Free FL-650 STATEMENT FOR REGISTRATION OF CALIFORNIA SUPPORT ORDER (Governmental) - California


File Size: 71.8 kB
Pages: 1
Date: June 24, 2009
File Format: PDF
State: California
Category: Court Forms - State
Author: U0018446
Word Count: 475 Words, 3,171 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courtinfo.ca.gov/forms/documents/fl650.pdf

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Preview FL-650 STATEMENT FOR REGISTRATION OF CALIFORNIA SUPPORT ORDER (Governmental)
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406): : : Plaintiff(s)
TELEPHONE NO.:

FL-650
FOR COURT USE ONLY

Index No. Calendar No.

: : : :

JUDICIAL SUBPOENA

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

-against-

FAX NO.:

RESPONDENT/DEFENDANT: OTHER PARENT:

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

PETITIONER/PLAINTIFF:

STATEMENT FOR REGISTRATION OF CALIFORNIA SUPPORT ORDER THE PEOPLE OF THE STATE OF NEW YORK
Support Order Order for Earnings Assignment

CASE NUMBER:

TO
The local child support agency's statement to register is as follows: a California support order a California order for earnings assignment

GREETINGS: 1. The Obligor (the parent ordered to pay support) is

Petitioner/Plaintiff Other parent

Respondent/Defendant

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
endorsed filed 2. Anthe Honorablecopy of the most recent support order or earnings assignment (or a copy) is attached. at the Court

,

located at County of An 3. a. in room affidavit or declaration of Obligor's payment history is attached. , on the day of , 20 , at o'clock in the noon, and at any recessed A Declaration to testify and give evidence as a witness b or adjourned date, of Payment History (form FL-420) is attached.in this action on the part of the
c. The arrearage balance is unknown. 4. The local child support agency's post office address is (specify):

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 5. Obligor's lastyour failure to comply. or mailing address, or address in the records of the California Department of Motor result of known place of residence
Vehicles, is (specify):

Witness, Honorable Court in County,

, one of the Justices of the day of , 20

6. States and counties in which the original order for support or order for earnings assignment, and any modifications, are registered (specify): (Attorney must sign above and type name below)

None, or unknown.

Attorney(s) for

NOTICE TO OBLIGOR 1. You have 20 days after the date of mailing of this Statement for Registration of California Support Order to petition the Code, and P.O. Address court to cancel (vacate) this registration or for other relief. (Family Office § 5603.) (See the accompanying document to determine the date of mailing.) 2. The local child support agency may seek a health insurance coverage assignment enrolling the children in an appropriate health insurance plan under Family Code section 3761.

Form Adopted for Mandatory Use Judicial Council of California FL-650 [Rev. January 1, 2003]

OF CALIFORNIA SUPPORT ORDER
(Governmental)

Telephone No.: Facsimile No.: E-Mail Address: STATEMENT FOR REGISTRATION No.: Mobile Tel.

Page 1 of 1 Family Code, § 5601 www.courtinfo.ca.gov.

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