Information Requested By Division Of Vital Statistics (Pertaining To Divorces And Annulments)
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Information Requested By Division Of Vital Statistics (Pertaining To Divorces And Annulments) Form. This is a West Virginia form and can be use in Family Court Statewide.
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Tags: Information Requested By Division Of Vital Statistics (Pertaining To Divorces And Annulments), SCA-F-104, West Virginia Statewide, Family Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
INFORMATION REQUESTED BY DIVISION OF VITAL STATISTICS
:
Plaintiff(s)
JUDICIAL SUBPOENA
-against:
[Pertaining to Divorces and Annulments]
Chapter 16, Article 5, Section 34 of
:
Code of West Virginia, as Amended
_______________________________________________
:
Defendant(s)
:
......................................................
Civil Action No. _______________________________________________________________
Husband's Full THE STATE OF NEW YORK
THE PEOPLE OF Name: __________________________________________________________
TO
Wife's Maiden Name: ___________________________________________________________
Age of Husband: ___________________
Age of Wife: __________________
GREETINGS:
Place of Marriage: _____________________________________________________________
[COUNTY]
[STATE]
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Date of Marriage: ______________________________________________________________
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
orName of Petitioner: ______________________________________________________________
adjourned date, to testify and give evidence as a witness in this action on the part of the
Divorce:
9
9
Yes
No
Annulment:
9
Yes
9
No
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
Names of failure to comply.
Date of Birth
result of yourChildren Under 18 Years of Age
____________________________________________________________________________
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
____________________________________________________________________________
____________________________________________________________________________
(Attorney must sign above and type name below)
____________________________________________________________________________
Attorney(s) for
______________________________________________________________________________
Office and P.O. Address
Date of Decree: ________________________________________________________________
[To be Completed by Clerk]
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
SCA-F-104 (Revised 12/01)
VITAL STATISTICS
