Free FL-678 ORDER DETERMINING CLAIM OF EXEMPTION OR THIRD-PARTY CLAIM (Governmental) - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406): TELEPHONE NO.: Index No. : Plaintiff(s) -againstSUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

FL-678
FOR COURT USE ONLY

Calendar No.

: : : :

JUDICIAL SUBPOENA

PETITIONER/PLAINTIFF:

Defendant(s) : ......................................................
OTHER PARENT:

RESPONDENT/DEFENDANT:

ORDER DETERMINING

THE PEOPLE OF THECLAIM OFOF NEW YORK THIRD-PARTY CLAIM STATE EXEMPTION

LEVYING OFFICER FILE NO.:

COURT CASE NO.:

for an order determining the 1. The TO application of (name): claim of exemption third-party claim of (name): proceeded by stipulation a. by court hearing, appearances as follows: b. Judicial officer: Dept.: (1) Date: GREETINGS: Judgment debtor present (name): (2) Judgment debtor's attorney present (name): (3) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Third-party claimant present (name): (4) the Honorable Third-party claimant's attorney present (name): at the Court (5) located County of Other parent present (name): at (6) in room , on the present (name): day of , 20 , at o'clock in the noon, and at any recessed Other attorney (7) or adjourned date, to testify and give evidence asCode, §§ 17400, 17406) (name): part of the a witness in this action on the (8) Local child support agency attorney (Family 2. The court considered the evidence. 3. IT IS ORDERED denied. granted The Your of exemption is claim failure to comply with this subpoena is punishable as a contempt a. The on whose behalf is granted in part (specify): b. the party claim of exemption this subpoena was issued for a maximum penalty of

,

of court and will make you liable to $50 and all damages sustained as a

result of your failure to comply.
c. denied . granted The third-party claim is in County, day of d.Court The third-party claim is granted in part (specify):

Witness, Honorable

, one of the Justices of the , 20

e.

The following property must be released to (name): (specify property):

(Attorney must sign above and type name below)

Attorney(s) for
f. The following property must be applied to the judgment (specify property):

g.

Other (specify):

Office and P.O. Address

Date:

Form Adopted for Mandatory Use Judicial Council of California FL-678 [Rev. January 1, 2003]

Telephone No.: Facsimile No.: (JUDICIAL OFFICER) Page 1 of 1 E-Mail Address: ORDER DETERMINING CLAIM OF EXEMPTION Code of Civil Procedure, § 703.550 Mobile Tel. No.: www.courtinfo.ca.gov.
OR THIRD-PARTY CLAIM
(Governmental)
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