NHJB-4011-Se (07/01/2018) Page 1 of 2 THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) MOTION FOR CONTEMPT FOR NON-COMPLIANCE WITH PAYMENT ORDER I am filing this motion on my own behalf AND/OR I am a person authorized by court rules to appear on behalf of another in this case. I am filing this motion on behalf of V. Filing Party Other Party Address Address City State Zip code City State Zip code Check if new address Check if new address The Filing Party states that the Other Party has failed to comply with the Court222s Order for Payments dated , and requests that the Court issue a Summons to show cause why the Other Party should not be held in contempt. Total Amount of Judgment $ Filing Fee $ Date of Last Payment: Total Amount Paid: $ Current Balance Due: $ American LegalNet, Inc. www.FormsWorkFlow.com Case Name: Case Number: MOTION FOR CONTEMPT FOR NON-COMPLIANCE WITH PAYMENT ORDER NHJB-4011-Se (07/01/2018) Page 2 of 2 For non e-filed cases: I state that on this date I am mailing by U.S. mail, or Email (only when there is a prior agreement of the parties to use this method), or hand delivering a copy of this document to: Other party Other party222s attorney OR For e-filed cases: I state that on this date I am sending a copy of this document as required by the rules of the court. I am electronically sending this document through the court222s electronic filing system to all attorneys and to all other parties who have entered electronic service contacts (email addresses) in this case. I am mailing or hand-delivering copies to all other interested parties. Name of Filer Signature of Filer Date Law Firm, if applicable Bar ID # of attorney Telephone Address E-mail City State Zip code American LegalNet, Inc. www.FormsWorkFlow.com