District Court County Court ___________________________County, Colorado Court Address: Plaintiff(s)/Petitioner(s): v. COURT USE ONLY Defendant(s)/Respondent(s): Case Number: Division: ORDER AND CITATION FOR CONTEMPT Courtroom: WHEREAS, this Court ordered the Judgment Debtor to answer certain written interrogatories within ten days of receipt of the same. WHEREAS, it appears to this Court that the Judgment Debtor has failed to comply with the Order of this Court by failing to answer the written interrogatories within the time ordered or did not respond adequately to the questions. You ________________________________(name of Defendant/Respondent) are hereby ordered to appear at ____________________________________ (Court) ___________________ (date) _______________ (time) __________________________________________________________________________________ (Address) to show cause, if any, why you should not be punished for contempt, for neglect and refusal to comply with the Order of this Court, and why, to vindicate the dignity of this Court, a fine or jail sentence should not be imposed upon you, or why attorney fees and costs should not be assessed against you on behalf of the Judgment Creditor. Dated: ________________________ ______________________________________ Judge Magistrate AFFIDAVIT OF SERVICE I declare under oath that I am over the age of 18 years and not a party to this case and that I served this Order and Citation for Contempt ______________________ (County) ________________ (State) on ______________ (date) at the following location: _____________________________________________________________ Check one: By handing it to a person identified to me as the Judgment Debtor or by leaving it with the Judgment Debtor who refused service. By leaving it with ___________________________________ designated to receive service for the Judgment Debtor. I attempted to serve the Judgment Debtor _______ occasions but have not been able to locate the Judgment Debtor. Private process server Sheriff, _________________________County Fee $ ____________ Mileage $ ________ _______________________________________ Signature of Process Server _______________________________________ Name (Print or type) My commission expires: ________________________ ____________________________________________ Notary Public /Deputy Clerk Date JDF 124 5/03 ORDER AND CITATION FOR CONTEMPT American LegalNet, Inc. www.FormsWorkflow.com