IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA CIVIL ACTION - LAW : PETITIONER : : CUSTODY VS. : NO. : : RESPONDENT : NOTICE AND ORDER TO APPEAR TO: (Name of Respondent) Legal proceedings have been brought against you alleging you have willfully disobeyed an Order of Court for custody. If you wish to defend against the claims set forth in the following pages, you may but are not required to file in writing with the Court your defenses or objections. Whether or not you file in writing with the Court your defenses or objections, you must appear in person in Court on the day of , 20, at .m., in Court Room No. of the Carbon County Court House, Jim Thorpe, Pennsylvania. IF YOU DO NOT APPEAR IN PERSON, THE COURT MAY ISSUE A WARRANT FOR YOUR ARREST. If the Court finds that you have willfully failed to comply with its Order, you may be found in Contempt of Court and committed to jail, fined or both. Any party to a custody action, who is incarcerated and cannot attend any scheduled proceeding and wishes to participate by electronic means, shall request permission from Court Administration seven (7) days before the scheduled event. Said party shall be responsible for making the arrangements with Court Administration and the Warden of said facility where the party is incarcerated. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. American LegalNet, Inc. www.FormsWorkFlow.com IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. North Penn Legal Services 101 West Broad Street, Suite 713 Hazleton, PA 18201 (877) 953-4250 or Carbon County Lawyer Referral 777 Blakeslee Blvd. Dr., Suite 2 Lehighton, PA 18235 Phone 1-610-379-4950 Fax (610) 379-4952 BY THE COURT: Date: J. American LegalNet, Inc. www.FormsWorkFlow.com