File No. STATE OF NORTH CAROLINA In The General Court Of Justice County District Superior Court DivisionName Of Plaintiff(s) MOTION AND ORDER FOR SHOW CAUSE HEARING VERSUS Name Of Defendant(s) G.S. 7A-38.1, 7A-38.4A Rules Implementing Superior Court Mediated Settlement Conferences and District Court Family Financial Settlement Procedures. MOTION The undersigned mediator moves the Court to order the parties named below to appear before the Court to show cause why he/she/they should not be held in contempt for failure to pay mediators fees as ordered by the Court in its Order dated for Superior Court Mediated Settlement Conference. District Court Family Financial Settlement Conference. The undersigned mediator is court-appointed. party selected. 1. a.Amount due for mediation services (MSC Rules 7A & 7B / FFS Rules 7A & 7B) ............................. $ Total time spent in mediation: hours, minutes @ $ per hour. b.Amount due for administrative fee (MSC / FFS Rule 7.B) ..............................................................$ c. Amount due for postponement fee (MSC / FFS Rule 7.E) ..............................................................$ d.Amount due for out-of-pocket expenses or other agreed upon fees (please specify below): $ Total amount due Mediator ................................................................................................................$ 2. The parties named below have failed to timely pay the above fees: NAME OF PARTY OWING FEES ADDRESS OF PARTY TOTAL AMOUNT OWED BY PARTY Name and Address of Mediator SWORN AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Telephone Date My Commission Expires Signature Of Mediator Date SEAL Notary ORDER ALLOWING SHOW CAUSE HEARING The above motion for a Show Cause Hearing: is denied. is allowed. The Court finds probable cause to believe that the mediators fees have not been paid. The parties named above are Ordered to appear in person at the date, time and place shown below to show cause why they should not be held in civil contempt for their failure to pay mediators fees as ordered by the Court. If the Court finds a party in civil contempt, he or she may be committed to jail for as long as such civil contempt continues. A party may be entitled to have counsel represent him or her at the hearing. You may hire your own counsel. If you are found to be indigent, the Court will appoint counsel for you, unless you waive the right to counsel. Date of Hearing Time of Hearing Location of Hearing AM PM Date Name of Judge (Type or Print) Signature of Judge Original-File AOC-CV-815, New 9/02 (Over) 2002 Administrative Office of the Courts >>>> 2 RETURN OF SERVICE I certify that this Motion and Order was received and served as follows:Date Served Name Of Contemnor By personally delivering to the contemnor named above a copy of this Motion and Order. By leaving a copy of this Motion and Order at the dwelling house or usual place of abode of the contemnor named above with a person of suitable age and discretion residing therein.Name Of Person With Whom Copy Left Address Where Copy Delivered Or Left Date Accepted Signature Of Person Who Served Motion And Order Other manner of service (specify): Contemnor WAS NOT served for the following reason: Date Received Date Of Return Signature Of Deputy Sheriff Making ReturnService Fee County Paid Due $ Name Of Sheriff AOC-CV-815 Side Two, New 9/02 2002 Administrative Office of the Courts