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COUNTY OF
CONFIDENTIAL
APPLICATION OF (Name):
: : :
WG-025
Calendar No.
CASE NUMBER:
Plaintiff(s) -against-
JUDICIAL SUBPOENA
TAXPAYER/RESPONDENT
CONFIDENTIAL STATEMENT OF TAXPAYER'S : SOCIAL SECURITY NUMBER
: Supplement to Temporary Earnings Withholding Order for Taxes (Form WG-024) (Do not attach to Order)
Defendant(s) : ...................................................... This separate Confidential Statement of Taxpayer’s Social Security Number contains the social security number of the taxpayer-respondent in the case referenced above. This supplement should be kept separate from the Temporary Earnings Withholding Order for Taxes filed in this case, and should not be a public record. THE PEOPLE OF THE STATE OF NEW YORK TO INFORMATION ON TAXPAYER-RESPONDENT:
1. Name:
GREETINGS: 2. Social Security Number: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located atTO COURT CLERK County of THIS STATEMENT IS CONFIDENTIAL. DO NOT FILE in room , on the day of , 20 , at o'clock in the noon, and at any recessed THIS CONFIDENTIAL STATEMENT in thisPUBLIC COURT of the or adjourned date, to testify and give evidence as a witness IN A action on the part FILE.
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. Witness, Honorable Court in County, , one of the Justices of the day of , 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Form Adopted for Mandatory Use Judicial Council of California WG-025 [Rev. January 1, 2007]
Telephone No.: Facsimile No.: E-Mail Address: CONFIDENTIAL SUPPLEMENT TO Mobile Tel. No.: TEMPORARY
EARNINGS WITHHOLDING ORDER FOR TAXES (Wage Garnishment-State Tax Liability)
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