STATE OF SOUTH DAKOTA COUNTY OF ______________ __________________________ Plaintiff, v. __________________________ Defendant. SECTION 1 ) )SS. ) ) ) ) ) ) ) ) ) ) IN CIRCUIT COURT __________ JUDICIAL CIRCUIT CASE NO:___________ MOTION AND AFFIDAVIT FOR ORDER TO SHOW CAUSE COMES NOW, ______________________________, the Petitioner (person filing this matter) in this matter and after first being duly sworn on oath states and alleges as follows: 1. The Respondent (person you are filing against) has willfully disobeyed certain orders of the Court set forth in this Motion and Affidavit for Order to Show Cause and any attached Affidavits. (Explain what the Respondent has not complied with); _______________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 2. A certified copy of the order which is the subject of this action is attached. 3. The Respondent had knowledge of the order in that (check all that apply); a. _______ Respondent was present in court at the time the Order was made; b. _______ Respondent was served with a copy of the Order; c. _______ Respondent signed a Stipulation upon which the Order was based; d. _______ Other:_____________________________________________________ __________________________________________________________ 4. The Respondent has the ability to comply with the Order but refuses to do so. (Explain briefly): ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ UJS-357 Motion and Affidavit for OTSC; P. 1 of 2 Revised 05/2016 American LegalNet, Inc. www.FormsWorkFlow.com THEREFORE, based on the foregoing statement and allegations, Petitioner respectfully requests that the Court enter an Order to Show Cause requiring the Respondent to attend a hearing and show cause as to why they have not complied with the Court's Order. Dated this _____ day of ____________________, 20__. Petitioner Signature:_______________________________ Name (Printed):___________________________________ Address:________________________________________ City/State/Zip:____________________________________ Phone Number:___________________________________ (Phone number must be provided so the Clerk can contact you when/if a hearing date is set). THIS NEXT SECTION MUST BE COMPLETED IN FRONT OF A NOTARY OR CLERK SECTION 2 ) )ss. County of ______________ ) On this _______ day of ________________, 20___, I swear under oath that the allegations set forth in this Affidavit are true and correct to the best of my knowledge, and that I believe that I am entitled to the relief requested for, and that this legal action is not filed for harassment, abuse of process, or delay. ______________________________________________ Signature of Petitioner (person filing Affidavit) State of South Dakota Signed and sworn to before me this _______ day of _________________, 20___. (SEAL) ______________________________________________ Signature Notary Public/Clerk of Court If Notary Commission Expires:________________ UJS-357 Motion and Affidavit for OTSC; P. 2 of 2 Revised 05/2016 American LegalNet, Inc. www.FormsWorkFlow.com