COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : DOMESTIC RELATIONS FORMS 4A-102 Plaintiff(s) 1 Domestic relations information sheet. -against- : : Index No. Supreme Court Approved Calendar No. October 23, 2000 JUDICIAL SUBPOENA : 2 DOMESTIC RELATIONS INFORMATION SHEET : 3 (for self-represented people) 4 ________________________________________________________________________ 5 THIS SECTION FOR OFFICIAL: USE ONLY1 6 Case number: __________ Assigned judge: ____________ Defendant(s) : 7. . . . ________________________________________________________________________ . ................................................. 8 The following information is required by New Mexico law and federal law 9 for child support enforcement. The information also is needed to identify 10 and keep up with your case. If child support is not paid, this information 11 will help the court get the money for your child(ren). THE 12 PEOPLE OF THE STATE OF NEW YORK 13 1. Information regarding petitioner and respondent. (Look at the paperwork you TO are giving to the court to see who is listed at the top as petitioner and respondent. Use a 14 15 separate sheet if necessary.) 16 17 Petitioner Respondent GREETINGS: 18 Name: ___________________________ Name: ____________________________ 19 (Last name, first, middle) (Last name, first, middle) 20 Other names (e.g. maiden name): business andOther names (e.g. maiden name): WE COMMAND YOU, that all excuses being laid aside, you and each of you attend before 21 Honorable ___________________________________ , the _________________________________ at the Court 22 Address: __________________________ Address: __________________________ located at County of 23 room _____________________________ , 20 City: City:, _____________________________ at any recessed in , on the day of at o'clock in the noon, and 24 adjourned____________________________ witness in____________________________ State: date, to testify and give evidence as a State: this action on the part of the or 25 Zip code: _________________________ Zip code: _________________________ 26 Date of birth: _____________________ Date of birth: ____________________ 27 Social Security number2: ____________ Social Security number2: _____________ 28 Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 29 party on whose behalf this children. was issued the date of birth and social security number sustained as a 2. Parties' minor subpoena (Provide for a maximum penalty of $50 and all damages the 30 for each minor child, if any. Use a separate sheet if necessary.) result of your failure to comply. 31 32 Name: ____________________________ Name: _______________________________ 33 (Last name, first, middle) (Last name, first, middle) of the Justices of the Witness, Honorable , one 34 Date of birth: _______________________ Date of birth: __________________________ Court Social Security number: _______________ in County, day of , 20 35 Social Security number: _________________ 36 37 Name: ____________________________ Name: _______________________________ 38 (Last name, first, middle) (Last name, first, middle) (Attorney must sign above and type name below) 39 Date of birth: _______________________ Date of birth: __________________________ 40 Social Security number: _______________ Social Security number: _________________ 41 42 Has any court made an order for child support? ___Yes ___No Attorney(s) for 43 44 Has any court changed the amount of child support you requested? ___Yes ___No 45 If your answer is "Yes" to either question, what state and what court are they located in? 46 ______________ State __________ Court. 47 Office and P.O. Address 48 3. Request to limit access to information. 49 (Optional - complete only if applicable) 50 [] I have reason to fear domestic violence or child abuse. For this reason, please 51 limit access to information about me in the Child Support & Paternity Case Telephone No.: 52 Registry to the extent possible. I realize that this request may make it more Facsimile No.: 53 difficult to assist me in collecting child support. I also understand that the other E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : DOMESTIC RELATIONS FORMS 4A-102 1 2 3 4 5 6 7 : Index No. Supreme Court Approved Calendar No. October 23, 2000 : JUDICIAL SUBPOENA Plaintiff(s) party and the public might still view information about my case under some -against: circumstances. Under penalty of perjury, I affirm that this request is legitimately made and not designed to harass or intimidate the other party or mislead the :court. NOTE TO COURT CLERK: : DO NOT PLACE THIS INFORMATION SHEET IN THE COURT FILE.3 Defendant(s) : ...................................................... 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 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : DOMESTIC RELATIONS FORMS 4A-102 : Index No. Supreme Court Approved Calendar No. October 23, 2000 : JUDICIAL SUBPOENA Plaintiff(s) 1 DOMESTIC RELATIONS INFORMATION SHEET INSTRUCTIONS -against: 2 3 If you need more space to write, you can attach a separate sheet with the information. 