File Size: 42.2 kB
Pages: 1
Date: June 24, 2009
File Format: PDF
State: California
Category: Court Forms - State
Author: U0036695
Word Count: 927 Words, 5,544 Characters
Page Size: Letter (8 1/2" x 11")


COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. PETITIONER/PLAINTIFF: :


Index No.


: :

Calendar No.


JUDICIAL SUBPOENA order or Plaintiff(s) ADMISSION AND WAIVER OF 8. I agree to the terms of this RIGHTS. I understand that by judgment freely and voluntarily. : agreeing to the terms of the order or 9. I understand that the local child judgment, I am admitting that I am the support agency is required by state parent of the children named in the : law to enforce the duty of support. stipulation and I am giving up the rights stated above. : 10. I UNDERSTAND THAT IF I WILLFULLY FAIL TO SUPPORT WHERE THE STIPULATION Defendant(s) MY CHILDREN, CRIMINAL : . INCLUDES .CHILD. SUPPORT. ........ .... ........ PROCEEDINGS MAY BE a. I understand that I will have the INITIATED AGAINST ME. duty to obey the support order for 2. RIGHT TO A TRIAL. I understand the children named in the stipula11. COLLECTION OF SUPPORT. I that I have a right to have a judicial tion until the order is changed by understand that any support I owe THE PEOPLE OF am the officer: (a) determine if I THE STATE OF NEW YORKor ended by law. the court may be collected from any of my parent of the children named b. I also understand that the court property. This collection may be in the stipulation, (b) decide how will order any support payments to TO made by intercepting money owed to much child support I must pay, and be paid directly from my wages or me by the state or federal (c) decide how much (unpaid other earnings and sent to the government (such as tax refunds, support) I owe for arrearage. local child support agency if they unemployment and disability benefits, are assigned to collect the 3. RIGHT TO CONFRONT AND and lottery winnings), by taking GREETINGS: support. CROSS-EXAMINE WITNESSES. I property I own, by placing a lien on c. I have been advised of the understand that in a trial any my property, or by any other lawful allegations made against me mustYOU, that allamount of guideline child being laid aside, you and each of you attend before means. WE COMMAND business and excuses support and how the proposed child be the Honorable I may be proved. At the trial , at the determined.Court support amount was present with a lawyer when 12. IF I AM REPRESENTED BY AN located at County of witnesses testify, and I may ask ATTORNEY, MY ATTORNEY HAS in room , on the day7. WHERE THE, STIPULATION of 20 , at o'clock in the noon, and at any recessed them questions. I may also present READ AND EXPLAINED TO ME INCLUDES A PROVISION FOR evidence. or adjourned date, to testify and give evidence as a witness in Ithis action on the part of TERMS OF THE ORDER OR the THE HEALTH INSURANCE. understand JUDGMENT AND THIS 4. RIGHT TO HAVE PARENTAGE that I must keep health insurance ADVISEMENT AND WAIVER OF coverage for the minor children if TESTS WHERE THE LAW RIGHTS, AND I UNDERSTAND insurance is available, or becomes PERMITS. I understand that, where THESE TERMS. available, to me punishable as a contempt of court and will make you liable to the law permits, I have the rightcomply with this subpoena is at no or reasonable Your failure to to cost. A issued for a maximum have the courton whose behalf this subpoena was health insurance coveragepenalty of $50 and all damages sustained as a the party order parentage tests. assignment/National Medical Support The court will decide on the tests. result of your failure to comply. Notice may be ordered to get health The court could order that I pay insurance for my children. none, some, or all of the costs of the tests. Witness, Honorable , one of the Justices of the
1. RIGHT TO BE REPRESENTED BY A 5. LAWYER. I understand that I have the -againstright to be represented by a lawyer of my choice at my expense. If I cannot afford a lawyer to represent me, I can ask the court to appoint one to represent me free of charge only if I dispute that I am the parent of the children named in this action and only 6. on the issue of parentage. I understand . for .the local. child. . . . . . . . . .. ........ ..... ... that support agency does not represent me. I have read and understand the Advisement and Waiver of Rights20 Stipulation; or Court in County, day of , for Attached is a translation of this Advisement in (specify language): I understand the translation. Date: (Attorney must sign above and type name below)

INTERPRETER'S DECLARATION: The above-named party is unable to readAttorney(s) for Advisement because or understand this his or her primary language is (specify): Other (Specify): I certify under penalty of perjury under the laws of the State of California that I have, to the best of my ability, read or translated for the above-named party the Minutes and/or Order or Judgment and Advisement and Waiver of Rights for Stipulation. The above-named Office and P.O. Address party said he or she understood the terms of the order or judgment before signing it. Date:

Telephone No.: Facsimile No.: (TYPE OR PRINT NAME OF INTERPRETER) (INTERPRETER'S SIGNATURE) E-Mail Address: Form Approved for Court Use Mobile Tel. No.: ADVISEMENT AND WAIVER OF RIGHTS FOR STIPULATION in Lieu of Mandatory Form FL-615
Judicial Council of California FL-694 [New January 1, 2003]

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