IN THE CIRCUIT COURT IN THE EIGHTEENTH JUDICIAL CIRCUIT IN AND FOR BREVARD COUNTY, FLORIDA. Case No.: __________________________________, Petitioner and Bar Code Label , Respondent ORDER ON MOTION FOR CONTEMPT THIS CAUSE came before the Court this _____ day of ______________________, 20___, upon the Motion for Contempt filed by (Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), {your name} ___________________________________________________ and the Court being fully advised in the premises, finds as follows: 1. Contempt: Based upon the evidence presented, the Court finds that: ___ *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), is not in willful contempt of Court. ___ *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), is in willful contempt of Court but does not have the present ability to make a purge payment or comply with the Court’s order. ___ *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), is in willful contempt of Court and has the present ability to make an immediate purge payment or comply with this Court’s order. ___ *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), is in willful contempt of Court and has ability to make a delayed purge payment or to comply with this Court’s order in the near future. 2. Arrears: The Court finds based upon the evidence presented that the (Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), is in arrears for *(child support) (medical/dental) (alimony) in the amount of $__________ as of ________________, 20___. This amount reflects the total combined arrearage amounts through the date shown above. *Circle correct word in each section. Law 1023 – rev. 5-2009 American LegalNet, Inc. www.FormsWorkFlow.com ORDER ON MOTION FOR CONTEMPT Page 2 Case No:___________________________ It is thereupon ORDERED AND ADJUDED: a. Commitment: ___ IMMEDIATE COMMITMENT: The Sheriff of Brevard County, Florida, shall forthwith take ________________________________ *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother) into custody and (he) (she) shall purge (his) (her) contempt by paying to the Clerk of the Circuit Court prior to confinement, or to the Sheriff after confinement, the sum of $_______________ plus the Clerk’s fee. No good time or gain time shall be allowed. ___ DELAYED COMMITMENT: ______________________________________ *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), shall report to the Sheriff of Brevard County, Florida, at the Brevard County Detention Center facilities in Sharpes, Florida, on the _____ day of __________________, 20___, at 5:00 p.m., and shall be confined in the Brevard County Jail for a period of ________ days UNLESS the *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), purges that contempt by paying to the Clerk of the Circuit Court prior to confinement, or to the Sheriff after confinement, the sum of $_______________ plus applicable Clerk’s fee. The purge amount must be made in one lump sum payment. No good time or gain time shall be allowed. Upon payment or notification by the Clerk of payment, the Sheriff shall release the *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), and shall remit any payment to the Clerk of the Court, Brevard County, Florida. Upon the *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), failure to pay the stated purge or report and begin serving the sentence as above provided, the Clerk shall deliver a certified copy of this Order to the Sheriff of Brevard County, whereupon ALL AND SINGULAR THE SHERIFFS OF THIS STATE shall accept this Order as a capias and are hereby commanded to arrest and deliver *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), to the custody of the Sheriff of Brevard County, Florida for service of the sentence as herein provided. Services and execution of this Order may be made on any day of the week, and any time of the day or night. b. Timesharing: _______________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ c. Property: __________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ *Circle correct word in each section. Law 1023 – rev. 5-2009 American LegalNet, Inc. www.FormsWorkFlow.com ORDER ON MOTION FOR CONTEMPT Page 3 Case No:___________________________ d. Other: _____________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ e. The *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), shall obey this Court’s orders or shall be subject to future contempt proceedings and possible incarceration. DONE AND ORDERED at Brevard County, Florida, on the _____ day of ________________, 200___. ___________________________________ Circuit Judge CERTIFICATE OF SERVICE I, Scott Ellis, Clerk of the Circuit Court do hereby certify that a true and correct copy of the foregoing has been furnished to *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), _____________________________, at _______________________________________________, and *(Petitioner) (Respondent) (Husband) (Wife) (Father) (Mother), __________________________, at _________________________________________________________________________________, by U.S. Mail this _____ day of ____________________, 200__. ____________________________________ Deputy Clerk of Courts Copies to: Petitioner or their attorney (if represented) Name_____________________________ Address___________________________ _________________________________ City State Zip Respondent or their attorney (if represented) Name_______________________________ Address_____________________________ ____________________________________ City State Zip *Circle correct word in each section. Law 1023 – rev. 5-2009 American LegalNet, Inc. www.FormsWorkFlow.com