Financial Affidavit Of Parent And Conservator Requesting Withdrawal Of Funds

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Name: Address: City, State, Zip:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Phone:Comp.# (if applicable):THE PEOPLE OF THE STATE OF NEW YORK TOARIZONA SUPERIOR COURT, PIMA COUNTYIn the Matter of the Guardianship of:Case Number: FINANCIAL AFFIDAVIT OF PARENT AND CONSERVATOR REQUESTING WITHDRAWAL OF FUNDSGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableDate of birth:,located at County ofA Minor.o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomState of Arizona))ss. County of Pima)Your 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.I, being first duly sworn, make the following answers and statements of fact as material evidence:, one of the Justices of the1 a) Name, address, and phone number of present employer:Court in Witness, Honorableday of, 20 County,Name: Phone:Address: (Attorney must sign above and type name below)PositionHire DateAttorney(s) forb) Name, address of prior employer:Name: Phone:Office and P.O. AddressAddress: Telephone No.: Facsimile No.: E-Mail Address:Hire DatePosition1 of 4Mobile Tel. No.:Last Revised: January 02, 2003American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Financial Affidavit Of Parent And Conservator Requesting Withdrawal Of Funds Case Number: c) If not employed, why? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .When will you return to work and what is your anticipated occupation:THE PEOPLE OF THE STATE OF NEW YORK TO2. Names and ages of minor children residing with you:GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County of3. List all bank accounts, including checking, savings, credit union, and certificates of deposit in your name, in which you have an interest. Financial Institutiono'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomAccount NumberType of AccountCurrent BalanceYour 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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) for4. List all stocks, bonds, shares of cash in your name(s), or in which you have an interest: Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:2 of 4Mobile Tel. No.:Last Revised: January 02, 2003American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Financial Affidavit Of Parent And Conservator Requesting Withdrawal Of Funds Case Number: MONTHLY PAYMENTS For yourself &amp; minor child (ren) with you. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CreditorBalancePaymentHousing:Utilities:ElectricityGasWaterTHE PEOPLE OF THE STATE OF NEW YORK TOTotal Monthly payments PhoneGarbageTotal Mo. Expenses/Payments Food/household supplies Work/School Lunch Medical/dental suppliesGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableINCOME Insurance (not deducted,located at County ofGross Paycheck Less: Federal taxes Clothingo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomState taxes Child Care/SitterFICA Support paid for spouse and/or minor child (ren) of prior marriageCredit UnionYour 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.Insurance, one of the Justices of theTransportationUnion dues Car Repair/Maint.Court in Witness, Honorableday of, 20 County,Savings/etc. Car insuranceOther Gas/OilTotal Deductions Bus/Taxi fares(Attorney must sign above and type name below)Total paycheck Other:OTHER MONTHLY INCOME Pension/Retirements Total monthly expensesAttorney(s) forSocial Security/SSI Dividends/Interest GA/AFDC Spousal maint. Total other income Total Mo. Income--all sourcesOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:3 of 4Mobile Tel. No.:Last Revised: January 02, 2003American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Financial Affidavit Of Parent And Conservator Requesting Withdrawal Of Funds Case Number: DATED:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PetitionerSUBSCRIBED AND SWORN TO before me on.THE PEOPLE OF THE STATE OF NEW YORK TOMy Commission Expires:Notary PublicGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt