COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): : :
TELEPHONE NO.: ATTORNEY FOR (Name): FAX NO.:
Index No. Calendar No.
FOR COURT USE ONLY
: : : :
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
Defendant(s) : ......................................................
DECLARATION REGARDING SERVICE OF DECLARATION OF PEOPLE OF THE STATE OF AND EXPENSE DECLARATION THE DISCLOSURE AND INCOME NEW YORK
1. I am the 2.
in this matter.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court on (date): located at County of Petitioner's Final Declaration of Disclosure at Income and Expense Declaration was served on: 3. in room ,Respondent's day of on the , 20 , and o'clock in the noon, and at any recessed Petitioner by: personal service other (specify): or Attorney for date, to testify and giveRespondentas a witness in this action on the partmailthe adjourned evidence of
on (date): 4. ServiceYour failure to comply with this subpoena is punishableFamily Code sectioncourt and will make you liable to of the Final Declaration of Disclosure has been waived under as a contempt of 2105, subdivision (d). the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a I declare under penalty of perjurycomply. laws of the State of California that the foregoing is true and correct. result of your failure to under the Date:
Respondent's Preliminary Declaration of Disclosure and Income and Expense Declaration was served on: Petitioner Respondent by: personal service mail other (specify):
Witness, Honorable County,
(TYPE OR PRINT NAME)
, one of the Justices of the day of , 20
(Attorney must sign above and type name below)
Note: File this document with the court. Attorney(s) for Do not file a copy of either the Preliminary or Final Declaration of Disclosure with this document.
Office and P.O. Address
Form Adopted for Mandatory Use Judicial Council of California FL-141 [Rev. January 1, 2003]
Telephone No.: Facsimile No.: E-Mail Address: DECLARATION REGARDING SERVICE OF Mobile Tel. DECLARATION OF DISCLOSURE No.:
Page 1 of 1 Family Code, §§ 2104, 2106, 2112 www.courtinfo.ca.gov
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