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Credit Card Blanket Authorization Form. This is a New Mexico form and can be use in District Court Federal.
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Tags: Credit Card Blanket Authorization Form, New Mexico Federal, District Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
UNITED STATES DISTRICT COURT No.
Calendar
DISTRICT OF NEW MEXICO
Plaintiff(s)
:
JUDICIAL SUBPOENA
CREDIT CARD BLANKET AUTHORIZATION FORM
-against:
:
I authorize the United States District Court for the District of New Mexico to charge the credit card listed
below for payment of fees, costs and expenses incurred by myself or any member or employee of the law
:
firm, partnership or professional corporation who is listed below. (A photocopy of both sides of the
:
credit.card .must .be attached.). . . . . . . . . .Defendant(s) . . . . . . .
..... .... .... ...........
..........
Cardholder Name:
Type of card:
Card Number:
Expiration Date:
THE PEOPLE OF THE STATE OF NEW YORK
TO
MasterCard
Visa
Names of individuals authorized to use account number listed above for payment of fees, costs and expenses:
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
Signature:
Date:
(Print/Type Name)
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.
Law Firm/Practitioner Name:
Witness, Honorable
Address:
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Telephone:
Attorney(s) for
Facsimile Telephone:
This form will be kept on file in the Clerk's Office and will remainOffice anduntil specifically revoked in writing.
in effect P.O. Address
It is the responsibility of the cardholder to submit a new form to notify the Court of changes to authorized
users, a changed expiration date when a credit card is renewed, or in the event the card is revoked,
canceled, or stolen.
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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