Free FL-511 EX PARTE APPLICATION FOR ORDER FOR NONDISCLOSURE OF ADDRESS AND ORDER (UIFSA) - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406) or ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Index No.
state bar number, and address): (Party appearing without an attorney should enter in this space the same address listed in item 3, below.)

FL-511
FOR COURT USE ONLY

: Plaintiff(s) : : : :

Calendar No.

TELEPHONE NO.: ATTORNEY FOR (Name):

FAX NO.:

JUDICIAL SUBPOENA

-against-

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

PETITIONER:

Defendant(s) : ......................................................

RESPONDENT: OTHER:

THE PEOPLE OF THE STATE OF NEW YORK TO
1.

EX PARTE APPLICATION FOR ORDER FOR NONDISCLOSURE OF ADDRESS AND ORDER

CASE NUMBER:

(Name): address or other identifying information of (name): in the pleadings GREETINGS: and other documents to be filed in this action. The local child support agency acting on behalf of (name): excuses being WE COMMAND YOU, that all business and for nondisclosure the Honorable of the address or other identifying information of (name): at the in the pleadings and other documents to be filed in the UIFSA action.

applies for an order for nondisclosure of the

2.

applies for an order laid aside, you and each of you attend before , Court

located at County of in room is the mailing address for service of process on, (name): , at , on the day of 20 o'clock in the noon, and at any recessed 3. The following or adjourned date, to testify and give evidence as a witness in this action on the part of the
4. Facts in support of this application (state facts that demonstrate that the health, safety, freedom of movement, or physical or emotional well-being of the applicant or the applicant's child may be unreasonably put at risk by the disclosure of the applicant's Your failure to comply address or other identifying information):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 contained in the attached declaration

result of your failure to comply. Witness, Honorable County,

, one of the Justices of the day of , 20

Court in

(Attorney must sign above and type name below)

Attorney(s) for
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

Office and P.O. Address
(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

Form Adopted for Mandatory Use Judicial Council of California FL-511 [Rev. January 1, 2003]

NONDISCLOSURE OF ADDRESS AND ORDER
(UIFSA)

Telephone No.: Facsimile No.: E-Mail Address: EX PARTE APPLICATION FORMobile Tel. No.: ORDER FOR

Page 1 of 2 Family Code, § 4977 www.courtinfo.ca.gov

American LegalNet, Inc. www.USCourtForms.com

PETITIONER: RESPONDENT: OTHER:

CASE NUMBER:

THE COURT FINDS: 5. The health, safety, or liberty of (name): would be unreasonably put at risk by the disclosure of his or her address or other identifying information that may lead to his or her whereabouts. The application is not sufficient to grant the requested relief.

6.

THE COURT ORDERS: 7. The address or other identifying information that may lead to the whereabouts of (name): shall not be disclosed in the pleadings or documents filed in this action. The application is denied. Other (specify):

8. 9.

Date:

JUDICIAL OFFICER

NOTE: Use of this ex parte application and order will require that the UIFSA petition in this matter be initiated in the California court in which this application is submitted pursuant to Family Code sections 4907 and 4918.

FL-511 [Rev. January 1, 2003]

EX PARTE APPLICATION FOR ORDER FOR NONDISCLOSURE OF ADDRESS AND ORDER
(UIFSA)

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