COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) -against: : Index No. Calendar No. JUDICIAL SUBPOENA Case No. Circuit Court for City or County Name Street Address City Apt. Defendant(s) # : :Name VS. Apt. # :Street Address ...................................................... ( ) ( State Zip Code ) Telephone State Zip Code Area Code Telephone City Area Code Plaintiff Defendant THE PEOPLE OF THE STATE OF NEW YORK TO MOTION FOR STAY OF SERVICE OF EARNINGS WITHHOLDING ORDER (DOM REL 74) I, My name , representing myself, move to stay service of the GREETINGS: requested Earnings Withholding Order for the following reasons (check all that apply): WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before � An arrearage did not existthe the time the Court was filed. request , the Honorable at at � The amount ofat . located arrearage alleged is in error. The correct amount is $ County of in room , on day of 20 , o'clock in the noon, and at any recessed � theI am not the Obligor in ,this case.at or adjourned date,� testify and give evidence withholdingin this action on the of the Federal consumer to as a witness exceeds the limit part of the The amount of the Protection Act. My total wages are $ wages are $ per per And my net . Your failure to THESE REASONS, I request the Court (check of court and will make you liable to FOR comply with this subpoena is punishable as a contempt all that apply): 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. Court in Stay the issuance of the Earnings Withholding Order filed in the above-captioned case. Witness, Honorable , one � Schedule a hearing on the merits of this Request. of the Justices of the 20 : County, anyday of appropriate, relief. Order other � I solemnly affirm under the penalties of perjury that the contents of the foregoing Motion are true to the best of my knowledge, information and belief. (Attorney must sign above and type name below) Date Signature CERTIFICATE OF SERVICE I HEREBY CERTIFY that on this Motion was mailed, postage prepaid, to Attorney(s) for , day of , a copy of the foregoing Opposing Party or His/Her Attorney Office and P.O. Address Opposing Party or His/Her Attorney's Address including City / State / Zip Date Telephone No.: Facsimile No.: Page 1 E-Mail Address: of 1 Mobile Tel. No.: Signature DR74 - Revised 6 May 2002 American LegalNet, Inc. www.USCourtForms.com