NORTH CAROLINA COUNTY OF WAKE IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION FILE NO. _________________________ Assigned Judge: _____________________ ___________________________________, Plaintiff MOTION FOR ORDER TO SHOW CAUSE v. ____________________________________, Defendant Name, address, and telephone number of Plaintiff: Name, address, and telephone number of Defendant: _____________________________________________________ ________________________________________________ _____________________________________________________ ________________________________________________ _____________________________________________________ ________________________________________________ The undersigned, being first duly sworn, hereby moves the Court to require the [ ] Plaintiff [ ] Defendant to appear and show cause why he/she should not be held in contempt for not complying with a prior order . A copy of this order is attached. of this court dated 1. By the Order of this Court referenced above, the [ ] Plaintiff [ ] Defendant was required to: 2. The [ ] Plaintiff [ ] Defendant has willfully failed to comply with that Order in that: 3. I am informed and believe that the [ ] Plaintiff [ ] Defendant has the means to comply with that Order. 4. I am [ ] am not [ ] requesting an award of attorney’s fees for the prosecution of this motion. This the ________ day of _______________, 20__. _______________________________________ Signature of Person Making Motion [ ] Plaintiff [ ] Defendant [ ] Other _______________________________ SWORN TO AND SUBSCRIBED BEFORE ME: ___________________________________-NOTARY PUBLIC ___________________________ DATE My Commission Expires: ____________________________ WAKE-DOM-5A (2/06) (PAGE 1 OF 2) American LegalNet, Inc. www.USCourtForms.com CERTIFICATE OF SERVICE The undersigned hereby certifies that a copy of the foregoing document was served on the following parties to this action by: [ ] hand delivery, addressed to: [ ] certified mail, postage prepaid, addressed to: [ ] depositing a copy of the same in the United States Mail, postage prepaid, addressed to: [ ] Sheriff’s service, addressed to: This the ______ day of ______________, 20__ . By: _______________________________ WAKE-DOM-5A (2/06) (PAGE 2 OF 2) American LegalNet, Inc. www.USCourtForms.com