Affidavit For Confidential Address Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Affidavit For Confidential Address Form. This is a Maine form and can be use in District Court Statewide.
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Tags: Affidavit For Confidential Address, CV-057, Maine Statewide, District Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
STATE OF MAINE
:DISTRICT COURT
Calendar No.
Location _____________________
Plaintiff(s)
-against-
:Docket No. ___________________
JUDICIAL SUBPOENA
:
Plaintiff
:
v.
: AFFIDAVIT FOR
CONFIDENTIAL ADDRESS
Defendant(s)
:
......................................................
Defendant
For the protection of the
plaintiff
THE PEOPLE OF THE STATE OF NEW YORK
address confidential.
TO
The
plaintiff’s
defendant this request is made to keep his / her
defendant’s address is:
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 The undersigned
, on the
day of
, 20
, at
o'clock the health, safety orat any recessed
noon, and
plaintiff
defendant states under oath thatin the
orliberty of myself and/or my child(ren) would a witness in this by disclosure of this information for
adjourned date, to testify and give evidence as be jeopardized action on the part of the
the following reasons:
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
Date:
Signature
(Attorney must sign above and type name below)
Personally appeared the above named
Attorney(s) for
and made oath to the truth of the statements in the above affidavit, before me,
and signed
Office and P.O. Address
Date:
Clerk / Notary Public / Attorney at Law
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
CV-057, 12/00
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