F.C.A. 154(c), 430 454, 550 General Form 7 740, 780, 828, 846, (Summons - Violation 1027,1029, 1072 of Order of Protection) 12/97 (TO BE USED FOR VIOLATION OF ORDER OF PROTECTION PROCEEDINGS) FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF ........................................................................ ............... In the matter of a Proceeding under Docket No._________Article of the Family Court Act SUMMONS Petitioner, (Violation of Order of Protection) -against- Respondent. ........................................................................ ................ NOTICE : YOUR FAILURE TO APPEAR IN COURT MAY RESULT IN YOUR IMMEDIATE ARREST. YOU HAVE THE RIGHT TO BE REPRESENTED BY A LAWYER. IF YOU CANNOT AFFORD A PR IVATE LAWYER, YOU HAVE THE RIGHT TO ASK THE JUDGE TO ASSIGN A LAWYER. IF, AFT ER HEARING, THE JUDGE FINDS THAT YOU WILLFULLY FAILED TO OBEY THE ORDER, YOU MAY BE IMPRISONED FOR A TERM NOT TO EXCEED SIX MONTHS FOR EACH VIOLATION, FOR C ONTEMPT OF COURT. IN THE NAME OF THE PEOPLE OF THE STATE OF NEW YORK TO THE ABOVE-NAMED RESPONDENT: _______________________________________________ WHO RESID ES OR IS FOUND AT: ___________________________________________________________________ ___. A petition having been filed in this Court alleging that you have failed to obey the (Temporary) Order ofProtection dated ________________, 19__, made by this Court under Articl e ____ of the Family Court Act, of acopy of the petition being annexed hereto; YOU ARE HEREBY SUMMONED to appear before this Court at _________________ ___________, New York on , 19____, at _____ oclock in the _________ noon of the date to answer t he petition and show causewhy you should not be dealt with in accordance with Section _______ of t he Family Court Act. Dated: , 19____. BY ORDER OF THE COURT ______________________________ Clerk of the Court NOTICE : Family Court Act 154(c) provides that support, paternity, custo dy, family offense and child abuse andneglect petitions, in which an order of protection is sought or in which a violation of an order of protection isalleged, may be served outside the state of New York upon a Respondent w ho is not a resident or domiciliary of theState of New York. In such instance, the exercise of personal jurisdict ion over the Respondent is limited to the issueof the request for, or alleged violation of, the order of protection, un less other grounds exist for the exercise ofpersonal jurisdiction over the Respondent. Where the Respondent has bee n served with this summons and petitionand does not appear, the Family Court may proceed to a hearing with resp ect to issuance or enforcement of the orderof protection. American LegalNet, Inc. www.USCourtForms.com>>>> 2General Form 7 page 2 American LegalNet, Inc. www.USCourtForms.com