Free FL-117 NOTICE AND ACKNOWLEDGMENT OF RECEIPT (Family Law) - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): : :
TELEPHONE NO.: E­MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional):

FL-117

Index No. Calendar No.

FOR COURT USE ONLY

Plaintiff(s) -against-

: : : :

JUDICIAL SUBPOENA

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

PETITIONER: Defendant(s) : ...................................................... RESPONDENT: OTHER:

THE PEOPLE OF THE STATE OF NEW YORK
To (name of individual being served):

NOTICE AND ACKNOWLEDGMENT OF RECEIPT

CASE NUMBER:

TO

NOTICE

The documents identified below are being served on you by mail with this acknowledgment form. You must personally sign, or a person authorized by you must sign, this form to acknowledge receipt of the documents. If the documents described below include a summons and you fail to complete and return this acknowledgment form to the GREETINGS: sender within 20 days of the date of mailing, you will be liable for the reasonable expenses incurred after that date in serving you or attempting to serve you with these documents by any other methods permitted by law. If you return this form to the sender, WE COMMAND YOU, that all business and excuses being laid aside, you and This of you answer to service of a summons is deemed complete on the date you sign the acknowledgment of receipt below. eachis not anattend before the action. If you do not agree with what is being requested, at the you must submit a completed Response form to the court within 30 the Honorable Court calendar days. located at County of Date of in room mailing:

,

, on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the
(TYPE OR PRINT NAME) (SIGNATURE OF SENDER--MUST NOT BE A PARTY IN THIS CASE AND MUST BE 18 OR OLDER)

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to (To be completed by sender before mailing) the party the whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a I agree I received on following: result of your failurePetition (form FL-100), Summons (form FL-110), and blank Response (form FL-120) to comply. a. Family Law:
b. Family Law--Domestic Partnership: Petition--Domestic Partnership (form FL-103), Summons (form FL-110), and Witness, Honorable , one of the Justices of the blank Response--Domestic Partnership (form FL-123) in Uniform Parentage: Petition to day of Parental Relationship (form FL-200), Summons (form FL-210), and blank County, , 20 Establish Response to Petition to Establish Parental Relationship (form FL-220) Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and blank Response to Petition for Custody and Support of Minor Children (form FL-270) must sign above blank Financial Statement Completed and blank Declaration Under (1) (5)(Attorney Completed andand type name below) (Simplified) (form FL-155) Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) (6) Order to Show Cause (form FL-300), Application Completed and blank Declaration of for Order and Supporting Declaration (form (2) Attorney(s) for and blank Responsive Declaration to Disclosure (form FL-140) FL-310), Order to Show Cause or Notice of Motion (form (3) Completed and blank Schedule of Assets FL-320) and Debts (form FL-142) (7) Other (specify): (4) Completed and blank Income and Expense Declaration (form FL-150) (To be completed by recipient) Date this acknowledgment is signed:

ACKNOWLEDGMENT OF RECEIPT

Court c.
d. e.

Office and P.O. Address

(TYPE OR PRINT NAME)

Form Approved for Optional Use Judicial Council of California FL-117 [Rev. January 1, 2005]

Telephone No.: (SIGNATURE Facsimile No.: OF PERSON ACKNOWLEDGING RECEIPT) Page 1 of 1 E-Mail Address: Code of Civil Procedure, §§ 415.30, 417.10 NOTICE AND ACKNOWLEDGMENT OF RECEIPT Mobile Tel. No.: www.courtinfo.ca.gov
(Family Law)
American LegalNet, Inc. www.USCourtForms.com