COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... SUPERIOR COURT OF WASHINGTON COUNTY OF THE PEOPLE OF THE STATE OF NEW YORK TO In re Parentage: NO. Petitioner, and GREETINGS: PETITION FOR RESCISSION OF DENIAL OF PATERNITY WITHIN 60 DAYS WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Respondent at the (PT) , the Honorable Court and 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 Respondent. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to I. BASIS 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. 1.1 CAUSE OF ACTION. Witness, affects the , one of the Justices of the This actionHonorable paternity of ___________________________________ [Name], born on Court in__________________ [Date], a of County, day resident of _____________________________ County, , 20 Washington. The result of this proceeding will not establish or disestablish the paternity of the presumed father; it will only establish whether the Denial of Paternity may be rescinded (withdrawn). (Attorney must sign above and type name below) This action is brought by _____________________ [Name] petitioner, the presumed father, to rescind the Denial of Paternity signed by him on ____________________ [Date] and filed with the Attorney(s) for Washington State Registrar of Vital Statistics on ________________________ [Date]. The respondents in the action are the acknowledged father _____________________ [Name] and the mother __________________________ [Name]. This action is brought pursuant to RCW 26.26.(Ch. 302 L 2002 § § 307 and 309). A copy of the denial is attached to this petition. Office and P.O. Address PET FOR RESCISSION DENIAL OF PAT (PT) - Page 1 of 3 WPF PS 12.0100 (6/2002) - RCW 26.26. (Ch. 302 L 2002 §§ 307 and 309) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : 1.2 Calendar No. EFFECTIVE DATE OF DENIAL OF PATERNITY. : JUDICIAL SUBPOENA Plaintiff(s) The effective date of the Denial of Paternity is_____________________________ [Date] -against: [ ] because the Denial of Paternity was filed with the Washington State Registrar of Vital : Statistics on that date. [ ] because that was the date of the child’s birth which was after the date on which the : Denial of Paternity was filed with the Washington State Registrar of Vital Statistics. Defendant(s) : . . . . . . . PRIOR . . . . . . . .PROCEEDINGS. . . . . . . . . . . . . . . . . . . . . . . . . . COURT . . . . . . . . . . . . . . 1.3 No hearing in a court proceeding to which the petitioner was a party has taken place regarding the child. THE PEOPLE OF THE STATE OF NEW YORK 1.4 TO JURISDICTION. All persons who signed the Acknowledgment of Paternity filed on __________________ [Date] and the Denial of Paternity filed on _______________________ [Date] submitted to the jurisdiction of the court on that date pursuant to RCW 26.26.(Ch. 302 L 2002 § 309(2)); and less GREETINGS: than 60 days have passed since the effective date of the denial and acknowledgment. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before 1.5 CHILD , the Honorable SUPPORT. at the Court located at County of Does not apply. day of in room [ ] , on the , 20 , at o'clock in the noon, and at any recessed [ ] date, to testify andState Department ofwitnessandthis action on theDivision of Child Support A Washington give evidence as a Social in Health Services part of the or adjourned Administrative Child Support Order was entered on ______________________ [Date] requiring ________________________ [Name] to pay $______________ per month for the support of the child. 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 1.6 SUSPENSION OF CHILD SUPPORT. result of your failure to comply. [] Does not apply. Witness, motion to suspend the child support order will be filed. [] A Honorable Court in County, day of , 20 II. RELIEF REQUESTED The court is requested to enter an order and judgment that: , one of the Justices of the (Attorney must sign above and type name below) [] [] [] Declares the Denial of Paternity is rescinded. Declares the Acknowledgment of Paternity is void. Attorney(s) for Amends the birth certificate of the child by removing the acknowledged father as the father and adding the presumed father as the father of the child. [] Changes the surname of the child to __________________________ [Name]. [] Awards attorney’s fees and costs to petitioner. Office and P.O. Address Dated: _____________________________ __________________________________________ Petitioner or Attorney for Petitioner/WSBA No. Telephone No.: PET FOR RESCISSION DENIAL OF PAT (PT) - Page 2 of 3 WPF PS 12.0100 (6/2002) - RCW 26.26. (Ch. 302 L 2002 §§ 307 and 309) Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : III. Plaintiff(s) DECLARATION : Index No. Calendar No. JUDICIAL SUBPOENA -against: I declare under penalty of perjury under the laws of the state of Washington that I am the petitioner named above, that I have made the allegations contained in this petition based upon my first hand knowledge, and : therefore believe that they are true. : Signed on ___________________________ at ___________________________________________. [Date] Defendant(s) : [City, State] ...................................................... __________________________________________ Petitioner THE PEOPLE OF THE STATE OF NEW YORK [] JOINDER. TO [] [] Does not apply. I _______________________________ [Name] join in the petition. By joining in the petition, I agree to the entry of a judgment and order in accordance with the petition, GREETINGS: without further notice. Dated: ____________________________ and excuses being laid aside, you and each of you attend before _____________________________________ WE COMMAND YOU, that all business Signature ofCourt Party Joining , the Honorable at the located at County of _____________________________________ recessed in room , on the day of , 20 , at o'clock in the noon, and at any Print oraction Name part of the Type on the or adjourned date, to testify and give evidence as a witness in this [] I _______________________________ [Name] join in the petition. By joining in the petition, I agree to the entry of a judgment and order in accordance with the petition, Your failure to further notice.this subpoena is punishable as a contempt of court and will make you liable to without comply with 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. Dated: ____________________________ _____________________________________ Signature of Joining Party Witness, Honorable , one of the Justices of the Court in County, day of , 20 _____________________________________ Print or Type Name (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address PET FOR RESCISSION DENIAL OF PAT (PT) - Page 3 of 3 WPF PS 12.0100 (6/2002) - RCW 26.26. (Ch. 302 L 2002 §§ 307 and 309) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com