Fill and Sign the Get the Agreementwaiver of Participation for State of Form

F.C.A. §§524, 531-a,  580-201; 580-202; 580-316.   Form 5-1c(TO BE USED ONLY WHEN PERSON BEING   (Summons-Paternity SUMMONED IS NOT A NEW YORK STATE RESIDENT)    Non- Resident)                                                                           8/2010   FAMILY COURT OF THE STATE OF NEW YORKCOUNTY OF___________________________________..........................................................................In the Matter of a Proceeding underArticle 5 of the Family Court ActCommissioner of Social Services, AssigneeDocket No._________on behalf of , Assignor SUMMONSPATERNITY--NON-RESIDENTPetitioner,-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:______________________________________________________________________ ______________________________________________________________________________A Petition under Article 5 of the Family Court Act having been filed with this Court, and FCA Section 580-101(19) defines "State" as a state of the United States, the District of 1Columbia, Puerto Rico, the United States Virgin Islands or any territory or insular possession subject tothe jurisdiction of the United States. The term includes: (i) an Indian tribe; and (ii) a foreign jurisdictionthat has enacted a law or established procedures for issuance and enforcement of support orders whichare substantially similar to the procedures under this article, the Uniform Reciprocal Enforcement ofSupport Act, or the Revised Uniform Reciprocal Enforcement of Support Act. annexed heretoYOU ARE HEREBY SUMMONED to appear before this court at_____________________________, New York, on _______________,___, at ________ o'clockin the ______ noon of that day to show cause why the declaration of paternity, order of filiation,order of support and other and further relief prayed for by the petition should not be made.On your failure to appear as herein directed, a warrant may be issued for your arrest.Dated:__________________________, . ________________________ Clerk of the CourtFINANCIAL DISCLOSURE NOTICEIF THE COURT ENTERS AN ORDER OF PATERNITY (ORDER OF FILIATION), THE COURTWILL IMMEDIATELY PROCEED TO ENTER AN ORDER OF SUPPORT. IN THE SUPPORTPROCEEDING, YOU ARE REQUIRED TO PROVIDE THE COURT WITH A CURRENT ANDREPRESENTATIVE PAY CHECK STUB AND MOST RECENTLY FILED STATE AND FEDERALINCOME TAX RETURNS, INCLUDING A COPY OF THE W-2(S) WAGE AND TAX STATEMENTSUBMITTED WITH ONE RETURN. YOU MAY BE REQUIRED TO FURNISH PAST INCOMETAX RETURNS; EMPLOYER STATEMENTS; PAY STUBS; CORPORATE, BUSINESS ORPARTNERSHIP BOOKS AND RECORDS; CORPORATE AND BUSINESS TAX RETURNS; ANDRECEIPTS FOR EXPENSES OR SUCH OTHER MEASURES OF VERIFICATION AS THE COURTDETERMINES APPROPRIATE. IF YOU WILL BE CONSENTING TO ENTRY OF THEDECLARATION OF PATERNITY REQUESTED IN THE PETITION ON THE RETURN DATE OFTHIS SUMMONS YOU SHOULD BRING THE ABOVE REFERENCED DOCUMENTS WITH YOUTO COURT ON THAT DAY. NOTICE: Family Court Act §154(c) provides that petitions brought pursuant to Articles 4, 5, 6, 8 and 10of the Family Court Act, in which an order of protection is sought or in which a violation of an order ofprotection is alleged, may be served outside the State of New York upon a Respondent who is not aresident or domiciliary of the State of New York. If no other grounds for obtaining personal jurisdictionover the Respondent exist aside from the application of this provision, the exercise of personaljurisdiction over the Respondent is limited to the issue of the request for, or alleged violation of, theorder of protection. Where the Respondent has been served with this summons and petition and does notappear, the Family Court may proceed to a hearing with respect to issuance or enforcement of the orderof protection.