IN THE CIRCUIT COURT IN THE EIGHTEENTH JUDICIAL CIRCUIT IN AND FOR BREVARD COUNTY, FLORIDA. Case No.: __________________________________, Petitioner and , Respondent ORDER OF CONTEMPT THIS CAUSE came on to be heard on Petitioners, ______________________________ ____, Motion for Contempt, on the _____ dayof ______________________, 20___. The parties appeared pro se. After considering the evidence and beingherwise fully ot advised in the premises, it is hereby ORDERED AND ADJUDGED as follows: 1. The Respondent, _________________________________________, is found to b e in contempt of court for willful failure to pay child support. Respondent is ordered to the Brevard County jail at 5:00 p.m. on the _____ day of ____________________, 20___, to serve a ________ day sentence. Respondent may relieve himself of the obligation to serve such jail time by paying a purge amount of $______________. 2. The present arrearages are found by the Court to be $_______________ as of ___________________, 200__. 3. Such arrearages shall be paid as follows: __________________________________________ ________________________________________________________________________ ___ ________________________________________________________________________ ___ ________________________________________________________________________ ___ ________________________________________________________________________ __. 4. Respondent is ordered to comply with the previously ordered child support obligation. DONE and ORDERED in Brevard County, Florida on {date} ______________________, 200__. ____________________________________ Circuit Judge Cc: Petitioner or their attorney (if represented) Respondent or their attorney (if represented)Name_____________________________ Name_______________________________ Address___________________________ Address_____________________________ _________________________________ ____________________________________ City State Zip City State Zip Law 1022 rev. 12/2004 American LegalNet, Inc. www.USCourtForms.com