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Fill and Sign the Fca413 424a 426 427 433 Art 5 B Form 4 1b to

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F.C.A. §§ 413, 424(a), 426, 427, 433, Art. 5-BForm 4-1b(TO BE USED WHEN PERSON BEING SUMMONED IS(Summons NOT A NEW YORK STATE RESIDENT) Support - Non-Resident) 6/2012FAMILY COURT OF THE STATE OF NEW YORKCOUNTY OF____________________________________..........................................................................In the Matter of a Proceeding underDocket No.___________Article (4) (5-B) of the Family Court Act(Commissioner of Social Services, Assigneeon behalf of , Assignor SUMMONSPetitioner,SUPPORT NON-RESIDENT-against-Respondent,..........................................................................NOTICE TO NON-NEW YORK STATE RESIDENTS: SECTION 580-316 OF THEFAMILY COURT ACT OF THE STATE OF NEW YORK PROVIDES THAT THECOURT MAY PERMIT A PARTY OR WITNESS RESIDING IN ANOTHER STATE1TO BE DEPOSED OR TO TESTIFY BY TELEPHONE, AUDIO-VISUAL MEANS OROTHER ELECTRONIC MEANS AT A DESIGNATED TRIBUNAL OR OTHERLOCATION IN THAT STATE. IF YOU ARE UNABLE TO APPEAR IN PERSON YOUMAY APPLY FOR PERMISSION TO TESTIFY BY TELEPHONE, AUDIOVISUALMEANS OR OTHER ELECTRONIC MEANS. IF YOU WISH TO REQUEST THISPERMISSION YOU MUST RETURN THE ATTACHED "ELECTRONIC TESTIMONYAPPLICATION" TO THIS COURT EITHER BY CERTIFIED MAIL OR TELEPHONEFACSIMILE (Fax No.__________________), IN ORDER FOR IT TO BE RECEIVED BYTHIS COURT NOT LATER THAN THREE DAYS, EXCLUDING SATURDAYS,SUNDAYS AND HOLIDAYS, IN ADVANCE OF THE HEARING DATE ON THISSUMMONS. IF YOUR APPLICATION IS DENIED, YOU WILL BE SO NOTIFIED. YOUR FAILURE TO APPEAR IN PERSON OR BY COURT-APPROVEDELECTRONIC TESTIMONY MAY RESULT IN A DEFAULT JUDGMENT BEINGENTERED AGAINST YOU.______________________________________________________________________________IN THE NAME OF THE PEOPLE OF THE STATE OF NEW YORK TO THE ABOVE-NAMED RESPONDENT: __________________________________________,residing or found at: _________________________________________________________________________________________________________________________________________ The Uniform Interstate Family Support Act [UIFSA], at section 580-101(19) of the Family Court Act, 1defines "State" as a state of the United States, the District of Columbia, Puerto Rico, the United States Virgin Islandsor any territory or insular possession subject to the jurisdiction of the United States. The term includes: (i) an Indiantribe; and (ii) a foreign jurisdiction that has enacted a law or established procedures for issuance and enforcement ofsupport orders which are substantially similar to the procedures under UIFSA, the former Uniform ReciprocalEnforcement of Support Act, or the former Revised Uniform Reciprocal Enforcement of Support Act. Form 4-1b Page 2A Petition under Article Q4 Q 5-B of the Family Court Act having been filed with thisCourt, and annexed heretoYOU ARE HEREBY SUMMONED to appear before this Court at_____________________________, New York, on _______________,___, at ________ o'clockin the ______noon of that day to answer the petition and to be dealt with in accordance withArticle Q4 Q 5-B of the Family Court Act.You must provide the court with the proof of your income and assets by_________,________, on the attached form provided for that purpose. You are required toattached current and representative paycheck stubs and most recently filed state and federalincome tax returns to said form.You may be required to furnish past and present income tax returns; employer statements;pay stub; corporate, business or partnership books and records; corporate and business taxreturns; and receipts for expenses or such other measures of verification as the court determinesappropriate.A temporary or permanent order of support will be made on the return date of thesummons whether or not you appear in person or by electronic means.On your failure to appear as herein directed, a warrant may be issued for your arrest.Dated:_________________________ ______________________________________________Clerk of the CourtNOTICE: Family Court Act §154(c) provides that petitions brought pursuant to Articles 4, 5, 6,8 and 10 of the Family Court Act, in which an order of protection is sought or in which aviolation of an order of protection is alleged, may be served outside the State of New York upona Respondent who is not a resident or domiciliary of the State of New York. If no other groundsfor obtaining personal jurisdiction over the Respondent exist aside from the application of thisprovision, the exercise of personal jurisdiction over the Respondent is limited to the issue of therequest for, or alleged violation of, the order of protection. Where the Respondent has beenserved with this summons and petition and does not appear, the Family Court may proceed to ahearing with respect to issuance or enforcement of the order of protection.

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