STATE OF NORTH CAROLINA County Name Of Plaintiff/Victim Name Of Person Filing On Behalf Of Minor Or Incompetent Victim File No. In The General Court Of Justice District Court Division Name And Address Of Defendant/Respondent VERSUS NOTICE OF HEARING ON PERMANENT CIVIL NO-CONTACT ORDER AGAINST SEX OFFENDER G.S. 50D-3 To The Defendant Named Above: The attached Complaint has been filed alleging that you have committed a sex offense against the plaintiff and that the plaintiff fears future contact with you. A hearing will be held before a district court judge at the date, time and location indicated below. At that hearing it will be determined whether a permanent no-contact order should be granted. Date Of Hearing Location Of Hearing Time Of Hearing Date AM PM Signature Deputy CSC Assistant CSC Clerk Of Superior Court NOTE TO PLAINTIFF: If the complaint and summons has already been served and this notice is issued at a later date, you are responsible for mailing a copy of this Notice of Hearing to the defendant. In that situation only, you must mail a copy of the notice by first class mail and complete the "Certificate Of Service" set out below. CERTIFICATE OF SERVICE I certify that on the date of mailing shown below a copy of this Notice was served on the defendant at the address listed above by depositing a copy in a post-paid, properly addressed envelope in a post office or official depository under the exclusive care and custody of the United States Postal Service. Date Of Mailing Date Of Certification Signature Of Plaintiff AOC-CV-542, New 10/15 © 2015 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com