . . . . . . . . . this . . . . . . . . . . . . . . .
a.
____ Petitioner, and/or
b.
____ Minor child(ren) as follows:
THE PEOPLE OF THE STATE OF NEW YORK
Name
Relationship to petitioner
DOB
Relationship to petitioner
Name
GREETINGS:
DOB
Name
TO
DOB
Relationship to petitioner
Name
DOB
Relationship to petitioner
c. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
____ Alleged incompetent:
,
the Honorable
at the
Court
Name
DOB
Relationship to petitioner
located at
County of
in room
, on
day of
, 20 DOB at
,
o'clock in the to petitionerand at any recessed
noon,
Namethe
Relationship
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Paragraph 2
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Petitioner’s current mailing address:
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.
_______________________________________________________________________
No. & Street
Apt. No.
Witness, Honorable
, one of the Justices of the
_______________________________________________________________________
Court in
County,
day of
, 20
City
State
Zip Code
The minor child’s or alleged incompetent’s current address:
(Attorney must sign above and type name below)
_______________________________________________________________________
No. & Street
Apt. No.
_______________________________________________________________________
Attorney(s) for
City
State
Zip Code
THIS COVER SHEET IS TO BE FILED UNDER SEAL AND ITS CONTENTS TO REMAIN
Office and P.O. Address
CONFIDENTIAL TO THE COURT PURSUANT TO LA. R.S. 46:2134(B), R.S. 13:4243(B), or
Ch. C. Art. 1568(b).
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
LPOR F
v.4
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