4 : 5 To Petitioner: 6 : 7 If you and your spouse or the other person who owes child support have agreed on everything 8 before this case was filed, then you must give the Information Sheet to the court clerk with your Defendant(s) : .9. . . . petition.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... 10 11 If you do not agree it means the case is contested. If the case is contested, you MUST do two 12 things: 13 THE 1. 14 PEOPLE OF the information sheet to YORK clerk; and give THE STATE OF NEW the court 15 16 have a sheriff or process server give a blank copy of the Information Sheet to your TO 2. 17 spouse or other person who owes child support. 18 19 To Respondent: 20 GREETINGS: submit the information sheet when you file your first paper with the court. You must 21 You must 22 write the name of the judge and the case number on the Information Sheet. You can find that WE COMMAND YOU, that all business you. 23 information on the papers the petitioner gave and excuses being laid aside, you and each of you attend before 24 Honorable , the at the Court 25 After located need to submit the other paper work required by law. County of you fill out this form, you willat 26 room you choose to represent yourself in a claim,, you mayat wish o'clock with an attorney to at any recessed If to talk in the in , on the day of 20 , still noon, and 27 discuss your rights. The people who work in the court cannot give you legal advice. or adjourned date, to testify and give evidence as a witness in this action on the part of the 28 29 Purpose: 30 31 You must give the information requested on the sheet for the State Case Registry. This Your failure to comply with this subpoena is The information is needed to identify will make 32 information is required by federal and state law. punishable as a contempt of court and and keep you liable to 33 partywithwhosecase. If this subpoena was issued for athe child support ordered, this information sustained as a the up on your behalf your child(ren) do not receive maximum penalty of $50 and all damages 34 result will help the courtcomply. money for your child(ren). of your failure to get the 35 36 If you have more than one social security number, include all social security numbers. Social Witness, Honorable , one of by Justices of the 37 security numbers will be given to state and federal agencies which are required the law to collect 38 the information. County, Social security numbers will not be given to the public. Court in day of , 20 39 40 41 Your addresses are used by the court to obtain feedback from both of you. 42 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : DOMESTIC RELATIONS FORMS 4A-102 : Plaintiff(s) USE NOTES : Index No. Supreme Court Approved Calendar No. October 23, 2000 JUDICIAL SUBPOENA 1 -against: 2 3 1. The information contained in the "official use only" section of the Domestic 4 Relations Information Sheet, including the case number and assigned judge, will : 5 be filled in by the court clerk. 6 : 7 2. If the party has more than one social security number, please include it. 8 Defendant(s) : .9. . . . . . . . . . .3. . . . . . Unless . . . . . are .more .than .four.children,. the information sheet is to be . . . . . . . there . . . . . . . . . . . . . . . . . . . . 10 submitted on a single page. The clerk will key-enter the information on 11 the information sheet. The information sheet will not be filed in the court 12 file. The Domestic Relations Information Sheet Instructions are not 13 PEOPLE OF THE STATE OF NEW YORK submitted to the court clerk. THE 14 15 4. The Child Support & Paternity Case Registry is a required, nationwide TO 16 database of child support and paternity orders. Access to registry 17 information is strictly limited to court and child support administrative 18 personnel. Requesting that your registry information be "nondisclosed" 19 does not prevent authorized parties from reviewing the information. GREETINGS: 20 Rather, it alerts courts and child support administrative personnel to act 21 with caution when viewing your information. However, be aware that WE COMMAND YOU,"nondisclosure" andregistry information does not limit access to 22 requesting that all business of excuses being laid aside, you and each of you attend before , the Honorable at the 23 your official district court case file which is aCourt record. If you are public located at access, ask your lawyer, or the court clerk if you do County of 24 concerned about such 25 room lawyer, in , onnot have aday of about ways in which the court may restrict accessand at any recessed the , 20 , at o'clock in the noon, to 26 adjourned date, to testify court file. your and give evidence as a witness in this action on the part of the or 27 28 [Provisionally approved as 4-211 NMRA, effective November 1, 1999 to November 1, 29 2000; approved, as amended, effective November 1, 2000; 4-212 NMRA recompiled to 30 4A-102 NMRA.] comply with this subpoena is punishable as a contempt of court and will make you liable to Your failure to 31 party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a the 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 4 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com