COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. PETITIONER/PLAINTIFF: :
RESPONDENT/DEFENDANT: OTHER PARENT:
FL-411
CASE NUMBER:
Index No. Calendar No.
:
: AFFIDAVIT OF FACTS CONSTITUTING CONTEMPT JUDICIAL SUBPOENA Plaintiff(s) Financial and Injunctive Orders -againstAttachment to Order to Show Cause and Affidavit: for Contempt (form FL-410)
1. a. Orders for child support, spousal support, family support, attorney fees, and court and litigation costs (separately itemize each : default on installment payments):
DATE DUE TYPE OF ORDER AND DATE FILED PAYABLE TO
:
AMOUNT ORDERED
AMOUNT PAID
AMOUNT DUE
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
Continued on Attachment 1a. TOTAL AMOUNT ORDERED TOTAL AMOUNT PAID TOTAL AMOUNT DUE
Summary of contempt counts alleged (including all attachments):
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 support: failure to comply. of your Child , one of the Justices of the day of , 20
$ $ $
Spousal support: Witness, Honorable Family support: Attorney fees: Court in County, Court and other costs: Total b.
(Attorney must sign above and type name below)
Other orders (specify which order was violated, how the order was violated, and when the violation occurred):
Attorney(s) for
c. Other material facts (specify):
Continued on Attachment 1b.
Continued Office and P.O. Address on Attachment 1c. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:
(TYPE OR PRINT NAME) Form Adopted for Mandatory Use Judicial Council of California FL-411 [Rev. January 1, 2003]
Telephone No.: (SIGNATURE) Facsimile No.: AFFIDAVIT OF FACTS CONSTITUTING CONTEMPT E-Mail Address: Financial and Injunctive Mobile Tel. No.: Orders
Page 1 of 1 Family Code, § 292; Code of Civil Procedure, §§ 1209, 1211, 1211.5, 2015.5 www.courtinfo.ca.gov
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