COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Approved, SCAO : STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY Original - Court 1st copy - Plaintiff 2nd copy - Defendant 3rd copy - Friend of the Court file Index No. Calendar No. CASE NO. : CHILD SUPPORT RECOMMENDATION JUDICIAL Plaintiff(s) WORKSHEET E -against- SUBPOENA : : Income may be imputed to plaintiff, defendant, or both. : 1. Plaintiff 2. Defendant Defendant(s) : Imputed .Gross. Income:. $ . . . . . . . . . . . . /week . . . . . . . . . . . . . . . . . Imputed Gross Income: $ ...... .... ...... . ..... /week 3. Imputation of Plaintiff's and/or Defendant's Income - Reason(s) for imputing income and method used to calculate. THE PEOPLE OF THE STATE OF NEW YORK TO 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 , 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 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 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: FOC 38 (12/95) CHILD SUPPORT RECOMMENDATION WORKSHEET E American LegalNet, Inc. www.USCourtForms.com