IN THE COUNTY COURT IN AND FOR CITRUS COUNTY FIFTH JUDICIAL CIRCUIT OF FLORIDA CASE NO. -vs- ____________________________________________/ ORDER TO SHOW CAUSE IT APPEARING that the defendant failed to complete the Financial Fact Sheet as ordered in the Final Judgment dated _________________________it is ORDERED that the defendant ___________________________ appear before the undersigned County Judge, Second Floor, Citrus County Courthouse, 110 N. Apopka Ave., Inverness, Florida on ______________ at ______________. or as soon thereafter as can be heard to show cause why he/she should not be adjudged in contempt of this court for failing to complete the Financial Fact Sheet as ordered in the Final Judgment dated _______________________. Adjudication of contempt may result in fines, incarceration or other sanctions as deemed appropriate by this Court. Your failure to physically appear at the above scheduled hearing or be represented by an attorney may result in an adjudication that you are in contempt, the issuance of a Pick-Up Order and your incarceration in the Citrus County Jail upon such terms as the Court deems appropriate. DONE AND ORDERED this ________ day of _____________________, A.D., 20 . ____________________________________________ Mark J. Yerman COUNTY COURT JUDGE IF YOU ARE A PERSON WITH A DISABILITY WHO NEEDS ANY ACCOMMODATION IN ORDER TO PARTICIPATE IN THIS PROCEEDING, YOU ARE ENTITLED, AT NO COST TO YOU, TO THE PROVISION OF CERTAIN ASSISTANCE. PLEASE CONTACT THE ADA COORDINATOR, TELEPHONE (352) 341-6700, CITRUS COUNTY COURTHOUSE, 110 N APOPKA AVENUE, INVERNESS FL 34450, WITHIN 2 WORKING DAYS OF YOUR RECEIPT OF THIS ORDER. IF YOU ARE HEARING OR VOICE IMPAIRED, CALL 1-800-955-8771. APPS/CRTVIEW/CRTV/FORMSGEN/DOC/ccjudotsc 01-2002 American LegalNet, Inc. www.FormsWorkflow.com