F.C.A. §153
S.S.L. §I I l-p
C.P.L.R.§2304
Support Subpoena)
FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF
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In the Matter of a Proceeding Under Section 153 of the Family Court Act
Form 4-16
(Notice of Motion to Quash, Fix of Modify Conditions of a Child
8/2010
Docket No.
NOTICE OF MOTION TO
QUASH, FIX OR MODIFY
CONDITIONS OF A CHILD
SUPPORT SUBPOENA
(Name of person for whom records are sought)
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TO:
Name of Agency that issued subpoena
Address of Agency that issued subpoena
PLEASE TAKE NOTICE, that upon the annexed affidavit of
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sworn to on |
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, a motion will be made before the |
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County Family Court at |
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on |
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soon thereafter as the parties can be heard for an order (state relief requested)
Applicant
Print or Type Name
Signature of Attorney, if any
Attorney's Name (Print or Type)
Attorney's Address and Telephone Number
Dated:,.
Form 4-16 Page 2
.............................................................................Docket No.
In The M atter of a Proceeding Under Section 153 of the Family Court Act
AFFIDAVIT IN SUPPORT OF
M OTION TO QUASH, FIX OR
M ODIFY CONDITIONS OF A
CHILD SUPPORT SUBPOENA
(Name of person for whom records are sought)
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STATE OF NEW YORK |
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:ss.: |
COUNTY OF |
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being duly sworn deposes and states: |
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. Upon information and belief, a Family Court proceeding (has) (has not) been filed. (If filed, state Docket Number |
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.That a child support subpoena was served upon (specify individual or entity) |
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at |
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(copy attached) |
3.That relief from the following directive(s) in said subpoena should be granted for the following reasons:
Applicant
Print or Type Name
Signature of Attorney, if any
Attorney's Name (Print or Type)
Attorney's Address and Telephone Number
Sworn to |
before me this |
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day of |
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(Deputy) Clerk of the Court
Notary Public