Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Consent To Serve Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
Loading PDF...
Tags: Consent To Serve, 428, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar MISSOURI
CIRCUIT COURT OF CLAY COUNTY,No.
PROBATE DIVISION
:
JUDICIAL SUBPOENA
Plaintiff(s)
No.
Matter of
-against-
:
, *Respondent / *Minor.
:
CONSENT TO SERVE
:
The undersigned hereby consents to serve as Guardian and/or Conservator of the
Defendant(s)
:
above-named .Respondent/Minor, .if. appointed. by. the Court and in support thereof states:
.................... .................. ......... ..
1. The undersigned has never pled guilty to nor been convicted of a misdemeanor (except
traffic convictions ) or a felony.
THE PEOPLE OF THE STATE OF NEW YORK
TO
2. The undersigned spouse is:
3. The undersigned resides at:
GREETINGS:
4. The undersigned is presently employed being
WE COMMAND YOU, that all business and excuses by: laid aside, you and each of you attend before
, located at:
,
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
5. The following listed persons witness in this whereabouts of the
or adjourned date, to testify and give evidence as awill know the action on the part of the undersigned:
____________________________________________________________________________
Name
____________________________________________________________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
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.
Name
____________________________________________________________________________
Witness, Honorable
, one of the Justices of the
Address
Court in
County,
day of
, 20
____________________________________________________________________________
Name
____________________________________________________________________________
(Attorney must sign above and type name below)
Address
6. The undersigned’s Social Security Number____________________________________
Attorney(s) for
THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE
UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND
BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A
FALSE AFFIDAVIT OR DECLARATION.
Office and P.O. Address
Dated:______________
Form 428
Revised 3/14/2003
Signature____________________________________________
Address________________________________________
Telephone No.:
________________________________________
Facsimile No.:
Telephone:________________________________________
E-Mail Address:
Page 1 of 1 Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
