COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : STATE OF NORTH CAROLINA Plaintiff(s) -against- Calendar No. : In The General Court Of JUDICIAL SUBPOENAJustice : : VERSUS Name Of Defendant IV-D Case No. : County Name Of Plaintiff Court File No. Index No. COMMITMENT ORDER FOR CIVIL CONTEMPT : G.S. 5A-21 defendant This matter was heard before the undersigned Judge on an Order to Show Cause why the Defendant(s) : plaintiff . should .not .be. held. in.civil .contempt .for .failure. to . . . . . . .with a child support order previously . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . comply . . defendant plaintiff has willfully failed and refused to entered by the Court. The Court finds that the (date), and that the party has sufficient means comply with the order entered on and ability to comply or take reasonable measures to comply. The party is, therefore, found to be in civil contempt of THE (List additional findings, if applicable.) this Court. PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at plaintiff shall immediately be taken into custody by the sheriff County of It is ORDERED that the defendant of this county. The party on the in custody until he/she purges himself/herself in the in room , shall remain day of , 20 , at o'clock of contempt by paying into the office noon, and at any recessed of the Clerk of Superior to testify this give evidence asindicated below, or by complying with the release conditions Court of and county the sum a witness in this action on the part of other or adjourned date, listed below. When these conditions have been met, the party shall be released. Amount Needed To Purge $ Your Other Release Conditions failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Court in Witness, Honorable County, , one of the Justices of the day of , 20 If the defendant plaintiff named above is not sooner released, you are ORDEREDtypeproduce him/her (Attorney must sign above and to name below) in Court at the date, time and place set out below to review the above conditions. Date of Hearing Time Of Hearing Date AM PM Place of Hearing Attorney(s) Signature Of Presiding Judge for Name Of Presiding Judge (Type Or Print) CERTIFICATION Office and P.O. Address I certify that this Commitment is a true and complete copy of the original which is on file in this case. Date Signature And Seal Telephone No.: Facsimile No.: Deputy CSC Assistant CSC E-Mail Address: Mobile Tel. No.: Date Certified Copies Delivered To Sheriff AOC-CV-603, Rev. 3/03 2003 Administrative Office of the Courts I Original-File Copy-Sheriff Copy-Party Clerk Of Superior Court American LegalNet, Inc. www.USCourtForms.com