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Notice And Acknowledgment To Child Support Enforcement Division Form. This is a Montana form and can be use in District Court Statewide.
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Tags: Notice And Acknowledgment To Child Support Enforcement Division, Montana Statewide, District Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
:
_______________________________ Plaintiff(s)
Name
-against_____________________________________
Address
_____________________________________
City
State
Zip Code
_____________________________________
Phone Number
Calendar No.
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
PETITIONER PRO SE
:
......................................................
MONTANA _______________ JUDICIAL DISTRICT COURT
THE PEOPLE OF THE STATE OF NEW YORK
_____________________ COUNTY
TO
In re the Marriage of:
Cause No.: _________________
GREETINGS:
________________________,
Petitioner,
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
and
Notice and Acknowledgment to Child
located at
County of
Supporto'clock in the Division at any recessed
Enforcement noon, and
in room
, on the
day of
, 20
, at
________________________,
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Respondent.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose NOW, this subpoena was issued for a maximum penalty of $50notice to the State of
COMES behalf the Petitioner, _____________________, and gives and all damages sustained as a
result of your failure to comply.
Montana, Department of Public Health and Human Services, Child Support Enforcement Division,
Witness, Honorable
one of the Justices Marriage
in accordance with M.C.A. § 40-5-202(5), that s/he has filed a Petition, for Dissolution of of the
Court in
County,
day of
, 20
in the above-entitled action, and that one of the issues in this legal action is child support. A copy
of the Petition is attached hereto. In accordance with M.R.Civ.P. 4D(2)(h), the Petitioner also gives
notice to the Attorney General of the State of Montana.
(Attorney must sign above and type name below)
Attorney(s)
DATED this ______ day of ____________________, 20___.for
____________________________________
Office
Petitioner Pro Se and P.O. Address
____________________________________
Print Name Telephone No.:
Facsimile No.:
E-Mail Address:
Notice to CSED, Page 1 of 2
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Tel. Services Association, 7/24/02
Mobile Legal No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
CERTIFICATE OF SERVICE JUDICIAL SUBPOENA
Plaintiff(s)
I hereby certify that a copy of the foregoing Notice and Petition for Dissolution were served
-against:
upon the following by mailing true and correct copies on the ____ day of ________________,
:
20____, postage prepaid and addressed as follows:
:
Department of Public Health and Defendant(s)
Human Services :Attorney General
......................................................
Child Support Enforcement Division
215 N. Sanders, Third Floor
P.O. Box 201401
Helena, Montana 59620-1401
THE PEOPLE OF THE STATE OF NEW YORK
TO
DATED this ______ day of ____________________, 20___.
____________________________________
Petitioner Pro Se
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
ACKNOWLEDGMENT OF SERVICE OF NOTICE
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 Petitioner’s Notice to
I, the undersigned, hereby acknowledge that I received a copy of the of the
Child Support Enforcement Division and a copy of the Petition in the above-entitled action.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
DATED behalf this day of __________________________, 20___.
the party on whose this _____ subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
By: _________________________________
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
DECLINATION BY DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES
(Attorney must sign above and type name below)
The Department of Public Health and Human Services declines to enter this proceeding as
a party.
Attorney(s) for
DATED this _____ day of ____________________________, 20_____.
Office and P.O. Address
By:
DPHHS, Child Support Enforcement Division
Telephone No.:
Facsimile No.:
E-Mail Address:
Notice to CSED, Page 2 of 2
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Tel. Services Association, 7/24/02
Mobile Legal No.:
American LegalNet, Inc.
www.USCourtForms.com
