COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS CLERMONT COUNTY, OHIO ____________________ Plaintiff/Petitioner CASE NO. _________________ VS. MOTION __________________ ____________________ Defendant/Respondent __________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Date________________ __________________________ Signature __________________________ Address __________________________ City ST Zip INSTRUCTIONS TO THE CLERK Please serve the above motion on ____________________ at ___________________ (Name) address ______________________________________________________________________ address By ( ) certified mail ( ) Sheriff ( ) regular U.S. mail ---------------------------------------------------------------NOTICE OF HEARING The above motion shall come on for hearing on the _______ day of _______________, 20___ at _____________ am/pm before Magistrate __________________ at the Court of Common Pleas, Division of Domestic Relations, 2340 Clermont Center Drive, Suite 200, Batavia, OH 45103. 9/06 Form DR-121 American LegalNet, Inc. www.FormsWorkFlow.com AFFIDAVIT Affiant states that the court order dated _______________________ has been violated as follows: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ I, ______________________, hereby swear and affirm the information set forth in this Affidavit is true, complete and accurate. ________________________________ AFFIANT SWORN to and SUBSCRIBED before me this __________ day of ___________________, 20______. ________________________________ NOTARY PUBLIC American LegalNet, Inc. www.FormsWorkFlow.com