COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :
GOVERNMENTAL AGENCY (under Family Code, §§ 17400,17406):
Index No. Calendar No.
FOR COURT USE ONLY
TELEPHONE NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional):
: : : :
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
Defendant(s) : ......................................................
SHORT FORM ORDER AFTER HEARING THE PEOPLE OF THE STATE OF NEW YORK
1. This matter proceeded as follows: Uncontested Contested By stipulation TO a. Date: Dept.: Judicial officer: Petitioner/plaintiff present Attorney present (name): b. Respondent/defendant present Attorney present (name): c. Other parent present Attorney present (name): d. GREETINGS: e. Attorney for local child support agency present under Family Code sections 17400 and 17406 by (name):
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Other (specify): , the Honorable at the Court located at County of 2. THE COURT FINDS, based upon the moving papers: in room , on the day of , 20 , at o'clock in the noon, and at any recessed is the a. (Name): or adjourned date, to testify and give evidence as a witness obligor (the parent ordered to pay support) in this proceeding. in this action on the part of the
f. b. c. The obligor is and based thereon has no ability to pay support. Health insurance coverage at no or reasonable cost is currently not available to the obligor to cover the minor children in this action.
3. THE COURT ORDERS: a. theorders previously made in this action will remain issued for and effect except as specificallyand all damages sustained as a All party on whose behalf this subpoena was in full force a maximum penalty of $50 modified below. of your failure to comply. b. result This matter is continued to in Dept.: for the following purposes only:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
c. d. e. to appear Court Obligor is ordered County, on the continuance date. , 20 in day of Current child support is modified to $ per month beginning (date):
, one of the Justices of the
The court retains jurisdiction to order support retroactive to: (1) (Specify date): (2) The date the obligor becomes employed or otherwise(Attorneyabilitysignpay support. name below) has the must to above and type (3) The date the obligor abandons or separates from the children at issue in this case. f. Any order to liquidate the support arrearage is suspended until further order of this court. g. The parents must notify the local child support agency in writing within 10 days of any change in residence or employment. Attorney(s) for h. i. The obligor is ordered to obtain health insurance coverage for the children in this action if it becomes available at no or reasonable cost. Other (specify):
4. Number of pages attached: Date: Approved as conforming to court order:
Office and P.O. Address
(SIGNATURE OF ATTORNEY FOR OBLIGOR) Form Adopted for Mandatory Use Judicial Council of California FL-688 [Rev. July 1, 2005]
Telephone No.: Facsimile No.: JUDICIAL OFFICER E-Mail Address: SHORT FORM ORDER AFTER HEARING Mobile Tel. No.: (Governmental)
Page 1 of 1 Family Code, §§ 17400, 17402, 1740, 17406 www.courtinfo.ca.gov
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