Free WG-025.v2.092506.ofm - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :

Index No.
WG-025

CONFIDENTIAL :
APPLICATION OF (Name):

Calendar No.
CASE NUMBER:

Plaintiff(s) -against-

: :

TAXPAYER/RESPONDENT

JUDICIAL SUBPOENA

CONFIDENTIAL STATEMENT OF TAXPAYER'S : SOCIAL SECURITY NUMBER
Supplement to Temporary Earnings Withholding Order for Taxes (Form WG-024) : (Do not attach to Order)

Defendant(s) : ....... .......... ........... ......... ..... ....... This separate .Confidential .Statement of .Taxpayer's .Social .Security Number contains the social security number of the taxpayer-respondent in the case referenced above. This supplement should be kept separate from the Temporary Earnings Withholding Order for Taxes filed in this case, and should not be a public record. THE PEOPLE OF THE STATE OF NEW YORK TO INFORMATION ON TAXPAYER-RESPONDENT:
1. Name: 2. Social Security Number: GREETINGS:

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court TO COURT CLERK located at IS CONFIDENTIAL. DO NOT FILE County of THIS STATEMENT in room ,THIS CONFIDENTIAL STATEMENT ,IN A PUBLIC COURT FILE. 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

Form Adopted for Mandatory Use Judicial Council of California WG-025 [Rev. January 1, 2007]

Telephone No.: Facsimile No.: E-Mail Address: CONFIDENTIAL SUPPLEMENT TO Mobile Tel. No.: TEMPORARY
EARNINGS WITHHOLDING ORDER FOR TAXES (Wage Garnishment-State Tax Liability)

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