Guidelines Worksheet Addendum

<document>s): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .GUIDELINES WORKSHEET ADDENDUM: For CSED information and for use with Child Support calculationsRev. 3/01THE PEOPLE OF THE STATE OF NEW YORK TOName of Parties:Case No. Date of MarriageNames &amp; Dates of Birth of children:(1)(2) (3)(4) ObligorObligeeAmount/MONTH/ChildEff. Date HUSBAND/FATHER Full Name:GREETINGS:Employed by: Date of Birth:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableSSN:Address:,Driver's License No. Address:Residence Telephone No.located at County of, on the, at or adjourned date, to testify and give evidence as a witness in this action on the part of the, 20noon, and at any recessed in roomo'clock in the day ofWIFE/MOTHERYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.Full Name:Employed by: Date of Birth:SSN:Address: Driver's License No. Address:, one of the Justices of theCourt in Witness, Honorable, 20 County,day ofResidence Telephone No.(Attorney must sign above and type name below)FATHER:MOTHER:Attorney(s) forSworn to before me and subscribed in my presence,Sworn to before me and subscribed in my presence, thisday of., 20day ofthis., 20Office and P.O. AddressNotary PublicNotary PublicTelephone No.: Facsimile No.: E-Mail Address:Attorney for FatherAttorney for MotherMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>