COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : F.C.A. § 524, 531-a, Art 5-B (To Be Used for Service Within New York State) : Plaintiff(s) -against- FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF ___________________________ ...................................................................................... In the Matter of a Proceeding under Article __ of the Family Court Act : Index No. Calendar No. Form 5-1-a (Summons - Paternity) JUDICIAL SUBPOENA 1/2001 : : : Defendant(s) : ...................................................... (Commissioner of Social Services, Assignee on behalf of , Assignor Docket No._________ SUMMONS-PATERNITY Petitioner, THE PEOPLE OF THE STATE OF NEW YORK S.S.# -againstTO Respondent, S.S.# ....................................................................................... GREETINGS: NOTICE: YOUR FAILURE TO APPEAR SHALL RESULT IN AN ENTRY OF AN WE COMMAND YOU, that all ON DEFAULT UPON PROOF THAT YOUeach of you attend before ORDER OF FILIATION business and excuses being laid aside, you and , the Honorable RECEIVED ACTUAL NOTICE OF the COMMENCEMENT OF THIS at THE Court PROCEEDING. YOUR FAILURE TO APPEAR MAY ALSO RESULT IN A located at County of WARRANT FOR YOUR ARREST20 in room , on the day of , AND ,SUSPENSION OF YOUR DRIVING at any recessed at o'clock in the noon, and PRIVILEGES; STATE-ISSUED a witness in this action on the part of the AND PROFESSIONAL, OCCUPATIONAL or adjourned date, to testify and give evidence as BUSINESS LICENSES; AND RECREATIONAL AND SPORTING LICENSES AND PERMITS.1 INYour failure to OF THE PEOPLE OF THE STATE OFas a contempt of court and will make you liable to THE NAME comply with this subpoena is punishable NEW YORK TO THE ABOVENAMED RESPONDENT this subpoena was issued for a maximum penalty of $50 and is found at: sustained as a , who resides or all damages the party on whose behalf ___________________________________________________________________ result of your failure to comply. __________________________________________________________________________________ _____________ Witness, Honorable , one of the Justices of the (A Court in Petition)(Petitions) under Article __ of the Family Court Act having been filed with this Court and County, day of , 20 annexed hereto YOU ARE HEREBY SUMMONED to appear before this court at _______________ (Attorney must ______________________________________________, New York, onsign above and type name below) , at o'clock in the noon of that day to show cause why the declaration of paternity, order of filiation, order of support and other and further relief requested in the petition should not be made. , Attorney(s) for 1 Pursuant to Section 531-a of the Family Court Act, you may qualify to testify by telephone, audio-visual means or other electronic means if you reside in Office and P.O. Address a county in New York State not contiguous to the Family Court in which the matter will be heard, if you are incarcerated and do not expect to be released within a reasonable period of time after the scheduled date or if you will suffer an Telephone No.: undue hardship by appearing in court. The five counties of New York City are treated as one county Facsimile No.: for purposes of this section. If you wish to request permission, you must submit Form 4-24/5E-Mail Address: 16/UIFSA-10, which you may obtain from Family Court or on the internet at www.courts.state.ny.us. Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) Dated: , -against-. : Index No. Calendar No. Form 5-1a Page 2 JUDICIAL SUBPOENA _______________________________ : Clerk of the Court : : NOTICE: Family Court Act §154(c) provides that support, paternity, custody, family offense and child abuse Defendant(s) : and .neglect .petitions, .in .which. an .order of .protection. is. sought.or. in. which a violation of an order of protection .. ..... ....... . .... .. ...... ....... . ..... . . is alleged, may be served outside the State of New York upon a Respondent who is not a resident or domiciliary of the State of New York. In such instance, the exercise of personal jurisdiction over the Respondent is limited to the issue of the request for, or alleged violation of, the order of protection, unless the Uniform Interstate THE STATE OF NEW YORK Court Act §154(b) provides other grounds for the THE PEOPLE OF Family Support Act or Family exercise of personal jurisdiction over the Respondent. Where the Respondent has been served with this summons and petition and does not appear, the Family Court may proceed to a hearing with respect to TO issuance or enforcement of the order of protection. FINANCIAL DISCLOSURE NOTICE GREETINGS: IF THE COURT ENTERS AN ORDER OF PATERNITY (ORDER OF FILIATION), THE COURT WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before WILL IMMEDIATELY PROCEED TO ENTER AN ORDER OF SUPPORT. IN THE SUPPORT the Honorable at the Court located at County of PROCEEDING, YOU ARE REQUIRED TO PROVIDE THE COURT WITH theCURRENTand at any recessed in room , on the day of , 20 , at o'clock in A noon, AND or adjourned date, to testify and give evidence as a witness in this action on the part of the REPRESENTATIVE PAYCHECK STUB AND MOST RECENTLY FILED STATE AND FEDERAL INCOME TAX RETURNS, INCLUDING A COPY OF THE W-2 WAGE AND TAX STATEMENT(S) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to SUBMITTEDwhose behalf this subpoena was MAY BE REQUIREDpenalty of $50 and all damages sustained as a the party on WITH THE RETURN. YOU issued for a maximum TO FURNISH PAST INCOME TAX result of your failure to comply. RETURNS; EMPLOYER STATEMENTS; PAY STUBS; CORPORATE, BUSINESS OR Witness, Honorable , one TAX Justices of the PARTNERSHIP BOOKS AND RECORDS; CORPORATE AND BUSINESS of the RETURNS; AND Court in County, day of , 20 RECEIPTS FOR EXPENSES OR SUCH OTHER MEASURES OF VERIFICATION AS THE COURT DETERMINES APPROPRIATE. IF YOU WILL BE CONSENTING TO ENTRY OF THE (Attorney must sign above and type name below) DECLARATION OF PATERNITY REQUESTED IN THE PETITION ON THE RETURN DATE OF THIS SUMMONS YOU SHOULD BRING THE ABOVE DOCUMENTS WITH YOU TO COURT Attorney(s) for ON THAT DAY. Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com ,